CAMERON ALLEN Senior Lecturer, Department of Industrial Relations, Griffith University, AustraliaTIMOTHY BARTRAM Senior Lecturer in Human Resource Management, School of Business, La Trobe University, AustraliaMARK BRAY Professor of Employment Studies and Head, Newcastle Business School, University of Newcastle, AustraliaJEFFREY BRAITHWAITE Director, Centre for Clinical Governance Research and Associate Professor, School of Public Health and Community Medicine, Faculty of Medicine, The University of New South Wales, AustraliaSTEPHEN DUCKETT Professor of Health Policy and Dean, Faculty of Health Sciences, La Trobe University, AustraliaJUDITH DWYER Associate Professor and Head of Department, Health Policy and Management, La Trobe University, AustraliaRAYMOND HARBRIDGE Dean, Faculty of Law and Management, La Trobe University, AustraliaRICK IEDEMA Senior Researcher, Centre for Clinical Governance Research and Senior Lecturer, School of Public Health and Community Medicine, The University of New South Wales, AustraliaCHRISTINE JORM Lead Medical Clinician for Quality, St George Hospital, Sydney, AustraliaSANDRA G. LEGGAT La Trobe University School of Public Health, AustraliaPETER NUGUS Doctoral Candidate, Centre for Clinical Governance Research, University of New South Wales, AustraliaJAN SINCLAIR-JONES Senior Lecturer in Sociology, Faculty of Media, Society and Culture, Curtin University of Technology, AustraliaSUE STACK Contract Researcher, University of South AustraliaALEX DE RUYTER Lecturer, Birmingham Business School, University of Birmingham, UKKEITH TOWNSEND Lecturer, Department of Industrial Relations, Griffith University, AustraliaKERRYN WEEKES Practising Medical Scientist in Haematology and GeneticsANNA WHELAN Senior Lecturer, School of Public Health and Community Medicine, Faculty of Medicine, The University of New South Wales, AustraliaNADINE WHITE Lecturer, School of Business and Government, University of Canberra, Australia

• Foreword; K.Phelps Notes on the Contributors List of Abbreviations Introduction; P.Stanton, E.Willis & S.Young Acknowledgements PART 1: THE AUSTRALIAN HEALTHCARE SECTOR Health Sector and Industrial Reform in Australia; E.Willis, S.Young & P.Stanton The Australian Healthcare Workforce; S.Duckett PART 2: CASE STUDIES IN HEALTHCARE REFORM AND WORKPLACE CHANGE The Structure of Bargaining in Public Hospitals in Three Australian States; M.Bray, N.White, P.Stanton & E.Willis Outsourcing and Structural Change; S.Young Casual and Temporary Employment in NSW Regional Hospitals; A.de Ruyter The Processes of Workplace Change for Nurses in NSW Public Hospitals; N.White & M.Bray Work Intensification for Personal Care Attendants and Medical Scientists; E.Willis & K.Weekes Emotional Labour and Aged Care Work; S.Stack Flexibility at a Cost: Responding to a Skilled Labour Shortage; K.Townsend & C.Allan PART 3: FUTURE CHALLENGES IN HEALTHCARE REFORM AND WORKPLACE CHANGE Inspiring Innovation; S.G.Leggat & J.Dwyer Developing a Strategic Approach to People Management in Healthcare; T.Bartram, P.Stanton & R.Harbridge Clinical Governance: Complexities and Promises; R.Iedema, J.Braithwaite, C.Jorn, P.Nugus & A.Whelan E-Health Services: Is the Future of Australia's Health Service in Offshore Outsourcing?; J.Sinclair-Jones Conclusion: Reflections on Past Healthcare Reform and Future Directions; S.Young, E.Willis & P.Stanton Index

CAMERON ALLEN Senior Lecturer, Department of Industrial Relations, Griffith University, AustraliaTIMOTHY BARTRAM Senior Lecturer in Human Resource Management, School of Business, La Trobe University, AustraliaMARK BRAY Professor of Employment Studies and Head, Newcastle Business School, University of Newcastle, AustraliaJEFFREY BRAITHWAITE Director, Centre for Clinical Governance Research and Associate Professor, School of Public Health and Community Medicine, Faculty of Medicine, The University of New South Wales, AustraliaSTEPHEN DUCKETT Professor of Health Policy and Dean, Faculty of Health Sciences, La Trobe University, AustraliaJUDITH DWYER Associate Professor and Head of Department, Health Policy and Management, La Trobe University, AustraliaRAYMOND HARBRIDGE Dean, Faculty of Law and Management, La Trobe University, AustraliaRICK IEDEMA Senior Researcher, Centre for Clinical Governance Research and Senior Lecturer, School of Public Health and Community Medicine, The University of New South Wales, AustraliaCHRISTINE JORM Lead Medical Clinician for Quality, St George Hospital, Sydney, AustraliaSANDRA G. LEGGAT La Trobe University School of Public Health, AustraliaPETER NUGUS Doctoral Candidate, Centre for Clinical Governance Research, University of New South Wales, AustraliaJAN SINCLAIR-JONES Senior Lecturer in Sociology, Faculty of Media, Society and Culture, Curtin University of Technology, AustraliaSUE STACK Contract Researcher, University of South AustraliaALEX DE RUYTER Lecturer, Birmingham Business School, University of Birmingham, UKKEITH TOWNSEND Lecturer, Department of Industrial Relations, Griffith University, AustraliaKERRYN WEEKES Practising Medical Scientist in Haematology and GeneticsANNA WHELAN Senior Lecturer, School of Public Health and Community Medicine, Faculty of Medicine, The University of New South Wales, AustraliaNADINE WHITE Lecturer, School of Business and Government, University of Canberra, Australia

