Ministerial Clinical Advisory Group

The Transforming Health Ministerial Clinical Advisory Group (MCAG) provides clinical leadership and guides the way Transforming Health is implemented.

It will plan and recommend clinical models of care and guidelines through a clinician-led, quality focused process, for implementation at each hospital.

The MCAG is chaired by the Transforming Health Clinical Ambassador, Professor Dorothy Keefe and includes members from across the State in all aspects of healthcare, including doctors, nurses and midwives and scientific and allied health professionals.

The MCAG meets on a fortnightly basis with clear Terms of Reference (PDF 593KB).

Expert Working Groups

Throughout the implementation of Transforming Health, a number of expert working groups will be established, each focussing on a specific area of healthcare.

Reporting to the Ministerial Clinical Advisory Group, the expert working groups will bring together doctors, nurses and midwives and allied and scientific health professionals to review and redesign health services so that they meet the Clinical Standards of Care.

Consumers will also be a very important part of this process, as members on the expert working groups. For information about how consumers can get involved, visit the Health Consumers Alliance of South Australia website.

A workshop is held as the initial, overarching planning session for each project. The workshops aim to identify priorities, interdependencies and considerations for each project.

Following the initial workshop, expert working groups may be formed to progress each project and fully develop models of care.

Details of current expert working groups are below:

GroupPurposeStatus
Acute Coronary Syndrome (ACS) (Stage 1)To develop a statewide standardised pathway for the management of people presenting to an emergency department with chest pain.An expert working group was established to develop the pathway, which has been endorsed by the Ministerial Clinical Advisory Group and the Transforming Health Strategic Committee. An implementation working group will now be established to undertake detailed implementation planning and lead implementation in the Local Health Networks. Find out more.
Acute Coronary Syndrome (ACS) (Stages 2 and 3)To develop two standardised clinical pathways for cardiology patients:
1. For patients diagnosed with an ST Elevation Myocardial Infarction (STEMI)
2. For high risk patients requiring rapid access angiography.
Workshop held 27 July 2016

Expert Working Group(s) in progress
After Hours Senior Clinical CoverTo make additional senior medical cover and senior nursing cover available on-site, overnight and on weekends, to actively manage the care of patients.Workshop held 28 July 2015

Expert Working Group in progress
Allied Health 7 Day ServicesTo develop an evidence based, cost effective model for 7 day allied health services, in clinical areas of need, to support patient recovery, prevent patient deterioration and facilitate timely discharge. An expert working group has provided recommendations for Stage 1 of the project to deliver allied health services to orthogeriatric, stroke and rehabilitation patients, seven days a week. These recommendations have been endorsed by the Ministerial Clinical Advisory Group and the Transforming Health Strategic Committee and will be implemented as part of the stroke, orthogeriatric and rehabilitation models of care. Find out more.
Chronic Pain ServicesTo develop a model of care for the effective management of chronic pain.A new model of care has been developed to provide South Australians with more coordinated access to pain management services in the GP, community health and hospital settings to ensure people are treated for their pain in the right setting. The model of care has been endorsed by the Ministerial Clinical Advisory Group and the Transforming Health Strategic Committee. An implementation working group will be established to undertake detailed implementation planning and lead implementation. Find out more.
Comprehensive Care of Older PeopleTo develop a model of care to meet the clinical needs and health outcomes of frail older people in South Australia.Workshop held 23 May 2016

Expert Working Group in progress
Orthogeriatrics – Acute Hip Fracture ManagementTo develop a statewide clinical pathway and model of care for the acute management of hip fractures, in alignment with the National Standards, that provides equitable quality patient care in the most cost effective manner.A statewide model of care for the treatment of hip fractures in older people has been developed to ensure patients receive consistent, quality care. The model of care has been endorsed by the Ministerial Clinical Advisory Group and the Transforming Health Strategic Committee. An implementation working group will be established to undertake detailed implementation planning and lead implementation in the LHNs. Find out more.
Pre-operative Assessment for Elective SurgeryTo develop a consistent, standardised approach to pre-operative assessment and management of adult elective surgery across South Australia.Workshop to be held on 4 April 2017
Rehabilitation ServicesTo develop models of care and define the facility requirements for metropolitan rehabilitation services, including spinal and brain injury rehabilitation.Three expert working groups have recommended a range of improvements to deliver consistent, quality rehabilitation services across the system. These recommendations have been endorsed by the Ministerial Clinical Advisory Group and the Transforming Health Strategic Committee. An implementation working group will now be established to undertake detailed implementation planning and lead implementation in the Local Health Networks. Find out more.
Statewide Paediatric Surgical Governance ModelTo develop a statewide paediatric governance model that incorporates the surgical standards and meets the emergency and elective surgical needs of children and young people in South Australia.Workshop held on 14 September 2015

Expert Working Group in progress
StrokeTo identify and make key recommendations to enable stroke units to meet the Transforming Health and National Standards for stroke care.An expert working group, including clinicians and consumers from across the state, has recommended changes to stroke services to ensure you receive consistent, quality care. These recommendations have been endorsed by the Ministerial Clinical Advisory Group and the Transforming Health Strategic Committee. An implementation working group will be established to undertake detailed implementation planning and lead implementation. Find out more.
TraumaTo identify and develop a Clinical Governance Framework and a State-wide Trauma Model of Care to ensure that every South Australian who suffers major trauma is provided with the best care, first time, every time.Workshop to be held on 12 April 2017