Strategic Objective 3: World class health systems for optimal care

2-year goal
Action 3.2.1

Develop and implement a national framework that standardises the development, update, evaluation and uptake of Optimal Care Pathways (OCPs), including for priority population groups.

Cancer care pathways for consumers undergoing diagnosis and treatment are variable and complex, depending on the individual’s needs, circumstances, and cancer types.

The OCPs outline consistent, safe, high quality, and evidence-based care for people with cancer. They set the benchmark for quality cancer care to ensure that all people diagnosed with cancer receive the best care, irrespective of where they live or receive cancer treatment.

OCPs map nationally agreed best practice approaches for certain populations and tumour types across the cancer care continuum, placing patients at the centre of care.

A nationally consistent framework for the development, evaluation, and uptake of OCPs will standardise an evidence-based approach to developing, adapting, evaluating, and embedding OCPs into pathways and clinical practice across jurisdictions and health networks. This includes guidance for developing or adapting OCPs for priority population groups who often have particular support needs.

This 2-year action could include:

  • reviewing evidence and learnings from OCP implementation across Australian jurisdictions to date, including the enablers and barriers to embedding OCPs into routine cancer care
  • establishing and implementing a national framework that provides guidance and minimum criteria for evidence, development processes, implementation supports and monitoring and evaluation requirements of OCPs at a national level
  • developing mechanisms to endorse locally developed OCPs at a national level, to support wider dissemination and application
  • promoting a national digital directory for all OCPs, irrespective of who owns or develops the OCPs
  • expanding existing OCPs to consider priority population groups, through co-design approaches, recognising their specific needs that require tailored approaches to enable equitable cancer care outcomes
  • developing new OCPs for more cancer types to deliver evidence-based outcomes for more people affected by cancer.

There are 27 OCPs currently available. This includes 25 OCPs for cancer types, and two OCPs for population groups (Aboriginal and Torres Strait Islander people with cancer[10] and adolescents and young adults with cancer[9]). The implementation of this action would build on these OCPs, consider extending the suite of existing OCPs to all priority populations, and explore developing new OCPs for additional cancer types, with an emphasis on cancers with poorer outcomes.

To support the uptake of OCPs, this action should promote dissemination of information to cancer services, Primary Health Networks, Aboriginal Community Controlled Health Services, healthcare practitioners and to consumers, carers, and their families.

Stakeholder Quotes

[The Australian Cancer Plan] … needs to identify the barriers and enablers to care and address what is not working by evaluating the Optimal Care Pathways for people with cancer.
Strategic Objectives Workshop
[The Australian Cancer Plan] … needs to identify the barriers and enablers to care and address what is not working by evaluating the Optimal Care Pathways for people with cancer.
Strategic Objectives Workshop
An optimal pathway, provided by a multidisciplinary health care team, should deliver the same service and outcome, regardless of a person’s characteristics or where they live. All people affected by any cancer should have access to optimal treatment and care pathways.
Public Consultation Submission

Implementation Considerations

Aboriginal and Torres Strait Islander people
Adolescents and Young Adults
Children
People from Culturally and Linguistically Diverse (CALD) Backgrounds
People living with Disability
Lesbian, Gay, Bisexual, Transgender, Intersex, Queer, and Asexual (LGBTIQA+) People
People in Lower Socioeconomic Groups
People Living with a Mental Illness
Older Australians
People Living in Rural and Remote Areas
  • National framework that promotes the use of the existing Optimal Care Pathway for Aboriginal and Torres Strait Islander people with cancer[10] available to health professionals and consumers.
  • Greater collaboration with Aboriginal Community Controlled Health Services to deliver cancer care information in a format and language/s that are culturally safe and provide access to specific supportive cancer care services.

Aboriginal and Torres Strait Islander people

  • National framework that promotes the use of the existing Optimal Care Pathway for Aboriginal and Torres Strait Islander people with cancer[10] available to health professionals and consumers.
  • Greater collaboration with Aboriginal Community Controlled Health Services to deliver cancer care information in a format and language/s that are culturally safe and provide access to specific supportive cancer care services.

Adolescents and Young Adults

  • National framework that provides for the clinical and psychosocial needs of adolescents and young adults with cancer.
  • Tailored care plans for young adults diagnosed with cancer that minimise life disruptions and integrate the role of family, friends and education systems.

Children

  • National framework that provides specific engagement and support to children, families and carers, providing cancer care information in an appropriate manner to children and maintaining participation in social activities, where possible.

People from Culturally and Linguistically Diverse (CALD) Backgrounds

  • National framework that provides culturally safe pathways required for people with diverse backgrounds, including delivery of resources in multiple languages, increased access to professional interpreters who understand the unique health needs of certain cultural groups, and greater engagement with family and relatives.

People living with Disability

  • National framework that addresses chronic illness, accessibility, collaboration with other health professionals in multidisciplinary teams and social/human services and any potential treatment interactions.

Lesbian, Gay, Bisexual, Transgender, Intersex, Queer, and Asexual (LGBTIQA+) People

  • National framework that provides the specific treatment, support, and follow-up care needs of LGBTIQA+ consumers to ensure inclusive practices (e.g. language guides, inclusivity of intake forms and referral pathways to tailored supportive care services).

People in Lower Socioeconomic Groups

  • National framework that provides virtual care and electronic referrals into cancer care services for people in lower socioeconomic groups.
  • Educating and empowering consumers on available financial counselling, financial support systems and broader support services.

People Living with a Mental Illness

  • National framework that addresses comorbidity, chronic illness, accessibility, collaboration with non-cancer care health professionals, potential medication/treatment interactions and the impact of guidelines.

Older Australians

  • National framework that identifies early symptoms of cancer in older Australians, and potential comorbidity impacts.
  • Information accessible to older consumers and collaboration with older Australians, their families, carers and support individuals.

People Living in Rural and Remote Areas

  • National framework that provides for virtual care and telehealth pathways to improve accessibility, navigation and reduce travel costs due to distance and longer waitlists for cancer care services outside large metropolitan areas.

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