VictorianComprehensive Cancer Centre |Annual Report 2017–18 INCREASING ACCESS Once expertise and confidence in the model have been established, the program will scale up to Teletrials increase the complexity of the trials and include sites and clinicians with less experience. The Teletrials use tele-health to enable clinicians from growing recognition of the direct and indirect larger centres (primary sites) to enrol, consent and benefits of collective impact in this area offers an treat patients on clinical trials at smaller regional exciting opportunity for the clinical trials programs and rural centres (satellite sites) — a hub-and-spoke in the coming year. approach between a primary trial site and satellite Progress to date includes the identification of sites. The benefits are not limited to regional areas, the first trial to pilot as a proof of concept of with the same model having the potential to connect the teletrial model; development of a tool kit of larger centres even within the same city and improve essential documents, and a mapping exercise that the rate of recruitment. reviewed infrastructure, capacity and resources at The teletrials model will be phased in over the next trial cluster sites. two years. In the initial phase low risk trials will be selected and implemented between sites that have existing competency in clinical trials. This phase will test the model in the Victorian setting and build trust and acceptability of the model in preparation for more complex trials. 54