Building on Action 3.2.1 Develop and implement a national framework that standardises the development, evaluation and uptake of Optimal Care Pathways (OCPs), including for priority population groups, this action embeds the national framework and entrenches the OCPs into cancer care within a 5-year period.

In addition to the activities in Action 3.2.1, this 5-year action includes:

• initiatives that support the integration of OCPs into routine clinical pathways and practice, with enhanced access to resources for consumers, carers and families
• establishment of a national monitoring and evaluation approach to OCPs to ensure continuous improvements, linked to Action 4.5.1 Design and embed patient reported experience and patient reported outcomes into national performance monitoring and reporting for all providers, to assess services for all population groups and establish an evidence base. Results should be routinely published
• consideration of the impact of review and evaluation cycles as the number of OCPs increase and patient outcomes and experience data mature.

Clear, routine monitoring and evaluation of the OCPs using standardised measures of both implementation progress and outcomes, at a national level, will ensure that cancer care delivery is evidence-informed and continually improved to ensure the best possible outcomes for all Australians living with cancer. This action relies upon the successful implementation of an agreed national cancer data framework, patient reported experience and patient reported outcomes as part of national performance monitoring (for further detail, see Action 4.2.1 Develop an agreed national cancer data framework to improve accessibility, consistency and comprehensiveness of integrated data assets and Action 4.5.1 Design and embed patient reported experience and patient reported outcomes into national performance monitoring and reporting for all providers, to assess services for all population groups and establish an evidence base).

Further to the implementation considerations identified in Action 3.2.1, this action requires the development of co-design monitoring and evaluation approaches that ensure cultural safety for all priority populations, as well as considering the impact of intersectionality.