Strategic plan 2028 to 2030, Burrowgate Community Health

Strategic plan template with three pillars and yearly milestones

A strategic plan has to say where an organisation is going over several years, why, and how anyone will know it is getting there, in a form a board can check each quarter. This nine page three year plan for a community health service does that with consultation findings, three pillars and nine goals, priority actions with leads, yearly milestones, six measures with targets and a funding table.

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Burrowgate Community Health
6 December 2027

Strategic plan 2028 to 2030

Care closer to home, healthier communities and a strong organisation.

Prepared by
Board of directors
Date
6 December 2027
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1. A message from the chair and chief executive

Burrowgate Community Health has served the river valley for 41 years, from a single clinic to four sites and a team that visits people at home. The next three years will test us. More of the people we serve are older and living with more than one chronic condition, waiting lists for allied health are long, and the cost of delivering care is rising faster than our funding.

This plan is our answer. It was shaped by 1,240 survey responses, 14 community focus groups and many conversations with our staff and partners. It commits us to three pillars, nine goals over three years and a set of measures we will report against every quarter. We are grateful to everyone who told us what matters to them; this plan is how we will be held to it.

Our people told us they want care that comes to them, help to stay well, and to be seen by the same faces. Everything in this plan follows from that.
Chair and chief executive, Burrowgate Community Health
2. Who we are
18,400
Clients each year
310
Staff
4
Sites
$38.6M
Annual budget

Burrowgate is a not for profit community health service. We provide general practice, nursing, allied health, dental, mental health, alcohol and drug counselling, and health promotion. About 22% of our care already happens in people's homes or in community settings rather than at our sites. Our funding comes mainly from government programs, with fees, grants and donations making up the rest.

Four sites: the town centre clinic, two smaller valley clinics and a youth health hub
A district nursing and home allied health team covering 2,300 square kilometres
Partnerships with the regional hospital, four schools, two aged care providers and local councils

The valley we serve, home to about 52,000 people, is changing. Its population is older, more spread out and more likely to live with long term illness than the state as a whole:

Our community
River valley
State average
Aged 65 and over
24%
17%
Living with two or more chronic conditions
23%
18%
Living more than 30 minutes from a clinic
31%
12%
3. What we heard

Between March and August 2027 we asked clients, carers, staff, partners and the wider community what Burrowgate should focus on. We listened in four ways:

Method
Count
Who took part
Community and client survey
1,240
Responses, online and paper
Focus groups
14
Older people, carers, young people, farmers, new arrivals
Partner workshops
6
Hospital, schools, councils, aged care
Staff sessions
9
Every team and site

Five themes came through again and again:

1
Travel is a barrier
41% of survey respondents in the outer valley had delayed care because of the drive to town.
2
Waits are too long
Physiotherapy and podiatry waits averaged 11 weeks, and mental health waits 7 weeks.
3
Prevention matters
People asked for help to stay well, not only care when they are unwell.
4
Continuity matters
Clients want to see the same clinician and not repeat their story.
5
Staff are stretched
Recruitment of allied health staff to the valley is hard, and staff want more flexible work.
1
Travel is a barrier
41% of survey respondents in the outer valley had delayed care because of the drive to town.
2
Waits are too long
Physiotherapy and podiatry waits averaged 11 weeks, and mental health waits 7 weeks.
3
Prevention matters
People asked for help to stay well, not only care when they are unwell.
4
Continuity matters
Clients want to see the same clinician and not repeat their story.
5
Staff are stretched
Recruitment of allied health staff to the valley is hard, and staff want more flexible work.
1
Travel is a barrier
41% of survey respondents in the outer valley had delayed care because of the drive to town.
2
Waits are too long
Physiotherapy and podiatry waits averaged 11 weeks, and mental health waits 7 weeks.
3
Prevention matters
People asked for help to stay well, not only care when they are unwell.
4
Continuity matters
Clients want to see the same clinician and not repeat their story.
5
Staff are stretched
Recruitment of allied health staff to the valley is hard, and staff want more flexible work.
4. Vision, purpose and values
Healthy people in a connected river valley, with care close to home.
Our vision

Our purpose is to provide care and support that helps people in the valley live well, prevents illness where we can, and reaches those who find services hardest to reach.

Respect
We listen, and treat every person as the expert in their own life.
Fairness
We put the most effort where the need is greatest.
Courage
We try new ways of working and learn from what does not work.
Together
We work with partners, because no service can do this alone.
5. Three pillars and nine goals

The plan rests on three pillars. Each has three goals, and each goal has a measure we will report against. The first two pillars are about the people we serve; the third is about the organisation that serves them.

