their recommendations be shared widely to improve patient experience and the Macmillan 10 Top Tips (TTT) were organically established. Their common themes to improve conversations with PABC include environment, language, exploration of patient understanding and the need to update PABC about delays in the running of the clinic, amongst others. Conclusions The TTT should be shared with all clinicians who discuss cancer prognosis but also with clinic co-ordinators in order that clinics are planned

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... with consideration to this framework. Applying TTT where relevant will improve the experience of PABC. Communication skills should be refreshed regularly throughout a clinician's career not just in their undergraduate experience. In a changed clinical world due to the pandemic these TTT also support improved virtual consultations and patient led care.