Integrated care review
Cancer Council NSW
Duration: February – May 2017
Through consultations and discussions with local stakeholders and partners, the Cancer Council NSW (CCNSW) identified significant benefits that could be realised if health professionals, patients and carers were able to access the full suite of CCNSW information, support services and programs at the point of treatment. It was anticipated that improving the method of delivering these services and programs (including transport, home help, accommodation, information and support, web and tele-support services) would enhance patient outcomes. This resulted in a decision to commission CHSD to identify opportunities for new and improved ways of working with local health districts and other health service providers in the provision of clinical and ancillary cancer support services for people affected by cancer.
What we did
The review focused on three domains of service delivery (cancer information, psychological and emotional support, practical support). Building on earlier work undertaken by CHSD, we synthesised some of the literature conceptualising ‘access’ and developed six dimensions of access – appropriateness, availability, adequacy, affordability, acceptability and awareness – to provide a framework for the review.
Data were collected from several sources including documentary material provided by the CCNSW, academic and grey literature, consultations with internal and external stakeholders, and site visits to a regional cancer centre and the corporate office of CCNSW.
The review found that there are several strengths in the current approach, particularly in the way the CCNSW works with colleagues in cancer care centres. The current range of information and support services is highly valued and the reputation and credibility of the organisation is positively perceived. The volunteers recruited and trained by the CCNSW are seen as a particular asset in centres where they contribute.
Analysis of the various data sources generated a range of insights about current information and support services, groups to target to improve access, core relationships to sustain this access and the business processes that underpin effective program delivery. A range of findings for improving access were identified at the level of individual consumers, individual clinicians (particularly those working in hospital-based cancer centres), primary health care practitioners and health care organisations. These included opportunities for improving quality and strengthening visibility. These findings generated a set of principles and strategic options for future program delivery.
Project team: Malcolm Masso, Cristina Thompson