Prompting health employers to focus on culture, compliance and incident response

Australia’s workforce reforms

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  • May 17, 2024

Australia’s workforce reforms present a huge opportunity to transform the working lives of employees in the health and aged care sector – and a positive ripple effect should also be felt in the communities they serve. In this article, we explain how leaders’ responses to the reforms can elevate organisational capability, fairness, inclusion, and transparency.

Rohan Geddes

Rohan Geddes

Partner, Workforce, PwC Australia

Tara Sarathy

Tara Sarathy

Director, Workforce Culture & Change, PwC Australia

Nicola Lynch

Nicola Lynch

Health & Education Industry Leader, PwC Australia

Australia’s flurry of workforce reforms undeniably presents challenges for employers in the health and aged care sector, but they also present opportunities. Heightened compliance may increase costs as well as business and personal risks for directors and management. But there are ways to mitigate these downsides and achieve substantial upsides too.

A strategic response from leaders can help manage risks while delivering benefits that could be felt for years to come – not only by staff but also by the people in their care. By considering culture, compliance, and incident response, employers can put themselves on a path to complying with myriad legislative, judicial, and regulatory changes. Along the way, they can elevate organisational capability, fairness, inclusion, and transparency – and make themselves a magnet for top talent. 

In this article, we briefly highlight some notable workforce reforms and then outline a methodology for organisations to rise to current and future regulations.

Major reforms in summary

The federal government has introduced a raft of changes which significantly expand employers' obligations to consider the welfare of employees and provide more rights to employees.

In the area of payroll and remuneration, some of the notable changes for health and aged care employers include: 

  • Criminalising wage theft, and increasing civil penalties to as high as three times the wage underpayment (Closing Loopholes No 2 Act)

  • Requiring employers to publicise their gender pay gap and their strategies to reduce it (Closing the Gender Pay Gap Act)

  • Requiring the Fair Work Commission to consider gender equality in annual wage reviews (Secure Jobs Better Pay Act).
28.5%

Aged Care workers receive pay rise of up to 28.5%

Fair Work Commission FWCFB 150 [2024]

Another major reform addresses sexual harassment, a notable area of risk in health and aged care industries due to:

  • a high level of contact with third parties (i.e. patients)

  • typically hierarchical workplace structures

  • the prevalence of casual staff and/or workers being on short-term contracts

  • a gender imbalance across the workforce, including senior leadership

  • remote/isolated workplaces.

Employers need to go further than policies and processes that respond to individual reports as they arise. The Sex Discrimination Act now places a positive duty on all employers to prevent sexual harassment. The Australian Human Rights Commission (AHRC) has new powers to investigate and enforce compliance with this positive duty.

24%

24% of workers in the Health Care and Social Assistance industry experienced workplace sexual harassment in the past five years. Women experienced this at a higher rate (25%) than men (18%)

Time for respect: Fifth National Survey on Sexual Harassment in Australian Workplaces, AHRC 2022

Further workplace reforms at state and federal level are targeting work health and safety liabilities including psychosocial hazards. Employers are now required to:

  • identify psychosocial hazards and undertake a comprehensive risk assessment 

  • consult with their workforce

  • evaluate, and monitor the organisation’s controls.

And the reforms don’t stop there. Others which may impact health and aged care employers include:

  • preventing employers from offering fixed term contracts for more than two years in total (Secure Jobs Better Pay Act)

  • expanding rights of migrant workers (Fair Work Act, Migration Act)

  • establishing employees’ rights to disconnect outside of working hours (Closing Loopholes No 2 Act).

For employers, adapting to all these reforms may seem a daunting prospect, and the size of the tasks cannot be underestimated. But, based on our experience working with health and aged care organisations, we know it’s achievable. Furthermore, the potential benefits really are substantial. Besides better risk management and regulatory compliance, you cannot put a price on having a safe, loyal, and engaged workforce.

A strategic launchpad to embrace these new responsibilities

The regulatory changes are wide-ranging, and every organisation will vary in terms of its current state of readiness. So, leaders require a clear and objective understanding of the foundations they are building upon. Specifically, this means assessing the current workforce culture and the control systems you have in place to manage workplace risk and compliance. And, crucially, that should include a review of current incident and crisis management processes.

Leaders will struggle to introduce and maintain workplace changes without understanding their organisational culture. They need a realistic view of culture that extends from central corporate offices to all the organisation’s various locations (some of which may have their own subcultures).

A comprehensive culture review allows employers to understand their workplace culture from the perspective of their employees. The most successful cultural reviews are grounded in transparency, allowing employees to safely share their experiences and leaders communicating what changes will be made in response. Cultural reviews have the potential to improve EVP by ensuring organisational values align with employee experience and leadership priorities.

