Macmillan Next Steps

Cancer rehabilitation

MNS team photo 3

Next Steps is an NHS specialist cancer rehabilitation service which provides a number of services and courses to support anyone living in Gloucestershire who has been diagnosed with breast, prostate, colorectal, gynaecology, haematological or upper gastrointestinal cancer.

You can refer into the service if you are 18 years or above and live in Gloucestershire and/or registered with a GP practice within Gloucestershire.

Contact us

2nd Floor, Southgate Moorings
2 Kimbrose Way

Telephone 0300 421 6586


Take Control

Take Control is a three-hour course which provides tools and strategies that enhance and maintain health and wellbeing. A focus is given to topics that commonly affect people after a diagnosis, such as fatigue, stress, diet, exercise, sleep and fear of recurrence. Open to any diagnosis (within service scope).

On this page

1:1 clinic appointments

Appointments are available with our cancer specialists (dietitian, physiotherapist, personal trainer and fatigue management) to enhance recovery from the physical and psychological consequences of cancer.

HOPE - Helping Overcome Problems Effectively

This four-week self-management course developed by Macmillan and Coventry University, explores those topics touched on in ‘Take Control’ in more depth, as well as additional subjects, including:

  • body changes
  • intimacy and relationships
  • communication with friends, relatives and health professionals
  • life priorities
  • managing uncertainty and fear of recurrence
  • looking after yourself and looking forward

Open to any diagnosis (within service scope).

Recipe for Health

A six-week programme about living a healthy life style through diet and exercise, targeting weight management The course is run by our specialist dietitian and a therapies assistant practitioner.

Active Every Day

A physical programme which runs for one hour a week over six weeks. This course is tailored to your ability and needs and is led by our cancer specialist physiotherapists and exercise specialists who are trained to safely help you become and stay active.

Healthy on Hormones

An education workshop run collaboratively with the Prostate team from Gloucestershire Hospitals NHSFT, for men diagnosed with prostate cancer who have been started on hormones as part of their treatment. The workshop covers how the hormones work, common side effects and management techniques, including diet and exercise.

Breast Health and Wellbeing Workshop

A bespoke collaboration between Macmillan Next Steps Cancer Rehabilitation, the breast care nurses and Macmillan Breast Cancer Support Worker, which is offered to all people who have completed their treatment for breast cancer and have received an end-of-treatment summary.

Gynaecology Health and Wellbeing Workshop

A bespoke collaboration between Macmillan Next Steps Cancer Rehabilitation and the Gynaecology Cancer Support Worker at Gloucestershire Hospitals NHSFT, offered to all people who have completed their treatment for a gynaecology cancer.

Breast Stretch Class

The Breast Stretch class aims to improve range of movement and strength of the upper body following treatment for breast cancer, such as surgery, chemotherapy and radiotherapy. It also aims to improve knowledge of conditions such as cording, lymphoedema and scar tissue management.

Fatigue Workshop

This two-and-a-half hour workshop aims to provide patients with the opportunity to be with others who are experiencing fatigue and to deliver education so they better understand the causes of fatigue, and how to manage their energy levels in the future.

Prostate Fatigue Workshop

This two-and-a-half hour workshop is specific to those with a prostate cancer diagnosis who are experiencing fatigue. It provides the opportunity for people to be with others who are experiencing fatigue and delivers education to help them better understand the causes of fatigue and how to manage their energy levels in the future.

One-to-one Physiotherapy

Our specialist physiotherapy clinic provides a 1:1 opportunity to assess and treat the physical side effects of cancer treatment. This includes joint pain, cording, reduced movement, scar management, peripheral neuropathy and strengthening post-surgery.

A range of evidence-based treatments, such as manual therapy, soft tissues release, exercise, physical activity and wider resources to ensure self-management is used.

One-to-one Dietitian

The dietetic element of the service is provided by an Oncology Specialist Dietitian. Supporting and maintaining appropriate healthy eating behaviours after a cancer diagnosis is vital for recovery and healing, as well as dealing with the effects treatment can have on a person’s nutritional status and body shape.

Tailored advice and support is given on subjects such as weight management, nutritional support and bowel dysfunction, as well as clarifying the facts and myths of diet and cancer.

