Australia Thinks Genomics: Initiatives and strategies for the implementation of genomics in Australia
Ingena Australia InGeNA’s vision of realising the full potential of genomics to personalise healthcare cannot be achieved without national and jurisdictional level strategies and initiatives from governments. Here we have collated and summarised genomics and/or health strategies at the federal and state/territory level for reference.
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Commonwealth

Genomics Health Futures Mission
Author NA
Type Funding program
Under the Medical Research Futures Fund (MRFF)
Dates 2018 – 2028
Description Funding program for projects in genomics
Outcomes $500m in funding over 10 years
Aims
  1. 1. Faster and more effective disease diagnosis, prevention, and earlier intervention
    1. 1.1 Rare disease: Improving diagnostic rates for rare genetic diseases that present before birth, in childhood or in adults, and delivering the diagnosis as quickly as possible>
    2. 1.2 Cancer: Improving early detection and targeted treatment for the most common cancers to reduce the burden of disease>
    3. 1.3 Functional genomics: Promoting diagnostic effectiveness and efficiency through better understanding of the impact of genetic variants>
    4. 1.4 Infectious disease: Developing novel methods to reduce the impact of infectious diseases on individual patients and on populations>
    5. 1.5 Genomic screening: Improving genomic screening to enable informed decision making for health
  2. 2. New targeted interventions that transform individual and population health
    1. 2.1 Pharmacogenomics: Promoting precision medicine to improve medication efficacy and reduce harm
    2. 2.2 Pharmacogenomics: Promoting precision medicine to improve medication efficacy and reduce harm
    3. 2.3 Common and complex disease: Deploying innovative methods to understand the genetic basis of complex diseases
    4. 2.4 Gene-related therapies: Developing novel therapeutics by investing in promising early-stage products
    5. 2.5 Co-developing clinical capabilities for genomics applications that can be embedded in the primary health care sector
  3. 3. Increased community awareness and engagement, and better understanding of the societal and economic value of genomics in health care
    1. 3.1 ELSI: Developing a better understanding of the ethical, legal and social implications of genomics, and facilitating public trust and public engagement
    2. 3.2 Governance and technology: Developing innovative methods for the ethical and secure governance of genomics data for clinical and research purposes
    3. 3.3 Aboriginal and/or Torres Strait Islander health: Ensuring that Aboriginal and/or Torres Strait Islander people contribute to, and control the application of genomics research for, the health benefits to their communities
    4. 3.4 Australian Genome Reference Database: Enriching population cohorts to bring the benefits of genomics to all members of our multicultural nation
Link www.health.gov.au/initiatives-and-programs/genomics-health-futures-mission
National Health Genomics Policy Framework (lapsed)
Author Commonwealth of Australia as represented by the Department of Health
Type Strategy
Dates 2018 – 2021
Description High-level plan aimed at identifying actions for Commonwealth and state/territory governments
Key Priorities
  1. 1. Person-centred approach: Delivering high-quality care for people through a person-centred approach to genomics
    1. 1.1 Improve support for individuals, and their families, to make informed choices about genomic testing, and take responsibility for those choices and related risks.
    2. 1.2 Encourage appropriate referrals of genomic testing, that put the welfare and needs of the individual first, thereby avoiding unnecessary testing.
    3. 1.3 Engage relevant community/patient advocacy organisations and consumers in discussion of the consumer experience, as well as on the ethical, legal and social issues of genomics.
    4. 1.4 Promote public awareness and understanding of genomics, including through linguistically and culturally safe and appropriate information resources for targeted consumer groups.
    5. 1.5 Identify barriers to equity of access and develop a national approach to address these, noting that access is multi-dimensional and includes location, cost, availability and appropriateness (including cultural acceptability).
    6. 1.6 Investigate how genomics data can be integrated with electronic health records to improve coordination of care, support better clinician decision-making and facilitate seamless clinical pathways.
