Pulse check on public health exposes widespread woes
The State of the Health Sector 2025 report lays bare widespread concerns among Victorian hospitals, aged care facilities, community health services, bush nursing centres and other publicly funded healthcare organisations.
The Victorian Healthcare Association measured sentiment across the sector for the first time, surveying 69 of 193 services within the state's 12 newly established local health networks.
In total, just over one in four health services surveyed suggested their current funding level was sufficient to support the implementation of the plan.
Nine out of 10 said funding was a "major challenge" for their organisation and 86 per cent reported workforce as a "significant concern".
More than 80 per cent were operating at capacity, with just under a third able to comfortably offer all healthcare services their communities needed.
Almost two out of three had not upgraded equipment or infrastructure as a response to funding challenges.
"This includes deferring workforce development initiatives (30 per cent of regional and rural healthcare organisations) and delaying infrastructure and equipment replacements (50 per cent), and upgrades (62 per cent)," the report said.
Workforce growth was "unlikely" to be fast enough to cope with demand driven by chronic disease, an ageing population and changing community demographics, the report said.
"The demand for our services has increased while our ability to attract and pay appropriate salaries for staff has decreased," one regional respondent said.
Some 63 per cent reported meeting service demand had become more difficult over the past 12 months, although 73 per cent were still actively looking into expanding their service to cater to community needs.
One metropolitan respondent said there was a "disconnect" between what the community wanted and what funding allowed services to provide.
"Funding is short term in nature and if renewed this is communicated either very close to contract expiration or post contract expiration," another metropolitan respondent said.
"Indexation is insufficient to cover cost increases and is advised and provided well after the new financial year."
The association's chief executive Leigh Clarke said the sector was facing a pivotal moment of transformation and the issues of rising cost of living, an ageing population and increasing chronic disease were not unique to Victoria.
"They are occurring right across the country and will require shared solutions between both the federal and Victorian government," she said.
The survey was conducted in early 2025 before the May state budget, which set aside $31 billion in health spending after the Allan Labor government rejected expert advice in 2024 to forcible merge health services in favour of the local networks plan.
In response to the peak body's report, the Victorian government pointed to the budget earmarking an extra $9.3 billion for hospitals and new funding for urgent care, pharmacies and virtual care.
"We're investing in our world-class health system and backing our frontline health workers - so Victorians get the care they need, when and where they need it," a government spokesman said.
Hashtags
Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles
The Advertiser
2 days ago
- The Advertiser
'Doesn't bring her back': death in custody preventable
An Aboriginal woman's newborn baby was ripped from her arms soon after giving birth while in prison. But Heather Calgaret was not given any mental health support after this traumatic event. Over the next two years behind bars, the mother-of-four became obese, developed type 2 diabetes and suffered depression before being denied parole. She died in custody in November 2021 after given an inappropriately prescribed injectable opioid substitution. Countless missed opportunities to prevent the 30-year-old's death in custody were outlined by a coroner on Monday, as her family and supporters filled the courtroom. "Not only was her passing preventable, she should never have passed in the manner that she did," Victorian coroner Sarah Gebert said as she delivered a 300-page finding. The proud Yamatji, Noongar, Wongi and Pitjantjatjara woman had been six months' pregnant when she arrived at Dame Phyllis Frost women's prison in July 2019. The removal of her baby girl just after giving birth, because she had been denied access to the prison's Living with Mum program, was a "pivotal" moment, the coroner found. "Heather had her other children removed ... and her family had been affected by the Stolen Generation," Ms Gebert said. "Each of these factors would be expected to produce a range of both trauma-related symptoms and feelings of despair." Ms Calgaret was not given access to a psychologist while at Dame Phyllis and her mental health declined. About six months before her death, Ms Calgaret pleaded in a letter to be released on parole. She explained the See Change program she was required to complete was not available at Dame Phyllis and asked to do it outside prison. "I have four children that need me. I believe I have suffered enough," Ms Calgaret wrote in the letter. She begged for someone to "please read and answer my letter", but it was never forwarded onto the parole board. The coroner said Ms Calgaret had been eligible to be considered for parole more than a year earlier, about