Acute Care Specialists Exodus

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Sydney, Nov 15: In a significant shift within Australia’s healthcare landscape, a wave of acute care specialists is leaving intensive care units (ICUs) and emergency rooms (ERs) for the aged care sector, drawn by substantial pay rises of up to $20,000.
This exodus, triggered by a 15 percent salary increase for aged care workers on July 1, is raising alarms among healthcare recruitment experts, who warn of a potential severe shortage of medical expertise in critical care units.
Cameron Fancourt, Director of Zonda Group, a leading healthcare recruitment agency, describes this phenomenon as a “seismic shift” that could have profound implications for the nation’s healthcare system.
While acknowledging the overdue salary boost for aged care workers, Fancourt emphasizes the urgent need for a coordinated national strategy to address the emerging challenges and safeguard the integrity of both the aged care and acute care sectors.
According to a survey by the Australasian College of Emergency Medicine, there is already a serious shortfall of staffing in emergency departments, with national averages of 28 percent for specialist trainee roles and 30 percent for junior medical officers.
Fancourt argues that a strategic approach is essential to ensure optimal patient care across the healthcare system.
Treasurer Jim Chalmers defended the aged care pay rises, stating they were an “investment” to meet the growing demands of the sector.
However, unions are pushing for an additional 10 percent on top of the 15 percent pay rise already granted.
Fancourt suggests that, with overtime and shift loading, the pay rises could effectively be double the initially reported amounts.

Cameron Fancourt
Cameron Fancourt.

“Aged care plays an essential role in our healthcare system, but we must ensure that the expertise and experience built in acute care are not lost,” Fancourt said.
He advocates for a delicate balance between financial incentives and the critical need for specialized skills in emergency and intensive care units.
Fancourt proposes a comprehensive national policy to address the challenges, including measures to retain expertise within the acute care sector through competitive salary packages, improved working conditions, and professional development opportunities.
Additionally, he emphasizes the importance of outlining mechanisms for healthcare professionals transitioning to aged care to maintain their skills through mandatory training or re-certification programs.
Highlighting the potential long-term consequences, Fancourt warns acute care specialists that leaving ICUs and ERs for an extended period may make it difficult for them to return, as their medical knowledge and practical skills could become outdated.
He calls for collaboration between policymakers, healthcare providers, professional associations, unions, and other stakeholders to ensure a policy that addresses the concerns and needs of all parties involved.
Fancourt stresses the need for education and awareness initiatives to inform healthcare professionals about the implications of switching from acute care to aged care.
He concludes, “This exodus highlights the need for a comprehensive strategy that not only acknowledges the dedication of aged care workers but also ensures that our acute care units remain well-equipped with the specialized skills necessary for saving lives.”

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