12:30pm Murrumbidgee Room presentation on the work of the Icon group, Icon Cancer Foundation, and Epic Good Foundation, presented by Mark Middleton, Fiona Jonker, and Anita Heiss.

1. Facilitator
Dr Anita Heiss, Manager, Epic Good Foundation
Panellist
Mark Middleton, CEO, Icon Group
Panellist
Fiona Jonker, CEO, Icon Cancer Foundation

3. Icon Group –
Australia’s largest dedicated
cancer care provider
Mark Middleton
CEO | Icon Group

4. Icon Group is Australia’s largest dedicated cancer
care provider. The Group is built on a strong but
simple vision – to deliver the best possible cancer
care, to as many people as possible, as close to
home as possible.

5. Who is Icon Group?
An integrated end-to-end service model enables the Group to explore new ways of engaging patients, and
as one team deliver exceptional cancer care.

6. Cancer Care
Day oncology hospitals
• Icon’s day oncology division is Australia’s largest private provider of day oncology and haematology. It has 11 centres nationally, four in
Singapore with another in development, and one in New Zealand
• Supported by satellite clinics across regional Queensland and a telehealth program into rural and remote communities
Radiation oncology
• 16 centres nationally, with another four centres due to open by mid-2018. Icon also has a centre in development in New Zealand and a
number in China
Comprehensive cancer centres
• Our centres bring together day oncology, radiation oncology and pharmacy under the one roof. There are five centres nationally
(included in the numbers above), with another three opening by the conclusion of 2017 and two in 2018
Leading national provider of successful PPPs (Public Private Partnerships)
• In partnership with Queensland Health, Icon currently provides public radiation oncology services under the ROC brand, at the Cairns
Base Hospital, Gold Coast University Hospital (GCUH) and in the Wide Bay Health District

8. What do we know?
AIHW ‘Cancer in Australia 2017’ summary of Aboriginal & Torres Strait Islander statistics
• Average of 1,189 Indigenous Australians diagnosed with cancer each year (2008-2012)
• Most commonly diagnosed cancer amongst Indigenous Australians:
1. Lung cancer
2. Breast cancer (females)
3. Colorectal cancer
4. Prostate cancer
• Between 2008 and 2012, the age-standardised incidence rate for all cancers combined was higher for Indigenous Australians than for their non-Indigenous
counterparts (484 and 439 per 100,000, respectively)
• The age-standardised incidence rate was higher for Indigenous than for non-Indigenous Australians for liver cancer (2.8 times as high), cervical cancer (2.2),
lung cancer (2.0), cancer of unknown primary site (1.9), uterine cancer (1.7) and pancreatic cancer (1.4)
• The high rates of unknown primary site may be because Indigenous Australians have poorer access to health-care services and are more likely to have cancers
that are diagnosed at a later stage than non-Indigenous Australians, when the primary site is no longer apparent (Cunningham et al. 2008; Roder 2005)
• The age-standardised mortality rate of all cancers combined was higher for Indigenous Australians than for their non-Indigenous counterparts (221 and 171
per 100,000, respectively). The age-standardised mortality rate was higher for Indigenous than for non-Indigenous Australians for cervical cancer (3.8 times as
high), liver cancer (2.5), lung cancer (1.8), uterine cancer and cancer of unknown primary site (both 1.6), and pancreatic cancer (1.3)
• The higher mortality rate for Indigenous Australians may be partly explained by their greater likelihood of being diagnosed with cancers where the prospect of
successful treatment and survival is poorer (for example, lung cancer and cancer of unknown primary site) (Condon, Armstrong et al. 2003; Condon, Zhang et
al. 2014; Threlfall & Thompson 2009) or by being diagnosed at an advanced stage, as well as their lesser likelihood of receiving adequate treatment (AIHW
2016c; Cunningham et al. 2008)

9. What don’t we know?
How to best deliver cancer care in Indigenous communities
Meaningful collaborations necessary:
• NACCHO
• Indigenous Allied Health Australia
• Menzies/National Indigenous Cancer Network
• University of Canberra

10. Cancer Care and
Indigenous Australians
Fiona Jonker
CEO | Icon Cancer Foundation

11. Singapore
Australia
New
Zealand

12. ICF Operational Model Clinical Trials Innovation

13. Centralised/Decentralised model
Icon Cancer
Foundation
Head Office
Data Management
Start-Up/Ethics
Finance Management
Icon Cancer Care
Day Hospital
Doctors
Clinical Trial Coordinators
Patients
Nurses

14. Wesley
Southport
South Brisbane
Chermside
The Valley Melbourne | Radiation Oncology
Canberra | Medical and Radiation Oncology
Cairns
Gold Coast
ICON CANCER
FOUNDATION HQ
Toowoomba
Townsville
Icon Cancer Centre
Icon Cancer Care
Radiation Oncology Centre
Centralised/Decentralisation of Operations

15. ICF Operational Model Clinical Trials Innovation

16. By participating in a clinical trial patients can:
• Potentially have access to new and emerging treatments
that may improve their condition and quality of life
• Have comprehensive medical care and support by a
multidisciplinary team of specialists including nurses,
clinical trial coordinators and data managers
• Help others with similar conditions in the future

18. ICF Operational Model Clinical Trials Innovation

19. Tele-trial model

20. Primary Site
Satellite 5
Satellite 6
Satellite 4
Satellite 2
Satellite 3
Satellite 1
Primary Site

21. The Gaps and Challenges:
• Access to Clinical Trials
• Affordability
• Low recruitment rate to trials
• Understanding of the Cancer
Treatment process and CTs
What we are doing:
• Tele-trial model, collaborations,
Phase 1 studies
• Sponsors vs Standard of Care,
Fundraising, Government.
• ClinTrial Refer App, Social Media
• Opportunity
Bringing Cancer Care and Access to Clinical Trials to
Indigenous People and People in Remote Areas
EDUCATION
• Cancer Treatment
• Clinical Trials

22. ICF Operational Model Clinical Trials Innovation

23. Thank You!
Artwork created by
Amanda Hayman
in collaboration with
Elisa Jane Carmichael