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:

Gastroenterology — adult, review of existing conditions
Medical Oncology (adult) – new
Radiation Oncology (adult) – new
Orthopaedics (paediatric) – new

Consultation closes 13 June 2025

Consultation is open for the adult Gastroenterology CPC (PDF 855KB) includes the following conditions:

Abdominal pain
Altered bowel habits (constipation and diarrhoea)
Coeliac disease
Colorectal cancer screening
Dysphagia (swallowing issues)
Facilitated Access Colonoscopy
Facilitated Access Gastroscopy/Upper Gastrointestinal Endoscopy
Inflammatory bowel disease
Iron deficiency with or without anaemia
Overt rectal bleeding
Reflux disease, heartburn and indigestion

Consultation closes 13 June 2025

Consultation is open for the adult Medical Oncology CPC (PDF 366KB) includes the following conditions:

Breast Cancer - Confirmed Malignancy
Cancer of Unknown Primary Origin
Colorectal Cancer - Confirmed Malignancy
Lung Cancer - Confirmed Malignancy
Oesophageal and Gastric Cancer - Confirmed Malignancy
Prostate Cancer - Confirmed Malignancy
Suspected Malignancy

Consultation closes 13 June 2025

Consultation is open for the adult adult Radiation Oncology CPC (PDF 366KB) includes the following conditions:

Benign Conditions
Breast Cancer - Confirmed Malignancy
Cancer of Unknown Primary Origin
Colorectal Cancer - Confirmed Malignancy
Lung Cancer - Confirmed Malignancy
Oesophageal and Gastric Cancer - Confirmed Malignancy
Prostate Cancer - Confirmed Malignancy
Skin Cancer
Suspected Malignancy
Suspected or Confirmed Malignancy with Symptoms

Consultation closes 13 June 2025

Consultation is open for the paediatric Orthopaedics CPC (PDF 571KB) includes the following conditions:

Ankle Sprain
Back Pain
Bowlegs (genu varum)
Congenital Talipes Equino Varus – CTEV (Club Foot)
Developmental Dysplasia of the Hip (DDH)
Flat Feet
Fractures
Heel Pain
In-toeing
Knee Ligamentous and Meniscal Injuries
Knock Knees (genu valgum)
Osgood-Schlatter Disease
Out-toeing
Perthes Disease
Scoliosis/Kyphosis
Toe Deformities
Toe Walking
Tumour – Bone and Soft Tissue

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.

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Last updated: 14 May 2025

Clinical Prioritisation Criteria consultation

Aims

Consultation on CPC clinical specialities

Gastroenterology CPC open for consultation

Medical Oncology CPC open for consultation.

Radiation Oncology CPC open for consultation

Orthopaedics CPC open for consultation

How to provide feedback

Related information