Paediatric Oncology Care Pathways

Paediatric oncology care pathways are intended to guide the delivery of consistent, high-quality, evidence-based care for children and adolescents with cancer. The pathways align with key service improvement priorities including providing access to coordinated multidisciplinary care and reducing unwarranted variation in practice.


Documented care pathways map the journey for specific disease/tumour types, aiming to foster an understanding of the whole pathway and its distinct components to promote quality cancer care and patient experiences. These pathways act as a reminder that the patient and family is the constant in the care continuum and that the health system has a responsibility to deliver the care experience in an appropriate and coordinated manner.
The purpose of the paediatric oncology care pathways initiative is to improve outcomes by facilitating consistent cancer care based on a standardised pathway of care.


The Victorian paediatric oncology care pathways: Providing optimal care for children and adolescents includes the Victorian paediatric oncology care pathway fundamentals of care, applicable to all tumour streams, and the oncology care pathways for acute leukaemia, central nervous system tumours, and solid tumours.

Continued Professional Development

Face-to-face learning
We support face-to-face learning opportunities for staff from:

  • The Royal Children’s Hospital

  • Monash Children's Hospital (Monash Health)

  • Peter MacCallum Cancer Centre

  • Regional shared care centres 

 

Visit Eventbrite “PICS Study Days” for further information and to enroll for upcoming courses.

eLearning modules

Together with staff from the Royal Children’s Hospital, Monash Children's Hospital (Monash Health) and Peter MacCallum Cancer Centre, we have developed a range of eLearning modules for the paediatric oncology community. These modules are freely available. You can access the modules by clicking on the below headings

Paediatric Oncology Nursing CPD Framework

The PICS Framework for continuing professional development for nurses working with children and adolescents with cancer has been developed to provide CPD guidance for paediatric oncology nurses. 

 

The framework should complement health service-specific requirements for core skills and competencies, as well as standards for continuing professional development defined by the relevant nursing regulation agency. It is specific to paediatric oncology practice and is aimed at registered nurses working in paediatric oncology.

 

The Framework provides high-level guidance for advancing practice of the paediatric oncology workforce. Individual nurses, nurse educators and health service leaders can use the framework.
 

Within paediatric oncology nursing there are various career development pathways, including:

  • Clinical care

  • Education

  • Advanced or enhanced scope of practice roles

  • Research

  • Leadership positions

The Framework should used within the context of each individual nurse’s scope of practice and assessed levels of competency.

 
 
Clinical Programs

Regional Outreach and Shared Care Program (ROSCP)

The Regional Outreach and Shared Care Program (ROSCP) facilitates the transition between the primary treating hospital and nine regional centres caring for children and adolescents with cancer. This program is supported by the Sporting Chance Cancer Foundation.


There are different levels of shared care across regional centres. Once agreement is achieved regarding the range of services and support to be offered by the regional centre, a series of educational, clinical and mentoring opportunities are implemented for medical, nursing and allied health staff. Each regional centre nominates several nurses from their paediatric ward, to be the ambassador link nurses for the program, sharing all care associated with paediatric oncology patients.

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* Low complexity chemotherapy only
** Includes services such as: GCSF/ Neulasta administration, IV antibiotic therapy, pain management, IV fluids and nausea/vomiting management

Long Term Follow-up Program (LTFP)

The Long Term Follow-up Program (LTFP) supports children and adolescents with cancer treatment related late effects.


The program is accessible to all paediatric and adolescent survivors of childhood cancer living in Victoria. It provides each individual with a tailored approach to meet their ongoing needs and an appropriate transition plan to adult-based, community or hospital services. The PICS LTFP clinics are held at the Royal Children’s Hospital, Monash Children’s Hospital and at designated regional centres.


If you would like to refer a child or adolescent to the program, please use the LTFP referral form below:

 
Data Service

Data and information systems are recognised in the Victorian Cancer Plan 2020-2024 as an essential support to the cancer care system in Victoria, to ‘assure safety and drive continuous improvements’.

As a state-wide service, the PICS are provided with routine, linked extracts of Victorian Admitted Episode Dataset (VAED) relating to cancer patient admissions, and Victorian Cancer Registry data.

 

We use this data to support our health service partners with:

  • planning

  • design

  • quality and performance monitoring

  • improvement initiatives.

 
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The Victorian Integrated Cancer Services are supported by the Victorian Government 

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The Victorian Integrated Cancer Services acknowledges Aboriginal and Torres Strait Islander people as the Traditional Custodians of the land and acknowledges and pays respect to their Elders, past and present.

We are committed to safe and inclusive work places, policies and services for people of LGBTIQ communities and their families.