The review should provide leaders with answers to questions such as:

  • Given that culture could make or break the changes we introduce, how committed is our board and executive to our workforce culture? 

  • What behaviours are we seeking to nurture and minimise? What controls are required for us to monitor and manage these? 

  • Given how common gender/power imbalances are in health and aged care workplaces, what is the situation in our organisation/locations/departments? Do we understand the working experiences of employees of different ethnicities, gender identities, sexual orientations, etc? 

  • As well as identifying any cultural weaknesses, do we objectively know what our strengths are? What do people love about working for our organisation? Do we communicate this in our employee value proposition?

With so many reforms sweeping across the health and aged care sector, there’s a danger that leaders are pulled in too many directions, missing warning signs and/or losing sight of crucial developments. In many organisations, this could be HR’s time to shine. 

The HR department is already involved with and/or responsible for most of the issues covered in Australia’s various workforce reforms. So HR teams can take the strategic initiative, working with an organisation’s risk function to establish an ongoing enterprise-wide process to:

  • understand the organisation’s current workplace risk management capability and ensure key risks and controls and identified, well documented and understood

  • keep track of current and incoming regulatory change

  • assess the organisation’s ability to comply with new regulations, including identifying gaps and targeting future states of maturity

  • report back to management and the board on changes in risk and compliance or emerging issues, so that resources and interventions can be deployed.

     

Proactive leaders are taking a fresh look at their organisation’s current approach to capturing information, reporting incidents, and responding to them. This includes understanding exactly what plans organisations have in place if/when the worst happens.

Having the right policies and procedures in place is half the task. It’s also incredibly important to stress test these in real-life scenarios. Leaders should be able to look at flowcharts for different incidents, detailing what happens from beginning to end – including each step, permutation and person involved at each stage. These documents should be regularly revisited and refined. Reviews of incident response capabilities should also assess whether you’re recording and reporting the right things. Sexual harassment, for example, does not occur in a vacuum – other behaviours, especially bullying, often co-exist around this. Given the AHRC’s increased emphasis on prevention, it’s essential your organisation’s reporting mechanisms are capturing the warning signs of potential sexual harassment, as well as actual incidents. And the same applies to other risks, such as psychosocial hazards.

Reviewing the organisation’s responses to previous real-life incidents can be instructive. However, an absence of reported incidents is not necessarily a positive sign. It could indicate that there’s a culture where people don’t speak up.

In fact, organisations that improve their incident response systems may initially see a spike in the reporting of incidents so boards and executives need to be prepared for this in advance. Spikes in reporting may indicate that the organisation is getting better at identifying issues – and that’s an important step towards addressing them, learning from them, and preventing them in future.

A comprehensive review of an organisation’s incident and crisis management capability can help leaders to answer questions such as:

  • How safely can employees report issues? Do we need to introduce anonymous lines of reporting?

  • Do we need more tailored support mechanisms for employees during the reporting process?

  • When concerns are raised, how do we record these, respond to these, and ensure action is taken? 

  • How prepared are we to deal with an unexpected crisis? Exactly what will be our response in different scenarios, from start to finish?

0 1 C u l t u r e a nd c on t r o ls e ff ec t i v e n ess r e v iew 1 . C ondu c t a c u l t u r e r e v i e w 2 . 3 . How effective is your culture and controls system at managing workplace risk and embracing workplace reform? 0 3 Re v ie w i n ci d e n t a nd c r isis m a n a g e m e n t p r o cess 8 . 9 . 10 . R e v i e w s t a k eho l de r and c o mm u n i c a t i on p l an s 11 . C ondu c t sc ena r i o / s t r e ss t e s t i n g H o w pr e p a r e d a r e y ou t o d ea l w i t h w or k p l ac e i n c i d e n t s a nd un ex p ec t e d c r i s i s ? P r e pa r ing fo r wo r k p l a c e r i s k a n d r efo r m 0 2 W o r k p lace r isk a nd c omp lia n ce assess m e n t 4 . 5 . 6 . I den t i f y c u rr en t and t a r g e t s t a t e o f m a t u r i t y 7 . I den t i f y t he r e q u i r ed i n t e r v en t i on s How ready is your organisation to comply with the changes, and how mature are you in managing workplace risk? Review the existing control environment to assess effectiveness Identify the target behaviours and controls required Assess the enterprise-wide workplace risk and compliance landscape Conduct a gap analysis against the applicable legislation Review incident reporting and management plan Review business continuity and crisis management plans
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