Inclusion Criteria:

- Patients attending head and neck oncology clinics

- Patients with a cancer diagnosis who are receiving anti cancer treatment or who have
received anti cancer treatment

- Patients who score 4 or more on the Brief Pain Inventory numerical rating scale
screening question 'worst pain in past 24 hours'

Exclusion Criteria:

- age below 18 years

- patients unable to respond to an English written assessment

- patients with medical conditions that could affect their mental function or level of
consciousness such as stroke, or dementia

- patients who score <4 on the Brief Pain Inventory numerical rating scale screening
question

- patients already under the care of a pain/palliative care service