This article discusses information collated from a nationwide postal survey undertaken in New Zealand in 2011 of all Māori health provider organisations (n=253). The survey, which had a 55% response rate, explored the role that these providers have in cancer care in the community. They deliver a wide range of programmes including cancer prevention services focussed on health promotion, advocacy, information and support. Māori health providers identified financial hardship, transport difficulties, and lack of information as the greatest barriers to cancer care. About half of the respondents reported that a lack of cultural safety in mainstream health systems was a barrier to all cancer services, including primary care and screening. Most respondents emphasised the importance of trust and long-term relationships within their communities, which helps them to focus on families rather than individual-based care throughout the cancer care journey.