Mindfulness Based Cognitive Therapy (MBCT) was initially devised as a cost effective way to prevent relapse in depression. This 8 week group programme has subsequently been adapted for cancer populations and has been found to be effective in reducing distress and improving well-being in people coping with the aftermath of diagnosis (Foley et al, 2010). The Cancer Council Queensland’s – Cancer Counselling Service – was implemented in 2004 in order to provide psychological support to people distressed by cancer who would otherwise be unable to access a specialist intervention. MBCT was added to the suite of psychological interventions provided by the service in recognition of the need for a low intensity intervention that could provide people with strategies to stay in touch with the present moment and recognize and respond to triggers for depression and anxiety. What commenced with a small feasibility study in 2009 has emerged as a comprehensive statewide program – with more than 10 groups conducted in Brisbane and regional Queensland in 2012 - including a telephone group for those unable to access a face-to-face service. This paper details the steps involved in establishing the feasibility and then rolling out the program – including training and maintaining skills of the facilitators and promotion and recruitment of participants statewide.