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Evaluation of
three Better
Skills Best Care
pilot projects
Department of Health
Victoria
November 2011
Department of Health Victoria
PwC
i
Contents
Executive summary
1
1
Background
9
2
Project method
10
3
Bendigo Health – Health Service Assistant
15
4
Austin Health – Health Assistant (Nursing)
35
5
Lorne Community Hospital – Nurse X-ray project
55
6
Lessons learned
79
Appendix A Data sources
85
Appendix B Consultation list
87
Appendix C Austin Nursing Consultations
89
The information, statements, statistics and commentary contained in this report have been prepared by PwC
from material provided by the pilot sites and stakeholders interviewed between April and July 2011. PwC
may at its absolute discretion, but without being under any obligation to do so, update, amend or
supplement this document.
PwC does not express an opinion as to the accuracy or completeness of the information provided, the
assumptions made by the parties that provided the information or any conclusion by those parties. PwC
disclaims any liability arising from actions taken in response to this report. PwC disclaims any liability for
any investment or strategic decisions made as a consequence of information contained in this report. PwC,
it’s employees and any persons associated with the preparation of the enclosed documents are in no way
responsible for any errors or omissions in the enclosed document resulting from any inaccuracy, mis-
description or incompleteness or the information provided or from assumptions made or opinions reached
by the parties that provided information.
Department of Health Victoria
PwC
1
Executive summary
Background and objectives of the evaluation
The Victorian workforce reform approach is designed to address health workforce supply and distribution by
identifying, supporting and trialling ways to improve the utilisation of the workforce through workforce redesign and
reform. From 2005-2011, Victoria's Better Skills Best Care (BSBC) strategy explored and trialled innovations that
sought to improve workforce capacity and utilisation and the sustainability of service delivery while maintaining and
improving quality of outcomes, efficiency and worker satisfaction. BSBC’s key objective was to ensure that
the right
people with the right skills are in the right place at the right time to deliver quality care to patients
. Two areas of
particular interest to the department over the course of BSBC have been models that utilise extended skills in
nursing and allied health as well as building an assistant workforce.
A key program of work under BSBC has been the Workforce Innovation Grant Program (WIGP). In 2008-09, the
WIGP funded 22 innovative pilot and research projects in locations across Victoria. The projects were selected to test
innovation at the local level but also had state wide applicability.
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