Professor Robert Thomas

seems to be a little bit lacking, and that's what the authors of these documents tend to look at, which is why we as a cancer unit are concentrating on that sort of trial.

The evidence for prehab is very, very strong.

In fact, the Royal College of Anaesthetics, in partnership with Macmillan, just before Covid, had advisory committee and we looked at the... I was on that and we looked at the evidence.

You know, people come out of hospital quicker, they have less complications such as blood clots.

And, you know, there's a school of thought that it could, you know, the tumour could be altered.

So when you manipulated it, they could have better outcomes.

Well, I don't see my two roles as very different.

I think all oncologists should be integrating lifestyle and nutritional advice as part of their main treatment.

But I have to say, there are some colleagues which do, and others say I'm just too busy.

But it's what patients want to hear.

They want to know how to help themselves.

A lot of patients are told the wrong thing, unfortunately.

In fact, we did an audit recently where we looked at what patients have been told and we put it into three categories.

virtually nothing, the right information and the wrong information.

And it was 65% either of the wrong information or not enough.

I saw a patient the other day who's a big city executive.

He was told by his oncologist, there's nothing you can do to help yourself.

For him, he said that was the worst thing he was told.

And I said, look, this is not my opinion.

I'm only giving evidence-based advice here.