    7. 1.7 Explore the potential to develop integrated person and family-centred care delivered by multidisciplinary teams (where appropriate).
    8. 1.8 Identify and promote a standard model of consent that is sufficiently flexible to support a person’s understanding of the potential implications of having their genome sequenced, familial aspects, and decision-making about any secondary findings, as well as including provision for access by researchers if appropriate.
  2. 2. Workforce: Building a skilled workforce that is literate in genomics
    1. 2.1 Improve the genomics literacy and capability of the health workforce through the development, delivery and ongoing maintenance of appropriate genomic education, training and skills
    2. 2.2 Build the capacity for, and promote access to, a skilled and literate genomics workforce, through workforce strategies and planning at the national level
    3. 2.3 Facilitate partnerships and networks to promote and support sharing of knowledge.
  3. 3. Financing: Ensuring sustainable and strategic investment in cost-effective genomics
    1. 3.1 Consider genomics in the context of any broader review of health technology assessment to support national consistency
    2. 3.2 Develop partnerships, funding and data sharing approaches for genomics that promote access to safe, efficient and cost-effective services
    3. 3.3 Develop a national research agenda for genomics and identify opportunities to link to Commonwealth and state/territory research priorities
    4. 3.4 Better understand the role of the private industry, and the opportunities for partnerships to support the development and sustainable application of genomic knowledge
    5. 3.5 Collaborate across governments and stakeholders to maximise investments and reduce duplication of resources and effort.
  4. 4. Services: Maximising quality, safety and clinical utility of genomics in health care
    1. 4.1 Review and build on guidelines, regulations and standards to ensure genomic applications are evidence-based; nationally consistent (where appropriate); demonstrate clinical utility; and align with agreed national ethical approaches
    2. 4.2 Strengthen processes to identify, promote, monitor and report best practice in clinical genomics, including sharing of data and information
    3. 4.3 Maximise genomics research opportunities that aim to resolve clinical uncertainty and improve quality and safety
  5. 5. Data: Responsible collection, storage, use and management of genomic data
    1. 5.1 Establish a national genomic data governance framework that aligns with international frameworks
    2. 5.2 Promote culturally safe and appropriate genomic and phenotypic data collection and sharing that reflects the ethnic diversity within the Australian population, including for Aboriginal and Torres Strait Islander peoples
    3. 5.3 Develop nationally agreed standards for data collection, safe storage, data sharing, custodianship, analysis, reporting and privacy requirements
    4. 5.4 Promote public awareness of the contribution of all research activities, including those funded through private industry, to advancing the application of genomic knowledge to health care
    5. 5.5 Support sector engagement with international genomic alliances to promote shared access to data for research and global harmonisation of data where appropriate
Link www.health.gov.au/resources/collections/national-health-genomics-policy-framework
National Microbial Genomics Framework (lapsed)
Author Commonwealth of Australia as represented by the Department of Health
Type Strategy
Dates 2019 – 2022
Description High-level plan for integrating microbial genomics into Australian lab and surveillance systems
Strategic Priorities
  1. 1. Standardised national approach
    1. 1.1 Establishment of standardised policies and procedures
    2. 1.2 Harmonisation of laboratory-based sequencing and surveillance methods
    3. 1.3 Establishment of quality services
  2. 2. Technology and data governance
    1. 2.1 Technology
    2. 2.2 Data sharing
    3. 2.3 Data storage
    4. 2.4 Use of data
    5. 2.5 Data governance
  3. 3. Integration into public health
    1. 3.1 Integration of microbial genomics data into epidemiological systems
    2. 3.2 Identification of priority organisms
    3. 3.3 Prioritisation of public health microbial genomics research
  4. 4. Access and workforce
    1. 4.1 Enhanced capacity and capability
    2. 4.2 Encourage innovation
    3. 4.3 Workforce development
  5. 5. Financing
    1. 5.1 Establishment of cost-effectiveness
    2. 5.2 Establishment of cost-effectiveness
Link www.health.gov.au/resources/collections/national-microbial-genomics-framework

