The Royal National Hospital for Rheumatic Diseases

The Pain-related Complex Cancer Late Effects Rehabilitation Service (CCLERS)

The Pain-related Complex Cancer Late Effects Rehabilitation Service (CCLERS) is a national, highly-specialised, multi-disciplinary rehabilitation service for people experiencing severe, persistent pain and reduced physical function due to the consequences of treatment for cancer, including surgery, radiotherapy and chemotherapy. People with pain-related, functional late effects need to be at least year post active treatment and have already seen local pain, rehabilitation and/or late effects services without improvement in their symptoms. For more information on specific Referral Criteria – please click here

CCLERS brings the Complex Cancer Late Effects Rehabilitation Service and the Breast Radiation Injury Rehabilitation Service under one umbrella with a focus on specialist, holistic rehabilitation.
Following referral, CCLERS patients may be offered:
• A telephone triage with a Macmillan Clinical Nurse Specialist.
• Assessments with a Pain Consultant, Clinical Nurse Specialist, Clinical Psychologist, Specialist Physiotherapist and Occupational Therapist in a multidisciplinary assessment clinic.
• A tailored rehabilitation programme, where appropriate, which includes specialist therapy and education based on individual goals delivered in group and one-to-one sessions.

For more information on the programme – please click here.
For more information about the service pathway – please click here.

The aim of the service is to improve function and quality of life, enabling people to engage in valued activities and acquire confidence to manage their symptoms better in the longer term. CCLERS patients have given us this feedback about the Service:

“I have new tools to move forward in a sustainable, safe and ‘simple and sticky’ way. More confidence to actually DO rehabilitation with my body as it is. I felt heard, seen and listened to.”

“Being more flexible has meant I have experienced less pain. I have learnt so many skills to take away and embed into my daily life that will make it easier and more pleasurable. This has made me feel more confident and positive. I’ve felt very much that everything has been tailored to my needs, which has given it a very personal approach.”

CCLERS is a tertiary service funded by NHS England. Any health professional can refer into the Service. Prior funding approval is not required for patients living in England; however patients living outside of England will need to obtain local area funding approval before a referral is submitted. Private referrals are also accepted. GPs should use the Electronic Referral System to make a referral. All other referral letters and enquiries should be sent to:

The CCLERS Team,
RNHRD and Brownsword Therapies Centre,
Royal United Hospitals Bath NHS Trust,
Combe Park,
Phone No: 01225 821126

During the COVID pandemic, CCLERS has offering online clinic appointments and a virtual rehabilitation programme via Zoom. We will continue to do so for the foreseeable future, although we have now resumed our face-to-face service.