Strategic optimisation of the allied health assistant workforce one step at a time: first step, workforce governance
Lucy Whelan A * , Catherine Wolters




A
B
C
D
Abstract
Allied health assistants (AHAs) are a vital workforce in Australia, supporting allied health professionals (AHPs) to expand service access and progress care, ensuring workforce sustainability. Tiered models of care that include AHAs can facilitate top of scope and advanced scope work for AHPs, increasing staff satisfaction and retention. Despite the increased research interest on AHAs, barriers to maximising the potential of this workforce persist. The Victorian Department of Health recently released recommendations aimed at optimising the AHA workforce, with inadequate workforce governance recognised as a barrier. Centralising governance processes for AHAs ensures a single point of accountability and standardisation of processes, positively affecting patient safety and quality of care. To enable suitable AHA governance structures, recognition of the importance of this workforce in local and national strategies is required. However, there are few existing state-based frameworks dedicated to AHA governance, and the current draft National Allied Health Workforce Strategy does not include AHAs, which represents a missed opportunity to strengthen and grow this important element of the allied health workforce.
Keywords: allied health assistants, allied health leadership, allied health professionals, allied health workforce, Australia, governance frameworks, health care, workforce governance.
References
1 Victorian Government. Supervision and delegation framework for allied health assistants. Department of Health; 2023. Available at https://www.health.vic.gov.au/publications/supervision-and-delegation-framework-for-allied-health-assistants [accessed 2 April 2025].
2 Huglin J, Whelan L, McLean S, Greer K, Mitchell D, Downie S, Farlie MK. Exploring utilisation of the allied health assistant workforce in the Victorian health, aged care and disability sectors. BMC Health Serv Res 2021; 21(1): 1144.
| Crossref | Google Scholar | PubMed |
3 Lin I, Goodale B, Villanueva K, Spitz S. Supporting an emerging workforce: characteristics of rural and remote therapy assistants in Western Australia. Aust J Rural Health 2007; 15(5): 334-9.
| Crossref | Google Scholar | PubMed |
4 Australian Government. Unleashing the Potential of our Health Workforce – Scope of Practice Review. Department of Health and Aged Care; 2025. Available at https://www.health.gov.au/our-work/scope-of-practice-review [accessed 2 April 2025].
5 Lizarondo L, Kumar S, Hyde L, Skidmore D. Allied health assistants and what they do: A systematic review of the literature. J Multidiscip Healthc 2010; 3: 143-53.
| Crossref | Google Scholar | PubMed |
6 Australian Government. Draft National Allied Health Workforce Strategy. Department of Health and Aged Care; 2024. Available at https://consultations.health.gov.au/primary-care-mental-health-division/nahwsdraft/supporting_documents/Consultation%20Draft%20v2.0.pdf [accessed 27 March 2025].
7 Baumgartner L, Wright O, Barne K, Bartrim K, Kirkegaard A, Sullivan V, Burch E, Ball L. What factors affect the recruitment and retention of allied health professionals working in hospitals? A systematic literature review. Aust Health Rev 2024; 49: AH24287.
| Crossref | Google Scholar | PubMed |
8 Snowdon DA, King OA, Dennett A, Pinson J-A, Shannon MM, Collyer TA, Davis A, Williams CM. Delegation of patient-related tasks to allied health assistants: a time motion study. BMC Health Serv Res 2022; 22(1): 1280.
| Crossref | Google Scholar | PubMed |
9 King OA, Pinson JA, Dennett A, Williams C, Davis A, Snowdon DA. Allied health assistants’ perspectives of their role in healthcare settings: a qualitative study. Health Soc Care Community 2022; 30(6): e4684-93.
| Crossref | Google Scholar | PubMed |
10 Sarigiovannis P, Foster NE, Jowett S, Saunders B. Delegation of workload from musculoskeletal physiotherapists to physiotherapy assistants/support workers: a UK online survey. Musculoskel Sci Pract 2022; 62: 102631.
| Crossref | Google Scholar | PubMed |
11 Snowdon DA, Storr B, Davis A, Taylor NF, Williams CM. The effect of delegation of therapy to allied health assistants on patient and organisational outcomes: a systematic review and meta-analysis. BMC Health Serv Res 2020; 20: 491.
| Crossref | Google Scholar | PubMed |
12 Snowdon DA, Vincent P, Callisaya ML, Collyer TA, Brusco NK, Wang YT, Taylor NF. Allied health assistant management of people with hip fracture is feasible and may improve patient adherence to hip fracture mobilisation guidelines: a feasibility randomised controlled trial. Physiotherapy 2024; 124: 51-64.
| Crossref | Google Scholar | PubMed |
13 Victorian Government. Victorian Allied Health Workforce Research Project: Allied Health Assistance Workforce Report. Department of Health; 2016. Available at https://www2.health.vic.gov.au/health-workforce/allied-health-workforce/allied-health-research [accessed 2 April 2025].