seven months after her sentence for aggravated burglary was imposed. It wasn't until October 2021 - a month before she died - that she was told her parole application had been denied because of a lack of suitable accommodation. On November 22, a doctor gave her a dosage of opiate replacement therapy that was too high for her tolerance level. Ms Calgaret's sister Suzzane, who was housed with her at the prison, found her struggling to breathe the following morning. She shook Ms Calgaret to let her know it was time for the daily count, but her younger sister was not moving. A "code black" was called and she was taken to hospital where she died four days later. The Correct Care Australasia doctor had "lacked the careful consideration required" to prescribe the injectable drug, the coroner said. She found Ms Calgaret would not have died if she had not been given the drug, or if she had been supervised afterwards. Suzzane Calgaret welcomed the findings but said it should not have taken her sister's death for changes to be made. "I hope they just have learned from this because it's taken my sister's life, my mum's daughter's life," she said outside court. "There's a reason now for her passing and that reason has been justified by the outcome, but it doesn't bring her back." Ms Gebert issued 16 recommendations, including monitoring women who give birth in custody for post-natal mental health treatment. She encouraged Justice Health to work with the government and stakeholders to improve the psychological services available at the prison and their care of inmates with chronic health issues. Ms Gebert said the parole application process should be reviewed to ensure it does not undermine the integrity of prison sentencing. 13YARN 13 92 76 Lifeline 13 11 14 An Aboriginal woman's newborn baby was ripped from her arms soon after giving birth while in prison. But Heather Calgaret was not given any mental health support after this traumatic event. Over the next two years behind bars, the mother-of-four became obese, developed type 2 diabetes and suffered depression before being denied parole. She died in custody in November 2021 after given an inappropriately prescribed injectable opioid substitution. Countless missed opportunities to prevent the 30-year-old's death in custody were outlined by a coroner on Monday, as her family and supporters filled the courtroom. "Not only was her passing preventable, she should never have passed in the manner that she did," Victorian coroner Sarah Gebert said as she delivered a 300-page finding. The proud Yamatji, Noongar, Wongi and Pitjantjatjara woman had been six months' pregnant when she arrived at Dame Phyllis Frost women's prison in July 2019. The removal of her baby girl just after giving birth, because she had been denied access to the prison's Living with Mum program, was a "pivotal" moment, the coroner found. "Heather had her other children removed ... and her family had been affected by the Stolen Generation," Ms Gebert said. "Each of these factors would be expected to produce a range of both trauma-related symptoms and feelings of despair." Ms Calgaret was not given access to a psychologist while at Dame Phyllis and her mental health declined. About six months before her death, Ms Calgaret pleaded in a letter to be released on parole. She explained the See Change program she was required to complete was not available at Dame Phyllis and asked to do it outside prison. "I have four children that need me. I believe I have suffered enough," Ms Calgaret wrote in the letter. She begged for someone to "please read and answer my letter", but it was never forwarded onto the parole board. The coroner said Ms Calgaret had been eligible to be considered for parole more than a year earlier, about seven months after her sentence for aggravated burglary was imposed. It wasn't until October 2021 - a month before she died - that she was told her parole application had been denied because of a lack of suitable accommodation. On November 22, a doctor gave her a dosage of opiate replacement therapy that was too high for her tolerance level. Ms Calgaret's sister Suzzane, who was housed with her at the prison, found her struggling to breathe the following morning. She shook Ms Calgaret to let her know it was time for the daily count, but her younger sister was not moving. A "code black" was called and she was taken to hospital where she died four days later. The Correct Care Australasia doctor had "lacked the careful consideration required" to prescribe the injectable drug, the coroner said. She found Ms Calgaret would not have died if she had not been given the drug, or if she had been supervised afterwards. Suzzane Calgaret welcomed the findings but said it should not have taken her sister's death for changes to be made. "I hope they just have learned from this because it's taken my sister's life, my mum's daughter's life," she said outside court. "There's a reason now for her passing and that reason has been justified by the outcome, but it doesn't bring her back." Ms Gebert issued 16 recommendations, including monitoring women who give birth in custody for post-natal mental health treatment. She encouraged Justice Health to work with the government and stakeholders to improve the psychological services available at the prison and their care of inmates with chronic health issues. Ms Gebert said the parole application process should be reviewed to ensure it does not undermine the integrity of prison sentencing. 