Clinical Prioritisation Criteria consultation

SA Health’s initial focus is to invest in reducing waiting times so accessing outpatient appointments is easier, more transparent, and more effective. Through collaboration with a number of clinicians across SA, the Outpatient Redesign Project aspires to create sustainability in improved access to services, transparency, governance and accountability.

One of the initiatives is to develop consistent and publicly available Clinical Prioritisation Criteria or CPC.

The CPC are clinical decision-making support tools that assist in ensuring patients referred are clinically categorised and accepted based on standardised statewide clinical referral criteria.

Aims

The CPC aims for:

  • transparency of outpatient criteria between Local Health Networks (LHNs), primary care and the public
  • health professionals to be enabled with accurate and consistent specialty referral criteria and diagnostics required to support patient focussed decision making
  • patients to have accurate and consistent specialty referral criteria and categorisation to improve their health literacy and enable informed decision making
  • equitable assessment of patients regardless of where they live
  • specialist outpatient appointments are delivered in order of clinical urgency
  • patients who are ready for care at their first specialist outpatient appointment
  • referral and communication process improvements between referrers (e.g. primary care) and specialist outpatient services
  • increased referral quality by LHNs being transparent in the information and diagnostics required to support timely access to the most appropriate care

Consultation on CPC clinical specialities

The CPC have been developed by a multidisciplinary team of specialist clinicians including doctors, GPs, nurses and allied health professionals.

Consultation is open on the following specialities:

Allergy and Immunology CPC open for consultation

Consultation closes 29 July 2024

Consultation is open for the adult Allergy and Immunology CPC (PDF 457KB) includes the following conditions:

  • Allergic Rhinoconjunctivitis (hayfever)
  • Anaphylaxis
  • Angioedema & Urticaria
  • Asthma
  • atopic Eczema
  • Autoinflammatory Disease
  • Chronic Rhinosinusitis
  • Food Allergy
  • Insect Venom Allergy
  • Medication Allergy
  • Suspected Primary Immunodeficiency (PID)/Inborn Error of Immunity (IEI)
  • Systemic Vasculitis/Immune Mediated Inflammatory Disease

General Medicine CPC open for consultation

Consultation closes 29 July 2024

Consultation is open for the paediatric General Medicine CPC (PDF 1240KB) includes the following conditions:

  • Abdominal Pain
  • Asthma
  • Children Requiring Diagnostic Assessment for Developmental Concerns – Developmental Assessment Services
  • Chronic Cough (daily cough for > 4 weeks)
  • Chronic Diarrhoea
  • Constipation/Encopresis
  • Developmental Delay in a Child Less Than 6 Years of Age
  • Developmental Delay/Intellectual Impairment in a Child Greater than 6 Years of Age
  • Epilepsy and First Seizure
  • Faltering Growth/Failure to Thrive
  • Headaches/Migraines
  • Iron Deficiency
  • Neonatal/Infant Presentation
  • Neurodevelopmental Presentations in a Child Less Than 6 Years of Age
  • Neurodevelopmental Presentations in a Child More Than 6 Years of Age
  • Overweight
  • Plagiocephaly: Unusual Head Shape
  • Sleep Disorders
  • Syncope/Pre-Syncope
  • Urinary Incontinence/Enuresis

General Surgery CPC open for consultation

Consultation closes 29 July 2024

Consultation is open for the paediatric General Surgery CPC (PDF 466KB) includes the following conditions:

  • Abdominal Pain
  • Constipation
  • Gall Bladder Disease
  • Head and Neck
  • Ingrown Toenail
  • Oesophagogastric Surgery
  • Paediatric Trauma
  • Pilonidal Disease
  • Skin and Subcutaneous Lesions
  • Stoma Complications
  • Testicular, Epididymal, Scrotal, Penis or Foreskin Abnormalities
  • Tongue-Tie
  • Tumour/Mass
  • Umbilical Anomalies and Abdominal Wall Hernia

Haematology CPC open for consultation

Consultation closes 29 July 2024

Consultation is open for the adult Haematology CPC (PDF 687KB) includes the following conditions:

  • Acute Leukaemia
  • Anaemia
  • Bleeding Disorders
  • Haemoglobinopathy or Red Cell Disorders
  • Leucocytosis and Lymphocytosis
  • Lymphadenopathy
  • Macrocytosis
  • Neutropenia
  • Pancytopenia / Bicytopenia
  • Paraproteinaemia
  • Polycythaemia
  • Thrombocytopenia
  • Thrombocytosis
  • Thrombosis Disorders

Haematology Oncology CPC open for consultation

Consultation closes 29 July 2024

Consultation is open for the paediatric Haematology Onlcology CPC (PDF 539KB) includes the following conditions:

  • A child with an Abdominal Mass
  • All types of Leukaemia
  • Cancer Survivorship – Long Term Follow Up
  • Lymphadenopathy and/or Mediastinal Masses
  • All Other Masses Suspected of Being a Malignancy
  • Anaemia, Neutropenia, Thrombocytopenia and Other Blood Film Disorders
  • Thrombotic and Bleeding Disorders

Respiratory and Sleep CPC open for consultation

Consultation closes 29 July 2024

Consultation is open for the adult Respiratory and Sleep CPC (PDF 741KB) includes the following conditions:

  • Asthma
  • Chronic Cough
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Chronic Respiratory Infection
  • Cystic Fibrosis (CF)
  • Dyspnoea
  • Haemoptysis
  • Home Oxygen
  • Interstitial Lung Disease (ILD)
  • Lung Neoplasia
  • Lung Transplantation
  • Non-respiratory sleep disorders
  • Pleural Disorders
  • Pulmonary Rehabilitation
  • Sleep disordered breathing/respiratory sleep disorders/respiratory failure
  • Suspected Tuberculosis (TB)

How to provide feedback

Feedback on the above listed CPCs can be provided via email to Health.CPC@sa.gov.au. Refer to the individual specialities for closing dates.