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<p begin="00:14" end="00:18">When someone's affected by cancer of course there are many things they have to deal with,</p>
<p begin="00:18" end="00:21">but work is a very important one.</p>
<p begin="00:21" end="00:25">It's really, really lovely to have support and it does get the best out of you.</p>
<p begin="00:27" end="00:32">Being able to talk to my work colleagues had a huge impact I think on my recovery.</p>
<p begin="00:31" end="00:36">[music]</p>
<p begin="00:36" end="00:43">Last year, I noticed a lump on my breast and I didn't think it would be cancer because I was only 30. </p>
<p begin="00:43" end="00:48">When I found out it was cancer it was horrible.</p>
<p begin="00:48" end="00:56"> It was overwhelming and to go to work the day after I was diagnosed and tell my boss was really, really hard. </p>
<p begin="00:56" end="00:59">I couldn't even say the word cancer.</p>
<p begin="00:59" end="01:04">When an employee approaches either a line manager or an employer</p>
<p begin="01:04" end="01:07">to let them know that they've been diagnosed with cancer, </p>
<p begin="01:07" end="01:17">in those kind of circumstances it's important for managers and employers to remain sensitive to their needs and feelings.</p>
<p begin="01:17" end="01:25">It's really important to find a place where they're going to feel safe and not to be interrupted because this is something </p>
<p begin="01:25" end="01:31">which may bring up a lot of emotion in them as they start to tell the news.</p>
<p begin="01:31" end="01:37">I imagine the first thing you might want to say is how much time do you have to have off? </p>
<p begin="01:37" end="01:48">And maybe some of those questions have to just kind of be held back for a little bit to give the person enough time to say:</p>
<p begin="01:48" end="01:51">this is what I know. </p>
<p begin="01:51" end="01:56">Ask very open questions which allow the opportunity to tell you what they need </p>
<p begin="01:56" end="02:00">and knowing that for everybody it's a different experience.</p>
<p begin="02:00" end="02:06">And not making any kind of assumption that because it was this way for one person,</p>
<p begin="02:06" end="02:09">it's going to be the same for someone else.</p>
<p begin="02:09" end="02:14">[music]</p>
<p begin="02:14" end="02:23">I rang my boss on the Friday morning and told him that I got the results from the colonoscopy and they had found something.</p>
<p begin="02:23" end="02:32">He said he was sorry to hear that and asked me if anyone else in the office asked about how I got on, </p>
<p begin="02:32" end="02:34">whether he should tell them or not. </p>
<p begin="02:34" end="02:40">I was quite pleased actually that he had, because it saved me having to tell everyone on Monday.</p>
<p begin="02:40" end="02:43">There needs to be a discussion</p>
<p begin="02:43" end="02:48">to ensure that they're both very clear about what levels of confidentiality need to be maintained.</p>
<p begin="02:48" end="02:54">Often in the early stages of cancer diagnosis, people aren't really very clear about what's going to happen</p>
<p begin="02:54" end="02:56">and what the prognosis is.</p>
<p begin="02:56" end="03:00">So they may want to keep the news to as few people as possible.</p>
<p begin="03:00" end="03:03">My colleagues found out a few weeks after I was diagnosed </p>
<p begin="03:03" end="03:08">because I wanted a little bit of time first to come to grips with what was happening.</p>
<p begin="03:08" end="03:18">It's really important that the employer is led by the employee as to how the colleagues are told about their diagnosis.</p>
<p begin="03:18" end="03:22">It could be that it's one to one with the person with cancer themselves.</p>
<p begin="03:22" end="03:27">If they're not there, it means that questions like 'what does this mean for my job, </p>
<p begin="03:27" end="03:33">am I going to have to have more work, am I going to have to pick up all their work as well as my own',</p>
<p begin="03:33" end="03:38">can be dealt with in a sensitive sort of way.</p>
<p begin="03:38" end="03:43">If the person affected by the cancer diagnosis chooses to share the information with </p>
<p begin="03:43" end="03:47">their colleagues and peer group and other managers in the organisation, </p>
<p begin="03:47" end="03:52">that really can be extremely helpful throughout their cancer journey.</p>
<p begin="03:52" end="04:02">I was diagnosed with endometrial cancer nine months ago, which required major surgery and also radiotherapy treatments after.</p>
<p begin="04:02" end="04:05">Once I'd actually spoken to colleagues at Telef—nica, </p>
<p begin="04:05" end="04:13">I found that I got lots and lots of support and a lot of compassion as well.</p>
<p begin="04:13" end="04:21">They helped me find things on the internet about my particular type of cancer I had never heard of before.</p>
<p begin="04:21" end="04:28">When I've been at home, they've called me to check I'm okay, and I just feel as though I'm cocooned by them. </p>
<p begin="04:28" end="04:32">The thing about cancer is that it comes with a lot of uncertainties, </p>
<p begin="04:32" end="04:35">so things can change from day to day or week to week.</p>
<p begin="04:35" end="04:43">One thing you might suggest is a regular meeting or phone call or e-mail. </p>
<p begin="04:43" end="04:48">Those kind of regular communications will make sure that everybody knows what is happening.</p>
<p begin="04:48" end="04:54">If I hadn't seen someone for a day or two they would ring me at home and say</p>
<p begin="04:54" end="05:02">'just wondered how you were, just wanted to catch up', so there was a lot of emotional support I would say.</p>
<p begin="05:02" end="05:06">It may be that the person affected by cancer would actually</p>