Pillar
Goal
Measure by 2030
Care closer to home
1.1 More care at home and in the community
40% of care outside our sites
Care closer to home
1.2 Shorter waits for allied health
Average wait of 4 weeks or less
Care closer to home
1.3 Telehealth where it suits the client
15% of appointments by video
Healthier communities
2.1 Prevention programs in every town
12 programs running each year
Healthier communities
2.2 Better support for chronic conditions
2,000 clients on a care plan
Healthier communities
2.3 Young people's mental health
Youth hub waits under 2 weeks
A strong organisation
3.1 Attract and keep great staff
Staff turnover below 12%
A strong organisation
3.2 One shared client record
All teams on one system
A strong organisation
3.3 A sustainable budget
Surplus of at least 1% each year
Pillar
Goal
Measure by 2030
Care closer to home
1.1 More care at home and in the community
40% of care outside our sites
Care closer to home
1.2 Shorter waits for allied health
Average wait of 4 weeks or less
Care closer to home
1.3 Telehealth where it suits the client
15% of appointments by video
Healthier communities
2.1 Prevention programs in every town
12 programs running each year
Healthier communities
2.2 Better support for chronic conditions
2,000 clients on a care plan
Healthier communities
2.3 Young people's mental health
Youth hub waits under 2 weeks
A strong organisation
3.1 Attract and keep great staff
Staff turnover below 12%
A strong organisation
3.2 One shared client record
All teams on one system
A strong organisation
3.3 A sustainable budget
Surplus of at least 1% each year
Pillar
Goal
Measure by 2030
Care closer to home
1.1 More care at home and in the community
40% of care outside our sites
Care closer to home
1.2 Shorter waits for allied health
Average wait of 4 weeks or less
Care closer to home
1.3 Telehealth where it suits the client
15% of appointments by video
Healthier communities
2.1 Prevention programs in every town
12 programs running each year
Healthier communities
2.2 Better support for chronic conditions
2,000 clients on a care plan
Healthier communities
2.3 Young people's mental health
Youth hub waits under 2 weeks
A strong organisation
3.1 Attract and keep great staff
Staff turnover below 12%
A strong organisation
3.2 One shared client record
All teams on one system
A strong organisation
3.3 A sustainable budget
Surplus of at least 1% each year
6. Pillar 1: Care closer to home

The drive to town is the single biggest barrier people told us about. Over three years we will take more care to people: a mobile allied health clinic visiting the outer valley each week, more home visits for people with complex conditions, and video appointments for follow up care where a client prefers it. Shorter waits will come from group programs for common conditions, such as knee and back pain, and from triage that sends each person to the right clinician first time.

Priority action
Lead
Timing
Launch the mobile allied health clinic for six outer valley towns
Allied health manager
Funded 2028, visiting 2029
Open group programs for back, knee and balance problems
Physiotherapy lead
From mid 2028
Introduce a single intake line and clinical triage
Intake manager
Open by June 2028
Offer video appointments in every allied health and counselling team
Digital lead
Through 2028 and 2029
7. Pillar 2: Healthier communities

Helping people stay well costs less, and matters more to them, than treating illness late. We will run prevention programs in every town with local partners, from falls prevention classes to healthy eating with schools. For people already living with diabetes, heart disease or lung disease, we will build shared care plans with their GP so they see the right people at the right time. The youth hub will grow its counselling team so young people are seen quickly.

Helping people stay well costs less, and matters more to them, than treating illness late. We will run prevention programs in every town with local partners, from falls prevention classes to healthy eating with schools. For people already living with diabetes, heart disease or lung disease, we will build shared care plans with their GP so they see the right people at the right time. The youth hub will grow its counselling team so young people are seen quickly.

Helping people stay well costs less, and matters more to them, than treating illness late. We will run prevention programs in every town with local partners, from falls prevention classes to healthy eating with schools. For people already living with diabetes, heart disease or lung disease, we will build shared care plans with their GP so they see the right people at the right time. The youth hub will grow its counselling team so young people are seen quickly.

Priority action
Lead
Timing
Run 12 prevention programs a year, co designed with councils and schools
Health promotion manager
6 in 2028, 12 by 2030
Enrol 2,000 clients in chronic condition care plans with their GP
Nursing manager
800 in 2028, 2,000 by 2030
Add two youth counsellors and open two evenings a week
Youth hub coordinator
2029
Train 40 community members as health champions
Health promotion manager
2029 and 2030
8. Pillar 3: A strong organisation

None of this happens without the people who do the work and the systems that support them. We will make Burrowgate a place allied health staff want to come to and stay: flexible rosters, a graduate program with the regional university, and clear career paths. All teams will move to one shared client record, so clients tell their story once. And we will keep a small surplus each year, so we can invest without risking the services people rely on.

