Specialist Outpatient Services Improvement Project


This collaboration is designed to support the achievement of providing equitable access to timely, quality care, efficiently and sustainably, in the outpatient setting.


It is intended that this initiative will provide the system leadership and direction required to achieve the following service outcomes:

  • Services that are responsive to community need, appropriate, effective and sustainable
  • The provision of outpatient services enhances the system as a whole to better integrate services across the continuum
  • Patient care pathways are underpinned by evidenced-based standards of care that are contemporary, efficient and offer a consistently high quality of care
  • Performance targets are transparent, continually monitored and informed by timely and reliable information systems.


The partnership between ACI and the Ministry of Health is exploring opportunities for performance improvement in the outpatient and ambulatory care setting. The Specialist Outpatient Services Improvement Project Steering Committee is aiming to identify and work with clinics with a clinically inappropriate waiting time to enhance service provision capacity and patient experience including addressing work flow and data collection. 


Specialist Outpatient Services are non-admitted services historically provided by hospitals, the nature of which has evolved with changing care needs, contemporary clinical practice and local circumstances. Specialist Outpatient Services are designed to complement routine specialist services that are more widely available in the community setting and which are usually provided within specialist’s own consulting rooms. Generally, the decision to provide outpatient services is in response to the need to treat more complex conditions and include the following criteria:

  • The service meets a demonstrated population need, is consistent with the clinical capacity of the facility and responsive to local history and circumstances
  • The service relates to a more complex pre or post acute care admission
  • Requires treatment in an acute setting due to patient complexity, need for input from other specialists and/or multi-disciplinary teams and proximity to higher level diagnostic services and drug therapies
  • Provides a more appropriate care setting as an alternative to inpatient admission
  • Contributes to professional training and research activities
  • As part of a workforce package to attract and retain specialist staff into the public sector.


  • NSW Ministry of Health

Key Dates

Pilot Sites

This state-wide initiative is in the development phase. Primary testing of any draft Framework may take place with sites that express interest in piloting an agreed approach.

Implementation Sites


Any outcomes of this initiative will be evaluated at a local and state-wide level using relevant elements of the performance management framework. 

Further Details


Jennifer Parkin
A/Program Manager, Clinical Redesign Project Implementation
02 9464 4651

Raj Verma
Director, Clinical Program Design and Implementation
02 9464 4605

Page Top | Added: 17 September 2014 | Last modified: 10 October 2014

Jennifer Parkin
A/Program Manager, Clinical Redesign Project Implementation
02 9464 4651