13YARN 13 92 76 Lifeline 13 11 14 An Aboriginal woman's newborn baby was ripped from her arms soon after giving birth while in prison. But Heather Calgaret was not given any mental health support after this traumatic event. Over the next two years behind bars, the mother-of-four became obese, developed type 2 diabetes and suffered depression before being denied parole. She died in custody in November 2021 after given an inappropriately prescribed injectable opioid substitution. Countless missed opportunities to prevent the 30-year-old's death in custody were outlined by a coroner on Monday, as her family and supporters filled the courtroom. "Not only was her passing preventable, she should never have passed in the manner that she did," Victorian coroner Sarah Gebert said as she delivered a 300-page finding. The proud Yamatji, Noongar, Wongi and Pitjantjatjara woman had been six months' pregnant when she arrived at Dame Phyllis Frost women's prison in July 2019. The removal of her baby girl just after giving birth, because she had been denied access to the prison's Living with Mum program, was a "pivotal" moment, the coroner found. "Heather had her other children removed ... and her family had been affected by the Stolen Generation," Ms Gebert said. "Each of these factors would be expected to produce a range of both trauma-related symptoms and feelings of despair." Ms Calgaret was not given access to a psychologist while at Dame Phyllis and her mental health declined. About six months before her death, Ms Calgaret pleaded in a letter to be released on parole. She explained the See Change program she was required to complete was not available at Dame Phyllis and asked to do it outside prison. "I have four children that need me. I believe I have suffered enough," Ms Calgaret wrote in the letter. She begged for someone to "please read and answer my letter", but it was never forwarded onto the parole board. The coroner said Ms Calgaret had been eligible to be considered for parole more than a year earlier, about seven months after her sentence for aggravated burglary was imposed. It wasn't until October 2021 - a month before she died - that she was told her parole application had been denied because of a lack of suitable accommodation. On November 22, a doctor gave her a dosage of opiate replacement therapy that was too high for her tolerance level. Ms Calgaret's sister Suzzane, who was housed with her at the prison, found her struggling to breathe the following morning. She shook Ms Calgaret to let her know it was time for the daily count, but her younger sister was not moving. A "code black" was called and she was taken to hospital where she died four days later. The Correct Care Australasia doctor had "lacked the careful consideration required" to prescribe the injectable drug, the coroner said. She found Ms Calgaret would not have died if she had not been given the drug, or if she had been supervised afterwards. Suzzane Calgaret welcomed the findings but said it should not have taken her sister's death for changes to be made. "I hope they just have learned from this because it's taken my sister's life, my mum's daughter's life," she said outside court. "There's a reason now for her passing and that reason has been justified by the outcome, but it doesn't bring her back." Ms Gebert issued 16 recommendations, including monitoring women who give birth in custody for post-natal mental health treatment. She encouraged Justice Health to work with the government and stakeholders to improve the psychological services available at the prison and their care of inmates with chronic health issues. Ms Gebert said the parole application process should be reviewed to ensure it does not undermine the integrity of prison sentencing. 13YARN 13 92 76 Lifeline 13 11 14 An Aboriginal woman's newborn baby was ripped from her arms soon after giving birth while in prison. But Heather Calgaret was not given any mental health support after this traumatic event. Over the next two years behind bars, the mother-of-four became obese, developed type 2 diabetes and suffered depression before being denied parole. She died in custody in November 2021 after given an inappropriately prescribed injectable opioid substitution. Countless missed opportunities to prevent the 30-year-old's death in custody were outlined by a coroner on Monday, as her family and supporters filled the courtroom. "Not only was her passing preventable, she should never have passed in the manner that she did," Victorian coroner Sarah Gebert said as she delivered a 300-page finding. The proud Yamatji, Noongar, Wongi and Pitjantjatjara woman had been six months' pregnant when she arrived at Dame Phyllis Frost women's prison in July 2019. The removal of her baby girl just after giving birth, because she had been denied access to the prison's Living with Mum program, was a "pivotal" moment, the coroner found. "Heather had her other children removed ... and her family had been affected by the Stolen Generation," Ms Gebert said. "Each of these factors would be expected to produce a range of both trauma-related symptoms and feelings of despair." Ms Calgaret was not given access to a psychologist while at Dame Phyllis and her mental