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

5-year goal
Action 5.5.2

Assist the sector to support all cancer care practitioners to work at the top of their scope of practice, increase retention and ensure ongoing access to continuing professional development.

A culture of continuous improvement is key to building a cancer care workforce that is modern, sustainable, agile, and able to work at the top of their scope of practice.

Thoughtful investment in professional development will ensure future capabilities are met while maximising the professional experiences of practitioners and driving up retention rates. Effective professional development will benefit from strong collaboration with the sector including peak body organisations, education and training bodies, and across different jurisdictions. It is important to note that ‘all cancer care practitioners’ refers to the broader workforce of all practitioners who may engage with people affected by cancer, not just those involved in cancer services.

Activities to achieve this 5-year action may include:

  • identifying opportunities for cancer care practitioners to work at the top of their scope of practice (for example, supporting dual specialisation to respond to more complex needs, such as geriatrics courses within oncology training and new models of care)
  • training and enabling cancer care practitioners to take a multidisciplinary approach, where teams across services and sectors collaborate to provide more holistic cancer care (including with allied health, consumer representatives, and supportive care such as psychosocial, social, and financial counselling)
  • exploring cross-training opportunities as a potential strategy to address workforce gaps. For example, training GPs in palliative care, psychosocial care, or targeted screening and follow-ups for at-risk consumers. Similarly, cross-training could provide cancer care skills to nurses, pharmacists, and allied health practitioners, for example training nurses in skin cancer checks
  • designing professional development programs that prioritise system-level change, leveraging partnerships across the cancer care continuum where suitable
  • introducing accreditation and mandated standards for professional development, targeting specific capability gaps (for example survivorship, palliative care, genomic testing and personalised care, and complex care and communication). This will drive consistency across professional development opportunities, including between jurisdictions
  • establishing training pathways for emerging capabilities, for example, in cancer genomics, new skills include interpreting the results of genetic testing and translating this into personalised care
  • addressing the needs of the workforce to improve job satisfaction, wellbeing, and mental health (for example providing clarity on career promotion and progression pathways)
  • designing professional development opportunities that are available to practitioners at all career stages, from entry to practice to highly experienced specialists.

Professional development of the workforce should be connected to models of care, with models of care driving the workforce. Specific attention is also required on enablers such as use of non-clinical staff and technical solutions. This action should additionally align with the National Medical Workforce Strategy 2021–2031[156] and other state and territory care and health workforce strategies.

Stakeholder Quotes

[We need] education and training approaches that help ensure that health professionals can optimise and possibly grow their scope of practice.
Public Consultation Submission
[We need] education and training approaches that help ensure that health professionals can optimise and possibly grow their scope of practice.
Public Consultation Submission
Transformative change should be influenced by a national health workforce plan aimed at ensuring that all people, in all places, have access to a skilled cancer health worker who is equipped, motivated, and supported.
Public Consultation Submission

Implementation Considerations

Aboriginal and Torres Strait Islander people
Adolescents and Young Adults
Children
People living with Disability
People in Lower Socioeconomic Groups
People Living with a Mental Illness
Older Australians
People Living in Rural and Remote Areas
  • For detailed considerations for Aboriginal and Torres Strait Islander people, see Action 5.2.4 Identify priority areas of need for Aboriginal and Torres Strait Islander cancer care workforce and develop a plan to recruit, train and retain the Aboriginal and Torres Strait Islander cancer care workforce and Action 5.5.4 Support national coordination and implementation of a plan to recruit, train and retain the Aboriginal and Torres Strait Islander cancer care workforce.

Aboriginal and Torres Strait Islander people

  • For detailed considerations for Aboriginal and Torres Strait Islander people, see Action 5.2.4 Identify priority areas of need for Aboriginal and Torres Strait Islander cancer care workforce and develop a plan to recruit, train and retain the Aboriginal and Torres Strait Islander cancer care workforce and Action 5.5.4 Support national coordination and implementation of a plan to recruit, train and retain the Aboriginal and Torres Strait Islander cancer care workforce.

Adolescents and Young Adults

  • Increase cancer care workforce understanding of adolescents' and young adults' needs to be included and directly involved in decision-making about their care and end-of-life conversations.

Children

  • Improve resources and investment in dedicated childhood cancer research to support aspiring cancer care practitioners to enter the paediatric field.
  • Increase professional development on communicating appropriately with children and their families during difficult conversations on prognosis, death and dying, and palliative care.

People living with Disability

  • Increase professional development in complex communication tailored to people living with disability.

People in Lower Socioeconomic Groups

  • Increase investment in the professional development of health workforces in low socioeconomic areas.
  • Australia’s National Digital Health Strategy[148] outlines a need to increase workforce capability in using new digital tools, creating cost-effective care options for people in lower socioeconomic groups.

People Living with a Mental Illness

  • Increase investment in professional development to ensure health professionals are knowledgeable of the unique considerations required when treating people affected by cancer and living with a mental illness.

Older Australians

  • Increase cancer care workforce understanding of the specific needs and aims of care and support for older Australians affected by cancer.

People Living in Rural and Remote Areas

  • Increase professional development opportunities for rural and remote health workforces to work at the top of their scope of practice and ability to improve access to cancer care.
  • Australia’s National Digital Health Strategy[148] outlines a need to increase workforce capability in using new digital tools for consumer care, creating more accessible care options for people living in rural and remote areas.

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