Leading Better Value Care

​​​​​​​​​Leading Better Value Care (LBVC) is one of the programs that is accelerating value based healthcare in NSW. It involves clinicians, networks and organisations working together on high-impact initiatives to improve outcomes and experiences for people with specific conditions.

The clinical initiatives

There were initially 13 evidence-based models or standards of care identified for scaling across the state. 

For more information, please refer below:

Osteoarthritis Chronic Care Program

image of Osteoarthritis Chronic Care Program  

The osteoarthritis chronic care initiative supports patients to self-manage their condition, reduce or delay the need for surgery, and improve access to and outcomes from joint replacement surgery. 

Find out more about Osteoa​rthritis Chronic Care Program


Osteoporotic refracture prevention

Osteoporosis re-fracture prevention 

The osteoporosis refracture prevention initiative helps find patients who need support, teaches them how to care for their bone health and gives early access to tests, treatment and local services to help prevent future fractures.

Find out more about Osteoporotic refracture prevention


Chronic heart failure

Chronic heart failure 

The chronic heart failure initiative aims to reduce readmissions, support self-management and provide clear post discharge and end-of-life options.

Find out more about Chronic heart failure


Chronic obstructive pulmonary disease

Chronic obstructive pulmonary disease 

The COPD initiative aims to reduce unwarranted clinical variation, strengthen self-management capability, and improve post-discharge and end-of-life care. 

Find out more about Chronic obstructive pulmonary disease


Inpatient management of diabetes mellitus

Diabetes mellitus 

The diabetes mellitus initiative was developed to improve in hospital management, enhance patient outcomes and reduce readmissions.

Find out more about Inpatient management of diabetes mellitus


Diabetes high risk foot services

Diabetes high risk foot services 

The diabetes high risk foot clinic initiative aims to provide access to multidisciplinary outpatient care to prevent hospitalisation and improves quality of life. 

Find out more about Diabetes high risk ​foot services


Fall prevention

 
 

The falls in hospital initiative aims to reduce the frequency and severity of falls through early risk identification and evidence-based prevention. Lessons learned from the program informed the development of the Comprehensive Care model to further improve patient outcomes.

Find out more about Fall prevention


Renal supportive care

Renal supportive care 

The renal supportive care initiative provides symptom management, comprehensive and localised care, family support and assistance with planning for patients on dialysis, transplant, conservative management or withdrawing from treatment.

Find out more about Renal supportive care


Hip fracture care

Hip fracture care 

The hip fracture initiative aims to reduce wait times and hospital stays, improve patient assessment, and minimise unwarranted clinical variation. 

Find out more about Hip fracture care


Chronic wound management

wound management 

The wound management initiative aims to reduce chronic wounds through early risk identification, effective and sustainable care, and improved healing, maintenance and recurrence outcomes for patients, carers and families.

Find out more about Chronic woun​​d management


Bronchiolitis

Bronchiolitis 

The bronchiolitis initiative aims to reduce unwarranted variation by improving adherence to clinical guidelines to minimise unnecessary investigations and ineffective therapies.

Find out more about bronchiolitis


Hypofractionated radiotherapy for early stage breast cancer

Hypofractionated radiotherapy for breast cancer 

The hypofractionated radiotherapy for breast cancer initiative aims to increase uptake to improve outcomes, reduce patient visits, enhance clinician efficiency and allow centres to treat more patients using existing resources.

Find out more about Hypofractionated radiotherapy for early stage breast cancer


Direct access colonoscopy

direct access colonoscopy 

The direct access colonoscopy initiative aims to increase early detection and provide timely, direct access to colonoscopy to improve patient experience, options and outcomes.

Find out mo​re about Direct access colonoscopy


Leading Better Value Care was a collaboration between the NSW Ministry of Health, Agency for Clinical Innovation, Clinical Excellence Commission and Cancer Institute NSW and local health districts and networks.

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Current as at: Tuesday 2 June 2026
Contact page owner: System Performance Support