EU Joint Action: Integrating Palliative Care in the EU Cancer Agenda: Insights From JANE-2

J Pain Symptom Manage. 2026 May;71(5):e624-e634. doi: 10.1016/j.jpainsymman.2026.02.009. Epub 2026 Feb 13.

Abstract

Background: Palliative care is inconsistently integrated into European cancer care, with fragmentation in provision, accessibility, and education leading to avoidable suffering and inefficient use of healthcare resources. There is a need to improve this through a Europe-wide initiative, the Joint Action on Networks of Expertise on Cancer (JANE-2), which builds on the earlier JANE initiative. Within JANE-2, one dedicated work package-6 (WP6) focuses specifically on palliative care.

Methods: JANE-2 spans 42 partners across 26 countries, in a cross-national, co-produced approach. As part of this, palliative care will be systematically appraised, aligned and ultimately transformed through one work package with four distinct tasks including: 1) organization and delivery, 2) digitalized care pathways with patient-reported outcomes, 3) education and competence frameworks, and 4) indicators for monitoring integration, using a "networks-in-networks" model designed for sustainability beyond JANE2.

Outcomes: These will include scoping reviews, expert consultations, and modular surveys to support cross-country mapping.

Conclusions: The palliative care work package within JANE-2 will deliver shared standards, pathways, education, and indicators in a sustainable European Network of Expertise that aims to embed palliative care as an inherent component of cancer care.

Keywords: Cancer; European union; education; health policy; networks; palliative care; patient reported outcome measures; patient-centered care.

MeSH terms

  • Delivery of Health Care, Integrated* / organization & administration
  • European Union
  • Humans
  • Neoplasms* / therapy
  • Palliative Care* / organization & administration