| The context of uncertainty |
Establish strategy of clear and regular communication from institutional and clinical leaders. Establish evidence-based practice guidelines for treatment rationalisation. Maintain multidisciplinary consultations and discussion to ensure consensus decision making and support.
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| Limited resources |
Establish prioritisation system for personnel, consumable and treatment resources. Establish split treatment teams to reduce vulnerability of cross-infection among clinicians and support staff. Establish ‘designated survivor’ status. Ensure early communication and agreement between stakeholders within treatment teams of treatment and diagnostic strategies.
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| Duty of care |
Establish clear guidelines with regard to personal protective equipment. Establish clear guidelines for institutional and personal guidelines for direct patient contact. Establish prioritisation for shared (centre vs community) services, for example, investigations and biopsy. Minimise travel to and from treatment centres. Broaden network of treatment facilities, for example, radiotherapy and chemotherapy. Maintain multidisciplinary consultations to ensure optimal care. Ensure patient support system exists. Develop mechanisms to assess mental health of staff. Provide clear institutional support for mental health needs of individuals and teams.
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| Least-worst decision making |
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