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Community Guidelines

Community Guidelines

Welcome to the Online Community – what is the Online Community?

The Online Community is a place for anyone aged 16 years and over affected by cancer. Whether directly or through a family member or friend, the Community is a place to both share experiences, and give and get support.

Our Community is accessible 24 hours a day, 7 days a week so that support is available whenever you need it.

We kindly ask that only people affected by a personal experience with cancer use the site, and that medical professionals refrain from using the Community to share and offer medical advice to others. If you are a medical professional and you wish to support Macmillan Cancer Support, please visit the Volunteering Village to see what opportunities are available.

To keep the Community an inclusive and safe place for supportive discussions we ask that all our members follow the below guidelines. If you have any queries or concerns regarding these, please email the Community team at – the team will endeavor to respond to all emails within 2 working days.

Please remember that every time you use the Community you're agreeing to our Community Guidelines, Privacy Policy and Terms and Conditions – you should make sure that you understand these documents fully.

Your account:

To start a new discussion and reply to others on the Online Community, you need to join the Community by creating an account.

  • Please do not set up more than one account, as we do not allow multiple accounts to be registered to one member. If you cannot remember your password, you can request a new one by emailing the Community team at
  • Please keep your account details private and do not give your login details to anyone else.

If we block your account, please do not set up another one. If you feel that your ban was undeserved then please do contact us and we’ll be happy to discuss it with you further.

Your username, signature and ‘more about me’:

Your username is how other members of the community will identify you. To avoid confusion please do not use terms that reflect figures of authority or formal roles such as nurse, doctor, etc. Please also refrain from using the '@' symbol in your username as this makes it difficult for members to tag you in posts.

For your protection, in your username, signature or ‘About Me’ section we ask that you don’t include your full name, email address, real address, telephone number or any other information which could be used to identify you outside of the Community. We also ask that you do not use a name which looks like a real full name.

In addition, please refrain from using any language others might find offensive – this will be edited or removed.

For help on what to put in this section, please visit My Profile in our Help section. 

How do we moderate?

We ask all members to follow our Community Guidelines. We do not pre-moderate and cannot always check all the content on the community, therefore we rely on members reporting offensive and inappropriate content.

Please also note that whilst the Online Community is moderated outside of usual business hours, it is not moderated 24 hours a day – the Community team though will endeavor to respond to all emails and alerts within 2 working days.

In short, we ask everyone to:

  • Be supportive.
  • Respect others.
  • Not personally attack other members or staff.
  • Not use abusive or offensive language.
  • Use the Community to give and get support first and foremost.

We base our moderation decisions on evidence:

Our experienced Community team explores behind the scenes and takes decisions based on the evidence available. We are careful to ensure that any moderation decisions are fact-based, and on some occasions, we may ask Members to be mindful and tolerant of other members’ feelings and differences in communication styles.

The site is primarily for support – please discuss moderation decisions with the Community team at, rather than addressing them with other members on the site.

What happens when members break our guidelines?

The Community team understands rules aren’t always broken purposeful, but rather because members perhaps aren’t fully aware of our guidelines. In these instances, a gentle reminder of our guidelines, as opposed to a warning, suspension or ban may be made at the moderator’s discretion. We always let people know when they've broken guidelines, so they understand why we've taken action. We do this as part of our commitment to creating a safe, positive environment.

We’ve a three-strike policy, which involves:

  1. A written warning.
  2. A 24-hour suspension.
  3. A permanent ban from the forum.

Exceptions to the above include instances where members join the Community solely to spam or provoke members - in these instances members will receive an immediate permanent ban.

We reserve the right to take steps or implement measures we think will benefit the Community and its members. Moderation decisions can be appealed by emailing the Community team at

Find offensive or inappropriate behaviour?

Contact us at or click the ‘Alert Moderator’ button (see below) on a post. Once hit, the alert goes straight through to the Community team who’ll take the appropriate action as soon as is possible.

Be supportive:

  • The Community is a space for a wide range of people, many of whom have been affected by cancer. Please focus on supportive and sensitive discussions and always be sympathetic and mindful to other members’ feelings.
  • Please do not bully, harass or intimidate members.
  • If you have suspicions about another member making false claims, please report them to the Community team – please do not address such matters directly.
  • The Community team are the ones able to decide whether a member is fake or not, so please trust us to make the correct judgement call.

