Expanding country cancer services - Consumer brochure
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Regional cancer services are an integral part of the statewide cancer services, providing access to treatment outside of metropolitan hospitals and facilitating care closer to home for many country patients.
There are 15 chemotherapy units in hospitals across regional South Australia. Each unit has between one and six chemotherapy chairs, with 65 chairs in total across country South Australia. Staff are trained and accredited to administer chemotherapy treatment and other supportive services for cancer patients such as chemotherapy education and central venous access device maintenance. The units are also equipped with Digital Telehealth Network facilities so that some medical appointments may be held with specialists based in metropolitan Adelaide without the requirement to travel.
Chemotherapy units in SA Health are classified as low, medium or high complexity based on the services available at that site. Up until recently, the chemotherapy units at Whyalla, Mount Gambier and Port Pirie have been the only regional sites classified to provide medium and low complexity chemotherapy for common cancers in stable patients, while those at Ceduna, Clare, Gawler, Kangaroo Island, Mount Barker, Murray Bridge, Naracoorte, Port Augusta, Port Lincoln, Riverland, Victor Harbor and Wallaroo have been classified to provide low complexity chemotherapy for common cancers in stable patients only.
The chemotherapy unit at the Whyalla Regional Cancer Centre
Since the units opened, chemotherapy activity has increased significantly, with a 70% increase in activity in regional South Australia reported over the last five years.
In July 2017, Professor Dorothy Keefe, an experienced medical oncologist, provided advice on how to ensure the regional cancer services continue to be accessible, safe, high quality and provided in an efficient and sustainable manner. Professor Keefe undertook a series of site visits and meetings with key stakeholders and staff.
In October 2017, Professor Keefe provided a series of recommendations based on the themes that emerged during consultation. These themes included funding, staffing and the complexity level classification of chemotherapy units.
In September 2018, as part of the budget for 2018-19, the State Government announced additional operating funding of $6.9 million over four years to deliver additional chemotherapy services in regional areas, along with $5 million in funding for SA Health to implement a statewide enterprise chemotherapy prescribing system (ECPS).
There is now a plan developed to expand regional cancer services, which will be implemented in stages over four years, and includes the following actions:
Building the capacity of staff to support the operation of the country chemotherapy units will require recruitment, training and statewide clinical support, and will be a progressive piece of work. However, significant progress has already been made in achieving the objectives of the plan:
A successful trial of medium complexity chemotherapy has occurred at the South Coast District Hospital in partnership with the Flinders Centre for Innovation in Cancer. This increases the cancer treatments available at the South Coast District Hospital, which is great news for members of the local community.
Former South Coast District Hospital patient Helen (right), with Associate Nursing Unit Manager Belinda Pederick (left)
Helen (pictured above) is one of the people who have already benefited by being able to receive her chemotherapy treatment at the South Coast District Hospital. She shares her story in the video below.
Like Helen, you may be able to receive all or part of your cancer treatment in a country chemotherapy unit.
A number of regional chemotherapy units have a visiting medical oncologist, or have access to a visiting medical oncologist at a site nearby, providing high-quality specialist cancer services.
If you would like to consider this option, please speak with your GP or current specialist about the possibility of being referred to a country medical oncologist.
For more information about the expansion of cancer services in regional SA, please contact Ellie Seiboth, Manager Regional Cancer Services, on (08) 8226 6603 or by e-mail on Health.RSSCancerServices@sa.gov.au.
For more information about the services available near you or clinical enquiries, please contact Helen Phillips, Advanced Nurse Consultant Regional Cancer Services, on 0466 153 140 or by e-mail on Health.RSSCancerServices@sa.gov.au.