Cancer Institute NSW hosted the second annual Innovations in Cancer Services and Care NSW conference on Friday, 23 August 2013.
The Innovations in Cancer Services and Care NSW Conference was
held on Friday, 23 August at Australian Technology Park. Over 300
delegates attended the event which showcased innovation from around
Professor Jon Emery presented the keynote address -
' Integrating primary care and cancer
services: How can we be more innovative? Following this
Associate Professor Sabe Sabesan shared his groundbreaking work
using telehealth to link 18 communities across 750,000 square
kilometers into a single oncology practice.
Videos of the presentations have been embedded below, or you can
watch them all on the Cancer Institute's Youtube channel.
Innovations 2013 sessions on Youtube.
Keynote presentations: Prof. Jon Emery & A/Prof. Sabe
The opening session featured the following keynote
Integrating primary care and cancer services: how can we be
Professor Jon Emery, Winthrop Professor of General Practice,
University of Western Australia
Professor Jon Emery discusses the results of a recent rapid
review by PC4 - the Cancer Australia Primary Care Collaborative
Cancer Clinical Trials Group - which evaluates the role of primary
care within cancer services. Importantly, he highlights the role of
general practitioners throughout a patient's cancer journey; from
cancer screening and early diagnosis, to survivorship. Professor
Emery evaluates the success of primary care-led and shared care
models of follow up in comparison to hospital care.
Telehealth in cancer care: Current status and future
Associate Professor Sabe Sabesan, Director of the Department of
Medical Oncology, Townsville Cancer Centre
Associate Professor Sabe Sabesan presents his innovative
teleoncology project, which has linked 19 rural centres in North
Queensland, enabling better access to quality cancer services for
people in rural and remote areas. A/Prof Sabesan takes the audience
on the complete journey of this initiative; from its conception
through to patient and health worker satisfaction and outcomes. He
highlights cultural responses to the project, as well as cost
effectiveness and future directions.
Improving the cancer service system
This session features four dynamic presentations that reveal how
collaboration and innovation is helping to improve performance at
the cancer service system level.
Towards seamless cancer care: What do general practitioners
need to facilitate better integration with cancer services?
Dr. Andrew Knight, Fairfield Hospital
This presentation provides insight into a collaborative study
between cancer services, general practitioners and a Medicare Local
on socioeconomically disadvantaged populations that often
experience poor cancer outcomes.
Is the Emergency Department the right place for me? Emergency
Department utilisation by colorectal cancer patients, pre and post
Donna Gillies, John Hunter Hospital
This presentation tracks a recent study undertaken by a team at
Hunter New England Health, which looks at how colorectal cancer
patients use the hospital Emergency Department; and questions the
need for a new model of care.
Defining a role for general practitioners and patients in
multidisciplinary team (MDT) decisions for cancer care.
Alexandra Hawkey, University of Sydney
This presentation assesses the need for a 'report template' that
both general practitioners and multidisciplinary teams can rely on
when treating a patient with cancer. The benefits of such a report
are discussed, including greater involvement by general
practitioner in patient care, and more effective documentation of
multidisciplinary team discussions and decision-making.
Implementation of an oncology information system - the
Nina Mackay, Illawarra Shoalhaven Local
In 2011the Illawarra Shoalhaven Local Health District
successfully implemented the MOSAIQ Oncology Information System, an
electronic prescribing platform which aims to lower the potential
for, and incidences of, medication error. Nina Mackay describes the
project's journey, from set up and engagement through to recent
outcomes. The project challenges are discussed and overall
effectiveness in improving patient safety is revealed.
Panel: Enhancing outcomes for priority populations
This video features a presentation on the project 'Healthy and
Happy Life' for Chinese-Australian women followed by an expert
panel discussion on stigma amongst culturally and linguistically
appropriate promotion on cancer screening and education.
Improving cancer screening among Chinese-Australian women:
Development and evaluation of a culturally-sensitive cancer
screening promotion program.
Dr. Cannas Kwok, University of Western Sydney
There has been a concerning increase in cancer stigma among
Chinese-Australian women. This presentation provides insight into
the 'Healthy and Happy Life' project, which has been developed in
Sydney to provide culturally-sensitive and linguistically diverse
communities appropriate promotion on cancer screening and
education. The positive feedback has led to educator training for
community health advocates.
