More consultants with less contact with staff

Monday 09 Dec 2013

Members employed in Mental Health services have been subjected to ongoing reviews and restructures in recent years.  South Metropolitan has not yet finalised its change to programme management but its review is now being reviewed.

One of the terms of reference for the new review by Ernst and Young is to:

  • Consult with Consultants who have recently completed or are currently undertaking reviews for WA health services and take into consideration the findings of these reviews.

As part of the implementation of the Stokes Review Recommendation 1.7, the Office of Mental Health has commissioned a review of mental health management structures across WA Health.

We hear that some of the meetings with the consultants have been rushed and there is the feeling that the consultation process was window dressing.

The review by Ernst and Young has so far not stopped the implementation of programme management in South Metro, which is proceeding even though that review is not yet concluded.

All of this appears to be part of the last minute rush to finish a Mental Health Clinical Services Plan and make some belated attempts at meeting some of the recommendations in the Stokes Report.

Ernst and Young has been appointed to undertake the review with the following scope:

  • Review current mental health service management and governance structures (including clinical, corporate, information management and teaching, training and research functions) across WA Health Services (HS).
  • Consult with OMH, Mental Health Service Executive Directors, HS Chief Executives and other relevant departmental staff to obtain information about management structures in each HS.
  • Map existing management structures and positions against key principles and objectives aligned to reform and service management requirements, including roles and responsibilities.
  • Identify and analyse the cost structure of mental health services and service delivery including contracts.
  • Identify system efficiencies and opportunities for re-investment in key reform initiatives and clinical service areas of need.
  • Develop new management structure options, which should include detailed information on positions, reporting lines, and roles and responsibilities.
  • Develop a management structure that reflects the public mental health system of the future and supports the reform of public mental health services in line with the Stokes Review, the Mental Health Commission's Mental Health 2020: Making it personal and everybody's business and the activity-based funding/management resource model for mental health services activity.
  • Consult with Consultants who have recently completed or are currently undertaking reviews for WA health services and take into consideration the findings of these reviews.

The review has commenced this week with an expected completion date of January 2014.

 A Steering Committee has been formed to provide direction and input on the review. The Committee will be comprised of the A/DG, CEs and other stakeholders (yet to be confirmed). 


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