One-to-one Personal Trainer

Individualised training plans are developed which are appropriate to individual needs. Specific advice is given for pelvic floor management and core strengthening. The service is delivered by Level 4 cancer rehabilitation-trained senior health trainers.

One-to-one Fatigue Management

The 1:1 Fatigue Management Service looks at assessing all aspects of a patient’s life to approach fatigue management in a bespoke manner. Education is provided on recognition of how a person uses their energy, what provides them with energy, and how to manage energy levels using various methods of management strategies.

A patient’s progress is assessed from start to end of their fatigue support by using the Functional Assessment of Chronic Illness Therapy – Fatigue (FACIT-F) assessment tool.

One-to-one Health and Wellbeing Facilitator

The Health and Wellbeing Facilitators give more in-depth support for individual health and wellbeing topics such as sleep, mindfulness and relaxation. Part of the role also includes the triage of new patients into service to ensure all needs are assessed and appropriate services are offered.

Meet the team

Parisa - Macmillan Cancer Specialist AHP/Joint Clinical Lead

Dr Ashley Dawson, Senior Counselling Psychologist

Specialist Dietitians Jo and Hayley

Specialist Physiotherapists Annie and Sian

Katie - Assistant Practitioner

Health and Wellbeing Facilitators Heather and Amy

Health Trainers Felice and Laura

Our Health Trainers Felice and Laura are qualified in working with those that have been through cancer and its treatments, so they can return to exercise with a safe and effective approach.

They assist people in building their confidence levels to get going with exercise again and help them achieve their health and fitness goals.

Team Coordinators Sarah and Helen


Hello, we are Sarah and Helen, and we are the Team Coordinators for the Next Steps Rehabilitation Team. We job share so split the role perfectly across the week (in our opinion!). Our main role is to be the first point of contact for patients and referrers into our service, be that via telephone or email.

We also coordinate the patient workshops across the county and book one-to-one appointments with the team. It’s an extremely busy and rewarding role which we both thoroughly enjoy.

In addition to the ‘day job’, Sarah is fully trained to support the team in running our Take Control and HOPE workshops, and Helen is a trained fitness instructor, so supports the physical activity team in running our circuit classes.

Outside of work we both keep busy looking after our families, socialising with friends and running and swimming.

Sam - Business Administration Apprentice


Hi my name is Sam, I am a Business Administration apprentice. I work across the long-term conditions team, but hosted by Macmillan Next Steps.
My apprenticeship is in business administration and how to be professional while in the workplace. I work alongside the team coordinators and provide admin support to entire team. I carry out a variety of administrative tasks, including managing colleagues’ diaries, arranging workshops with patients, booking meetings, arranging discharges and managing and producing resources and materials (patient information leaflets etc.).
I work for several teams Macmillan Next Steps, Cardiac Rehabilitation, Diabetes and Heart Failure.
I love my job because I am able to help out my team so much (for which they make me feel very valued) and because I learn new skills every day.

Refer yourself

Call 0300 421 6586 to speak to one of our friendly team who be happy to explain what is on offer.

We’ll be in touch with you to arrange your appointment.

Useful links

Frequently Asked Questions (FAQs)

I completed my treatment for cancer a few years ago, can I still access the service?

Yes, of course. There is no time limit on our support. We provide rehabilitation to people who have just finished treatment, are a number of years into their recovery or are living with cancer.

Which cancer sites do you accept?

We are currently open to prostate, colorectal, gynaecology, haematology, upper gastrointestinal and breast cancer patients.

Do you offer only face-to-face appointments?

We offer a range of appointments to suit your needs, including face to face, telephone and online (Attend Anywhere).

Where are your clinic and workshop locations?

We are a countywide service. We currently run clinics and courses from various locations, including:

  • Southgate Moorings, Gloucester
  • GL1 Leisure Centre, Gloucester
  • Cirencester Hospital
  • Mythe Medical Practice, Tewkesbury
  • Longfield Hospice, Minchinhampton
  • The Redding’s Community Centre, Cheltenham
  • Waitrose, Cheltenham
  • St Lawrence’s Church Hall, Barnwood


Watch the videos below for an introduction to the service, and discover patients’ stories about their experiences with Next Steps.

Locations for this service