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Terms of Reference - Steering Committee
Terms of Reference

Steering Committee – Provincial Cancer Service Delivery Review 2014


Background:
Considering the challenges of cancer service delivery in NS, the growing demand to provide
efficient, effective and sustainable cancer services to patients and families while improving
outcomes, and the restructuring of health care within the province, the Department of Health and
Wellness has directed Cancer Care Nova Scotia to engage third party experts to work with system
leaders to review the current status of the cancer care delivery system and supports
within Nova Scotia and to provide recommendations on a model for the provincial delivery of cancer care.
This model will consider clinical, academic and administrative leadership models, accountability
frameworks, governance, monitoring and evaluation as part of service delivery. It will address
the roles of health care professionals as well as the roles of Cancer Care Nova Scotia and the
Nova Scotia Breast Screening Program as provincial programs of the Department of Health and
Wellness.

Purpose:
To vet the report from expert consultants and make recommendations regarding an optimal provincial
approach to cancer service delivery, including a high level implementation strategy; and to provide
recommendations to the Chief of Programs, Department of Health and Wellness on the model.

Role:
The Steering Committee will provide overall direction to the development of the optimal provincial
approach for cancer service delivery model (screening and early detection through to survivorship
and palliative care) and a high level implementation strategy.

The Steering Committee will:
• Provide advice/guidance to the Project team regarding all plans and key deliverables,
considering feasibility, appropriateness, sustainability for CCNS, DHAs, DHW, patients and
families, and other stakeholders using the DHW quality framework and the quality principles guiding
the restructuring of the provincial health system.
• Assure that affected stakeholders (cancer patients / survivors/ family members and others) are
appropriately involved and consulted.
• Monitor Project Team’s progress against major milestones
• Review and comment on progress reports
• Review final report and recommendations, noting any gaps and providing feedback to project team
• Provide recommendations to Chief of Programs, Department of Health and Wellness, based on the
expert report, regarding an optimal provincial approach to cancer service
delivery, including rationale for the recommendations.

Membership:
Chaired by three leaders representing: Department of Health and Wellness, clinical, and
administrative leadership.

Membership will include representation from:
• Department of Health and Wellness
Cancer Care Nova Scotia
• Cape Breton Cancer Centre
• Capital Health Cancer Care Program
• Radiation, medical and surgical oncology, hematology
• General Practitioners in Oncology
• Nova Scotia Breast Screening Program, IWK Health Centre
• Dalhousie University – cancer research
• DHA administration and
• Two cancer patients/survivors

Process, meetings, reporting
• An orientation meeting will be scheduled for early September, with meetings held monthly or at
the call of the Chair
• The Chair of the Project Team will provide regular updates to the Steering Committee, seeking
advice and guidance as necessary
• Decision-making (consensus, voting, formal/informal)

A consensus model of decision-making will be used whenever possible. The consensus model will
include the following parameters:
• Are the right people in the room?
• Have all members had an opportunity to discuss the issue?
• Do members understand the decision to be made?
• Can members live with the decision?
• Can members defend the decision?
• Everyone can and will support the decision outside the room

If consensus is not possible, aiming for an 80:20 agreement. When this is not possible, a decision
will be at the discretion of the Chair with dissenting opinions noted.

Resources
• Funding will be provided by Cancer Care Nova Scotia to cover costs associated with
teleconferences, travel to face-to-face meetings and reimbursement of FFS physicians at the negotiated rate.
• A commitment to using distance technology whenever possible and appropriate

Time commitment: monthly meetings (four or five meetings in total), September – December 2014