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Purposeful Growth in Aged Care: Meeting Modern Challenges – Tara Buggy, COO

Aged care is changing faster than many providers are growing, and that is one of the greatest challenges facing the sector. We are operating in an environment of rising regulatory expectations, increasingly complex resident needs, ageing infrastructure, workforce pressures, rapid technological change and funding models that do not always reflect the real cost of delivering high-quality care. In this context, remaining static is not safe. Growth is no longer optional – it is essential for ensuring that older Australians continue to receive the care, dignity and support they deserve.

For St Andrew’s, growth has never been about chasing numbers. If you are noticing expansion across our organisation, it is not because we are focused on becoming bigger; it is because we are committed to remaining a trusted provider of choice for the communities we serve. Growth for us means building capability, strengthening culture, making courageous decisions and ensuring long-term sustainability.

In recent years, St Andrew’s has welcomed two additional facilities into our organisation. This was not a commercial move, but a values-driven one. Our priority was to provide stability, continuity and support for residents, families and staff. We have invested in workforce development, leadership uplift, strengthened clinical governance, improved systems and processes and enhanced resident experience across these homes. This reflects our belief that growth must always be purposeful, thoughtful and grounded in community need.

A major challenge in aged care is the widening gap between what is funded and what is actually required to deliver high-quality care. While the funding framework supports many aspects of service delivery, it does not routinely cover long-term capital renewal, digital transformation, leadership and workforce capability, comprehensive project management or the meaningful quality-of-life enhancements that truly shape the resident experience. Grants can be helpful, but they often come with narrow scopes and tight timelines. Real needs are broader, deeper and ongoing.

This is where responsible growth becomes vital. As a not-for-profit provider, every dollar we earn is reinvested directly back into care, staff, infrastructure and community impact. Growth allows us to create financial and operational resilience, protect long-term viability and continue offering services in communities that may otherwise have limited access to high-quality aged care. We do not grow to generate profit; we grow to generate value. Our decisions are driven by purpose, dignity and need – not by commercial return.

Growth also allows us to strengthen the capability of our workforce. Building internal leadership, project skills, clinical governance expertise and change management capacity ensures that transformation occurs with our people, not to them. It also ensures that we can meet modern expectations while safeguarding staff wellbeing and operational stability. At the same time, growth requires modern systems that are transparent, consistent and digitally enabled, as well as a mindset that embraces innovation, adaptability and the willingness to move beyond traditional approaches when they no longer serve residents well.

At the heart of everything we do is our commitment to residents and families. Choice, stability and high-quality care are not achieved by standing still. If you are noticing our growth, it is because we are committed to remaining a strong, sustainable, community-based not-for-profit provider – one that invests in its people, supports its communities and reinvests every dollar back into care.

This is what growth means to us. It is how we honour dignity, safety, comfort and joy for the people who call St Andrew’s home, today and into the future.