Department of Health

Victorian Palliative Care Nurse Victorian Palliative Care Nurse Practitioner ProgramPractitioner Program

Jo HallCancer & Palliative CareDepartment of Health

Collaborative Forum – 10/12/2009

OverviewOverview

• Background• Auspicing agencies• Potential NPCs and location• Summary of submissions• Overview of 5 year plans – NP

appointment, reporting and endorsement

• Common elements

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

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

Potential Nurse Practitioner Candidates

Outreach from practice locations

Rural NP

Auspicing

agencyPotential Nurse Practitioner Candidates

Outreach from practice locations

Interim reportsSummary of submissions

Description of models• Settings and context• Proposed practice• Key collaborations/structures• Accountability

Five year plan

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

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

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

Five year plans - rural models

Jan Jun2010

JulDec2010

JanJun2011

JulDec2011

JanJun2012

JulDec2012

JanJun2013

JulDec2013

JanJun2014

NPC appointment6 1 4 2 1 2 1

Evaluation and reporting

NP endorsement2 1 1 2 1 2

Five year plans - metro models

Jan Jun2010

JulDec2010

JanJun2011

JulDec2011

JanJun2012

JulDec2012

JanJun2013

JulDec2013

JanJun2014

NPC appointment7 4 3

Evaluation and reporting

NP endorsement3 2 4 2

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

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

Contact details and links

• Palliative Care, DH http://www.health.vic.gov.au/palliativecare/nurseprac.htm

• Nurse Policy Branch, DH http://www.health.vic.gov.au/nursing/furthering/practitioner

• Victoria’s Cancer Action Plan, DH http://www.health.vic.gov.au/cancer/vcap.htm

• Victorian Palliative Care Nurse Practitioner Collaborative http://www.vpcnpc.unimelb.edu.au/about/overview.html