ACT

ACT Health Directorate Strategic Plan 2020-2025
Author ACT Government
Type Strategy
Dates 2020 – 2025
Description A high-level strategy for ACT health
Strategic Priorities
  1. 1. Healthy community: We want to ensure that the health of everyone in our community improves
    1. 1.1 Provide robust, evidence informed advice to Ministers
    2. 1.2 Encourage appropriate referrals of genomic testing, that put the welfare and needs of the individual first, thereby avoiding unnecessary testing.
    3. 1.3 Drive system-wide policy and strategy that sets clear priorities for safety, quality, expenditure and activity
    4. 1.4 Influence cross-government forums and collaborate with other directorates to improve health outcomes
    5. 1.5 Engage with communities and enable healthier choices and protective behaviours through improved health literacy and health promotion Understand our communities’ needs
    6. 1.6 Work with priority communities, and other stakeholders to co-design initiatives that improve health and wellbeing
    7. 1.7 Engage with, listen and respond to consumer and carer advocacy groups to understand the needs and perspectives of these groups and the individuals they represent
    8. 1.8 Engage with industry sectors, stakeholders and the community to understand and address system and environment pressures that prevent healthy behaviour
  2. 2. Safe, responsive, sustainable public health system: We want to ensure our public health system works for our community, now and into the future
    1. 2.1 Establish integrated planning, funding and performance monitoring frameworks that drive coordinated, high-quality health service delivery
    2. 2.2 Deliver health workforce, service and infrastructure planning that identifies future priorities and supports service planning in delivery organisations
    3. 2.3 Encourage innovative integrated models of care and service delivery and expand care in the community
    4. 2.4 Ensure our regulatory services remain responsive and risk based and facilitate regulatory compliance through co-design and engagement
    5. 2.5 Embed and utilise accurate and responsive health data and analytics that inform planning, decision making and service delivery
    6. 2.6 Deliver high quality person-centred digital solutions that enable safe, timely and effective care, improve collaboration and innovation, and are on time and on budget
    7. 2.7 Drive a dynamic and innovative health and medical research environment that translates research into better health outcomes
    8. 2.8 Work with our community partners to understand system pressures, demand trends and improve coordination across the territory
    9. 2.9 Maintain our strong relationships with the ACT’s education institutions to support our research and innovation agenda, and future workforce requirements
    10. 2.10 Work with the NSW Health Ministry to coordinate delivery of quality services across the region
  3. 3. Trusted, transparent and accountable: We want to be a trusted source of information and advice to the community and our stakeholders
    1. 3.1 Monitor and report on health system performance with high quality data and analysis
    2. 3.2 Improve and diversify how we engage and communicate externally and to our people about our activities and successes
    3. 3.3 Systematically align our budget indicators with our strategic plan
    4. 3.4 Continue to implement the Open Access Scheme, and actively publish and release documents and information to the community
    5. 3.5 Embed public health system governance and oversight arrangements that support decision making and clearly articulate roles and responsibilities
    6. 3.6 Refine and further develop our performance indicators and evaluation mechanisms
    7. 3.7 Follow whole of government engagement guidelines and demonstrate how our engagement impacts on our decisions
    8. 3.8 Work with advisory and stakeholder forums to ensure they are well supported and effectively utilised
  4. 4. High performing organisation that values our people: we want to value and invest in our people and ensure our governance systems and business processes enable us to deliver for the community
    1. 4.1 Embed the ACT Health Directorate values and a positive, safe culture that promotes wellbeing and work life balance
    2. 4.2 Improve our learning and development framework and support skill development and capability growth across the organisation
    3. 4.3 Review our workforce profile and capabilities, and plan effectively for retention and succession
    4. 4.4 Promote inclusion, increase diversity and facilitate opportunities for collaboration and innovation
    5. 4.5 Improve financial literacy through modern fit for purpose financial reporting systems and processes
    6. 4.6 Embed modern risk management practices into core business and systematically monitor our risks at key governance forums
    7. 4.7 Ensure our governance committees are high functioning and provide appropriate oversight of our business
    8. 4.8 Improve our business intelligence platforms to support evidence and data driven decision making
    9. 4.9 Increase digitisation to improve collaboration, information availability and productivity
Inclusion of genomics No mention of genomics or precision health
Link www.health.act.gov.au/about-our-health-system/organisation-structure
Healthy Canberra: ACT Preventative Health Plan 2020-2025
Author ACT Health
Type Strategy
Dates 2020 – 2025
Description High-level plan for approaching preventative health in the ACT
Our Priorities
  1. 1. Supporting children and families
  2. 2. Enabling active living
  3. 3. Increasing healthy eating
  4. 4. Reducing risky behaviours
  5. 5. Promoting healthy ageing
Inclusion of genomics No mention of genomics or precision health
Link www.health.act.gov.au/about-our-health-system/population-health/act-preventive-health-plan
Digital Health Strategy
Author ACT Health
Type Strategy
Dates 2019 – 2029
Description Strategy for digital health in the ACT
Strategic Themes
  1. 1. Patient-centred
  2. 2. Health services enabled by contemporary technology
  3. 3. Research, discovery and collaboration
Inclusion of genomics No mention of genomics or precision health
Link www.health.act.gov.au/digital/strategy
Accessible, Accountable, Sustainable: A Framework for the ACT Public Health System
Author ACT Government
Type Strategy
Dates 2020 – 2030
Description Framework to provide foundation for health strategies in the ACT
Strategic Goal
  1. 1. Access: Providing the right service, at the right time, in the right place, by the right team – every time
  2. 2. Accountability: Robust and transparent decision making that supports the health system
  3. 3. Sustainability: Strategic investment to support health services now and into the future
Inclusion of genomics No mention of genomics or precision health
Link www.health.act.gov.au/about-our-health-system/planning-future/accessible-accountable-sustainable-framework-act-public

