{"entity":{"id":"rejuv-access-survivorship-care-australia","kind":"technology","name":"After treatment in Australia: a stated model of survivorship care","aka":[],"tldr":"Australia published a national model setting out what survivorship care should contain: stratified pathways by need, a treatment summary and care plan, a focus on wellness and prevention as well as surveillance, and timely access without unnecessary appointments. Exercise is recommended as part of routine cancer care by the same body.","summary":"The Clinical Oncology Society of Australia model of survivorship care is a statement of what the care should be, and it is unusually specific about the principles rather than the paperwork. Its recommendations are \"a systematic, multidisciplinary care approach that optimises self-management and enhances coordinated and integrated survivor-centred care from diagnosis; stratified care pathways based on survivors' needs, capacity to self-manage and anticipated treatment sequelae; a focus of care on wellness, healthy lifestyle, symptom management and prevention of life-altering and life threatening late effects in addition to cancer surveillance; development of a treatment summary and care plan; and equitable, timely access to services, while minimising unnecessary use of healthcare services.\"\n\nThree things in that sentence are worth separating out.\n\nIt stratifies by two variables, not one: the person's needs and their capacity to self-manage. That second variable is the one that most stratified follow-up schemes elsewhere leave implicit, and it is the variable along which inequity runs.\n\nIt names prevention and wellness alongside surveillance, which means the model is not only about catching recurrence.\n\nIt names equitable and timely access as a recommendation, which is a measurable claim and, on the evidence elsewhere in this file, the hardest of the five to deliver.\n\nExercise. The same society published a position statement on exercise in cancer care recommending that exercise be embedded as part of standard practice in cancer care, to be viewed as an adjunct therapy alongside treatment. Australia is therefore one of the clearest national examples of exercise being stated as a component of care rather than as lifestyle advice.\n\nWho delivers it. A joint position statement from the Cancer Nurses Society of Australia and the Clinical Oncology Society of Australia, developed through an expert panel and a consultation of members and partner organisations and endorsed in 2026, sets out 40 recommendations on the contribution of nurses to survivorship care across service delivery, research, education and policy. Its consultation feedback named the practical gaps directly: a call for greater specificity about implementation in under-resourced settings, recognition of survivorship as a nursing speciality, the need for a national survivorship minimum dataset, and emphasis on telehealth-enabled models. A national minimum dataset being named as missing is the honest answer to the question of how much of the model is actually delivered: nobody can currently say.\n\nWhat we could not verify. We did not source national figures for the proportion of Australians finishing cancer treatment who receive a treatment summary, a care plan or a referral to exercise. The model exists, the exercise position statement exists, and the measurement of delivery does not yet.","status":"established","asOf":"2026-10-02","wikipedia":"https://en.wikipedia.org/wiki/Healthcare_in_Australia","links":[{"label":"Vardy et al., Clinical Oncology Society of Australia position statement on cancer survivorship care (Aust J Gen Pract 2019)","url":"https://doi.org/10.31128/AJGP-07-19-4999"},{"label":"Clinical Oncology Society of Australia position statement on exercise in cancer care (Med J Aust 2019)","url":"https://doi.org/10.5694/mja2.12043"},{"label":"Chan et al., Joint Cancer Nurses Society of Australia and Clinical Oncology Society of Australia position statement on the contribution of nurses to cancer survivorship care in Australia (Asia Pac J Clin Oncol 