Healios Reviews

Urgency / quality: Speed is prioritised over quality. Timelines are often unrealistic for complex work, which drives rework, stress and burnout. Strategy / moving targets: Strategic direction feels inconsistent. Priorities shift quickly, creating “moving targets” and undermining confidence in delivery. Closed-door decisions: Decisions are often made behind closed doors by a small group and introduced “out of the blue,” with limited rationale or strategic framing. Experts bypassed: Subject-matter experts are frequently bypassed, even on major company-wide decisions. Input is sometimes requested only after a “done deal” is announced and problems emerge. Consultants: Reliance on external consultants brought in to “assess” the business and confirm what internal teams already know, despite the cost. Hierarchy / power dynamics: The ''new culture'' feels strongly hierarchical. Senior new starters and newly promoted colleagues become overly directive quickly, which reduces collaboration and psychological safety. Monitoring / meetings: Calendars and meetings can be closely scrutinised. People are asked to justify meetings, and there can be pressure to remove meetings by instruction, creating a low-trust “watched” environment. Optics / mission drift: Work can feel driven by optics (“see and be seen”) and differentiation from previous leadership rather than measurable KPIs and sustainable business development. Client/service-user outcomes have become secondary. Undoing the past: There is a noticeable drive to undo previous ways of working simply because they’re associated with former leadership, with change driven more by differentiation than evidence or outcomes.

Weak clinical leadership and clinical oversight. Limited access to psychiatrist support. Clear disconnect between business priorities and clinical considerations. Key clinical decisions are made by non-clinical management, which has contributed to the departure of a significant proportion of clinical leadership. The organisation has expanded its service offerings beyond what clinical infrastructure can allow, creating risk and strain that is unrelated to individual workload levels.