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