Panel discussion: stigma within culturally and linguistically
Facilitated by Professor Phyllis Butow, this panel discussion
addresses the issue of stigma within culturally and linguistically
diverse communities. The panel of experts address intervention
strategies, socioeconomic status and evaluation of outcomes for
Panel members include:
Dr. Lyn Phillipson, University of Wollongong, Project Good News
- Engaging priority culturally and linguistically diverse (CALD)
communities to reduce the stigma associated with cancer.
Dr. Astrid Perry, Prince of Wales Hospital 'Alive and Out
There' - a theatre-based approach to addressing stigma associated
with cancer in culturally and linguistically diverse (CALD)
Mamta Porwal, Cancer Council NSW, Taking Hepatitis B into the
classroom: to create youth change agents in the culturally and
linguistically diverse (CALD) community.
Using data and technology to improve patient outcomes
These five presenters share their innovative projects which use
data and technology to improve outcomes for cancer patients.
The use of a bladder scanner at simulation to achieve
consistently full bladder volumes.
Vanessa Connors, Coffs Harbour Hospital
Twenty five per cent of patients seen at the North Coast Cancer
Institute are prostate radiation therapy patients. Treatment
requires a full bladder and empty rectum to decrease toxicities to
the bladder, rectum and small bowel. However, due to
non-compliance, an in-house study was conducted into consistently
achieving full bladder volumes by using CT simulation. This
presentation reveals the study results.
Using the Qstream eLearning method to improve best practice
cancer care through increased knowledge retention.
Professor Tim Shaw, University of Sydney
Professor Tim Shaw discusses the development of an online,
evidence-based eLearning program (Qstream) for busy general
practitioners (GPs). Prof. Shaw addresses the long-term benefits
and results in improving best practice cancer care among primary
health care professionals.
ClinTrial Refer - a mobile application to connect patients with
local clinical trials.
Roslyn Ristuccia, St George Hospital
Previous clinical trials have proven difficult to attract
haematology malignant studies due to low incidence and geographical
challenges. To overcome this and keep haematologists up to date
with research trials, avoid patient transfer and cultural barriers,
and provide accessible knowledge management, a mobile application
has been developed called Clintrial Refer. This free 'app' features
a current, comprehensive list of haematology trials, accessible
anytime, anywhere on smartphones and iPads. The 'app' has already
been downloaded by more than 600 people since its launch in May
Rapid learning healthcare network for prediction of outcomes in
lung cancer patients.
Dr. Shalini Vinod, Liverpool Hospital
With so much data to wade through, rapid learning can be
difficult. This presentation delves into a recent study to locate
data from previous lung cancer patients in order to learn and
validate a prediction model for outcomes after radiotherapy, and
allow for analysis of large datasets in multiple hospitals without
the need for a centralised data pooling.
Use of a local oncology information system to rapidly learn and
inform care at the Illawarra Shoalhaven Local Health District
Graeme Bell, Illawarra Shoalhaven Local Health District
Graeme Bell presents an innovative local information system
which was implemented in the Illawarra Local Health District in
2011with the aim to rapidly learn and inform care. This oncology
information system (OIS) has been developed around 'big data',
purposefully obtaining data in the course of routine clinical
practice and using it to drive multiple projects.
Improving care coordination
This exchange features three innovative projects which aim to
improve care coordination in the fields of multidisciplinary teams,
family meeting formats and the transfer of knowledge into direct
A multidisciplinary team (MDT) model using a standard operating
procedure and patient proforma ensures quality peer review.
A/Prof. Judith Trotman, Concord Repatriation General
Associate Professor Judith Trotman addresses the recent
implementation of a documented multidisciplinary review procedure
of haematological malignancies. The presentation provides insight
into the project by providing an example of the streamlined
proforma layout, which facilitates rapid (but comprehensive) peer
review of the patient synopsis.
Early, routine family meetings can improve the transition to
Dr. Christine Sanderson, Calvary Hospital, Sydney
This presentation reveals the outcomes of a pilot study
investigating the feasibility and acceptance of the 'Upfront Family
Meetings' model, which was designed to improve communication,
assist with decision making and reduce patient/family distress
during transition to palliative care.
Real time translational research in practice: an innovative
model of delivering best supportive care in myeloma.
