Most patients who eventually receive a diagnosis of cancer initially present to a primary care clinician. A person with cancer spends almost all of their time living at home. Most express the wish to die there, although less than 30% actually do. Active management of cancer does occur in the secondary care setting.1 The role of primary care is extraordinarily important for a person with cancer, and their family. The primary care team is involved in every aspect of what has become widely known as the ‘cancer journey’. This can be seen from the brief list that follows.