Our mission to to improve the health and wellbeing of people around the world is a bold one that inspires us and underpins our work everyday.

We recently produced our first Impact Report to bring our mission to life, showcasing the people, partnerships, and progress that help shape healthier communities across the globe.

Learn more about our work

From supporting GPs to care for refugees and veterans, to empowering educators through Stronger Schools. You’ll see how services like HealthPathways help clinicians make millions of better decisions, and how our partnerships – with leaders like Orion Health, CEDA, and IFIC – help drive innovation and integrated care.

We’ve expanded into Ontario, Canada and celebrated the success of the All of Wales Community HealthPathways programme. We’ve modernised our platforms, strengthened cybersecurity, and begun integrating AI. Whether it’s building pathways for gender-diverse patients, reducing hospital admissions, or creating a sustainable workplace, our team members keep rolling up their sleeves to make a difference.

Year 2024-25 in review

People, purpose, and service remain at the centre as we work to support collaboration, joined-up care, and equity. This report is more than a summary - it’s a celebration of our team, our partners, and the communities we serve. Download the full impact report and see how we’re working together to create a healthier, more connected world.

In response to the escalating issue of vaping in youth, the Mid and North Coast HealthPathways team developed the Vaping in Youth pathway to assist primary health practitioners navigate the problem with their patients.

HealthPathways Mid and North Coast tackles youth vaping with state-first pathway

E-cigarette use is increasing in all age groups across Australia, but most rapidly in young people. From 2021 to 2022 in NSW, 43% of 16 to 24-year-olds had used an e-cigarette, while 17% were current (daily or occasional) users.

Liquids used in vaping may contain nicotine, flavourings, and other chemicals, exposing e-cigarette users to substances which may be toxic or carcinogenic. E-cigarettes may contain nicotine even if labelled ‘nicotine free’, and they often contain much higher concentrations of nicotine than tobacco cigarettes, and so have a greater potential for dependence.

HealthPathways clinical editor Dr Grace Leung was tasked with developing the pathway for the New South Wales HealthPathways programme. She says there is a need for increased awareness and proactive enquiry.

“It is very rare that somebody would actually come into a GP, for example, and say ‘I’ve got a problem with vaping’, or ‘My kid has a problem with vaping... if there is a presentation, it would be more likely for behavioural-type problems, sleep problems, anxiety, or depression. It’s not until you dig a bit deeper that you realise that vaping is often the root of the problem. We’re good at asking [young people] about smoking and drugs, but if you are not accustomed to specifically asking about vaping, you might not mention it.”

The state-first Vaping in Youth pathway includes information about the unknown composition of many vaping products, which may lead to potential health risks. The pathway is not just a local solution but a model for health practitioners across the entire state.

Read the full story.

Behind the scenes

Meet a key team member who helped facilitate the Vaping in Youth pathway.

Meet Breffni

Kia ora, I'm Breffni Naylor, a team lead at Streamliners. I collaborate with HealthPathways programme teams to develop content for HealthPathways, and I also support our writers to do their job to the best of their abilities.

Before I was a team lead, I was a technical writer, working with clinical editors to develop care pathways used and shared in health systems around the globe. During this time, I had the opportunity to work with the Mid and North Coast HealthPathways team on the Vaping in Youth pathway. This was a fulfilling task as this state-wide pathway was the first of it's kind. Once the pathway was complete, it meant clinicians across NSW had peer-reviewed guidance for supporting and managing a young patient with their vaping habit. It’s satisfying to know my efforts to collaborate with the lead clinical editor on the project, problem-solve, and implement plain language mean that patients will receive the right care at the right time.

Refugees arriving in New Zealand can have complex health needs. A suite of refugee pathways developed by the New Zealand HealthPathways team, Health New Zealand, and the Ministry for Business and Innovation is helping refugees receive the specialised care they need, no matter where they settle in the country.  

Refugee pathways help GPs provide specialised care

New Zealand is one of around 37 countries that take part in the UNHCR (the UN Refugee Agency) regular refugee resettlement programme. In 2020, New Zealand’s annual refugee quota was increased from 1000 to 1500.

All refugees arriving through the quota programme arrive in Auckland and spend at least five weeks at Te Āhuru Mōwai o Aotearoa, Immigration New Zealand’s Refugee Resettlement Centre. During their orientation, a Refugee Health Screening Service identifies and treats any personal health conditions before the refugees are settled in one of 13 locations around New Zealand. From this point, the expectation is that community GPs will provide ongoing health checks for them.

Dr Karen Chung, a clinical editor and GP at the Māngere Refugee Resettlement Centre, saw the need to create a support package and nationally consistent pathways that would help guide GPs through the particular health needs for refugees.   

Dr Justine Lancaster, regional group clinical advisor and clinical lead for the Health New Zealand national pathways programme, facilitated this to become a nationally supported HealthPathways project.  

“Often, refugees come with a background of complex health issues - many problems will have been untreated or unaddressed, once they arrive, there are significant challenges navigating a new culture and a new complex health system while facing language barriers”, she says.