NSW

NSW Health Genomics Strategy Implementation Plan
Author NSW Health
Type Strategy
Dates 2021 – 2025
Description Articulates a vision for clinical genomics in NSW. Includes an implementation plan
Focus areas and priority concepts
  1. 1. Advances in health genomics are incorporated into new and existing clinical pathways to provide safe, cost-effective, equitable and beneficial disease prevention and management across NSW
    1. 1.1 Support equitable access to clinical genomics, with a focus on regional, rural and remote areas
    2. 1.2 Expedite translation of safe and effective genomics innovations into the NSW public health system
  2. 2. Enabling systems and infrastructure to support access and integration of workflows for clinical genomics that meet consumer needs and expectations
    1. 2.1 Embed an integrated genomics infrastructure model for NSW
    2. 2.2 Deliver health workforce, service and infrastructure planning that identifies future priorities and supports service planning in delivery organisations
    3. 2.3 Develop systems and tools to enable ordering, tracking and reporting of genomic test results
    4. 2.4 Streamline digital consent to clinical genomic testing
  3. 3. A health workforce with improved knowledge, skills and capabilities to develop, use and apply clinical genomics to optimise patient care
    1. 3.1 Enhance point of care access to genomics education for the health workforce
    2. 3.2 Continue to upskill the health workforce to use clinical genomics applications
    3. 3.3 Implement strategies to meet required workforce functions for genomics clinical pathways
Link www.health.nsw.gov.au/services/Pages/nsw-health-genomics-strategy.aspx

NT

Strengthening our Health System Strategy
Author Northern Territory Department of Health
Type Strategy
Dates 2021 – 2025
Description Sets out our vision and strategic goals over the next five years to improve the delivery of healthcare for all Territorians, through the increased use of digital health technologies to enable new ways of working
Strategic Goals
  1. 1. Building healthier communities by empowering our people and communities to actively engage in their healthcare journey
  2. 2. Enabling our workforce to improve current healthcare delivery approaches and embrace new ways of working
  3. 3. Connecting our health system to ensure effective digital connections between systems, people and processes
  4. 4. Harnessing innovation to pursue technological advancements and innovation that will benefit our health system
Inclusion of genomics Genomics is included under the definition of “digital health technologies”:
Digital Health Technologies – Today the term digital health often encompasses electronic health (health-related information, resources and services provided electronically) as well as developing areas such as advanced computing science (for example, big data – large volumes of data from different sources that can provide valuable insights into population health) and artificial intelligence (AI), wherein computer systems perform tasks that would normally require human capacities, such as decision-making. The technologies that digital health draws upon include telemedicine, mobile phones and applications, wearable devices, robotics, virtual reality, AI and genomics – a discipline that uses the genome sequencing data of an individual to diagnose diseases
Link www.health.nt.gov.au/governance-strategies-committees/nt-health-strategies
Northern Territory Health Strategic Plan 2018-2022 (lapsed)
Author Northern Territory Government
Type Strategy
Dates 2018 – 2022
Description High-level strategy for Health in the Northern Territory
Strategic Directions 
  1. 1. Prevent illness
  2. 2. Focus on each person
  3. 3. Redesign to improve access
  4. 4. Lift performance towards excellence
  5. 5. HEmbed research
  6. 6. Systemise effectiveness and efficiency
Inclusion of genomics No mention of genomics or precision health
Link www.digitallibrary.health.nt.gov.au/prodjspui/handle/10137/2729
Northern Territory Health Strategic Plan 2023-2028
Author Northern Territory Government
Type Strategy
Dates 2023 – 2028
Description High-level strategy for Health in the Northern Territory
Expected release date Unknown
Link www.haveyoursay.nt.gov.au/nt-health-strategic-plan
www.health.nt.gov.au/prodjspui/handle/10137/2729

