7 things to know about cancer, work, and you

A cancer diagnosis can bring uncertainty, especially when it comes to work.

Whether you want to continue working during treatment, take time off, or adjust your workload, knowing your rights and options can help you make informed decisions.

Here are 7 key things to know about balancing cancer and work.

1. Can I keep working during cancer treatment?

Cancer affects people in different ways, and whether you can work depends on several factors, including the type of cancer, your treatment plan, and how you feel during and after treatment.

Some people adjust their work hours, take occasional leave, or switch to part-time work, while others take an extended break.

It’s important to discuss your job’s physical and mental demands with your healthcare team and explore what’s practical for you.

2. Do I have to tell my employer?

Deciding whether to tell your employer is a personal choice.

Legally, you don’t have to disclose your diagnosis unless it affects your ability to do your job or poses a safety risk. If you do choose to share, it can help open conversations about support options, such as flexible hours or additional leave.

You might also want to speak to your doctor first to understand how treatment could impact your work.

3. What are my privacy rights?

If you tell your employer about your diagnosis, they must keep this information confidential. Your consent is required before they share it with others in your workplace.

If you take medical leave, your employer may request a certificate confirming that you’re unfit for work, but it doesn’t have to mention cancer specifically.

4. How should I talk to my employer about cancer?

If you decide to discuss your diagnosis with your employer, consider:

• Practising the conversation with a friend or family member.
• Bringing a support person to the meeting.
• Choosing a quiet, private setting for the discussion.
• Preparing a plan for any workplace adjustments you might need.
• Keeping notes on what was discussed and any agreed changes to your work arrangements.

These conversations don’t have to be one-time discussions – your needs may change over time, so it’s okay to revisit and adjust plans as necessary.

5. Can my employer dismiss me for having cancer?

No. In Australia, it is illegal for an employer to discriminate against you because of a cancer diagnosis. This includes unfair dismissal, demotions, or refusing reasonable adjustments that would allow you to keep working.

If you’re unsure about your rights, you can seek legal advice or contact organisations like Cancer Council for guidance.

6. What support can I get at work?

Under Australian law, employers are required to provide reasonable adjustments to help employees with cancer continue working. These could include:

• Flexible hours or extra breaks.
• A gradual return to work after treatment.
• Ergonomic office equipment or modified duties.
• Remote work options.

Some workplaces also offer Employee Assistance Programs (EAPs), mentoring, or peer support programs to help employees navigate work and health challenges.

7. Should I tell my co-workers?

This decision is entirely up to you. Some people prefer to keep their diagnosis private, while others find it helpful to have the support of colleagues.

If you work closely with a team, they may notice changes in your schedule or energy levels.

Being open with trusted co-workers can help create understanding and prevent misconceptions. If you’re unsure how much to share, consider starting with a small amount of information and only sharing more if you feel comfortable.

If you have questions about your workplace rights, employer obligations, or available support, visit www.cancercouncil.com.au/cancer-information/coping-with-a-diagnosis/work-and-cancer/

Call Cancer Council NSW’s 13 11 20 to talk to a health professional.