Paediatric Integrative Cancer Care

(Integrative Oncology Service for Survivors of Childhood Cancer)

Synthesis Clinic is the leading multidisciplinary integrative cancer care practice in the UK, offering a unique consultant-led integrative oncology service for children, teen and young adult cancer survivors.

Integrative oncology (IO) is a patient-centred, evidence-informed field of cancer care that intelligently combines psychological, nutritional, lifestyle and complementary interventions alongside conventional cancer treatments. Integrative oncology aims to support better quality of life, improve resilience, minimise the side effects of treatment and improve outcomes.

At Synthesis Clinic our approach to integrative oncology involves a consultant-led multidisciplinary team, delivering personalised care for children, teens and young adults affected by cancer throughout the UK. To find out more about integrative oncology as an approach, please see Dr Fuller-Shavel’s blog on the Oncio website here.

We are a Care Quality Commission (CQC) registered service for children and offer medical, nursing and testing services. Our non-medical supportive care services, including nutrition, physiotherapy and art therapy, are also all available to book alongside the medical support or as a stand alone service with appointments available online and on-site in Berkshire near Reading.

Our Specialist Paediatric Integrative Cancer Care Team

Paediatric Integrative Cancer Care Doctors

Dr Nina Fuller-Shavel

PRECISION HEALTH and INTEGRATIVE MEDICINE PHYSICIAN

HEAD OF INTEGRATIVE CANCER CARE
DIRECTOR OF SYNTHESIS CLINIC

Dr Amy Mitchell

Consultant paediatric & adolescent oncologist


Head of paediatric INTEGRATIVE CANCER CARE

Clinical Psychology

Dr Amy Savage

Clinical Psychologist

PAEDIATRIC AND ADOLESCENT MENTAL HEALTH

Paediatric Integrative Cancer Care

Nutrition and Rehabilitation Team

Sarah Morris

BANT REGISTERED NUTRITIONIST &
NUTRITIONAL THERAPY PRACTITIONER

PAEDIATRIC INTEGRATIVE CANCER CARE

Becki Drewett

REHABILITATION LEAD AND SENIOR PHYSIOTHERAPIST

ADULT AND PAEDIATRIC INTEGRATIVE CANCER CARE AND INTEGRATIVE PAIN CARE

Nurse Specialists and Paediatric Clinic Coordinator

Lea Glade

Paediatric oncology clinical nurse specialist (survivorship)

PAEDIATRIC INTEGRATIVE CANCER CARE

Katie Hawksley

CLINICAL NURSE SPECIALIST (PAEDIATRIC ONCOLOGY)

PAEDIATRIC INTEGRATIVE CANCER CARE CLINIC COORDINATOR

Art therapy

Lorna Giézot

ADULT AND PAEDIATRIC INTEGRATIVE CANCER CARE

Please note that coming to see our team is not a substitute for standard NHS care, including acute/emergency care and out-of-hours services. We do not provide any emergency care.

Please note that for integrative cancer support if you are still under active follow-up, we always aim to work with your NHS or private oncology team to support best practice and clinical outcomes.

Integrative Oncology Nutrition Art Therapy and Support for Children Teens and Families impacted by cancer

What is included in paediatric integrative cancer care at Synthesis Clinic?

    • Medical input if you are seeing one of our doctors, including in-depth testing and medication review with personalised recommendations (we do not offer ‘one size fits all’ protocols)

    • Personalised nutrition guidance with supplementation as appropriate - this is guided by clinical assessment and laboratory testing as needed

    • Sleep and stress management advice for children, teens, young adults and families

    • Physical activity suggestions, e.g. general guidance or specific rehabilitation from our specialist physiotherapist

    • Additional modalities, such as acupuncture and herbal medicine input from our physicians

    • Referrals to other professionals both within and outside the clinic

We use a truly integrated approach where members of our multidisciplinary team meet regularly to discuss their approach to each individual and to ensure everybody in the team is united behind you.

What Happens During My Paediatric Integrative Cancer Care Package?

  • We always ask for copies of medical letters and most recent test results to be uploaded to our secure portal. This enables us to make sure we are truly integrating with any NHS or private care you are receiving for safe and effective practice. Please make sure that you notify the clinic coordinator of anyone else (within or outside the NHS or private care) who is providing you with health and wellbeing advice.

  • This may involve a single specialty at the clinic, such as seeing one of our integrative oncology doctors , a cancer nutritionist or health coach, or incorporate a team approach, tailored to your unique situation with aligned input from several professionals to better support your resilience and quality of life.

  • We offer support throughout the cancer care process, from diagnosis through different treatment steps to cancer survivorship or living well with cancer. We use a truly integrated approach where members of our multidisciplinary team meet regularly to discuss their approach to each individual and to ensure everybody in the team is united behind you.

Please note that members of our cancer nutrition team are not able to work with integrative doctors outside our direct referral network, as we aim to keep an aligned and consistent approach. If you have other people apart from your oncology team involved in your care, you will need to notify us and discuss this with our clinic coordinator before booking in.

Please contact Katie, our Paediatric Integrative Cancer Care clinic coordinator, to discuss your needs and book in.

If you have any questions about our paediatric integrative oncology services or are unsure about the support you may need in your individual case, please contact our CNS and Paediatric Integrative Cancer Care clinic coordinator, Katie Hawksley.

