An update on the College’s workforce advocacy

There is a critical and chronic psychiatry workforce shortage across both Australia and Aotearoa New Zealand. Too many people can’t access the care they need, and it negatively impacts the quality of their treatment. This is a long-standing issue that is impacting individual jurisdictions differently. In some jurisdictions, there are not enough training places to train the future workforce, while in others, retention is the biggest challenge. 

While factors contributing to workforce shortages are not the same across Australia and Aotearoa New Zealand, the fundamental issues are similar everywhere. Concerns include severe workforce shortages, a rising demand for care, and the impact of cost-of-living pressures which leave many without the support they urgently need. 

College advocacy and messaging 

Advocacy is central to the College’s purpose. As outlined in the 2022-2025 Strategic Plan, our purpose is to support our members, advance psychiatry and advocate for the best mental health outcomes for our communities. 

Workforce is a key pillar of the College’s advocacy efforts. Our strategy involves clearly defining the problem, aligning jurisdictions, creating a strong coherent narrative, and developing clearer solutions and identifying more policy-levers. It is determined collaboratively by working with Branches, committees and stakeholders to develop specific government asks, and short, medium and long-term objectivesWhile the approach may evolve over time, it remains grounded in our strategic framework. 

At the Australian Federal level, the College has consistently maintained that the National Mental Health Workforce Strategy 2022-2032 needs to be enacted, and that we need Federal leadership to attract, train and retain a sustainable workforce to support the state-based services. This was the cornerstone of our Federal pre-Budget submissions in both 2024–25 and 2025–26. 

Similarly in Aotearoa New Zealand, focusing our solutions and proposed investments under the pillars of ‘attract, train, retain, the College developed the Psychiatry Workforce Training Pipeline report last year, in collaboration with Te Whatu Ora │Health New Zealand. 

Current jurisdictional positions 

Across the College, all Branches have been advocating to, and often successfully collaborating with, their respective governments to identify and address the particular factors contributing to workforce challenges in their jurisdiction 

The New South Wales workforce shortage was identified as a critical issue in 2022 with a specific advocacy document developed to support discussions with Government. Through the current crisis, our messaging has focused on ensuring the workforce shortages are rightly understood as a patient safety and public health crisis. We have been advocating for members working in an under-resourced system while emphasising the wider impact of these shortages on the people seeking mental health care.  

The introduction of the mental health levy in Queensland has ring-fenced funding for mental health services in the state. The Branch is advocating to the Government for greater transparency on the allocation of this funding and a comprehensive workforce gap analysis.   

In South Australia, the Branch was closely involved in the development of the SA Psychiatry Workforce Plan, which was funded by the Government and is pending release.  

The Tasmanian Branch is working closely to advocate for the continued funding of federally funded training posts. The loss of these positions represents the most significant threat to the state’s mental health system. 

As a result of the collaboration between the Victorian Branch and the Government, psychiatry training positions in the state have tripled since COVID-19. The Branch is now focused on funding for the Victorian Psychiatrist Leadership Development Framework and for Director of Advanced Training positions. 

In Western Australia, the Government and the Branch have signed a Statement of Intent to formalise our collaboration on solutions to the psychiatry workforce shortage. An implementation framework is being developed in consultation with the Office of the Chief Medical Officer 

The smaller jurisdictions face unique challenges, particularly with retention, due to a limited capacity for psychiatrists to subspecialise. The ACT Branch is working with the Government on improving working conditions for staff specialists and trainees to reduce the vacancy rate (currently 25%). And in the Northern Territory, our advocacy is primarily focussed on community mental health services, as the training system is relatively robust 

The College is finalising our election platform ahead of the 2025 Australian federal electionWe’ll continue to call on all political parties to take proactive steps to address the psychiatry workforce shortages, and to support the struggling workforce by funding and implementing existing strategies. 

To learn more about the College’s media and advocacy work, contact media@ranzcp.org 

 

Graphic-Stripes

More news & views