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This paper reports the results of two studies, one exploring patients' beliefs about cancer pain, its relevance to quality of life, and their views about its management by nurse practitioners (NPs), and the other assessing the attitudes of NPs to providing cancer pain management. The objective of the first study was to identify patients' beliefs about cancer pain, its relevance to quality of life, its management by NPs, and a sub-set of the NCOPE (Nurse Concerns Over Professional Ethics) questionnaire. The second study explored whether NPs' attitudes to cancer pain management differed from those of oncology or generalist nurses. Participants were recruited from cancer oncology units in four hospitals. Six hundred and forty-six patients received the questionnaire. The study showed that the majority of patients believe that pain could be controlled by NPs and that it is important to prevent cancer pain. NPs' attitudes to cancer pain management did not differ from those of oncology and generalist nurses. Despite the perceived importance of pain, the majority of patients report that it is not noticed by health professionals. Pain is experienced and addressed at a level that is inconsistent with its significance in patients' quality of life. The findings demonstrate the need for health professionals, including NPs, to recognise cancer pain as a significant source of distress, distress that could be ameliorated by the provision of appropriate pain management.