Electronic Holistic Needs Assessment (eHNA)

A Holistic Needs Assessment (HNA) is a simple questionnaire. It helps you identify a person's needs and concerns, and informs the development of a personalised care and support plan. It is available electronically (eHNA).

Holistic Needs Assessment and Care Planning

The Holistic Needs Assessment (HNA) is part of Macmillan’s Recovery Package. It is a simple questionnaire, designed to support people living with cancer. The HNA ensures people’s physical, practical, emotional, spiritual and social needs are met in a timely and appropriate way, and that resources are targeted to those who need them most.

The assessment, which can be completed on paper or electronically (eHNA), helps people to identify their greatest needs and concerns at a specific stage in the cancer pathway. The answers are used to inform the development of a care and support plan with a nurse or key worker.

The evidence shows that providing a Holistic Needs Assessment (HNA), along with care and support planning, contributes to a better understanding and identification of a person's concerns. It also enables early intervention and diagnosis of side effects or consequences of treatment.

We want everyone living with or beyond cancer to be offered an HNA, along with a care and support plan, at key stages in their cancer pathway.

If you would like help to implement the HNA in your setting, browse our Recovery Package resources.

Roy, a Haematology Nurse Practitioner, talks about the Recovery Package.

The Recovery Package

What is the Macmillan Recovery Package, and how does it support people living with cancer?

Find out more

The Recovery Package

What is the Macmillan Recovery Package, and how does it support people living with cancer?

Find out more


Electronic Holistic Needs Assessment (eHNA)

The eHNA allows a Holistic Needs Assessment (HNA) to be completed electronically, on a variety of different devices. This includes most smartphones, tablets and digital devices with a web browser. The answers provided are then securely sent to the clinician, to begin the process of care and support planning.

Care and support plans can be printed, saved or shared with the patient and their health care team. Each team has access to its own data for reporting and analysis, and to identify local service needs. Anonymous data collected from the assessments and care plans can be used to look at the overall needs of different groups of people. This can help to inform the planning of local cancer services.

If your organisation isn't using the Macmillan eHNA, please sign up. Need help? We have created an eHNA sign up guide [PDF] to help you.

If you have any questions, please contact the team.

Any area of your life that’s affected by the treatment is highlighted and can be addressed effectively.

Adrienne, diagnosed with cancer.