A diagnosis of cancer has a significant impact on work and employment. With improvements in cancer treatments more people are surviving longer, and it is estimated that there are approximately 700,000 people of working age with cancer in the UK (Maddams et al., 2009). For cancer survivors, the ability to work is important to maintaining social relationships, selfesteem and psychological well-being. A recent systematic review and meta-synthesis of the qualitative literature on employment and cancer (Wells et al., 2013) found consistent evidence that individuals' experiences of 'return to work' were strongly influenced by the degree to which cancer affected four key factors: self-identity, meaning and significance of work, family and financial context, and work environment. Work often helped people to reestablish normality and a sense of their former selves, but at the same time, self-identity was challenged by the physical and emotional consequences of cancer treatment, as well as others' reactions to changes in appearance, physical or cognitive ability. The meaning and significance that individuals had attached to work before cancer frequently shifted, as they re-evaluated their capabilities and priorities. The influence of financial pressures and family or friends towards maintaining or changing work consistently played a part, and the difficulties of negotiating sick pay, benefits and insurance were frequently mentioned.Finally, the organisational and interpersonal support received within the work environment played a particularly important role in enabling people to talk about and manage the