14 Victorian Government. Victorian Assistant Workforce Model. Department of Health; 2015. Available at https://www2.health.vic.gov.au/health-workforce/allied-health-workforce/victorian-assistant-workforce-model/about-this-manual [accessed 2 April 2025].
15 Monash Health. Victorian Allied Health Assistant Workforce Recommendations and Resources. Monash Health; 2023. Available at https://vicahaworkforceproject.monashhealth.org/wp-content/uploads/2022/04/The-Victorian-Allied-Health-Assistant-Workforce-Recommendations-final-draft-April-2022.pdf [accessed 2 April 2025].
16 Stute M, Hurwood A, Hulcombe J, Kuipers P. Pilot implementation of allied health assistant roles within publicly funded health services in Queensland, Australia: results of a workplace audit. BMC Health Serv Res 2014; 14: 258.
| Crossref | Google Scholar | PubMed |
17 Whelan L, McLean S, Edwards A, Huglin J, Farlie MK. The evaluation of health, disability and aged care-sector engagement with resources designed to support optimisation of the allied health assistant workforce: a qualitative study. BMC Health Serv Res 2024; 24(1): 848-12.
| Crossref | Google Scholar | PubMed |
18 Victorian Government. Victorian Allied Health Assistant workforce recommendations & resources. Department of Health; 2023. Available at https://www.health.vic.gov.au/allied-health-workforce/victorian-allied-health-assistant-workforce-recommendations-resources [accessed 27 March 2025].
19 Victorian Government. Supervision and delegation framework for allied health assistants and the support workforce in disability. Department of Health; 2018. Available at https://www.health.vic.gov.au/publications/supervision-and-delegation-framework-for-allied-health-assistants-and-the-support-0 [accessed 27 March 2025].
20 Moran A, Bulkeley K, Johnsson G, Tam E, Maloney C. Models of governance of disability therapy support workers in rural and remote settings: a systematic scoping review. Int J Environ Res Public Health 2024; 21(6): 693.
| Crossref | Google Scholar | PubMed |
21 Nancarrow SA, Roots A, Grace S, Moran AM, Vanniekerk-Lyons K. Implementing large-scale workforce change: learning from 55 pilot sites of allied health workforce redesign in Queensland, Australia. Hum Resour Health 2013; 11: 66.
| Crossref | Google Scholar | PubMed |
22 Turato G, Whiteoak J, Oprescu F. The insights of allied health professionals transitioning from a matrix structure to a centralized profession-based structure within a public hospital setting. J Org Des 2024; 13(4): 197-212.
| Crossref | Google Scholar |
23 Australian Healthcare and Hospitals Association. AHHA submission to the draft Allied Health Strategy outline. Australian Healthcare and Hospital Association; 2024. Available at https://ahha.asn.au/resource/ahha-submission-to-the-draft-national-allied-health-workforce-strategy-outline/ [accessed 2 April 2025].
24 Allied Health Assistant National Association. AHANA’s feedback on the draft National Allied Health Workforce Strategy. Allied Health Assistant National Association; 2025. Available at https://www.ahana.com.au/news-item/18545/ahanas-feedback-on-the-draft-national-allied-health-workforce-strategy [accessed 2 April 2025].
25 Sprung CL, Devereaux AV, Ghazipura M, Burry LD, Hossain T, Hamele MT, Gist RE, Dempsey TM, et al. Critical care staffing in pandemics and disasters: a consensus report from a subcommittee of the Task Force for Mass Critical Care - systems strategies to sustain the health care workforce. Chest 2023; 164(1): 124-36.
| Crossref | Google Scholar | PubMed |
26 Queensland Health. Allied Health Assistant Framework. Office of the Chief Allied Health Officer Clinical Excellence Queensland; 2022. Available at https://www.health.qld.gov.au/__data/assets/pdf_file/0017/147500/AHAFramework.pdf [accessed 31 March 2025].
27 NSW Government. Allied Health Assistant Framework. Revised edition. NSW Ministry of Health; 2020. Available at https://www1.health.nsw.gov.au/pds/ActivePDSDocuments/GL2020_005.pdf [Accessed 31 March 2025].
28 Queensland Government. Optimising the allied health workforce for best care and best value: A 10-year strategy 2019-2029. Queensland Health; 2019. Available at https://www.health.qld.gov.au/__data/assets/pdf_file/0027/840744/ten-year-strategy.pdf [accessed 31 March 2025].
29 NSW Government. Principles of Allied Health Governance. NSW Ministry of Health; 2023. Available at https://www.health.nsw.gov.au/workforce/alliedhealth/Publications/principles-ah-governance.pdf [accessed 31 March 2025].
30 Allied Health Assistants’ National Association. Allied Health Assistants’ National Association Ltd. The Australian national peak body for Allied Health Assistants; Allied Health Assistants’ National Association; 2022. Available at https://www.ahana.com.au/ [accessed 26 March 2025].
31 Victorian Government. Victorian health workforce strategy: a 10-year strategy for a modern, sustainable and engaged healthcare workforce. Department of Health; 2024. Available at https://www.health.vic.gov.au/victorian-health-workforce-strategy [accessed 27 March 2025].