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RFI - Cancer Care Associates - Workflow description
20/06/2025
To Whom It May Concern,
Re: Patient Workflow and Zoning Within Cancer Care Noosa Facility
This letter outlines the patient workflows and associated spatial usage within Cancer Care Noosa’s
facility, as reflected in the General Arrangement (GA) plan. The plan has been colour-coded to
distinguish key functional zones and inform occupancy and staffing supplementing the previous
information provided by Cancer Care Noosa.
The facility is loosely divided into four operational segments, Consulting and Waiting (Yellow),
Medical Oncology (Green), Radiation Oncology (Blue), Staff-only areas (Red). All patient
appointments are scheduled to maintain optimal flow and resource allocation. Access between
zones is designed to ensure patients remain within designated treatment areas and that staff can
navigate efficiently without disrupting care delivery.
Upon entering the facility all patients must present at the facility’s main reception. Cancer Care
Noosa staff greet the patient and direct them according to their scheduled appointment and area:
1. Yellow Zone – Consulting & Waiting Areas
This area is used primarily for initial and follow-up consultations. Each consultation averages
approximately 45-60 minutes (including doctor notations and letter writing at the conclusion
of consultation). Cancer Care Noosa allocates a consulting room per consultant with the
following patient consultation hours:
- Radiation Oncologist: 2.5 days per week
- Medical Oncologist
o #1: 1 day per week
o #2: 1 day per week
- Nurse Practitioner: 1 day per week
Furthermore, there are not more than two consulting rooms in use at any one time.
2. Green Zone – Medical Oncology (MO)
Patients receiving Medical Oncology treatment are directed to the green zone. Patients are escorted
through the central East - West corridor and presented at the Medical Oncology Unit where they
remain for the entirety of their treatment. As highlighted on the GA plan, the MO unit is sectioned
from the remainder of the facility. Staff assigned to the MO area operate wholly within this
sectioned part of the facility during treatment sessions.
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Should a patient require collection of take-home medication from pharmacy at the conclusion of
their treatment, the patient exits the MO unit via the North using the East-West corridor. Patient
then continues through the corridor to the main entry exit of the facility.
Patient Treatment sessions last on average between 5-6 hours per treatment session and due to
their treatment regime and cancer, a high portion of patients are transported to the facility by a
carer or third party i.e. no car remains onsite.
3. Blue Zone – Radiation Oncology (RO)
Radiation Oncology patients first scheduled appointment is for a one-time CT Planning session
lasting approximately 1 hour.
Subsequent Radiation Oncology treatment appointments are scheduled; patients are directed to the
blue zone via the South, East-West corridor to the RO sub-waiting area or Nurse Treatment room.
Each patient treatment session extends for between 15 to 25 minutes and requires set up and
cleaning between each patient. These appointments are strictly scheduled subject to treatment
type. A patients treatment regime will extend daily for approximately four weeks, ensuring patients
can arrive and leave in a punctual manner. This ensures there is no more than one patient waiting
for RO treatment at any one time.
4. Red Zone – Staff-Only Areas
The purpose, design, and operational requirements of the designated Red Zone areas within our
facility are essential to supporting clinical care, maintaining regulatory compliance, and protecting
patient privacy.
Red Zone areas are restricted to staff, specialists, consultants, and include clinical support spaces,
staff amenities, offices, and medication preparation zones. They are specifically designed to support
uninterrupted staff workflows while minimising interference with patient pathways throughout the
centre. The inclusion of these spaces is vital to meeting both the day-to-day and occasional
requirements of patient care.
Key functions of Red Zone Areas include:
• Clinical and Operational Versatility
These areas incorporate flexible design principles, enabling adaptation to fluctuating service
demands. Many staff members hold dual roles—for example, our Centre Manager is also a
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qualified Radiation Therapist. Accordingly, workspaces must be adaptable to support such
multiple functions effectively.
• Multi-Disciplinary Team (MDT) Meetings
These meetings are attended by specialist teams for the purpose of reviewing patient cases.
Sessions typically run for 45–60 minutes and require a private, functional space to support
these confidential and collaborative discussions.
• Allied Health Consultations
Allied Health professionals, such as McGrath Breast Care Nurses, Prostate Nurses, Dietitians,
and Speech Pathologists, may attend the centre on an as-needed basis to consult with
patients. These sessions last approximately 30 minutes and occur infrequently throughout a
patient’s treatment course. Dedicated consultation rooms are required to accommodate
these visits when necessary.
• Regulatory and Compliance Requirements
In accordance with the Australasian Health Facility Guidelines (AHFGs), our facility must
maintain spaces such as RO bed holds and Nurse Treatment Rooms. These are used
infrequently—for example, less than 1% of patients may require an RO bed hold, if required
it would typically extend for approximately 15–20 minutes. This is the only occasion the RO
Nurse station would be staffed. Additionally, Australian Commission on Safety and Quality in
Healthcare inspections may necessitate private rooms for the duration of assessment days.
These rooms must be readily available to ensure continued accreditation and compliance.
• Patient Privacy
Administrative and reception staff regularly engage in confidential conversations with
patients—often via telephone. Access to soundproofed, private rooms is essential for
maintaining patient comfort and safeguarding sensitive information, in accordance with
healthcare privacy standards.
These Red Zone areas are fundamental to delivering efficient, high-quality care whilst fulfilling our
obligations under national healthcare guidelines and accreditation standards.
A typical composition subject of staff within the red zone on a full-time basis at Cancer Care Noosa
would comprise of three receptionists, four Radiation Therapists, two Doctors, one Pharmacist,
three Nurses and one Physicist. As outlined above, these staff members often work across the
multiple areas within the red zone depending on the daily needs of the facility.
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5. Purple Zone – Non-Occupied Spaces
The Purple areas include non-occupied zones such as storage rooms, WCs, change rooms and other
ancillary services.
Should you have any questions, or wish to discuss further, please do not hesitate to contact me.
Yours sincerely,
Damien William
CEO
Cancer Care Noosa
Occupancy & Staffing Table
Patients
Waiting
Category Being Notes
Patients
Treated
Staff on Site 14 n/a Admin, doctors clinicians, nurses, etc.
RO – Bunker 1 1 1 1 patient in treatment, 1 waiting
RO – Bunker 2 (future) -1 -1 Future capacity; not in current count
Consulting Patients 2 2 2 rooms in use
No waiting due to scheduled long
MO Chair Patients 6 0
treatments
TOTAL (Excluding Future Bunker 2) 23 3 14 staff + 9 patients (6 MO, 2 consult, 1 RO)
TOTAL (Including Future Bunker 2) 24 4 If Bunker 2 is converted
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Cancer Care 0 Associates We 1 150 www.cancercare.com.au Level 3, 533 Kingsway, Miranda NSW 2228 Australia (02) 8556 9300 (02) 8556 9350 [email protected] 10925