QLD

Department of Health Strategic Plan 2021-2025
Author Queensland Department of Health
Type Strategy
Dates 2021 – 2025
Description Strategy outlining the department’s strategies for supporting the health and wellbeing of all Queenslanders
Objectives
  1. 1. Promote and protect the health of all Queenslanders where they live, learn, work and play
  2. 2. Interconnected system governance and partnership with primary care, which drive co-designed models of care and care pathways to support Hospital and Health Services
  3. 3. Support and advance our workforce
  4. 4. Advance health Equity for First Nations people
  5. 5. Health reform that plans for a sustainable future
Inclusion of genomics No mention of genomics or precision health. Does mention “data analytics and connected systems”, “Build a thriving workforce culture that is healthy, innovative and equipped to perform”, “Implement system-wide opportunities to address chronic disease prevention”
Link www.health.qld.gov.au/system-governance/strategic-direction/plans/doh-plan
Queensland Biomedical 10-year Roadmap and Action Plan
Author Queensland Department of State Development, Manufacturing, Infrastructure and Planning
Type Roadmap / Plan
Dates 2017 – 2027
Description Plan for strengthening Queensland’s Biomedical sector
Strategies and Actions
  1. 1. Support Queensland’s start-ups to prosper and successfully scale-up
    1. 1.1 Biomedical assistance fund
    2. 1.2 ‘Lean launchpad’ incubator
    3. 1.3 Streamline access to data
  2. 2. Support existing businesses to grow and attract new businesses to Queensland
    1. 2.1 Facilitate the attraction of companies to Queensland
    2. 2.2 Assist companies to become part of the supply chain
    3. 2.3 Voucher scheme for national and international biomedical businesses
    4. 2.4 Biomedical networking events
    5. 2.5 Online industry portal
    6. 2.6 Identify possible opportunities under the Testing Within Government and Small Business Innovation Research programs
    7. 2.7 Work with industry to enhance access to government programs
    8. 2.8 Facilitate and promote opportunities for industry
  3. 3. Promote capabilities to attract investment and facilitate alliances
    1. 3.1 Proactively raise the sector’s profile
    2. 3.2 Facilitate international trade missions
    3. 3.3 Participate in trade shows and roadshows
    4. 3.4 Attract key events/conferences to Queensland
    5. 3.5 Assessment of regional biomedical capabilities and infrastructure
Inclusion of genomics Precision medical products is one of three industry subsectors called out in the strategy, along with biopharmaceuticals and Infectious diseases and biosecurity
Link www.statedevelopment.qld.gov.au/industry/priority-industries/biomedical
Digital Health 2031 A Digital Vision for Queensland’s Health System
Author Queensland Health
Type Strategy
Dates 2021 – 2031
Description Strategy for digital health implementation in Queensland
Strategic Themes
  1. 1. Empowered consumers
  2. 2. Digitally-enabled population health
  3. 3. Connected and insight-enabled workforce
  4. 4. Health service modernisation for sustainability
Inclusion of genomics Mentioned only briefly as part of ‘health service modernisation for sustainability’. Included in the 10-year horizon
Link www.health.qld.gov.au/system-governance/strategic-direction/plans
Statewide Genetic Health Queensland Service Plan (lapsed)
Author Queensland Health
Type Strategy
Dates 2017 – 2022
Description Review of and strategy for the Genomics Health Queensland Genomics Service
Service Directions and Objectives
  1. 1. Queensland will have a clear policy position to support advancements in genetic medicine
    1. 1.1 Contribute to the establishment of a national clinical genetic policy position
    2. 1.2 Develop responsive state policy that reflects national policy direction regarding genetic services
    3. 1.3 Improve Service Agreement with Metro North Hospital and Health Service regarding GHQ services to clarify purchasing intentions, funding, reporting and performance indicators
    4. 1.4 Improve collaboration between GHQ and services and providers, across the care continuum, to support coordinated care across the networked service system including introduction of service agreements between GHQ services and spoke HHS sites
  2. 2. Queenslanders, regardless of where they live, will benefit from coordinated genetic services
    1. 2.1 Increase capacity of GHQ to deliver safe and sustainable services to all Queenslanders as close to home as possible
    2. 2.2 Develop a coordinated and networked service model to deliver safe and sustainable genetic services as close to home as appropriate
    3. 2.3 Enhance capacity and capability of services (HHSs) to introduce genetic services locally through joint clinics and mainstream models of care
    4. 2.4 Enhance genetic information sharing and communication via uptake of digital health technologies
  3. 3. Innovation and research will drive advancements in genetic health services across Queensland
    1. 3.1 Establish robust mechanisms to provide coordinated advice and direction to support effective rapid translation of genetic based discoveries into healthcare practice
    2. 3.2 Advance research in genetic health service advancements in partnership with universities, research partners and other health service partners
    3. 3.3 Increase capability of broader HHS service system to participate in genetic research
  4. 4. Improving knowledge, health literacy and capability for informed decision making
    1. 4.1 Increase GHQ service presence and awareness across HHSs and primary care
    2. 4.2 Embed health literacy into genetic health service system through effective and targeted engagement and communication and the establishment of a repository of information
    3. 4.3 Develop protocols, standards and other materials to support service delivery and develop capability in mainstream areas
    4. 4.4 Increase capacity and capability of clinicians to request, interpret and communicate genetic tests, with appropriate consent (tests only ordered by appropriately trained and qualified health professionals)
  5. 5. Queensland residents will have access to genetic testing services that are cost-effective and based on clinical need
    1. 5.1 Enhance capability of Pathology Queensland systems through implementation of findings from costing and pricing project to enable accurate and transparent reporting and billing of genetic tests
    2. 5.2 Improve collaboration between GHQ and PQ to establish criteria to support safe and cost effective growth of genetic services
    3. 5.3 Improve information available for Queenslanders and referrers regarding genetic testing
Link www.metronorth.health.qld.gov.au/rbwh/wp-content/uploads/sites/2/2019/08/ghq-service-plan-2017-22.pdf