Respect others:

  • We ask you to be tolerant and respectful of other members’ beliefs and opinions always. We understand that people often have strong feelings about the topics addressed in the Community however, personal attacks are never justified.
  • We will remove or edit comments others find offensive or threatening or which are deemed to be escalating a situation.
  • We will remove or edit an entire thread if a strong disagreement develops; it is your right to disagree with an opinion, but please do not attack the person or people who hold it and please make your point respectfully.
  • Conversations can get heated; in these instances, we ask members to take a couple of minutes or so to think about a response rather than immediately jumping to a response that might potentially cause more confrontation.
  • When choosing where to post, please be considerate and look for a group or thread which you feel is most relevant and appropriate to your situation.
  • Please always respect the subject and situation of the member who has started a discussion. If you wish to start a completely new discussion, you can do so using the ‘start new discussion’ tool.
  • Please always be mindful of how others might interpret your comments.

‘Only’ groups:

Some groups have guidance in their description about who they are for – we kindly ask that please respect this. For example, the group carers only is only for carers, and the group living with incurable cancer (incurable patients only) is only for those who have an incurable or terminal diagnosis.

The above groups exist so that its members have a safe and comfortable space to talk freely amongst themselves with others going through a similar experience. There are often contrasting and potentially conflicting experiences from a carer to a patient, for example, so it’s important both have a place where they feel comfortable sharing and talking about their experiences.

If you post in these groups but don't fit the group's 'only' description, your content may in some instances be removed.

Staff and volunteers:

Our priority is to protect and support the users on the Online Community. Our staff will always treat you with courtesy and respect, and ask the same in return. We understand that users can sometimes become frustrated, but we have the right to do our work without fear, harassment or personal attacks. Any behavior which causes staff to feel uncomfortable or embarrassed is unacceptable.

Report and ignore:

If someone posts something you feel violates our Community Guidelines or Terms and Conditions, please let us know immediately, and then ignore it. Email us at Do not confront members publicly, please just report and ignore.

As in real life, not everyone on the internet is as nice as you may want them to be. Some individuals seek to spark a reaction from people by posting inflammatory comments designed to provoke a response (often known as trolling). The best way to deal with this behaviour is to report it, then ignore it. The same goes if you suspect another member of not being who they say they are; report and ignore.

Whilst often difficult, ignoring users who do this is the only way to get rid of them – if they can’t provoke a response they will leave you alone.

Impersonation and imitation:

Imitating other users can be a form of harassment and we take this very seriously. We may remove any content, delete accounts and ban users who do this. Members who are suspected of impersonating another member will have their accounts suspended pending investigation:

  • Please do not give your account to anyone else as this can cause confusion within the Community. We also ask that you please do not sign up on behalf of someone else.
  • Please do not allow others to access the Community using your log in details without letting us know first.
  • Please do not provide false information in your 'About Me' section, or create an account for anyone other than yourself without permission.

Not telling the truth:

Macmillan aims to support everyone affected by cancer. From time to time we are visited by people who want to upset our members or who are not telling the truth about their cancer experience. Fortunately, these cases are rare but sadly they do exist and can have a negative impact upon our community.

If you suspect someone isn’t telling the truth, the best thing to do is to ignore them. Someone who is here for the wrong reasons wants the attention – ignoring them will deter them from making further comments. Please don’t accuse anyone publicly of being dishonest as this can deflect discussion away from what our Community is here for. Instead, report your suspicions to the Community team either by hitting ‘Alert Moderator’ button or emailing us directly at

Community content and jokes:

The Online Community deals with very serious issues, but it’s also there to put a smile on your face when you need it most.

There’s certainly a place in our Community for jokes, but we don’t want them to dominate our homepage as this can be upsetting for people who are not in a laughing mood. Instead we ask that when posting your ‘funnies’, you post them in our laughter is the best medicine group.

Jokes posted in the wrong place may be removed. We understand that everyone has a different idea of what is funny, but please keep your jokes clean. We also ask that you do not post links to external websites or images others may find offensive.

Abusive language:

Offensive or abusive language, particularly that directed at individuals is unacceptable on the Community. Due to the nature of the site, it’s fine to use anatomical terms in the correct context in your comments, but you should avoid aggressive or excessive use of language others might find offensive. Please always be mindful of the way other members might interpret your comments.

