FREQUENTLY ASKED QUESTIONS Realignment of the Stepping Stones Program with The Rehabilitation Program Team, Macquarie Hospital
Staff Questions / Concerns
NSLHD Response
What is happening?
In October 2020 MHDA received Ministry of Health funding for a Homeless Mental Health Consumer Intensive Rehabilitation Project, utilising 2 existing Figtree Unit cottages (8 beds). The program, staffed by a dedicated team and operating under a different model of care to Figtree Unit, provides intensive rehabilitation to support people with mental illness experiencing, or at risk of homelessness. The Rehabilitation Co-ordinator is the Clinical Lead, overseeing training, implementation, and clinical oversight and evaluation of the model. Funding for Stepping Stones which was for a number of years temporary was confirmed as recurrent from July 2025. This presented an opportunity to review the model of care and conduct a realignment aimed at enhancing consumer care, optimising bed flow, ensuring effective and equitable resource allocation, and re-aligning governance structures to establish clearer, more sustainable line management for the team. This realignment proposes transitioning the Stepping Stones program from a single dedicated unit to a hospital wide in-reach model, where consumers who are homeless or at risk of homelessness can be admitted to any clinically suitable unit and referred for in-reach support. This will be achieved by amalgamating the Stepping Stones Team into the Rehabilitation Program Team, reporting solely to the Rehabilitation Program Manager with continued clinical support from the Rehabilitation coordinator. The industrial consultation with the HSU, NSWNMWA and ASMOF has commenced with letters sent to all parties between the 4 and 8/10/25 The below indicates the key actions to occur and the timeframe Action Send correspondence to affected staff Send correspondence to Unions Meeting with affected staff Timeframe (by when) 4 October 2025 8 October 2025 9-10 October 2025
Industrial Consultation?
What is the time frame?
FAQ - Realignment of the Stepping Stones Program with The Rehabilitation Program Team, Macquarie Hospital October 2025
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