health declined. About six months before her death, Ms Calgaret pleaded in a letter to be released on parole. She explained the See Change program she was required to complete was not available at Dame Phyllis and asked to do it outside prison. "I have four children that need me. I believe I have suffered enough," Ms Calgaret wrote in the letter. She begged for someone to "please read and answer my letter", but it was never forwarded onto the parole board. The coroner said Ms Calgaret had been eligible to be considered for parole more than a year earlier, about seven months after her sentence for aggravated burglary was imposed. It wasn't until October 2021 - a month before she died - that she was told her parole application had been denied because of a lack of suitable accommodation. On November 22, a doctor gave her a dosage of opiate replacement therapy that was too high for her tolerance level. Ms Calgaret's sister Suzzane, who was housed with her at the prison, found her struggling to breathe the following morning. She shook Ms Calgaret to let her know it was time for the daily count, but her younger sister was not moving. A "code black" was called and she was taken to hospital where she died four days later. The Correct Care Australasia doctor had "lacked the careful consideration required" to prescribe the injectable drug, the coroner said. She found Ms Calgaret would not have died if she had not been given the drug, or if she had been supervised afterwards. Suzzane Calgaret welcomed the findings but said it should not have taken her sister's death for changes to be made. "I hope they just have learned from this because it's taken my sister's life, my mum's daughter's life," she said outside court. "There's a reason now for her passing and that reason has been justified by the outcome, but it doesn't bring her back." Ms Gebert issued 16 recommendations, including monitoring women who give birth in custody for post-natal mental health treatment. She encouraged Justice Health to work with the government and stakeholders to improve the psychological services available at the prison and their care of inmates with chronic health issues. Ms Gebert said the parole application process should be reviewed to ensure it does not undermine the integrity of prison sentencing. 13YARN 13 92 76 Lifeline 13 11 14
Sydney Morning Herald
2 days ago
- Sydney Morning Herald
An Indigenous woman's baby was taken from her. It was a ‘pivotal moment' before she died in prison
Aboriginal and Torres Strait Islander readers are warned that the following article contains images and names of deceased people. An Indigenous woman's newborn had been taken from her, she had been denied parole and then a doctor prescribed her a high dose of synthetic opiates leading to her death. Heather Calgaret's death in custody was preventable and her health in prison had deteriorated from the moment her baby was removed from her at birth, a coroner found on Monday. 'Not only was her passing preventable, she should never have passed in the manner that she did,' Victorian Coroner Sarah Gebert said as she delivered a 300-page finding following an inquest. The 30-year-old Yamatji, Noongar, Wongi and Pitjantjatjara woman had been six months pregnant when she arrived at Dame Phyllis Frost women's prison, in Melbourne's outer west, in July 2019. The removal of her daughter – which Calgaret had described as 'hell' – was a pivotal moment in her overall health decline while in custody, Gebert found. She experienced depression, grief, shame and trauma from the child's removal and separation from her three other children, became obese and was diagnosed with diabetes over her next two years in prison. Calgaret pleaded to be released on parole about six months before her death, writing a letter expressing frustration as one of her parole conditions was to complete a program that was not available. 'I have been told I need to complete the See Change program to complete parole. Dame Phyllis Frost is not running it,' she wrote, as she asked to be permitted to complete the program outside prison.
Sydney Morning Herald
2 days ago
- Sydney Morning Herald
Making the hospo industry safer: Good Food calls for Cultural Change Champion nominees
At last year's Good Food Guide Awards, we introduced the Cultural Change Champion to shine a light on those making the Australian hospitality industry a better place to work. The award came about after investigations by this masthead revealed the workplace culture of a number of Australia's hospitality businesses were putting women at risk, with allegations of sexual assault, harassment, drug use and misogyny. Further investigations this year has revealed more claims. The Cultural Change Champion award, presented by The Age and Sydney Morning Herald Good Food Guides in October 2025, allows Good Food to highlight the exceptional Victorian, NSW and ACT business operators, organisations, not-for-profits, voluntary groups and networks transforming the industry. Last year's Victoria winner was former hospitality worker Jamie Bucirde, who was behind the Instagram account Not So Hospitable. It sparked a nationwide reckoning and brought the systemic, largely sidelined issue to the surface. She consolidated her findings into an academic report with the University of Melbourne to galvanise the movement into meaningful change.
