MRFF-funded research program

Diagnosis4All Equitable access to genomic diagnosis

Working with communities to improve equitable, timely and culturally safe access to genomic diagnosis and care in New South Wales.

Genomic diagnosis is increasingly helping people with rare and complex conditions access more personalised and targeted care. But access to genomic health services is not equal.

Diagnosis4All exists to understand why these gaps occur and to work alongside communities, healthcare professionals and health services to close them.

Designed with communities, not for them: the program is working with First Nations peoples, culturally and linguistically diverse communities, and people living in regional and remote areas of NSW.

About the program

Why Diagnosis4All exists

Genomic diagnoses are increasingly helping people with rare and complex conditions access more personalised and targeted care. But access to genomic health services is not equal. Some communities are much less likely to receive a diagnosis, even when their health needs are similar.

The challenge

The benefits of genomics are not reaching every community equally

Some communities are far less likely to receive a diagnosis, even when they have the same health needs as others. Diagnosis4All is researching why these gaps exist and what helps or hinders access to genomic diagnosis.

Our response

Understand the gaps and work alongside communities to close them

Diagnosis4All brings together lived experience, community knowledge, clinical expertise, research and implementation science to identify what helps, what gets in the way and what needs to change across the health system.

What better access should look like

The program focuses on access that is equitable, timely and culturally safe.

Equitable

Focus on who is missing out and what practical changes could make genomic diagnosis more accessible.

Timely

Help reduce avoidable delays in recognition, referral and access to genomic and undiagnosed disease pathways.

Culturally safe

Design research, services and learning approaches that respect culture, language, community priorities and lived experience.

Who we are working with

Communities currently underserved in genomic care

Diagnosis4All is working with priority populations across New South Wales to understand their experiences, priorities and ideas for improving access to genomic diagnosis and care.

Priority community

First Nations peoples

The program is working with Aboriginal and Torres Strait Islander peoples in metropolitan, rural and remote New South Wales.

  • Metropolitan New South Wales communities
  • Rural and remote New South Wales communities
  • Cultural safety at the centre of engagement

Priority community

Culturally and linguistically diverse communities

Initial work has a particular focus on Arabic-speaking and Vietnamese-speaking communities and the barriers they may encounter in genomic health services.

  • Arabic-speaking communities
  • Vietnamese-speaking communities
  • Culturally safe community engagement

Priority community

Regional and remote communities

The program is examining how distance, referral pathways, workforce capacity and service availability affect access to genomic diagnosis outside major metropolitan centres.

  • People living in regional New South Wales
  • People living in remote New South Wales
  • Understanding what helps and what gets in the way

What we are doing

Two connected research streams

The program combines community-led research with practical workforce learning. What we hear through listening and consultation will inform system recommendations, while the Community of Practice supports change in day-to-day care.

Stream 1

Listening & Learning

We work with people with lived experience, communities, healthcare professionals and health services to understand what helps—and what gets in the way—when people seek a genomic diagnosis.

Research activities

  • Community workshops and consultations
  • Interviews with people, families and professionals
  • Culturally safe and community-responsive methods
  • Analysis of barriers, enablers and opportunities
Key output

A co-designed Genomic Equity Framework with practical recommendations for change across the NSW health system.

Stream 2

Community of Practice

Diagnosis4All is creating a free online monthly learning community for healthcare professionals across New South Wales who support people with rare or undiagnosed conditions but are not genomic specialists.

Learning priorities

  • Build knowledge and confidence in genomic care
  • Strengthen culturally safe practice
  • Connect professionals with genomic services
  • Improve awareness of undiagnosed disease pathways
Practical focus

Helping non-specialist professionals recognise when genomics may be relevant and navigate the next steps with patients and families.

Our goals

What Diagnosis4All aims to achieve

The program is focused on producing practical knowledge, partnerships and recommendations that can improve access to genomic diagnosis in New South Wales and inform wider policy and practice across Australia.

  1. Understand barriers and enablers

    Identify what helps and what hinders equitable access to genomic diagnosis for priority populations.

  2. Co-design a Genomic Equity Framework

    Develop practical recommendations with communities for health-system change, rather than designing solutions in isolation.

  3. Support culturally safe genomic care

    Build health-professional knowledge, confidence and connections so people receive more respectful and responsive care.

  4. Strengthen partnerships

    Connect communities, healthcare professionals, health services and researchers around a shared equity agenda.

  5. Share learning to improve policy and practice

    Translate the program’s findings into useful recommendations and resources that can support better genomics policy and service delivery in NSW and across Australia.

What organisations are involved

A multidisciplinary partnership across Australia

Diagnosis4All brings together clinicians, researchers, implementation scientists, consumer advocates, health services and community partners. Each group contributes a different form of expertise to the program.

Consumer & community

Consumer organisations and community contributors help keep lived experience, cultural safety and practical relevance central to the program.

Organisation website links open in a new browser tab.

How you can get involved

Help shape fairer access to genomic diagnosis

Diagnosis4All welcomes interest from people with lived experience, families, healthcare professionals, community organisations, health services and researchers. Some participation opportunities have limited places.

People and families

Lived Experience Group

If you live with a rare or undiagnosed condition, or care for someone who does, you can express your interest in joining the Lived Experience Group.

Members help shape and guide the research and work alongside the project team to make genomic health services fairer and more culturally safe.

  • Bring lived experience and community priorities into the research
  • Help guide practical and culturally safe approaches
  • Work alongside the Diagnosis4All project team
Please note: Places are limited, and submitting an expression of interest does not guarantee a place.
Healthcare professionals

Community of Practice

Healthcare professionals across New South Wales who support people with rare or undiagnosed conditions are invited to register their interest in the free online monthly Community of Practice.

The group is designed for professionals who are not genomic specialists and want to build knowledge, confidence and connections in culturally safe genomic care.

  • Free online monthly learning community
  • Designed for non-genomic specialists across NSW
  • Build practical knowledge, confidence and connections