• Foreword; K.Phelps Notes on the Contributors List of Abbreviations Introduction; P.Stanton, E.Willis & S.Young Acknowledgements PART 1: THE AUSTRALIAN HEALTHCARE SECTOR Health Sector and Industrial Reform in Australia; E.Willis, S.Young & P.Stanton The Australian Healthcare Workforce; S.Duckett PART 2: CASE STUDIES IN HEALTHCARE REFORM AND WORKPLACE CHANGE The Structure of Bargaining in Public Hospitals in Three Australian States; M.Bray, N.White, P.Stanton & E.Willis Outsourcing and Structural Change; S.Young Casual and Temporary Employment in NSW Regional Hospitals; A.de Ruyter The Processes of Workplace Change for Nurses in NSW Public Hospitals; N.White & M.Bray Work Intensification for Personal Care Attendants and Medical Scientists; E.Willis & K.Weekes Emotional Labour and Aged Care Work; S.Stack Flexibility at a Cost: Responding to a Skilled Labour Shortage; K.Townsend & C.Allan PART 3: FUTURE CHALLENGES IN HEALTHCARE REFORM AND WORKPLACE CHANGE Inspiring Innovation; S.G.Leggat & J.Dwyer Developing a Strategic Approach to People Management in Healthcare; T.Bartram, P.Stanton & R.Harbridge Clinical Governance: Complexities and Promises; R.Iedema, J.Braithwaite, C.Jorn, P.Nugus & A.Whelan E-Health Services: Is the Future of Australia's Health Service in Offshore Outsourcing?; J.Sinclair-Jones Conclusion: Reflections on Past Healthcare Reform and Future Directions; S.Young, E.Willis & P.Stanton Index

CAMERON ALLEN Senior Lecturer, Department of Industrial Relations, Griffith University, AustraliaTIMOTHY BARTRAM Senior Lecturer in Human Resource Management, School of Business, La Trobe University, AustraliaMARK BRAY Professor of Employment Studies and Head, Newcastle Business School, University of Newcastle, AustraliaJEFFREY BRAITHWAITE Director, Centre for Clinical Governance Research and Associate Professor, School of Public Health and Community Medicine, Faculty of Medicine, The University of New South Wales, AustraliaSTEPHEN DUCKETT Professor of Health Policy and Dean, Faculty of Health Sciences, La Trobe University, AustraliaJUDITH DWYER Associate Professor and Head of Department, Health Policy and Management, La Trobe University, AustraliaRAYMOND HARBRIDGE Dean, Faculty of Law and Management, La Trobe University, AustraliaRICK IEDEMA Senior Researcher, Centre for Clinical Governance Research and Senior Lecturer, School of Public Health and Community Medicine, The University of New South Wales, AustraliaCHRISTINE JORM Lead Medical Clinician for Quality, St George Hospital, Sydney, AustraliaSANDRA G. LEGGAT La Trobe University School of Public Health, AustraliaPETER NUGUS Doctoral Candidate, Centre for Clinical Governance Research, University of New South Wales, AustraliaJAN SINCLAIR-JONES Senior Lecturer in Sociology, Faculty of Media, Society and Culture, Curtin University of Technology, AustraliaSUE STACK Contract Researcher, University of South AustraliaALEX DE RUYTER Lecturer, Birmingham Business School, University of Birmingham, UKKEITH TOWNSEND Lecturer, Department of Industrial Relations, Griffith University, AustraliaKERRYN WEEKES Practising Medical Scientist in Haematology and GeneticsANNA WHELAN Senior Lecturer, School of Public Health and Community Medicine, Faculty of Medicine, The University of New South Wales, AustraliaNADINE WHITE Lecturer, School of Business and Government, University of Canberra, Australia

• Foreword; K.Phelps Notes on the Contributors List of Abbreviations Introduction; P.Stanton, E.Willis & S.Young Acknowledgements PART 1: THE AUSTRALIAN HEALTHCARE SECTOR Health Sector and Industrial Reform in Australia; E.Willis, S.Young & P.Stanton The Australian Healthcare Workforce; S.Duckett PART 2: CASE STUDIES IN HEALTHCARE REFORM AND WORKPLACE CHANGE The Structure of Bargaining in Public Hospitals in Three Australian States; M.Bray, N.White, P.Stanton & E.Willis Outsourcing and Structural Change; S.Young Casual and Temporary Employment in NSW Regional Hospitals; A.de Ruyter The Processes of Workplace Change for Nurses in NSW Public Hospitals; N.White & M.Bray Work Intensification for Personal Care Attendants and Medical Scientists; E.Willis & K.Weekes Emotional Labour and Aged Care Work; S.Stack Flexibility at a Cost: Responding to a Skilled Labour Shortage; K.Townsend & C.Allan PART 3: FUTURE CHALLENGES IN HEALTHCARE REFORM AND WORKPLACE CHANGE Inspiring Innovation; S.G.Leggat & J.Dwyer Developing a Strategic Approach to People Management in Healthcare; T.Bartram, P.Stanton & R.Harbridge Clinical Governance: Complexities and Promises; R.Iedema, J.Braithwaite, C.Jorn, P.Nugus & A.Whelan E-Health Services: Is the Future of Australia's Health Service in Offshore Outsourcing?; J.Sinclair-Jones Conclusion: Reflections on Past Healthcare Reform and Future Directions; S.Young, E.Willis & P.Stanton Index