This model of care recommends a systemic, coordinated, multidisciplinary approach to survivorship, using pathways of care that support wellness, disease prevention and cancer surveillance.

In addition to a role in cancer surveillance, GPs have key roles in the management of comorbid illness, secondary prevention, health promotion, self-management promotion and coordination of care.

Achievement of personalised cancer care requires a system-wide approach that targets the patient, healthcare provider and healthcare system with data informing practice.