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Exercise as Medicine in prostate cancer: Lessons from Practice

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Minutes: 20

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Topic:

Exercise, Patient Support, Side effects management
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Area of Practice:

Secondary Care
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Recommended for:

Allied Health Professional, Clinical Nurse Specialist, Secondary Care Doctor, Secondary Care Nurse

Exercise is increasingly recognised as a powerful, evidence‑based treatment for the physical and psychological side effects of prostate cancer and its therapies. Yet many men still face significant barriers to accessing specialist exercise support, particularly in the period immediately following diagnosis. This session brings together expertise from programme design, oncology physiotherapy, and lived experience to demonstrate how structured exercise can transform survivorship outcomes.

Oncology Physiotherapist and Exercise Service Lead Gemma Harris will outline the clinical evidence supporting exercise as a core component of prostate cancer care, including its impact on fatigue, functional decline, metabolic health, and treatment‑related side effects. She will also explain the design, safety considerations, and delivery model of Prostate Cancer UK’s exercise pilot programme, highlighting how multidisciplinary collaboration ensures safe and effective participation.

Improvement Programmes Manager Jo Riches will explore the system‑level challenges that prevent men from accessing exercise support early, including gaps in referral pathways, variation in service provision, and barriers to self‑management. She will share practical strategies for embedding simple, scalable referral processes that reduce downstream healthcare demand and improve long‑term outcomes.

Complementing this, patient advocate Andy Westbrook will share his personal experience of postoperative recovery and how structured exercise — combined with clinician encouragement and peer support — helped rebuild confidence, strength, and wellbeing. His perspective underscores the importance of timely referral and the transformative impact of accessible, evidence‑based exercise services.

This session forms part of the Specialists Conference 2026 and is designed for secondary care nurses, clinical nurse specialists, doctors, and allied health professionals seeking to integrate exercise more effectively into prostate cancer pathways.

Learning Objectives

By the end of this webinar, participants will be better able to:

  • Recognise exercise as an evidence‑based treatment for prostate cancer‑related side effects
  • Identify the gap between diagnosis and access to specialist exercise support
  • Understand the design and safety of the Prostate Cancer UK exercise pilot programme
  • Identify which patients are suitable for referral and when referral should occur
  • Recognise barriers to self‑management and the role of clinician endorsement and peer support
  • Summarise the clinical and health economic outcomes of the programme
  • Apply simple referral pathways to reduce downstream healthcare demand

Please be aware this session was recorded on 03/2026 for Specialists Conference 2026. We review our webinar content every 2 years.

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Webinar Presenters

Jo Riches

Improvement Programmes Manager, Prostate Cancer UK

Jo joined the team at the end of 2023 from a position with a GP Federation based in Surrey and Sussex, where she developed and led a service managing the ongoing medical needs of refugees and asylum seekers arriving in the UK. Working in partnership with GPs, primary care, wider NHS services and local charitable organisations, Jo notes it was an incredibly fulfilling albeit occasionally frustrating and heart-breaking role. Jo has previously worked in fundraising, international disaster response with a focus on slavery and human trafficking, and various corporate roles.

Andy Westbrook

Patient with lived experience

Andy is a 56 year old postoperative RARP patient, who has had the fire lit in his desire to get fitter by the Royal Surrey & Prostate Cancer UK Health and Wellbeing Program.

Gemma Harris

Gemma Harris, Oncology Physiotherapist and Exercise Service Lead, The Fountain Centre, Royal Surrey Hospital

Gemma is an Oncology Physiotherapist and Exercise Service Lead at The Fountain Centre, with specialist training in cancer rehabilitation and exercise medicine. Since joining the team, she has led the development of the exercise service, delivering one-to-one and group-based programmes that support people living with and beyond cancer to improve function, confidence and long-term self-management.

Her work has been recognised internationally, with invitations to present posters at the Inaugural Conference of the International Society of Exercise Oncology and the International Conference on Physiotherapy in Oncology. In collaboration with NHS multidisciplinary teams and charities including Prostate Cancer UK, she has developed and delivered patient education programmes such as Living Well with Treatment-Induced Menopause, Living with Lymphoedema, and Living Well on Androgen Deprivation Therapy. Alongside her NHS role, Gemma contributes to workforce education internationally, working with the Australian Physiotherapy Association, the American College of Sports Medicine and CanRehab to support training for physiotherapists and exercise professionals working with people affected by cancer.

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