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Participants reported relationship-based support during hospital care but a sharp decline after discharge, supporting stronger primary-care cancer review within chronic disease management. A structured SPARC digital form was developed to support comprehensive asynchronous consultations, identify those without problems, and align with best-practice guidance, with evaluation planned in patients and general 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Cancer (SPARC) Intervention  \nRosalind Adam1  | Lisa Duncan1 | Sara MacLennan2 | Louise Locock3  | Anne E. Kiltie4 | Leslie Samuel5 | Peter Murchie1  \n1Academic Primary Care, Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK | 2Academic Urology Unit, Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK | 3Aberdeen Centre for Evaluation, Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK | 4Aberdeen Cancer Centre, Rowett Institute, University of Aberdeen, Aberdeen, UK | 5Oncology Department, School of Medicine, Medical Sciences and  \nNutrition, Aberdeen Royal Infirmary, University of Aberdeen, Aberdeen, UK Correspondence: Rosalind Adam ([rosalindadam@abdn.ac.uk](rosalindadam@abdn.ac.uk))  \nReceived: 19 September 2024 | Revised: 12 December 2024 | Accepted: 22 January 2025  \nFunding: This study was funded by a Senior Clinical Fellowship awarded to Dr Rosalind Adam by the Chief Scientist Office, Scottish Government Health and Social Care Directorate (SCAF/18/02) .  \nKeywords: cancer | chronic disease management | co‐design | multimorbidity | primary care  \nABSTRACT  \nIntroduction: An increasing number of people are living beyond cancer with unmet health needs. The aim of this study was to co‐design a digital intervention to improve health outcomes for people who have completed potentially curative treatment for cancer.  \nMethods: Two co‐design workshops were held with patients, clinicians (including oncologists, general practitioners and nurses), digital/computing science experts and third‐sector representatives. At workshop one, problems and gaps in care were identified and intervention ideas were generated. At workshop two, a prototype intervention was discussed and refined. Results: The workshops were attended by 43 people in total: 26 at event one and 23 at event two (six attended both events) . Patients valued relationship‐based care and felt supported during hospital treatment. Patients ‘fell off a cliff’ after discharge, and there was consensus that more could be done in primary care to support those living beyond cancer. It was proposed that cancer reviews could be integrated into UK primary care chronic disease management activities. A digital form, the ‘Structured Personalised Assessment for Reviews after Cancer’ (SPARC) tool, was developed to support asynchronous consultations that would cover the breadth of problems and health promotion activities required for high‐quality primary care for cancer. SPARC could also identify those without problems who do not require review.  \nConclusion: SPARC has been co‐designed to support brief but comprehensive cancer review consultations between primary care clinicians and their patients. SPARC aligns with best practice guidelines. The next step is to evaluate SPARC with patients and in general practices.  \nPatient and Public Contribution: Patient and stakeholder engagement was at the centre of this research study. Cancer organisations such as ‘CLAN’ cancer support, Prostate Cancer Scotland and Cancer Research UK helped us to engage with patients. The Aberdeen University Institute of Applied Health Science Patient Public Involvement group were also instrumental in sense‐checking and improving the materials for the second workshop. We plan to involve our patient and carer partners in designing the next stages of our research (including study materials, processes and methods) so that they will be at the centre of evaluating the intervention that they have been instrumental in designing.  \nThis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.  \n© 2025 The Author(s) . Health Expectations published by John Wiley & Sons Ltd.  \nHealth Expectations, 2025; 28:e70174","cbCaivRzBxqnSU3T","https://ap.wps.com/l/cbCaivRzBxqnSU3T","pdf",289261,"English","# Introduction\n## Co-design approach\n## Intervention development\n## Results and implications\n# Conclusion","[{\"question\":\"What problem does the SPARC intervention target after cancer treatment?\",\"answer\":\"SPARC targets unmet health needs after potentially curative cancer treatment, especially the gap in support after discharge from hospital.\"},{\"question\":\"Who participated in the co-design workshops?\",\"answer\":\"The workshops included patients, clinicians (oncologists, general practitioners, and nurses), digital/computing science experts, and representatives from third-sector organizations.\"},{\"question\":\"What is the main purpose of the SPARC digital tool?\",\"answer\":\"SPARC supports structured, brief but comprehensive cancer review consultations in primary care and can identify patients who do not require review.\"}]","Co-Design of the Structured Personalised Assessment for Reviews After Cancer (SPARC) Intervention | PDF",1790193741,25]