During a 10-year cancer care reform agenda, considerable progress has been made in establishing multi-disciplinary teams but clinician involvement in quality improvement activities has generally remained local and not co-ordinated across the state. Greater emphasis on a state-wide approach is being supported by the program of tumour-specific Summit meetings. So far two Summits – colorectal and lung cancer – have been held, with the intention of eventually holding each Tumour Summit every 2-3 years. The program brings together the CCV Clinical Network, Department of Health and Human Services and the Victorian Integrated Cancer Services. At the Summits clinicians from across Victoria come together to discuss state-wide data on clinical practice and performance in order to identify priorities for improvement. Sufficient data are provided on management and outcomes to inform the discussion and identify potential reasons for poor patient outcomes. Much of the data presented are drawn from existing administrative data sets that have a newly established linkage key. This is the first time these data have been available to clinicians. Variation from evidence-based guidelines and between geographic areas is a focus of the presentations. The clinical discussion identifies a small number of important issues as a priority for action, with the following characteristics: clinically important and impacting on outcomes (especially survival); suitable for clinicians to address with minimal additional resources; could be addressed in the medium term (1-3 years); and progress can be monitored. The concept also is to involve clinicians in the preparation and running of the Summits, in discussion on opportunities and priorities and then also in the flow-on activities including implementation and monitoring. It was reasoned that greater clinician engagement would be achieved by this approach. It was also considered that, given the opportunity and means, that clinicians might be better equipped and motivated to drive change.