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Australian Health Review Australian Health Review Society
Journal of the Australian Healthcare & Hospitals Association

Making good on the promise of genomics in healthcare: the NSW Health perspective

Deb Willcox A , Ronald J. A. Trent B C D , Nigel Lyons A , Cliff Meldrum C , Peter Kennedy E , Tamara Lee A , Yemima Berman D F , Bronwyn Burgess G , John William Cannings H , Martin Joseph Canova C , Celia Halliburton A , Olivia Hibbitt A * , Sarah Karen Norris D , Antonio Penna A , Andrew Perkins E , Eva Pilowsky A and Shelley Rushton I
+ Author Affiliations
- Author Affiliations

A NSW Ministry of Health, Reserve Road, St Leonards, NSW, Australia.

B Sydney Local Health District Institute of Precision Medicine & Bioinformatics, Royal Prince Alfred Hospital, Missenden Road, Camperdown, NSW, Australia.

C NSW Health Pathology, Watt Street, Newcastle, NSW, Australia.

D University of Sydney, Camperdown, NSW, Australia.

E eHealth NSW, Sydney, Reserve Road, St Leonards, NSW, Australia.

F Royal North Shore Hospital, Northern Sydney Local Health District, Reserve Road, St Leonards, NSW, Australia.

G Hunter Genetics, Hunter New England Local Health District, Turton Road, Waratah, NSW, Australia.

H Independent Consumer Representative.

I Cancer Institute NSW, Reserve Road, St Leonards, NSW, Australia.

Australian Health Review 47(6) 631-633
Submitted: 13 June 2023  Accepted: 19 September 2023  Published: 17 October 2023

© 2023 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of AHHA. This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND)


NSW Health is implementing genomics as a mainstream component of clinical care. The strategic, holistic approach is considering infrastructure, data governance and management, workforce, education, service planning and delivery. This work is generating insights about how to realise the promise of genomics in healthcare, highlighting the need for strong foundations, real-world application, accessibility and a focus on people using genomic information in clinical care.

Keywords: clinical pathway, education, framework, genetics, genomics, implementation, infrastructure, NSW, omics, pathology, policy, precision medicine, translation, workforce.


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