Thursday, May 21, 2026

Centre for Communi-Driven Response

Pathways is a nurse-led virtual clinic implemented within a formal protocol-based consultation.

Pathways enables better primary care and community-based management, access to services and supports the uptake of existing services and health initiatives – even in the most challenging settings.

“I’ve lived remotely for over 10 years and it was impossible to have consistent care from a GP or any other medical professional. Only after accessing your services via Telehealth was I able to find out which specialists I needed to see. As a direct result of your services I was able to access genetic counselling and genetic testing “
“The nurse was extremely knowledgeable very kind, courteous and caring. She made me feel very comfortable and safe and her knowledge on my condition was extremely professional and senior. There was so much that I didn’t know and she made it much easier for me to understand.”
“I can’t speak highly enough of the professionalism of Kate. Immensely compassionate, knowledgeable and professional. I am so very grateful for the opportunity to avail myself of this exceptional service. Thank you”

The Pathways difference

Health system navigation models of care focus on educating patients about the services and treatments they need.

Pathways uses an access model of care.

This is more complex than the outdated navigation model of care and ensures patients not only know about the services and treatment they need, but have the ability to access those that are available to them and that those services fit their specific needs.

Pathways nurses “sit” virtually within communities – working with patient groups, civil society, health charities – and is integrated in the health system. Pathways nurses work closely with key clinicians within the health system.

Pathways nurses implement on average 10,000 assessments and interventions per 1,000 patients

Each Pathways nurse is supported through an intensive training period and assessments before commencing in clinical practice. What makes a Pathways nurse unique is their ability to use every available resource in the health system – even in situations where resources are scarce or restricted. Three words often used to describe a Pathways nurse are: Professional – Knowledgable – Compassionate

Nurses often have the closest relationship and most presence with patients and families.

Pathways nurses are no exception

Pathways nurses are supported in their roles through professional development, personal development, peer support and debriefing and other activities to protect their emotional health to avoid burnout. If we don’t protect and support our nurses, we risk leaving patients without the care they need.

Pathways protocol development

The nurse-led assessments, interventions and scope of practice were confirmed in a formal pilot program over three years that assessed what is actually possible in a community-based, nurse-led Telehealth clinic. Through the pilot a number of assessments and interventions were confirmed with clinical guidelines developed. As we continue to innovate, additional assessments are interventions are tested.
* Surgical, hospitalisation and ED discharge assessment
* Urgent care prevention + continuity of care on discharge from urgent care
* Current and planned medication assessment
*Rural and regional access
* Initial triage assessment
* Diagnosis assessment and pathway
* Symptoms and comorbidities assessment
* Information assessment
* Symptom tracking
* Health literacy assessment
* Formal nurse education session
* Family history and risk
* Primary care assessment
* MDT assessment
* Clinical trial assessment
* Point of coordination assessment
* Emotional and social assessment
* Distress/anxiety tool
* Pain assessment
* Palliative care assessment
* Advance care planning
* Adherence monitoring
* Preventative health assessment
* Women’s health assessment
* Men’s health assessment
* Rehabilitation continuity of care

Awards and recognition

2025: Top ten Aster Guardians Global Nursing prize out of 100,000+ candidates

2024: Australia Primary Health Care Nurses Association, President’s Award for a legacy contribution to primary care

2022: Health Minister’s Award for Nursing Trailblazers

2020: WHO/ICN/WIGH/UNDP 100 Outstanding Nurses, Year of the Nurse & Midwife