Teleoncology models have been established as safe, cost effective and acceptable way of enhancing rural and regional access to cancer care closer to home. They enable clinical consultations, delivery of chemotherapy under direct supervision (Tele-chemotherapy) and recently conduct of clinical trials (Tele-trials).1,2 By shifting specialist services to rural and regional areas, these models enhance rural and regional service delivery capabilities. All levels of governments have made significant investments to embed telehealth/teleoncology as routine practice. While uptake has exponentially increased over the last 5 years, we as a country could do better given that the disparity in access and outcome for rural, regional and Indigenous patients remain wide. At local level, frontline clinicians and managers need to use implementation science principles to ensure all aspects of implementation including stakeholder engagement are covered. At management levels, appropriate key performance indictors need to be applied for accountability and adequate resources need to be allocated for sustainability.3 Clinicians and clinical managers may gain extra confidence to navigate the health systems by familiarizing themselves with negotiation skills and “clinician levers”.