Systemic work

The Health Services Commissioner achieves systemic improvements through the management of individual complaints. Additionally, the Commissioner may conduct a commission-initiated considerations – where the Commissioner undertakes own-motion inquiries.

The Commissioner may be prompted to do so because of concerns about public health or safety, which may be informed by patterns that become evidence through individual complaints, in response to media attention in relation to a particular issue, or on referral by the Minister. Systemic investigations may sometimes result in public reports.