1. Overseas Recruitment Tales of Success

2. Ramsay Health Care

3. Ramsay WA Hospitals Attadale Private Hospital 38 beds Glengarry Private Hospital 110 beds Hollywood Private Hospital 659 beds Joondalup Health Campus 490 beds

4. Overseas Recruitment Strategy Supply and Demand Shrinking workforce pool Increasing population Increasing demand for services Competition for existing resource Workforce expectations & availability

6. WORK FORCE OF THE FUTURE

7. Overseas Recruitment Strategy The state of play in WA hospitals 2008 Serious shortage of labour in WA Chronic shortage of midwives and experienced operating suite staff Shift to part-time work by nurses Escalating agency rates Excessive fees charged by recruitment agencies

8. Overseas Recruitment Strategy The state of play in RHC WA in 2008 Higher turnover rate Hollywood 11% vacancy rate or 50 FTE with significant expansion planned Joondalup increasing demand & planned future growth Attadale & Glengarry shortage of midwives

9. Overseas Recruitment Strategy Overseas Recruitment Drive Recruitment agency use Recruitment costly, slow, impersonal Recruitment drives 2008 UK, Ireland, Singapore, South Africa 2009 UK & Ireland

10. Overseas Recruitment Strategy Recruitment Drive Process - Locations Ireland Dublin, Galway and Cork United Kingdom Glasgow, Newcastle, Manchester, Liverpool, Bristol South Africa Johannesburg and Durban Singapore

11. Overseas Recruitment Strategy Recruitment Drive Process - Advertising Nursing journals Websites Word of mouth Universities

12. Overseas Recruitment Strategy Overseas Recruitment Process Receive applications via email Review application & CV Schedule interviews Request any additional information

13. Overseas Recruitment Strategy Recruitment Drive Process - Preparation Presentation –RHC Overview –Positions available –Living and working in Australia Interview questions Clinical Scenarios Written Test – assess level of English

14. Overseas Recruitment Strategy Recruitment Drive Process – the Team One HR person co-ordinated Two senior nurses conducted interviews All obtained references

15. Overseas Recruitment Strategy Recruitment Drive - What we offered Permanent Residency Limited 457 visas $3,000 relocation allowance upon commencement of employment Meet and great at airport upon arrival Information on migration document Access to a designated person for queries

16. Overseas Recruitment Strategy Recruitment Drive - Settling in Targeted support where needed Very self sufficient and resourceful Supportive of each other Low turnover

17. Overseas Recruitment Strategy Recruitment Drive Overall Results 2008 South Africa/UK/Ireland/Singapore Interviewed 117 Contracts offered 92/117 (79%) Accepted and Commenced 58/92 (63%) 2009 UK & Ireland Interviewed 215 Contracts offered 155/215 (72%) Accepted and commenced 108/155 (70%)

18. Overseas Recruitment Strategy Specialty Breakdown 2008 & 2009 Medical/Surgical 83 Graduate RN 30 Operating Suite 20 Emergency Dept11 SCN/Paediatrics 5 Mental Health 8* Midwifery 5* ICU/CCU 4

19. Overseas Recruitment Strategy Recruitment Drive – Costs $120,000 airfares, accommodation, interview facilities $3,000 relocation per employee ($477,000) Total cost $597,000 or Cost per employee $3,755

20. Overseas Recruitment Strategy Recruitment Drive - What Worked E-Contract sent within 7 days Information Document health insurance, school system, housing market, tax file number, pets Next Steps Document visa application, medical requirements, registration Timeframes for Registration & Visa process Assistance with DIAC process Flexible induction support

21. Overseas Recruitment Drive Research results CNM interviews Positive attributes of overseas recruitment Increased staffing levels Reduced agency usage Cultural diversity Good attitude to work Friendly, polite & gentle Keen to fit into team Broadening of views and experiences

22. Overseas Recruitment Drive Research results CNM interviews Negative attributes of overseas recruitment Communication and language issues Less assertive Lacking in confidence

23. Overseas Recruitment Drive Feedback from overseas recruits Positive attributes Presentation informative Guided thru immigration and registration process Airport pick up service Welcome into ward Supernumerary time Better workloads Autonomy Opportunities for education Climate & lifestyle

24. Overseas Recruitment Drive Feedback from overseas recruits Negative factors Cost of living Securing long term rental Shift patterns – no 12 hour shifts Terminology and slang Drug names

25. Overseas Recruitment Strategy QUESTIONS