Tracy King, Royal Prince Alfred
A strategic program of supportive care research in myeloma has
recently been developed. This presentation focuses on how the
program ensures the transfer of knowledge into direct improvements
in cancer care.
Panel: Equity does not mean treating everyone the same
Seven leading cancer experts join facilitator Dr. Norman Swan to
address the issue of equity and accessible cancer care in NSW.
Dr. Norman Swan chairs a discussion on the issue of equity and
how to open access and increase better outcomes for priority
populations. The panel of experts explores the theme by discussing
programs in Aboriginal communities, issues with health literacy and
low socio-economic effects and generational divides.
This insightful panel discussion also addresses rural barriers
currently affecting indigenous cancer patients, the role of general
practitioners, the effects of data to improve outcomes, current
projects, mapping patient journeys, quality of safety in Aboriginal
and culturally and linguistically diverse communities and the role
of Aboriginal health workers.
Panel members include:
Raj Verma, Director Clinical Program Design and Implementation,
Agency for Clinical Innovation (ACI)
Eve Propper, person living with cancer (or cancer
Dr. Astrid Perry, Manager Multicultural Health, South Eastern
Sydney Local Health District
Dea Delaney-Thiele, Regional Co-ordinator, Population Health
Unit, Aboriginal Medical Service, Western Sydney
A/Prof Mathew George, Medical Oncologist, North West Cancer
Prof. Jon Emery, Winthrop Professor of General Practice,
University of Western Sydney
Prof. David Currow, Chief Cancer Officer and Chief Executive
Officer, Cancer Institute NSW
Registration (tea and coffee provided)
Welcome to Country and official opening
Integrating primary care and cancer
services: How can we be more innovative? - Keynote speaker,
Professor Jon Emery
Professor Jon Emery is Winthrop Professor of General Practice at
the University of Western Australia, Senior Clinical Research
Associate at the University of Cambridge and a practising GP.
Professor Emery is Director of the Cancer Australia Primary Care
Collaborative Cancer Clinical Trials Group (PC4). Recently he has
been appointed to the Chair of Primary Care Cancer Research at the
University of Melbourne as part of the Victorian Comprehensive
Cancer Centre. After studying medicine at Cambridge and Oxford he
obtained his DPhil at Oxford on computer decision support to assess
cancer risk in general practice.
Professor Emery's specific research interests are in the role of
primary care in cancer diagnosis and management, complex
interventions, genetic medicine and primary care trials. Much
of his research entails parallel programs of work on cancer
screening, diagnosis and follow-up care in Australia and
Professor Emery has published over 100 peer-reviewed papers in
the last 12 years and has been a Chief Investigator on research
grants and awards totalling £GBP11 million and an additional $AUD16
million, including more than $AUD13m in competitive NHMRC and
Australian government grants since he arrived in Australia in
Read more about
Professor Emery's passion for innovation.
Telehealth in cancer care: Current
status and future directions - Keynote speaker, A/Professor
A/Professor Sabe Sabesan is the Director of the Department of
Medical Oncology of the Townsville Cancer Centre at Townsville
Hospital and is the Clinical Dean of Townsville Clinical School,
James Cook University, Queensland. After obtaining his BMBS Degree
from Flinders University A/Professor Sabesan worked and trained in
Alice Springs Hospital, Royal North Shore Hospital and Royal
Brisbane Hospitals before settling in Townsville as a Medical
He has established a large teleoncology network in North
Queensland providing a comprehensive medical oncology service to 19
rural centres since 2007. He has been a member of the Cancer
Council Australia National Guideline Writing Committee for the
management of advanced prostate cancer and melanoma as well the
Oncology Education Committee and RACP Telehealth working party.
A/Professor Sabesan's research interests include rural and
indigenous cancer service delivery specifically teleoncology and
more about A/Prof. Sabe Sabesan's research.
Morning tea (provided)
Morning concurrent sessions
Improving the cancer service
Enhancing outcomes for priority
Chaired by Prof. Jon Emery, Winthrop Professor of General
Practice, Head of the School of Primary, Aboriginal and Rural
Health Care, University of Western Australia and Director of the
Primary Care Collaborative Cancer Clinical Trials Group
Chaired by Prof Phyllis Butow, Chair, Psycho-Oncology
Co-operative Research Group (PoCoG) and Co-Director, Centre for
Medical Psychology and Evidence-based Medicine (CeMPED),
University of Sydney
Panel on Stigma
facilitated by Prof.
