Strategic Objective 5: Workforce to transform the delivery of cancer care

2-year goal
Action 5.2.1

Identify current and emerging workforce undersupply in line with cancer workforce modelling and other national health workforce strategies, and initiate planning with the sector towards building future workforce capacity and capability.

A workforce with the right capabilities, capacity and experience is key to the delivery of high-quality, safe and person-centred cancer care. Planning for the future cancer care workforce requires a data-informed understanding of current and future workforce gaps. Limited national workforce data availability is a longstanding barrier to fully understanding the distribution of capacity and capability of the healthcare workforce as a basis for workforce planning.

The current healthcare workforce is under significant pressure, with challenges resulting from COVID-19 pandemic burnout, workforce maldistribution, increasing medical specialisation and changing capability requirements as new technologies and models of care emerge. These challenges are well-documented across national health plans and state-based cancer plans.

Implementation of this 2-year action hinges on robust data-driven cancer workforce modelling. This includes:

  • undertaking a review of existing cancer workforce data, including distribution of capacity and capability across Australia including in rural and remote areas
  • analysing how the cancer workforce is evolving and trends over time
  • developing guiding cancer workforce ratios and metrics to inform ongoing modelling and planning
  • strengthening national cancer workforce data collection approaches
  • benchmarking against other specialist healthcare workforces and international cancer care workforces.

Improved data-driven insights will support coordinated national cancer workforce planning. Developing an effective workforce pipeline will require collaboration with the sector across jurisdictions, peak body organisations, health services, research, education, and training bodies. Planning should also aim to address comprehensive cancer workforce needs, including education, training, wellbeing and support initiatives, and recruitment and retention strategies for all relevant roles involved in cancer care.

Known and projected gaps in workforce capability and capacity will be a planning priority, for instance clinical specialists, rural and remote cancer care specialists, cancer researchers, interpreters, survivorship roles and genomic testing specialists.

Coordinated national workforce planning should align with other relevant strategies currently in place, including the National Medical Workforce Strategy 2021–2031,[156] the Stronger Rural Health Strategy,[157] the National Aboriginal and Torres Strait Islander Health Workforce Strategic Framework and Implementation Plan 2021–2031[133] and State and Territory health workforce plans and jurisdictional cancer plans. A rigorous understanding of gaps in workforce capability and capacity will inform all other actions under Strategic Objective 5. While this action focuses on gaps, it is also important to consider barriers and enablers to building cancer workforce capacity and capability.

Building capacity and capability of the cancer workforce should also consider priority populations and where priority population groups are currently underrepresented in workforce diversity. Importantly, workforce modelling will be affected by gaps in the availability of data on many priority population groups.

Stakeholder Quotes

With the pandemic, there have been difficulties for nursing students to undertake placements which means that when they graduate they don’t have the necessary skills. This has a flow-on effect for a skilled workforce.
Public Consultation Submission
With the pandemic, there have been difficulties for nursing students to undertake placements which means that when they graduate they don’t have the necessary skills. This has a flow-on effect for a skilled workforce.
Public Consultation Submission
A critical gap in the workforce is the lack of coordination of various stakeholders who produce the workforce and the employers of the workforce.
Strategic Objectives Workshop
Cross-training health professionals could be a potential strategy to address workforce gaps.
Strategic Objectives Workshop

Implementation Considerations

Aboriginal and Torres Strait Islander people
Lesbian, Gay, Bisexual, Transgender, Intersex, Queer, and Asexual (LGBTIQA+) People
People from Culturally and Linguistically Diverse (CALD) Backgrounds
People living with Disability
People in Lower Socioeconomic Groups
People Living with a Mental Illness
Older Australians
Adolescents and Young Adults
Children
People Living in Rural and Remote Areas
  • Identify gaps in capacity, including distribution, of Aboriginal and/or Torres Strait Islander Health Workers, Health Practitioners, specialists and liaison officers in the cancer care workforce and Aboriginal Community Controlled Health Services.
  • Build capacity and capability of Aboriginal and Torres Strait Islander cancer workforce particularly in areas with a high representation of Aboriginal and Torres Strait Islander people and within the Aboriginal Community Controlled Health sector.

Aboriginal and Torres Strait Islander people

  • Identify gaps in capacity, including distribution, of Aboriginal and/or Torres Strait Islander Health Workers, Health Practitioners, specialists and liaison officers in the cancer care workforce and Aboriginal Community Controlled Health Services.
  • Build capacity and capability of Aboriginal and Torres Strait Islander cancer workforce particularly in areas with a high representation of Aboriginal and Torres Strait Islander people and within the Aboriginal Community Controlled Health sector.

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

  • Model the distribution of cancer care practitioners trained in culturally safe and inclusive care and support of LGBTIQA+ people.

People from Culturally and Linguistically Diverse (CALD) Backgrounds

  • Model the distribution of cancer care practitioners trained in culturally safe care and support for consumers with diverse backgrounds, and availability of multilingual practitioners and interpreters in the cancer care workforce.
  • Develop a diverse cancer care workforce pipeline through diversity measures in training, recruitment, retention and talent management.

People living with Disability

  • Model the distribution of cancer care practitioners trained in treating people living with disability and delivering complex communication.

People in Lower Socioeconomic Groups

  • Identify gaps in supportive care roles such as providing financial counselling or cost-effective telehealth support to people in lower socioeconomic groups.

People Living with a Mental Illness

  • Model the distribution of cancer care practitioners trained in treating people living with a mental illness, given potential medication and/or treatment interactions and specific communication and support needs.

Older Australians

  • Model the distribution of cancer care practitioners trained in treating older Australians, for example, oncologists upskilled in geriatric health or comorbid conditions.

Adolescents and Young Adults

  • Model the distribution of cancer care practitioners trained in treating adolescents and young adults, e.g., cancer specialists and researchers, and adolescent psychosocial services.

Children

  • Model the distribution of cancer care practitioners trained in treating paediatrics, e.g., childhood cancer specialists and researchers, child psychosocial services and/or additional support for families.
  • Future forecasting of the primary care workforce’s ability to deliver paediatric cancer care, particularly in rural and remote areas.

People Living in Rural and Remote Areas

  • Collect and analyse data on the availability of primary care workers upskilled in aspects of cancer care and the use of digital technologies to enable greater cancer care service reach.

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