My recent research into Victoria’s public hospital CEOs reveals a leadership challenge that speaks to anyone leading in complex, high-stakes environments.
The Commitment Is Extraordinary
Over the last few months, I’ve been listening to Victoria’s public hospital CEOs share what it’s really like to lead in one of healthcare’s most demanding environments.
What I discovered was both inspiring and concerning.
These CEOs are deeply committed to their purpose. One told me with emotion that gave me goosebumps:
No other job would allow me to be part of something so special.
The Reality Is Unsustainable
But beneath that commitment lies an unsustainable reality:
- My research indicates a concerning trend in CEOs signalling intentions to depart earlier than previously planned
- 53% of CEOs say LHSN reforms are already affecting their core performance and strategic priorities
- New CEOs are often left to “figure out what’s needed” with minimal support
- The leadership pipeline is fragmented, with directors unprepared for the next level
The Costs Are Widespread
The cost isn’t just personal. When experienced leaders leave earlier than planned, the effects are felt across patient care, staff stability, organisational memory and overall performance.
As one CEO said:
You lose momentum. You lose organisational memory. You slow down your ability to grow.
I believe this matters well beyond healthcare. Any leader navigating complex environments should be paying attention to what’s happening in this sector.
New Insights For Sustainable Leadership
In The CEO Experience research, I’ve identified five persistent tensions facing these leaders—and what might actually help them lead effectively and sustainably for the long term. Plus, I’ve gathered new 2025 data on how Local Health Service Networks (LHSNs) are affecting workload, performance and retention across metro, regional and rural hospitals.
Catch up on the recording of this 45-minute session where I share key findings and practical insights on leadership in complex systems. You’ll also receive the full report with deeper insights. Sign up now to access the recording and report.
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