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Optimal Care Pathways

A Victorian Department of Health partnership.

“The purpose of this work is to improve patient outcomes by facilitating consistent cancer care based on a standardised pathway of care. The pathways are applicable to care whether it is provided in a public or private service. The principles and the expected standards of good cancer care are not expected to differ, even though treatment regimens may vary from patient to patient for a whole variety of reasons.”
– 
Professor Robert Thomas OAM, Chief Advisor Cancer, Victorian Department of Health

The Victorian and Tasmanian PHN Alliance (VTPHNA) has been commissioned by the Victorian Department of Health (DH) to support an integrated approach to the implementation of the Optimal Care Pathways (OCPs) for cancer into primary health.

This initiative aligns with key PHN activities and interests in a range of ways, including:

  • The PHN national headline indicators to improve cancer screening rates and to reduce avoidable hospitalisation
  • PHN priorities including population health, supporting the health workforce, eHealth, and Aboriginal and Torres Strait Islander Health
  • PHN roles in relation to General Practice engagement, health pathways development, and integration of care for catchments and communities.

Each individual PHN is responsible for planning and implementing the project activities within their region, taking into account the specific needs and demographics of their population identified through their local Health Needs Assessment.

What are Optimal Care Pathways?

Optimal Care Pathways are national guides that describe the best possible cancer care for patients with specific types of cancer. The pathways describe the key stages in a patient’s cancer journey, from diagnosis to survivorship or end-of-life care, and the expected optimal care at each stage to ensure all people diagnosed with cancer get the best care, regardless of where they live or have cancer treatment.

Currently there are 18 OCPs for different cancers and one specifically for Aboriginal and Torres Strait Islander people with cancer. Developed by clinical experts in collaboration with consumers, the Optimal Care Pathways have been endorsed by the National Cancer Expert Reference Group, Cancer Australia, Cancer Council Australia, and the Australian Health Ministers Advisory Council (AHMAC).

OCPs provide clinicians and health administrators with an agreed consistent nationwide approach to care that is based on current best practice including clinical guidelines, consensus statements, standards and research.

The OCPs:

  • Provide a mandate for service improvement
  • Are useful in deciding how best to organise service delivery to achieve the best outcomes for patients
  • Can drive service improvement priorities such as reducing unwanted variations in practice
  • Are relevant across all jurisdictions and have been adopted nationally
  • Are not intended to be or to replace detailed clinical practice guidelines

Localised HealthPathways for all of the OCPs are available across the six Victorian PHNs. Visit your local HealthPathways website for more information. 

Integrated Cancer Services

The eight geographically-based Integrated Cancer Services (ICS) across Victoria are also working on projects to implement the OCPs into acute care settings.  The ICS work across the same main activity areas but in the acute health setting: customisation and further development to align health practice with the OCPs, education and training, local network facilitation and measurement. As part of this work, ICS are primarily responsible for monitoring and assessing the patient experience of their cancer care.  The PHNs and ICS work together at the intersections of primary and acute care.

Implementing the cancer Optimal Care Pathways into primary care

DH has commissioned the VTPHNA to support the comprehensive and consistent adoption of specific cancer OCPs into primary care. There have been four tranches of project activity to date, focusing on different OCPs.

The first tranche focused on lung and colorectal OCPs over 2016 and 2017. The second tranche on prostate and oesophagogastric cancer OCPs from late 2017 through 2018; the third tranche in November 2018 focused on melanoma, pancreatic and head and neck cancer OCPs. The fourth and most recent tranche embedded the final 14 OCPs into HealthPathways. In December 2020, this project concluded, resulting in the entirety of the OCPs being made available on HealthPathways.

Objectives

The objectives of this project are to:

  • build general practitioner awareness, knowledge and use of the cancer Optimal Care Pathways
  • improve collaboration between GPs, cancer specialists and health professionals working in the acute sector
  • drive best practice cancer care through the adoption of the OCPs
  • identify areas for service improvement through data collection and monitoring.

Project Scope

Implementing the OCPs into primary care has a focus on working with GPs and other general practice staff on prevention and screening, diagnosis and investigations, referral to cancer specialists and acute care, primary care treatment and support for cancer patients post-acute care, and the acute-primary care interface.

Expected Outcomes

If the OCPs are implemented effectively in PHNs, the expected outcomes for primary health are:

  • Enhanced general practice staff awareness and knowledge of OCPs
  • Increased confidence of general practice staff in applying the OCPs, including referring effectively
  • Increased general practice staff compliance with the OCPs
  • Enhanced primary and acute care interface for patients, consistent with the OCPs
  • Identification of areas for service improvement

The implementation of the optimal care pathways into primary health project is supported by the Victorian Government.

Project contacts

Statewide Project Lead
Optimal Care Pathways
Laura Beere
Ph: 03 9347 1188

North Western Melbourne PHN
Dawn Finlay
Ph: 03 9347 1188

Eastern Melbourne PHN
Cherylynn Garner
Ph: 03 9046 0300

Gippsland PHN 
Alyce Cuman
Ph: 03 5175 5444

South Eastern Melbourne PHN   
Campbell Rule
Ph: 1300 331 981

Western Victoria PHN 
Cara Miller
Ph: 03 5564 5888

Murray PHN
Christine Fishley
Ph: 03 4408 5618

Oesophagogastric cancer
Prostate cancer

NEW REPORT

Copyright 2023 Victorian and Tasmanian PHN Alliance
  • About us
    • About the Alliance
    • Community engagement
    • Collaboration
    • Leadership
    • PHN Publications
    • Thought Leadership
  • Our Work
    • Best practice, prevention, management and support
      • Accelerated uptake of Hepatitis C medicines
      • Carer Awareness in General Practice
      • Community led cancer screening
      • Lymphoedema Primary Care Capacity Building
      • Optimal Care Pathways
        • Optimal Care Pathways – Oesophagogastric Cancer OCP
        • Optimal Care Pathways – Prostate Cancer
      • Place-based Suicide Prevention
      • Urgent Care Clinics
      • Statewide Paediatric HealthPathways Project
      • Victorian HIV and Hepatitis Integrated Training and Learning (VHHITAL)
        • VHHITAL – Education and events copy pack
    • Connecting health with other sectors
      • Doctors in Secondary Schools
        • Apply to Doctors in Secondary Schools: one day out of your everyday
      • Enhancing Mental Health Support in Secondary Schools
    • Health system integration and reform translation
      • Alcohol and other Drug Integration
      • Care Pathways and Referral
        • COVID-19 care pathways
      • Enhancing Carers Supports Within Primary Health Care
      • Mental Health Integration
      • My Health Record Expansion
      • PIP QI Incentive partnership
      • SafeScript
      • State Emergency and Support Recovery
      • Statewide Specialist Clinic Referral Criteria
      • The National Disability Insurance Scheme in Victoria and Tasmania
      • Voluntary Assisted Dying
  • News and Education
    • Education and Calendars
    • News
    • Online Learning
  • SafeScript Training
  • Contact
    • Contact us
    • Our PHNs
VTPHNA