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tion. The follow-up appointments were poorly attended. Patient and public involvement (PPI) in quality improvement of oncological care pathways for older patients are rare. Improve the care pathway experience of older cancer patients and explore lessons learned regarding how to engage this vulnerable group. Experience-Based Co-Design. Older cancer patients, their caregivers and healthcare professionals within colorectal and breast cancer care pathways. Co-design quality improvement teams. Colorectal cancer care pathway to