CALHN: Proposed changes to organisational structures 

Central Adelaide Local Health Network (CALHN) has released proposals for change to its organisational leadership and management for consultation. Click here to read paperClick here for CALHN FAQs. 

The ANMF (SA Branch) received advice regarding the proposals for the first time on Tuesday 2 April at 6pm on an embargoed (confidential and unable to be released) basis that only permitted us to distribute and comment on it after 12 noon today (3 April).  We will meet with CALHN and their advisors at 5 pm today and seek further information in that discussion.

However, on first reading, the proposals reshape operational program areas of the organisation and appear to significantly reduce the number and influence of nursing and medical heads of services.

At a time in which more is being asked of nursing leadership in terms of managing the quality and efficiency of patient care, the number of nursing directors is proposed to be halved.  This will in turn impact on the level of support available to NUMs and clinical nursing roles.

Leadership of the new program areas will be vested in a Manager of Clinical Program Delivery – with both nursing and medical roles reporting operationally to this new and apparently bureaucratic role. Again, at a time where clinical leadership is critical, for CALHN to be weakening the role of clinicians of all kinds is hard to understand.

The proposed new program areas are little better than the current massive divisional superstructures in place. We believe that program areas or operational units should have some common purpose, skills and practice orientation. There is little in common in many of the new groupings.

Operating theatres and ICU for example have little that bind their interests in medical or nursing practice or any other aspect of patient care. The extraction of cardiac and cancer services into discrete units is welcome – but why stop there and leave behind surgical and medical specialties grouped together but with little in common and huge operational spans.

The ANMF (SA Branch) is seeking feedback from members regarding these proposals over the coming two weeks to enable us to respond to them on your behalf.

Please forward your comments to Annabelle Randell at by close of business on 18 April 2019.

We will also be meeting with members who would appear to be displaced by the proposals to ensure their rights and entitlements are protected.

Comment on this

2 thoughts on "CALHN: Proposed changes to organisational structures "

  1. Cathy says:

    I like the new proposal. I think it is clear, sensible, and promotes working together instead of working in silos. At the end of the day, we need to save money, We can save this by cutting back on clinical nurses, or we can save it by redesigning the role of leadership. If we are truly ‘ in this together’ then leadership positions also have to be cut back.

  2. Nam says:

    I totally agree with Cathy, unnecessary bureaucracy in Nursing Profession is unsustainable,too many leadership roles and duplication,we should be honest and open Re: this issue

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