2026)","url":"https://doi.org/10.1111/ajco.70138"}],"tags":["rejuvenation","survivorship","measurement","access","australia"],"related":["rejuv-access-survivorship-care-uk","rejuv-access-who-misses-out"],"cancers":["breast-hr-positive","colorectal","prostate","melanoma"],"sections":["rejuvenation","supportive-care"],"technologies":["survivorship-care-plan","exercise-oncology","structured-exercise-survivorship","oncology-nursing","telehealth-oncology","rejuv-access-exercise-programmes"],"targets":[],"drugs":[],"companies":[],"institutions":[],"pathways":[],"terms":["late-effects","quality-of-life"],"trials":[],"people":[],"bottlenecks":["b-survivorship","b-knowledge-diffusion","b-workforce"],"keyPapers":[],"journals":[],"dependsOn":[],"notes":[],"principle":"Stratify by both clinical need and capacity to self-manage; make the content wellness and prevention as well as surveillance; and state equitable access as an explicit requirement so that failure to deliver it is a deviation from the model rather than an unstated outcome.","strengths":["A published national model with specific, checkable components","Stratifies by capacity to self-manage, not only by recurrence risk","Exercise stated as part of standard cancer care by the same national body","The missing national dataset is named openly in the professional statements"],"limitations":["No national dataset, so delivery against the model cannot be measured","Implementation in under-resourced and remote settings is identified as under-specified","Survivorship is not recognised as a nursing speciality","We could not source national receipt rates for treatment summaries or care plans"],"since":2019},"route":"/technologies/rejuv-access-survivorship-care-australia/","neighbours":{"technology":[{"id":"rejuv-access-survivorship-care-uk","kind":"technology","name":"After treatment in the UK: personalised care, and follow-up you lead yourself","route":"/technologies/rejuv-access-survivorship-care-uk/"},{"id":"exercise-oncology","kind":"technology","name":"Exercise & lifestyle oncology","route":"/technologies/exercise-oncology/"},{"id":"rejuv-access-exercise-programmes","kind":"technology","name":"Exercise is the best-evidenced thing on this front, and most survivors are not doing it","route":"/technologies/rejuv-access-exercise-programmes/"},{"id":"oncology-nursing","kind":"technology","name":"Oncology nursing and nurse-led care","route":"/technologies/oncology-nursing/"},{"id":"structured-exercise-survivorship","kind":"technology","name":"Structured exercise programmes after curative treatment","route":"/technologies/structured-exercise-survivorship/"},{"id":"survivorship-care-plan","kind":"technology","name":"Survivorship care and late-effects surveillance","route":"/technologies/survivorship-care-plan/"},{"id":"telehealth-oncology","kind":"technology","name":"Telehealth and hospital-at-home in oncology","route":"/technologies/telehealth-oncology/"},{"id":"rejuv-access-who-misses-out","kind":"technology","name":"Who misses out on recovery care, measured","route":"/technologies/rejuv-access-who-misses-out/"}],"cancer":[{"id":"colorectal","kind":"cancer","name":"Colorectal cancer","route":"/cancers/colorectal/"},{"id":"breast-hr-positive","kind":"cancer","name":"HR-positive / HER2-negative breast cancer","route":"/cancers/breast-hr-positive/"},{"id":"melanoma","kind":"cancer","name":"Melanoma","route":"/cancers/melanoma/"},{"id":"prostate","kind":"cancer","name":"Prostate cancer","route":"/cancers/prostate/"}],"section":[{"id":"rejuvenation","kind":"section","name":"Recovery & Rejuvenation","route":"/fronts/rejuvenation/"},{"id":"supportive-care","kind":"section","name":"Supportive Care & Survivorship","route":"/fronts/supportive-care/"}],"term":[{"id":"late-effects","kind":"term","name":"Late effects and survivorship toxicity","route":"/terms/late-effects/"},{"id":"quality-of-life","kind":"term","name":"Quality of life","route":"/terms/quality-of-life/"}],"bottleneck":[{"id":"b-knowledge-diffusion","kind":"bottleneck","name":"Knowledge reaches practice too slowly","route":"/bottlenecks/b-knowledge-diffusion/"},{"id":"b-workforce","kind":"bottleneck","name":"Not enough oncologists, nurses, pathologists, physicists","route":"/bottlenecks/b-workforce/"},{"id":"b-survivorship","kind":"bottleneck","name":"Survivorship and late effects are neglected","route":"/bottlenecks/b-survivorship/"}]}}