Published on: 13 March 2026
March 16th marks National Cancer Nurse Specialist (CNS) Day, a moment to recognise and celebrate the important role our Cancer Nurse Specialists play across South Tyneside and Sunderland NHS Foundation Trust.
We’re proud to share the voices of some of our Cancer Nurse Specialists, who reflect on their journeys and the difference they make every day.We’re proud to share the voices of some of our Cancer Nurse Specialists, who reflect on their journeys and the difference they make every day.
Danya Spruce, Head and Neck Clinical Nurse Specialist at STSFT, shared:
"My Journey to becoming a Head and Neck Clinical Nurse Specialist. Stepping into the role of a Head and Neck Clinical Nurse Specialist (CNS) has been both an exciting and rewarding milestone in my nursing career. As a junior specialist nurse new to the role, my journey has been shaped by commitment to learning, developing new skills and gaining a deeper understanding of the complex needs of patients diagnosed with head and neck cancers.
One of the key opportunities that supported my transition into this role was enrolling on the Cancer Internship within the trust. This programme allowed me to broaden my knowledge and experience across both oncological and non-oncological patient pathways. Through this internship, I was able to gain valuable insight into the multi-disciplinary approach required to manage head and neck conditions, understand treatment pathways and appreciate the importance of coordinated care for patients navigating diagnosis, treatment and follow-up.
Alongside this, I completed several palliative care modules which significantly enhanced my knowledge around symptoms management. These modules strengthened my understanding of managing complex symptoms and the significant impact these can have on a patient. Developing these skills has been essential in ensuring that I can support patients holistically, focusing not only on treatment but also on quality of life.
Another important part of my professional development has been my time working in management. The experience provided me with valuable insight into leadership and change management, helping me to understand how services evolve. The skills I developed in communication, team collaboration and service development have been highly transferable to my CNS role where leadership and advocacy are key components of supporting patients and contributing to the wider multidisciplinary team.
Looking back on my journey so far, each experience- from the cancer internship, to palliative care education, to leadership exposure throughout management- has plated an important role in preparing me for this position. I look forward to continuing to develop my expertise and supporting patients through what can often be one of the most challenging times in their lives."
Nicola Elves, Urology Cancer Specialist Nurse at STSFT, shared:
"I have been fortunate to work as a Macmillan Urology Nurse Specialist for over 23 years. During this time, I have witnessed many changes within the role and the wider healthcare environment. Although the role remains demanding and challenging, it is also incredibly rewarding.
It is a privilege to support patients during what is often one of the most difficult times in their lives. Being diagnosed with cancer can be overwhelming, and patients are often faced with complex decisions about their treatment options. I value the opportunity to guide and support them through this process, helping them feel informed and reassured during such an uncertain time.
Alongside my clinical work, I am actively involved in the 5K Move Your Own Way programme, which encourages patients to incorporate exercise into their recovery and long-term health journey. We know that physical activity can have a significant positive impact on long-term outcomes, and it is rewarding to help patients build confidence in staying active.
Recently, I had the honour of being nominated by a patient for the People’s Choice Award, organised by Prostate Cancer UK. I was incredibly fortunate to go on to win the award, which felt like a once-in-a-lifetime moment in my career.
What made the award particularly meaningful was that the nomination came from a patient who had taken the time to recognise the care he had received. It was a powerful reminder that, in this role, everything we do is ultimately for our patients."
Caroline Tweedie, Lead Cancer Nurse at STSFT, shared:
"CNSs are central to high‑quality cancer care. They provide expert clinical guidance, clear information, and consistent support at times when patients and families need it most. They help people navigate complex pathways, coordinate care between teams, and ensure concerns are heard and acted on.
"Their work improves patient experience, reduces uncertainty, and supports better outcomes. Much of what they do isn’t visible in activity data, but it is deeply felt by the people they care for. Today is simply an opportunity to say thank you. Thank you for your professionalism, your advocacy, and the steady support you provide every day."
