Current follow-up care focuses on treatment of acute disease only. There is no emphasis on supportive or holistic care. In addition to this, current follow-up is thought not to be efficient (National Cancer Survivorship Initiative 2008). PSA can be used for prostate cancer surveillance. This does not mean patients require a clinic appointment. However a clear follow-up system is required as an alternative. Furthermore, a national patient consensus meeting concluded patients are open to new approaches in care and support (run by NHS Improvements, London, 2010).