We don't tolerate racism, sexism, homophobia, ageism or other forms of hate-speech or content that could be interpreted as such. Harassment and threats of physical violence will end up in a permanent ban. 

Medical advice:

Information provided via our Community is not intended to replace or substitute advice and services from professional experts, but rather to provide signposting towards further information and support.

Macmillan Cancer Support provides high quality, expertly developed information about cancer. Please be careful not to give medical advice, but rather refer members back to their GP or healthcare team if the situation fits. Macmillan acknowledges that whilst you might know a lot about your own cancer experience, it’s potentially dangerous if the incorrect advice is given to someone else. Instead we ask that members simply share and discuss their experiences with cancer on the Community.

Please do not promote alternative therapies, or reproduce information from other sources unless they are quality assured and reputable. You can find our Cancer Information pages here or speak to a trained Macmillan professional for free via our Support Line (0808 808 0000, Monday to Sunday, 8am to 8pm).

Please contact the Community team at if you’re unsure about any of the above.

Ask An Expert:

The Ask An Expert section of the Online Community is where members can ask our specialist professionals any questions they might have; for example information on a specific cancer, treatment, or perhaps ways to cope with the emotional impact of a diagnosis.

Questions asked in Ask An Expert are for our Online Community specialists only. We kindly ask that other members of the Community refrain from responding to these questions until our Online Support Professionals have responded first. Once the question has been answered by our specialists, members are welcome to add further support.

Alternative and complementary therapies:

Alternative therapies
An alternative therapy tries to treat cancer using unconventional methods instead of usual medical treatment.

When discussing alternative therapies, you may:

  • Provide anecdotal accounts about alternative therapy use, as long as you do not make claims about their effects.

When discussing alternative therapies, please do not:

  • Advocate the use of any alternative therapy;
  • Claim that any alternative therapy can cure cancer, reduce the size of tumours or in any way treat cancer;
  • Advise anyone to ignore medical experts’ advice on the use of any treatment whatsoever;
  • Promote any alternative therapy.

Complementary therapies 
A complementary therapy is one used alongside conventional treatments to improve quality of life. Complementary therapies do not influence the cancer itself, but some can help to alleviate symptoms and the side effects of conventional treatments.

When discussing complementary therapies, you may:

  • Advocate the use of complementary therapies alongside conventional treatment.
  • Make evidence-based claims about the effectiveness of complementary therapies in improving quality of life.

When discussing complementary therapies, please do not:

  • Advocate using any complementary therapy as an alternative to conventional treatment;
  • Claim that any complementary therapy can cure cancer, reduce the size of tumours or in any way treat cancer;
  • Advise anyone to ignore medical experts’ advice on the use of any treatment whatsoever;
  • Advertise any complementary therapy for commercial gain (commercial solicitation of any kind goes against our Community Guidelines).

Cannabis oil (CBD):

Following the amendment to the Misuse of Drugs Regulations 2001 to permit the use of cannabis-based products for medicinal use (including CBD oil), the Online Community has recently loosened its guidelines to allow discussions of CBD oil on the site. Whilst Macmillan’s Online Community allows the discussion of CBD oil, please be reminded Macmillan doesn’t advocate for alternative therapies.

Discussions on cannabis itself or any illegal cannabis-derived products will be removed from the site as they are illegal products in the UK. Please also refrain from posting comments that claim cannabis oil cures cancer.

For further guidance on cannabis oil, please see our website.  

Medical photos and documents:

Members can post pictures on the Online Community, but we ask them not to upload photos of body parts or medical documents, as this often leads other members to try and diagnose, or offer medical advice. No one is able to diagnose cancer through these, and some members may find such pictures distressing. If you have any concerns about cancer, please seek medical advice through your GP or healthcare team.

Legal issues:

Posting content that may put you or us at risk of prosecution, such as defamatory posts or content that breach someone else’s intellectual property rights is against our guidelines. Please do not 'name and shame' individuals or organisations, as this can leave both you and Macmillan open to prosecution if comments could be interpreted as libelous. Please do not use our Community for anything unlawful, misleading or malicious.

No adverts, promotions or spam:

The Online Community is a source of support and should not be used to sell or promote services or products to our members. We consider any commercial solicitation to be spam, including promoting web addresses, products or services. We will not tolerate any company or individual found to be soliciting personal information from our members for commercial gain. Action will be taken against any company found to be acting as an individual.