Phyllis Butow and featuring the following participants:
Afternoon concurrent sessions
Using data and technology to improve
Improving care coordination
Chair to be confirmed.
The use of a Bladder
Scanner at simulation to achieve consistently full bladder
volumes, Vanessa Connors, Coffs Harbour Hospital
Using the Qstream
eLearning method to improve best practice cancer care through
increased knowledge retention, Prof. Tim Shaw, University of
ClinTrial Refer- a
mobile application to connect patients with local clinical
trials, Roslyn Ristuccia, St George Hospital
Rapid learning healthcare network for prediction of outcomes in
lung cancer patients, Dr Shalini Vinod, Liverpool Hospital
of a local oncology information system to rapidly learn and inform
care at the Illawarra Shoalhaven Local Health District (ISLHD),
Graeme Bell, Illawarra Shoalhaven Local Health District
Chair: Professor Kate White
Afternoon tea (provided)
Equity does not mean treating everyone the same
Facilitated by Dr. Norman Swan
Director Clinical Program Design and
Implementation, Agency for Clinical Innovation
Dr. Astrid Perry
Manager Multicultural Health, South Eastern Sydney
Local Health District
Regional Co-ordinator, Population Health Unit,
Aboriginal Medical Service, Western Sydney
A/Prof Mathew George
Medical Oncologist, North West Cancer
Prof. Jon Emery
Winthrop Professor of General Practice
Prof. David Currow
Chief Cancer Officer and Chief Executive Officer,
Cancer Institute NSW
Drinks and canapes (provided)
the most of what we've got - building a research network that
transcends existing centres
C Giotis (Lead), D Miller, N Rankin, S Yip, T Shaw
imaging audit and cost analysis of medical oncology inpatients
admitted to Westmead Hospital
D Selvakumar(Lead), N Taylor (Lead), S Gupta, PR Harnett, N
Wilcken, CI Lee
'Breast' success for Aboriginal women in Eastern Sydney
L Merrison (Lead)
'Change of our
lives' - innovative web series made "by" the Vietnamese community
"for" the community to demystify Hepatitis B myths and
M Porwal, D Nguyen (Lead), M Tran, A Fraser, M Robotin, I
Tripartite collaborative approaches to bringing Stereotactic
Ablative Body Radiotherapy (SABR) Lung to the people of regional
F Hegi-Johnson (Lead), E Hau, K Unicomb, J Barber, R
for mesothelioma: Patient, caregiver and health professionals'
perceptions of treatment and what influences access
A Warby (Lead), H Dhillon, S Kao, J Vardy
blood cancer education program for primary health care
professionals working in rural and remote NSW
M Powell (Lead)
theory into practice: Health behaviour framework used in developing
innovative web series for Hepatitis B in the Vietnamese
M Porwal (Lead), D Nguyen, A Fraser, I Balachandran, M Robotin, M
Automation in Oncology - Improving quality of care and reducing
M Hoffmann (Lead), S Greenham
Using videoconferencing technology to provide psychological support
to adolescents and young adults with cancer in early survivorship:
A randomised controlled trial of "Recapture Life"
U Sansom-Daly (Lead), C Wakefield, R Bryant, A Anazodo, R Cohn
optimisation, a radically new approach to radiotherapy treatment
J Simpson (Lead)
the Nurse Practitioner Role to Regional Oncology Patients
Booms A, Healy Z, Eek R, Underhill C, Steer C, Fraser P
& neck cancer surgery: Tell it how it is - collaboratively
crafting an education and information resource
D Bellamy (Lead)
Cancer Networks Project Phase 2: New South Wales and ACT - the care
C O'Dwyer (Lead), F Maguire
and extent of disease at diagnosis of cancer in the culturally and
linguistically diverse (CALD) population in South West Sydney Local
Health District (SWSLHD)
N Kaadan (Lead), S Farrugia, M Sharmin, S Vinod, J Descallar
shortcomings and variation in the diagnosis of colorectal cancer
D Gillies (Lead), J Lack, A Proietto, J Gani