<p begin="05:06" end="05:10">prefer to speak to a third party rather than their line manager or employer.</p>
<p begin="05:10" end="05:16">It would be a good idea often to nominate someone else who can be a kind of go-between </p>
<p begin="05:16" end="05:20">so that they don't actually have to face having a really difficult conversation</p>
<p begin="05:20" end="05:26">in what are already very difficult circumstances for them.</p>
<p begin="05:26" end="05:31">Hopefully, the employee affected will return to work in a short space of time.</p>
<p begin="05:31" end="05:36">In some cases, it's clearly going to take a little longer </p>
<p begin="05:36" end="05:41"> and it's important that good communication continues all the way through their absence from work.</p>
<p begin="05:41" end="05:43">But in anticipation of their return to work, </p>
<p begin="05:43" end="05:50">it's appropriate to ensure that a meeting takes place to work out how they would like that return to happen, </p>
<p begin="05:50" end="05:57">whether they're going to be able to return to a full time role immediately or whether they want some rehabilitation period.</p>
<p begin="05:57" end="06:01">Earlier this year, I had a phased back to work return. </p>
<p begin="06:01" end="06:06">It was my boss that communicated with the rest of the team about how many hours I was working</p>
<p begin="06:06" end="06:08">so I didn't have to talk to them about it.</p>
<p begin="06:08" end="06:13">I think that was the best way to handle it because then it took pressure off me. </p>
<p begin="06:13" end="06:17">My boss had me in the office and spoke to me about the cancer. </p>
<p begin="06:17" end="06:22">They gave me some sort of practical things I could do to keep myself going.</p>
<p begin="06:22" end="06:26">It confirmed what I already knew, that he was a very caring boss.</p>
<p begin="06:26" end="06:30">It's really important that those lines of communication are kept open</p>
<p begin="06:30" end="06:36">and you'll be able to think about with the employee what's the best support that you can give</p>
<p begin="06:36" end="06:40">both to the employee, but also to the organisation.</p>
<p begin="06:40" end="06:43">The company I work for has been really supportive. </p>
<p begin="06:43" end="06:47">On a corporate level, they've done everything that they can for me, </p>
<p begin="06:47" end="06:56">but there's been a mixture of whether I can talk to colleagues about cancer and some people would avoid me</p>
<p begin="06:56" end="07:03">and look away and one person in particular hasn't even spoken to me since I was diagnosed last year.</p>
<p begin="07:03" end="07:12">It's quite upsetting because you want to talk to them about it. It's just really horrible to be avoided.</p>
<p begin="07:12" end="07:20">It may be that you're quite anxious about saying the right or wrong thing.</p>
<p begin="07:20" end="07:26">So a simple question like 'how are you?' and then hearing whether you get a full answer </p>
<p begin="07:26" end="07:31">or just 'I'm fine'. A full answer will give you an indication</p>
<p begin="07:31" end="07:36">that maybe they're quite happy to have a chance to explain what's going on.</p>
<p begin="07:36" end="07:41">There's one or two that perhaps feel a little bit awkward, and that's  understandable </p>
<p begin="07:41" end="07:44">because they're not sure of how you're going to react as a person. </p>
<p begin="07:44" end="07:47">But the majority are really, really open. </p>
<p begin="07:47" end="07:52">I get text messages from them when I've been going to treatments, saying 'how are you' </p>
<p begin="07:52" end="07:55">and just those few words make a real big difference. </p>
<p begin="07:55" end="08:00">Some of our patients, they were very caring and supportive; </p>
<p begin="08:00" end="08:05">it made me feel good that they actually took the time to say 'how are you feeling today',</p>
<p begin="08:05" end="08:12">because they're all people with their own problems, and the fact that they actually cared about mine was good.</p>
<p begin="08:12" end="08:18">[music]</p>
<p begin="08:18" end="08:22">On receiving a cancer diagnosis, for some people the most important thing they can do</p>
<p begin="08:22" end="08:26">is just concentrate on that and be out of the workplace. </p>
<p begin="08:26" end="08:30">For others, remaining in the workplace is so important. </p>
<p begin="08:30" end="08:34">It gives them a sense of structure and a sense of normality.</p>
<p begin="08:34" end="08:42">And the more their colleagues and managers rally around them, that can only add to their progress.</p>
<p begin="08:42" end="08:46">I think that a lot of people are thinking that I'm milking the whole cancer story, </p>
<p begin="08:46" end="08:49">but I do want to be working hundred percent.</p>
<p begin="08:49" end="08:53">But I don't want to compromise my recovery. </p>
<p begin="08:53" end="09:01">When people get frustrated with me I want to let them know that I'm trying the best I can but I need their help as well.</p>
<p begin="09:01" end="09:06">No one made me feel alienated, </p>
<p begin="09:06" end="09:15">they all treated me basically as they'd always treated me.
I'm sure it helped my recovery and got me through it.</p>
<p begin="09:15" end="09:21">I really feel that you do get the most out of somebody when they're happy in their role </p>
<p begin="09:21" end="09:24">and they're supported by the people around them.</p>
<p begin="09:24" end="09:29">I've never let how I feel come across to the customers, ever.</p>
<p begin="09:29" end="09:35">I've kept up with everybody else and I found if I've got a really bad day and I've been really depressed and down </p>
<p begin="09:35" end="09:38">I get so lifted when I walk through the door.</p>
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