CommEmorating the Last Event: calling time on the end of treatment Bell following RAdioThErapy? The CELEBRATE study

Introduction In the UK it is commonplace for patients completing radiotherapy to be invited to ring a bell as a form of celebration. The project aimed to explore the experiences of the end of treatment (EoT) bell from the perspective of patients who had received treatment for cancer, and therapeutic radiographers who treat patients. The study also aimed to consider possible alternative methods of commemorating the EoT, considering the needs of patients, family members and healthcare professionals (HCPs). Methods Online focus groups were held with patients (n = 5) and therapeutic radiographers (n = 4) in December 2020; a joint online event (n = 6) was held in March 2022. They were all facilitated by two members of the research team. Thematic analysis was used for data analysis. Results Participants’ views and experiences were mixed; however, there was a consensus that alternative forms of commemoration should be available to meet patients’ diverse needs. Features of a specification were considered and suggestions made for alternative practices, with a focus upon patients’ transition needs after radiotherapy has ended. Conclusion The results indicate that departments should consider the harms as well as the benefits conferred by the EoT bell and explore alternative ways to mark an episode of treatment. Implications for practice A one-size-fits-all approach is not appropriate in relation to marking the end of an episode of treatment.