We only allow other charities, websites or services to be promoted at the discretion of the Community team (

Facebook and other social networks:

Please remember we can only make decisions based on activity that takes place on our Community and not on other social networks (such as Facebook). Because there’s no guarantee groups on Facebook and similar social networks are moderated and safe, we ask members of the Community to refrain from signposting or linking to these networks.

We’re always cautious when handling cases like this as we are here to support people affected by cancer and do not want to falsely accuse anyone. In some situations, if someone needs help that Macmillan cannot provide Macmillan will signpost an organisation(s) that can.

No questionnaires, research, surveys or petitions:

We do not allow third parties to post questionnaires, surveys, petitions or conduct research anywhere on the Community. We feel this takes away from the peer-to-peer support focus of our site. 

Press and media enquiries:

Macmillan’s Online Community is a peer-to-peer support network for people affected by cancer and not a place for direct press enquiries. This is so our members feel comfortable giving and getting support, and to protect their privacy and personal details.

For press and media enquiries please contact


Please refrain from promoting any fundraising events you might be involved in, even if they are for Macmillan Cancer Support. If you have any fundraising related queries, our Supporter Care team can be contacted on 0300 1000 200 (Monday to Friday, 9am to 5pm), or you can email them at

Post in English:

All contributions must be in English. This is because the Community team are not able to moderate posts in other languages. It is also important to make sure that all members can understand each other’s posts and so support each other.

Keeping safe online, protect your privacy:

Please remember that all the information that you post here is public – it can be read by people not logged in to the Community and potentially found through search engines. Discussions and blogs, including any images you post, are all public; only your profile and private messages are private.

  • Please do not post your own personal information such as your real full name, home addresses, telephone numbers and email addresses.
  • Do not share your profile from any social networking site with other users, as they can find personal information about you from it and this could be a security risk.
  • Please do not ask other users to post their personal information such as home addresses, telephone numbers, or email addresses, and do not pressure anybody into revealing information about themselves that they do not wish to.
  • Please do not post other people’s personal information publicly on the community either.

Any personal information which you have posted publicly will be edited or removed. If you want to contact another member, please send them a private message through the site. See more about private messages.

We have a Privacy Policy explaining how we handle personal information.

Sending and receiving gifts and money:

We do not allow members to personally send gifts or money, or allow members to request gifts or money from other members. We appreciate that there are considerable financial demands associated with living with cancer and this is why we have Financial Guides and Welfare Rights advisors on our Support Line ready to give you financial assistance (0808 808 0000, Monday to Sunday, 8am to 8pm).

If you are concerned about the well-being of a member, please contact the Community team with your concerns. For more information about support services provided by Macmillan, please visit our website. For financial matters, find out more about how we can help on Macmillan’s financial support pages.

Age limit:

For the protection and safety of children, the Community does not allow members under the age of 16 years. Accounts of members found to be under the age of 16 will be closed.

If you are under 16 and need support, you may find it helpful to visit Teenage Cancer Trust, Winston’s Wish or Clic Sargent. You may also find our information page for teens and young adults helpful.

Don't face issues alone – suicide and self-harm:

All mentions of intention to commit suicide, assisted suicide or self-harm will be removed from the site. Expressions of thoughts and feelings about these issues are allowed. If you are worried about another member of the Community, please contact a member of the Community team or hit the ‘Alert Moderator’ button immediately.

It is not your responsibility to offer counselling, please refer the member to the below for the appropriate support and advice:

  • Our freephone Support Line number which is 0808 808 0000 (Monday to Sunday, 8am to 8pm).
  • The Samaritans on 116 123, which is also a free Support Line, or their email address which is

If you are worried about another member for any reason please contact us at

Macmillan’s Support Line:

If you need support or help, please remember you can call our Support Line for free on 0808 808 0000 – available Monday to Sunday, 8am to 8pm. Here you can access support and advice from our various Macmillan experts; from clinical concerns to financial guidance, support with money worries or simply a listening ear – there’s always someone to talk to on our Support Line.

Please remember:

Views expressed on the Community are purely the views of the members and as such don't constitute professional recommendations or advice or the opinions of Macmillan Cancer Support.

We have the right to update and change our Community Guidelines and Terms and Conditions at any time. If you have any questions about these guidelines, or anything on the site at all, you can contact us via – we’ll do all we can to help.