How HealthPathways supported health professionals

The refugee pathways support local GPs by reflecting agreed best practice for refugee health. They are published with local variation to express specific information on services and include local details such as where to get tests done, locally available funding, and any support beyond the health system, such as refugee or local community support.  

“What that means for clinicians who use the pathways is that there is a standardised process for caring for the health of people who’ve arrived as refugees to support them over the first year or so, as well as key information about specific testing, screening, and needs they may have, with links to locally available resources and services,” Dr Lancaster says.  

“We’re quite excited about the support this provides for stretched primary care providers, especially in rural areas where it can be hard to attract GPs and practices may be staffed by a string of locums who may lack local system knowledge.”  

Behind the scenes

Meet key team members who facilitated the refugee pathways.

Meet Justine

Kia ora, I'm Dr Justine Lancaster, a specialist General Practitioner working for HealthPathways across New Zealand. I work as both the Streamliners Regional Group (and New Zealand) Clinical Advisor, and the Health New Zealand, Care Pathways Clinical Lead for national community HealthPathways. I guide, train, and support the clinicians who work alongside Streamliners HealthPathways writers to develop care pathways. I also support HealthPathways programme teams across New Zealand.

I was excited to be part of this project which will support more equitable access to healthcare for refugees settling in New Zealand. As GPs from around New Zealand can now access these care pathways and resources, refugees will now benefit from this care no matter where they live. It feels good to know that in a small way, my work will help people from another culture feel cared for and supported as they make Aotearoa their home.

‍Meet Antoinette

Hi, I’m Antoinette Ehmke, Pathway Sharing Manager. I get satisfaction from helping to create a system that enables care pathways such as these to be shared, knowing that this reduces duplication of effort and improves the speed at which information can updated and shared across a whole country. 

My role in the project was to facilitate the collaboration between several HealthPathways teams involved with bringing this project together. I supported them to develop the suite of pathways and share them across HealthPathways sites so that GPs anywhere in the country could access them. As an immigrant to New Zealand myself, I know how hard it can be to resettle in a new country and I’m proud that I could play a part to help make the transition easier for refugees joining our communities.

The South Australia HealthPathways programme team developed a robust clinical pathway to help ensure local GPs have the right tools to help combat domestic and family violence. Cameille Ambler, a Streamliners technical writer and trainer, says it’s rewarding to see clinical editors she has trained take part in such meaningful work.

Groundbreaking pathway helps tackle family violence

Domestic and family violence is a huge issue in Australia. According to Women’s Safety Services SA, on average one woman a week is murdered by her current or former partner. Intimate partner violence is currently seen as the greatest health risk factor for women in Australia aged 25-44 years.

To help combat domestic and family violence, the South Australia HealthPathways programme team developed a robust clinical pathway integrating research evidence and deep sector engagement.

GPs are in a unique position to respond to domestic and family violence if they have the right tools. Simply knowing the right questions to ask can be a significant intervention step to identify and support people experiencing domestic and family violence.

Dr Brian Gue, who was conducting research for his GP Registrar training (with support from the University of Adelaide) offered to work with HealthPathways South Australia (SA) to help address family violence issues by starting to develop a Domestic and Family Violence pathway.

Research for the pathway involved focus groups with health professionals working in the domestic and family violence sector, GPs, social service agencies, and others involved in supporting people experiencing domestic and family violence. Input from diverse stakeholders ensured the pathway was robust, and the published result supports healthcare providers with practical tools to support victim-survivors.

“The development of this clinical pathway for family violence marks a significant achievement, which underlines the importance of collaboration, research, and community engagement. It demonstrates the power of collective effort in addressing one of society's most pressing issues,” says Suzi Pedler, GP Clinical Editor HealthPathways South Australia.

“Our new pathways not only facilitate immediate response but also foster long-term benefits by equipping GPs with the skills and resources necessary to provide effective ongoing support for domestic and family violence victim-survivors."

‍HealthPathways SA is a partnership between SA Health, Adelaide PHN, and Country SA PHN.

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Read the full story.

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Meet Cameille

Hi, I’m Cameille Ambler, a technical writer and trainer at Streamliners. I help develop content for HealthPathways, and I also train new writers and programme teams – helping them structure content clearly and communicate effectively so that health professionals can get the information they need, quickly.

One of the rewarding parts of my role is seeing the impact of that support as clinical editors go on to lead meaningful projects. For example, I had the chance to train Dr Brian Gue, one of the clinical editors involved in developing South Australia’s Domestic and Family Violence pathways. It’s inspiring to see how our work contributes to something that helps GPs better support victim-survivors of violence.

I enjoy the balance of writing, problem-solving, and working alongside others to make processes smoother and learning easier. It’s satisfying to help someone grow in confidence with the tools we use or make a tricky bit of content easier to understand.

Stronger Schools was developed in New Zealand, following the Canterbury earthquakes (2010 and 2011) and the Christchurch Mosque Attacks (2019) which had a huge impact on children in terms of mental health and wellbeing.

Empowering educators to recognise and respond early to children’s wellbeing needs

Stronger Schools was born out of a need for trauma-informed care in the classroom, enabling early intervention, recognition, and support for the children who need it.

