Catherine Oakley, RGN, PhD, of the Guy’s and St Thomas’ NHS Foundation Trust, London, UK, speaks at the European Society for Medical Oncology (ESMO) 2018 Congress, in Munich, Germany, and at the European Oncology Nursing Society (EONS) 2018 Congress. Dr Oakley discusses the rise of oral chemotherapy and the safety needs of patients, highlighting two areas of concern: adherence in taking these medications, and patient reporting of symptoms. Reasons for both issues are discussed in this intriguing interview, as well as potential solutions to empower patients in managing their treatments.