1. Department of Health Victorian Palliative Care Nurse Practitioner Program Jo Hall Cancer & Palliative Care Department of Health Collaborative Forum – 10/12/2009

2. Overview Background Auspicing agencies Potential NPCs and location Summary of submissions Overview of 5 year plans – NP appointment, reporting and endorsement Common elements

3. Background Victoria’s Cancer Action Plan Applications invited April 2009 Eleven health services Eight regions – 3 metro, 5 rural Metropolitan models (6) VNPP Rural models (5) VCAP Inpatient, community and outpatient Currently 4 PCNPs endorsed in Victoria

4. Auspicing agencies Metropolitan models Northern Health Peninsula Health Peter MacCallum Cancer Centre St Vincent’s Health Southern Health Calvary Health Care Bethlehem Regional models Ballarat Health Service Barwon Health Bendigo Health Central Gippsland Health Service Northeast Health Wangaratta

5. Potential Nurse Practitioner Candidates Outreach from practice locations

6. Rural NP Auspicin g agency Potential Nurse Practitioner Candidates Outreach from practice locations

7. Interim reports Summary of submissions Description of models Settings and context Proposed practice Key collaborations/structures Accountability Five year plan

8. Settings and context Aged care Cancer-related PC Acute and sub-acute Non-cancer Neurological PC General PCNP - including ambulatory clinics Organisational Sub-regional Regional

9. Proposed practice Advanced/extended practice skills (ANMC competency standards) e.g. assessments; treatment plans; pharmacological and other therapies/investigations; referrals to other specialists; inpatient admission Rapid response Education & research Leadership

10. Key collaborations/structures Consortia and PC services/clinicians GP Divisions Specialist medical mentoring/support Existing programs/services e.g. acute care, aged care, district nursing Other providers e.g. oncology Organisational and clinical governance Pharmacy, diagnostic and related services Department of Health VPCNP Collaborative Other NP collaboratives e.g. renal, emergency

11. Five year plans - rural models Jan Jun 2010 Jul Dec 2010 Jan Jun 2011 Jul Dec 2011 Jan Jun 2012 Jul Dec 2012 Jan Jun 2013 Jul Dec 2013 Jan Jun 2014 NPC appointment 6142121 Evaluation and reporting NP endorsement 211212

12. Five year plans - metro models Jan Jun 2010 Jul Dec 2010 Jan Jun 2011 Jul Dec 2011 Jan Jun 2012 Jul Dec 2012 Jan Jun 2013 Jul Dec 2013 Jan Jun 2014 NPC appointment 743 Evaluation and reporting NP endorsement 3242

13. Common elements - clinical Triage criteria Referral criteria/pathways e.g. high complexity Assessment and care planning – tools and measures Scope of practice Clinical learning plans

14. Common elements - management Curriculum – RACP Clinical Diploma in Palliative Medicine Policies, protocols, practice guidelines Clinical governance Project governance Terms of Reference for committees, etc Position Descriptions Memoranda of Understanding Project evaluation

15. Contact details and links Palliative Care, DH http://www.health.vic.gov.au/palliativecare/nursepra c.htm http://www.health.vic.gov.au/palliativecare/nursepra c.htm Nurse Policy Branch, DH http://www.health.vic.gov.au/nursing/furthering/pra ctitioner http://www.health.vic.gov.au/nursing/furthering/pra ctitioner Victoria’s Cancer Action Plan, DH http://www.health.vic.gov.au/cancer/vcap.htm http://www.health.vic.gov.au/cancer/vcap.htm Victorian Palliative Care Nurse Practitioner Collaborative http://www.vpcnpc.unimelb.edu.au/about/overview. html http://www.vpcnpc.unimelb.edu.au/about/overview. html