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Wednesday, January 22, 2025

Canberra Liberals: ACT Health’s ‘absolute horror story’

A survey of ACT Healthโ€™s Digital Solutions Division (DSD), released as a result of the Ombudsman overturning an ACT Health Directorate Freedom of Information decision, reveals an absolute horror story, the Canberra Liberals claim.

Shadow Health Minister Leanne Castley said survey findings and negative feedback, which until now were redacted, tell a story of individuals whose commitment and passion for their job has been dashed by a dysfunctional workplace culture.

โ€œThis is a familiar story in the ACT public health system, but with DSD, even though there is much that is good, whatโ€™s bad is harrowing,โ€ Ms Castley said.

โ€œThe survey found clear, consistent concerns about communication, workload, planning, organisational structure, people and performance management, induction, training, morale, and adherence to employer/employee obligations.

โ€œThere were criticisms about poor project planning, last-minute changes, poor people management, unfair recruitment practices, lack of trust in leadership, and a culture of humiliation and intimidation.

โ€œThere were consistent complaints about unrealistic and unsustainable management expectations impacting work quality and staff health and wellbeing, of staff burning out and at breaking point and being treated poorly.

โ€œThere was feedback about many instances of staff in tears, many outbursts by analysts, intolerance of mistakes, staff reporting nightmares before meetings, worrying about the choice of every word, and โ€˜acting outโ€™ due to the stress.

โ€œThe Health Minister [Rachel Stephen-Smith] should now heed the Ombudsmanโ€™s view that this frank feedback could have a positive effect on future engagement, if the issues raised are acted upon, rather than being swept under the carpet.โ€

Ms Castley said the survey also showed the impact the dysfunctional DSD workplace had on the roll-out of the Digital Health Record (DHR).

โ€œThere was a common perception that the workload relating to rolling out the DHR was too high and the impact on people unacceptable, and some staff voiced concern that workloads would not reduce to a reasonable BAU [Business As Usual].

โ€œThere was feedback about the unsustainable pressure from DHR increasing risk of mental health problems and burn out.

โ€œComments also included no access to needed systems, no analysis of clinical behaviour to inform new systems, poor approaches to getting information, and dealing with a lot of changes to records management systems all at once.

โ€œThere was a strong perception that the recruitment process for transition to โ€˜post DHR roll-outโ€™ had created anxiety, fear, and mistrust, with staff worrying about their futures and the fairness of processes to fill positions.

โ€œContrary to the Health Ministerโ€™s spin, the picture of DHR which emerges from this survey is of a chaotically managed project, where there has been poor communication and a divide between staff and the executive.โ€

Ms Castley said she had referred this staff survey to the Auditor-General, who is contemplating an audit into the DHR.

โ€œThe argument for an audit of the DHR rollout is now undisputable,โ€ Ms Castley concluded.

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