SA

South Australian Health and Wellbeing Strategy 2020-2025
Author SA Health
Type Strategy
Dates 2020 – 2025
Description High-level strategy for SA health
Goals
  1. 1. Improve community trust and experience of the health system
  2. 2. Reduce the incidence of preventable illness, injury and disability. Improve the management of acute and chronic conditions and injuries. Improve the management of recovery, rehabilitation and end of life care
  3. 3. FImprove individual and community capability to enhance health and wellbeing. Improve the health workforce to embrace a participatory approach to health care
  4. 4. Improve patient experience with the health system by positioning ourselves to be able to adopt cost effective emerging technologies and contemporary practice. Improve the value and equity of health outcomes of the population by reducing inefficiencies and commissioning for health needs
Strategic theme priorities
  1. 1. Trusted
  2. 2. Targeted
  3. 3. Tailored
  4. 4. Timely
Inclusion of genomics Briefly mentioned
Link www.sahealth.sa.gov.au/wps/wcm/connect/public+content/sa+health+internet/about+us/about+sa+health/
South Australian Clinical Genomics Plan 2022 (lapsed)
Author SA Health
Type Strategy
Dates 2022
Description Proposed priorities and actions describing what needs to be done. Work streams and implementation plans are to be developed to determine how they will be done
Priority areas for action As per The National Health Genomics Policy Framework 2018-2021
SA actions
  1. 1. Person and family-centred approach: delivering high quality care for people through a person and family-centred approach to genomics
    1. a. Develop culturally aware resources about clinical genomics for health consumers and health care professionals in SA as part of a SA Clinical Genomics Communications Plan
    2. b. Develop state-wide agreed Clinical Practice Guidelines (CPGs) for the use of clinical genomics that are evidence based and available to clinicians and consumers
    3. c. Involve consumers in implementing all parts of this plan and establish a Clinical Genomics Consumer Advisory Group reporting to the SA Clinical Genomics Advisory Group
    4. d. Incorporate consumer experience of clinical genomics services into existing LHN and DHW consumer/community surveys
    5. e. As part of the SA Clinical Genomics Communication Plan, ensure linguistically and culturally safe and appropriate information resources for targeted consumer groups are included
    6. f. Commission this work (to identify barriers to equity of access) from the SA Health Translation Centre in collaboration with the Clinical Genomics Consumer Advisory Group
    7. g. Once SA’s HER strategy is decided, ensure clinical genomics in incorporated as a subset of that work
    8. h. Develop state-wide resources for family communication of genomic test results and incorporate person and family-centred care into clinical genomics CPGs
    9. i. Ensure a flexible standard model of consent is incorporated into the clinical genomics CPGs that includes legal, ethical and respectful researcher access to data that is consistent with relevant privacy and confidential regulations
  2. 2. Workforce: building a skilled workforce that is literate in genomics
    1. a. Establish a SA Clinical Genomics Education and Workforce Advisory Group reporting to the SA Clinical Genomics Advisory Group
    2. b. Under the auspices of the SA Clinical Genomics Education and Workforce Advisory Group (see 2.1) develop relevant workforce strategies and plans and material for the SA Clinical Genomics Communications Plan (see 1.1) regarding SA’s capacity for, and access to, a skilled and genomics-literate workforce
    3. c. Partnerships and networks to promote and support sharing of knowledge on clinical genomics to be included in the Terms of Reference for the SA Clinical Genomics Advisory Group
    4. d. Investigate the potential for a SA State-wide Clinical Genetics Service, with appropriate governance, workforce and training positions for clinical, counselling and laboratory staff to be included in the Terms of Reference for the SA Clinical Genomics Advisory Group
  3. 3. Financing: ensuring sustainable and strategic investment in cost-effective genomics /strong>
    1. a. Determine how clinical genomics should best fit into SA’s health technology assessment process
    2. b. Partnerships, funding and data sharing approaches for genomics that promote access to safe, efficient, equitable and cost-effective services to be included in the Terms of Reference for the SA Clinical Genomics Advisory Group
    3. c. Understanding of the role of the private industry to be included in the Terms of Reference for the SA Clinical Genomics Advisory Group
    4. d. Ensure membership of the SA Clinical Genomics Advisory Group has the appropriate representation to ensure collaboration across boundaries.
  4. 4. Services: maximising quality, safety and clinical utility of genomics in health care
    1. a. The SA Clinical Genomics Advisory Group will ensure that all CPGs, regulations and standards regarding genomic produced will be evidence-based, consistent with national guidelines, regulations and standards, demonstrate clinical utility and align with agreed national ethical approaches and ensure equity of access to services
    2. b. Processes to identify, promote, monitor and report best practice in clinical genomics, including storage and appropriate sharing of DNA resources, sharing of data and information, and reporting and communication of genomic test results for patients, families and other clinicians to be included in the Terms of Reference for the SA Clinical Genomics Advisory Group
    3. c. Maximising genomics research opportunities that aim to resolve clinical uncertainty and improve quality and safety to be included in the Terms of Reference for the SA Clinical Genomics Research Advisory Group (see 3.3)
  5. 5. Data: responsible collection, storage, use and management of genomic data
    1. a. Strengthening public trust of SA data systems and mechanisms so that people are empowered to engage with genomic interventions in the health system will be a key focus of the SA Clinical Genomics Communications Plan (see 1.1)
    2. b. Work with the SA Health Translation Centre to ensure that culturally safe and appropriate genomic and phenotypic data is collected and shared so that all South Australians, Aboriginal and Torres Strait Islander peoples can benefit from genomic knowledge
    3. c. Work with consumers and interstate colleagues to adapt and or adopt wherever possible national standards for data collection, safe storage, data sharing, custodianship, analysis, reporting and privacy requirements that align with South Australian requirements
    4. d. Promotion of public awareness of the contribution of all research activities, including those funded through private industry, to advancing the application of genomic knowledge to health care to be included in the SA Clinical Genomics Communications Plan (see 1.1)
    5. e. Engagement with national and international genomic alliances to promote shared access to data for clinical diagnosis, research and global harmonisation of data where appropriate to be included in the Terms of Reference for the SA Clinical Genomics Research Advisory Group (see 3.3)
Link www.sahealth.sa.gov.au/wps/wcm/connect/Public%20Content/SA%20Health%20Internet/Resources/