The New Zealand site is known as Kete Tautoko Tamariki. This reo Māori name was given to Stronger Schools by a local translator and means “A basket of support for children”. Stronger Schools was introduced in South Tyneside in the United Kingdom in 2018.

Stronger Schools has a number of pathways that focus on physical health, mental and emotional well-being, and learning and development in children. Each site also has support pages which help teachers know which services are appropriate to contact for advice and when they should make a referral.

Mark Girvan says South Tyneside was an early adopter of Stronger Schools in the UK. “The idea is to provide educators with what they need to recognise well-being needs, to support the identification of those needs, and then to give them the tools to support the individual, the class, and the family. It could be anxiety, bullying, self-harm, as well as health, developmental and learning needs.”

Mark says, like any pathway, collaboration is key. “The pathways are jointly developed through local experts and local educators coming together to say this is how we do things around here.”

“We write in plain language and take a strengths-based approach, so that teachers can focus on strengths instead of deficits,” adds Sarah.

Designed for everyone

The information is centred around the needs of individual children, but the benefits extend to the whole class. “So you might look at a pathway because you suspect a child has a certain condition or is displaying certain behaviours, and decide to implement a strategy.

The pathways have been designed to ensure that the strategies are valuable for all children, whether or not they have a diagnosis or a wellbeing concern. It’s going to be something that benefits everybody. It encourages a caring and inclusive classroom.”

One example is a page on nurturing well-being in the classroom, which looks at social and emotional learning and inclusivity. Like all Stronger Schools pages, it was developed collaboratively between education professionals, support agencies, GPs, and hospital clinicians.

Reflecting the principles of Te Tiriti o Waitangi

In New Zealand, Stronger Schools was designed to reflect the principles of Te Tiriti o Waitangi – “partnership, participation, and protection of mana”. This is done by asking teachers to engage with families and by valuing families’ role and knowledge. This reflects Te ao Māori values that recognise the importance of genealogy and relationships in promoting holistic well-being.

“It's not just about what the teacher says or what the pathway says. We respect the language, identity, and culture of children and their families. Everybody works together to support the child to feel safe, valued, and connected so that they can contribute and are learning. All of that builds positive foundations for well-being,” says Sarah.

The aim is inclusive, caring, positive classrooms. “When children have unmet needs or they've experienced trauma, it has a long-term impact on their health and well-being. For some kids, school is the only place that they can feel safe and valued.”

The pathways encourage teachers to intervene with a light touch before a challenge becomes a problem or a habit.

Stronger Schools is evidence-based. “It's reviewed by specialists in education and health. That means teachers are secure in the knowledge that they're making an informed decision,” says Sarah.

“Having all of that information there means that everybody gets the right support at the right time – teachers, families, and children,” Sarah says.

Supporting educators around the world

South Tyneside, UK

Elaine Simpson is a teacher in South Tyneside in the UK. “I think the Stronger Schools website is an absolutely invaluable resource for professionals working with children and families. It covers a wide range of ways that you can support children or concerns that you might have about a child – all the way from head lice to the signs and symptoms and ways that you can support young people who have ADHD or even if somebody has disclosed that they’re self-harming or that they might have suicidal ideation.”

Elaine particularly likes how the website's broken down into different pathways. “So if you've got a concern around a young person or if you've noticed that they’re experiencing a difficulty, you can go to that section of the Stronger Schools website and it will give you some direction and guidance on what you can do. For example, it will give you some signs and symptoms of those difficulties that you look out for, how you record those difficulties and whom you speak to within your service or your school about those difficulties. It’ll also give you some guidance on when and who is responsible for contacting parents about that difficulty and also the agencies within South Tyneside that are there to support families and children.”

Elaine sees wider benefits of Stronger Schools for working with young people and families.

“There is content in the website that can be lifted and put into support plans. So there is a sense of cohesion, and if you go into a multi-agency meeting, everybody around the table is going to be singing from the same hymn sheet.”

New Zealand

New Zealand Child Psychologist Faith Fauchelle describes Stronger Schools as “practical, up-to-date, evidence-informed information from a wide range of sources.”

“This wealth of resources really empowers school staff to consider appropriate pathways of support and responses that are graduated and tailored to the specific needs of individuals,” she says.

New Zealand Consultant Psychologist Ursula McCulloch has helped develop pathways for Stronger Schools in Canterbury. “I’ve really enjoyed being part of this project. I've been really impressed with the content gathered from a variety of experts working in the field of child mental health and I really like how it's been put together in an accessible way. We've worked hard to ensure that it's evidence-based and relevant to the schools that we're working with. We’re always updating the site and the content based on the questions raised by schools.”

The hundreds of pathways created in Canterbury and South Tyneside provide a solid foundation for other systems to pick up and adapt.

“The content is consistent and evidence-based. Only the services are localised,” Sarah explains.

“The impact of Stronger Schools on well-being extends beyond children and families and into the wider health system. It can reduce variation to make sure everyone supporting young people is using the same evidence-based foundation. It also helps to map all the local and national services – from education to health and social services – which can inform what government agencies need to invest in for the future.”

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