Background Advances in genomic medicine in the NHS have had significant implications for cancer care and cancer nursing. However, it is unclear whether nurses and other healthcare professionals responsible for delivering front-line care feel they have sufficient knowledge and confidence in relation to genomics.

Aim To assess the level of practice-based knowledge of genomics among UK-based cancer nurses.

Method A survey was designed using an online survey platform. The survey reached 474 cancer nurses and 199 of them responded. Data were analysed using the online survey platform, spreadsheets and pivot tables.

Findings Respondents reported low confidence in making decisions involving genomics. Only 27% had ordered a genetic or genomic test and only 39% had contacted their clinical genetics team in the past 12 months. Overall, most respondents reported a need to improve their knowledge of genomics.

Conclusion There was a clear need to improve knowledge about how to order testing and communicate with specialist genetic teams, as well as to clarify the role of the cancer nurse in this process.