TAS

Strategic Priorities 2021 - 2023
Author Tasmanian Government
Type Strategy
Dates 2021 – 2023
Description Overview of strategic priorities for Tasmanian health
Strategic Priorities
  1. 1. Continuing to respond to the Covid-19 pandemic
  2. 2. Improving access and patient flow across our health system
  3. 3. Delivering care in clinically recommended times
  4. 4. Reforming the delivery of care in our community
  5. 5. Prioritising mental health and wellbeing
  6. 6. Building the infrastructure for our health future
Foundations
  1. 1 Build and develop a sustainable and positive workforce we need now and for the future
  2. 2. Strengthen our governance, risk and financial management, performance and accountability
  3. 3. Strengthen clinical safety, quality and regulatory oversight
Inclusion of genomics No mention of genomics or precision health
Link www.health.tas.gov.au/publications/strategic-priorities-2021-2023-overview
Tasmanian Genetics Service
Author Tasmanian Government
Type Service
Dates NA
Description The Tasmanian Clinical Genetics Service (TCGS) is based at the Royal Hobart Hospital. We hold Genetics Clinics at Royal Hobart Hospital, Launceston General Hospital, North West Regional Hospital, Mersey Campus, Latrobe
Link www.health.tas.gov.au/health-topics/genetics/genetics-service

