This report presents the ‘current state’ of the Australian Cancer Database (ACD), and identifies and presents approaches for the continued development and enhancement of the database towards the defined ‘goal state’. To ensure that the ACD continues to supply national, responsive, policy-relevant cancer incidence, prevalence, survival and mortality data, the AIHW, with the support and cooperation of state and territory cancer registries, examined all governance arrangements and end-to-end data processes that affect the quality and currency of the ACD. The goal state for the collection is defined, specific points of influence identified, and potential next steps towards achieving the goal state are presented as points for consideration and discussion among ACD stakeholders and contributors.