Specialist Childhood Cancer Survivorship Service Consultations

We are a Care Quality Commission (CQC) registered service for children and young adults, and we offer medical, nursing and testing services. Our non-medical supportive care services, including nutrition, physiotherapy and art therapy, are also all available to book alongside the medical support or as a stand alone service with appointments available online and on-site in Berkshire near Reading. Our paediatric integrative oncology clinic is also within easy reach of Surrey, Hampshire, Buckinghamshire and South Oxfordshire.

Hours
Monday–Friday
9am–5pm

 

 FAQs

  • Prior to your first consultation, you will be sent a confirmation email with the details of the appointment, any paperwork that needs to be completed and, in most cases, a link to complete your health and lifestyle history forms. Please note that this is an extensive form and you will need to allow around 30 minutes to complete it. Please have any supplements or medications you take to hand when you fill in the form.

    You will need to complete and return the forms and any other associated paperwork, such as the 3-day nutrition and lifestyle diary, at least 2 working days prior to the appointment. It is crucial for our professionals to have the right information prior to seeing you in person, so that we can use our time together in the most effective way possible.

    Please note that all appointments are invoiced for in advance and are payable before the consultations. There is a 48-hour cancellation policy for all appointments.

  • During the initial 75-90 min consultation, one of our practitioners will review your health goals, take a full history of your symptoms, family history, current and past medical problems and treatment and any recent test results. We would also have a detailed discussion of lifestyle including nutrition, sleep, physical activity, stress management and environmental factors. We would also discuss what may be underlying the issues you are experiencing and recommend any further testing needed and any associated costs.

    Following the initial appointment, you will receive a full management plan, including any recommendations on further testing, lifestyle measures (including supplementation where necessary) and other advice as needed within 5-10 working days (usually within a week). If you are on a package, you will be provided with contact details for your clinic coordinator who will help you make further appointments, order tests and answer queries about how the clinic works.

    Please note that we are happy to answer 1-2 emails after the consultation to clarify any points in the plan but beyond that, all non-urgent queries will be answered at your next consultation. Any email advice from our professionals beyond the 1-2 email limit would be chargeable due the time involved in answering further queries and would be subject to the professional’s availability.

    Integrative and Lifestyle Medicine is not a quick fix, and commitment to a 3-6 month programme is required (although complex cases may need a longer period of support from the clinic).

  • Please contact your clinic coordinator to book in your blood tests and to arrange test kits. Some tests will need to be ordered directly by you and you will be advised if that is the case.

    An overview of our diagnostic test offering is available here.

  • If you booked a package with one of our doctors, a 3-month package with our nutrition team or a health coaching package, you will be contacted by the clinic coordinator to help schedule your follow-up appointments. Three contact attempts will be made but following that, it will be up to the individual to contact the clinic to request a follow-up appointment within the package timeframe. It is important to note that all nutrition packages are designed to be completed within 3 months and a maximum of 6 months, and no further package appointments can be made beyond this time. Unfortunately we cannot hold time in practitioner diaries indefinitely for package appointments, and any remaining sessions that are not taken up within 6 months (or as per package Ts&Cs) would be null and void.

  • That depends on the professional you are seeing but follow-ups with our doctors are usually every 6-8 weeks. Health coaches and yoga therapists usually start with weekly appointments, and nutritional professionals usually see their clients every 2-4 weeks, depending on the stage of the process. Psychiatry support, including psychotherapeutic input, starts off weekly or fortnightly, although this can be tailored to your own individual circumstances.

  • We do require a significant amount of paperwork to help us with pre-consultation assessment, monitoring of outcomes and clinical audit, so we suggest setting aside at least 30-45 minutes to complete the paperwork and having your medical letters and any recent test results to upload. It is also not possible to be precise about lifestyle recommendations without having a regular nutrition and lifestyle diary completed, so we usually ask for it at every medical and nutrition consultation unless it is a very brief review. This is according to clinic procedures to help us provide effective personalised support. Please learn more about about how we work by reading our clinic overview and FAQ here.

    In our integrative cancer care division, it is essential that we know about everyone involved in your care (NHS, charity, private practitioners) to help support you in the most effective way possible. Where there are clashes between our integrative and collaborative approach vs alternative or possibly unsafe methods available on the Internet, we may need to ask you to consider which approach you would like to go forward with. Unfortunately there are certain practices out there that we would not support or recommend. You are advised to check with the clinic coordinator in the first instance and discuss further during the discovery call (where available) to ensure you are happy with the approach and everyone on the team is aligned. If anything is unresolved or requires further attention, please contact the Practice Manager, Emma Eastman, on emmaeastman@synthesisclinic.co.uk.

    Additionally, please note that we are a UK-based adult only clinic, and we will only offer appointments to those over 18. Unfortunately, we are not able to offer an opportunity for other people to pay for the patient’s treatment without their knowledge of the costs as per clinic policy. While we appreciate the wonderful offer of support, payments are processed via the person’s portal, and we strongly believe that clients and patients should have full knowledge about and engagement with their care.

Please note that coming to see our team is not a substitute for standard NHS care, including regular GP services, acute/emergency care and out-of-hours services. For integrative cancer support we always aim to work with your oncology team to support best practice and clinical outcomes.