VIC

Victoria State Government Health and Human Services
Author Victoria State Government Health and Human Services
Type Strategy
Dates 2017 – 2021
Description Sets out long-term goals and 4 key priorities to tackle 2017-2019
Goals
  1. 1. Strengthening the healthcare system
    1. a. Victorians benefit from the safe and fair use of genomic information regardless of their age, location or background
    2. b. Genomic information is included in routine healthcare quickly, safely and fairly
    3. c. Victoria has a competent health workforce confident in using genomic information to benefit individual and public health
  2. 2. Building trust
    1. a. Victorians are confident they are being provided with safe and fair genomic healthcare
    2. b. Victorians are confident their personal genomic information is handled and used as they want
  3. 3. Raising awareness
    1. a. Victorians are aware of the benefits, risk and limitations of genomic sequencing and genomic information
  4. 4. Growing Knowledge
    1. a. Victoria is a leader in including genomic information in healthcare quickly, safely and fairly
    2. b. Victoria adds to international genomic information and knowledge for both clinical and research use
Priorities for Victorian Government action
  1. 1 Developing and implementing a statewide genetic and genomic services plan
  2. 2. Establishing a genomic health clinical network
  3. 3. Undertaking community consultations
  4. 4. Reducing superbugs
Link www.health.vic.gov.au/publications/genetic-and-genomic-healthcare-for-victoria-2021
Health 2040: Advancing health, access and care strategy
Author Victoria State Government
Type Strategy
Dates 2016
Description Vision for health in Victoria
Goals and strategies
  1. 1. Better health
    1. a. A system geared to prevention as much as treatment
    2. b. Everyone understands their own health and risks
    3. c. Illness is detected and managed early
    4. d. Healthy neighbourhoods and communities encourage healthy lifestyles
  2. 2. Better access
    1. a. Care is always there when people need it
    2. b. More access to care in the home and community
    3. c. People are connected to the full range of care and support they need
    4. d. There is fair access to care
  3. 3. Better care
    1. a. Target zero avoidable harm
    2. b. Healthcare that focuses on outcomes
    3. c. People are active partners in care
    4. d. Care fits together around people’s needs
Principles
  1. 1 Person-centred care with equitable access
  2. 2. Integration
  3. 3. Prevention and early intervention
  4. 4. Technology and data
  5. 5. Workforce
  6. 6. Transparency and accountability
  7. 7. Evidence-based care
  8. 8. Sustainable
  9. 9. Innovation
  10. 10. Medical research
Inclusion of genomics “Genomics, personalised medicine and immunology will be a focus” under Better Care
Link No longer available
Victorian public health and wellbeing plan 2019-2023
Author Victorian Government Prevention and Population Health Branch
Type Strategy
Dates 2019 – 2023
Description Health and wellbeing plan
Priorities, Focus Areas, and Strategic Actions
  1. 1. Tackling climate change and its impact on health
    1. a. Continued emphasis on understanding and assessing the risks of climate change to public health
    2. b. Promoting community adaptation to the public health risks associated with climate change
    3. c. Assessing the health co-benefits of measures to reduce greenhouse gas emissions
  2. 2. Reducing injury
  3. 3. Preventing all forms of violence
  4. 4. Increasing healthy eating
    1. a. Accelerating the implementation of healthy food (and drink) supply policies in all key public settings (including health services, schools and early childhood services, sport and recreation settings, events and workplaces)
    2. b. Implementing initiatives and approaches supporting healthier lifestyles and habits
    3. c. Investing in collaborative place-based approaches to healthy eating and increasing access to healthy food in communities
  5. 5. Decreasing the risk of drug resistant infections in the community
  6. 6. Increasing active living
    1. a. Increase the proportion of transport trips that use active modes of travel
    2. b. Increase easy access to parks, open spaces and public spaces with opportunities for physical activity where appropriate
    3. c. Integrate healthy lifestyle counselling and referrals within routine health care services
  7. 7. Improving mental wellbeing
  8. 8. Improving sexual and reproductive health
  9. 9. Reducing tobacco-related harm
    1. a. Reduce smoking-related harm and denormalise smoking behaviours through
    2. b. ongoing support and modernisation of tobacco control regulation in Victoria
    3. c. Support smokers to quit through greater access to and uptake of smoking cessation
    4. d. Embed smoking identification and cessation pathways into routine care
  10. 10. Reducing harmful alcohol and drug use
Inclusion of genomics No mention of genomics of precision health
Link www.health.vic.gov.au/publications/victorian-public-health-and-wellbeing-plan-2019-2023

WA

Strategic plan Office of Population Health Genomics (lapsed)
Author Government of WA Department of Health
Type Strategy
Dates 2019 – 2022
Description High-level strategy for the office of population health genomics
Strategic Priorities
  1. 1. Health Genomics
    1. a. Provide leadership, coordination and direction setting for health genomics across the WA health system, including the development and implementation of a shared vision among stakeholders
  2. 2. Rare Diseases
    1. a. Partner to create change in the WA health system that improves the health and wellbeing of people living with rare diseases
    2. b. Recognise the impact of genomic and precision technologies on the diagnosis, care and treatment of people living with rare diseases
  3. 3. Precision Health
    1. a. Facilitate capacity- and capability-building for the delivery of precision health initiatives in the WA health system
    2. b. Contribute expertise to precision health initiatives that involve a component of genomics, rare diseases and/or population screening
  4. 4. Population-based Screening
    1. a. Provide strategic policy advice on population-based screening programs and consider the impact on these initiatives of genomic and precision technologies
    2. b. Play a key role in the implementation of policy recommendations in the Newborn Bloodspot Screening National Policy Framework
Link www.health.wa.gov.au/Articles/N_R/Office-of-population-health-genomics
WA Genomics Strategy 2022-2032: Towards precision medicine and precision public health
Author Government of WA Department of Health
Type Strategy
Dates 2022 – 2032
Description Key outcomes for the next decade for timely and sustainable adoption of genomics into our healthcare system
Strategic Priority Areas and key goals
  1. 1. Person and family-centredness
    1. a. to ensure consumers, carers, families, and communities are at the heart of how genomic healthcare is designed, delivered and evaluated
  2. 2. Genomic healthcare services
    1. a. to achieve the optimal integration of genomic knowledge in the WA health system to deliver high value care that is timely, equitable and safe
  3. 3. Workforce, education and training
    1. a. to develop a sustainable health workforce that has appropriate capacity, agility and the necessary education and training to deliver genomic healthcare services
  4. 4. Digital health and data
    1. a. to establish digital health and data solutions, protocols and standards needed to optimise the delivery of responsible genomic health care
  5. 5. Research and innovation
    1. a. to have a health system that values and supports the creation and translation of genomics research and innovation
Link www.health.wa.gov.au/Articles/N_R/Office-of-population-health-genomics