Priority action
Lead
Timing
Start a graduate allied health program for six graduates a year
People and culture manager
First intake 2028
Offer flexible and part time rosters in every team
Team managers
In place by 2029
Move all teams to one client record system
Digital lead
Chosen 2028, live by end of 2029
Review every service each year for cost, demand and outcomes
Chief financial officer
Each February
9. Yearly milestones

Each year has milestones under every pillar. The board checks them at its December meeting.

Year
Care closer to home
Healthier communities
A strong organisation
2028
Single intake line open; mobile clinic funded and fitted out
Six prevention programs; 800 clients on care plans
Graduate program starts; client record system chosen
2029
Mobile clinic visiting six towns; group programs running
Nine prevention programs; 1,400 on care plans; youth counsellors added
All teams on the new client record; flexible rosters in place
2030
40% of care outside our sites; waits at 4 weeks
12 programs; 2,000 on care plans; 40 health champions
Turnover below 12%; surplus of at least 1%
10. Measures

These measures appear in every quarterly report to the board. Baselines are for the year to June 2027.

Measure
Baseline
2028
2029
2030
Care outside our sites
22%
28%
34%
40%
Average allied health wait
11 weeks
8 weeks
6 weeks
4 weeks
Appointments by video
4%
8%
12%
15%
Clients on care plans
350
800
1,400
2,000
Youth hub wait
7 weeks
4 weeks
3 weeks
Under 2 weeks
Staff turnover
19%
16%
14%
Below 12%
Share of care outside our sites, percent
Baseline202820292030010203040
11. Funding the plan

The plan needs $6.0 million of investment over three years on top of the cost of running existing services. About two thirds is already identified through government programs and our reserves; the rest will come from grants and a community appeal for the mobile clinic.

Pillar
2028
2029
2030
Total
Care closer to home
$0.9M
$1.0M
$0.8M
$2.7M
Healthier communities
$0.4M
$0.5M
$0.6M
$1.5M
A strong organisation
$0.5M
$0.7M
$0.6M
$1.8M
Total
$1.8M
$2.2M
$2.0M
$6.0M
$2.6M
Government programs
$1.4M
Burrowgate reserves
$2.0M
Grants and appeal
12. Risks
Risk
Likelihood
Impact
Response
Allied health staff cannot be recruited
High
High
Graduate program, flexible rosters, partnership with the university
Government program funding changes
Medium
High
Keep reserves above three months of costs; diversify grants
Appeal raises less than planned
Medium
Medium
Stage the mobile clinic; start with two days a week
Client record project runs late
Medium
Medium
Fixed scope, one team at a time, board oversight each quarter
Demand grows faster than capacity
High
Medium
Triage, group programs and prevention to manage demand
Risk
Likelihood
Impact
Response
Allied health staff cannot be recruited
High
High
Graduate program, flexible rosters, partnership with the university
Government program funding changes
Medium
High
Keep reserves above three months of costs; diversify grants
Appeal raises less than planned
Medium
Medium
Stage the mobile clinic; start with two days a week
Client record project runs late
Medium
Medium
Fixed scope, one team at a time, board oversight each quarter
Demand grows faster than capacity
High
Medium
Triage, group programs and prevention to manage demand
Risk
Likelihood
Impact
Response
Allied health staff cannot be recruited
High
High
Graduate program, flexible rosters, partnership with the university
Government program funding changes
Medium
High
Keep reserves above three months of costs; diversify grants
Appeal raises less than planned
Medium
Medium
Stage the mobile clinic; start with two days a week
Client record project runs late
Medium
Medium
Fixed scope, one team at a time, board oversight each quarter
Demand grows faster than capacity
High
Medium
Triage, group programs and prevention to manage demand
13. How we will report

The chief executive reports progress on the measures and milestones to the board every quarter, and the board publishes a one page progress summary for the community each year with the annual report. In late 2029 we will ask the community again what has changed, and use the answers to shape the plan that follows this one.

Who
What they do
When
Board of directors
Approves the plan, checks measures and milestones
Quarterly; full review each December
Chief executive
Reports progress and proposes changes to the board
Quarterly
Pillar leads
Run the priority actions and report on their measures
Monthly to the executive team
Community advisory group
Tests progress against what people told us
Twice a year

Section by section

What each section is for, so you can keep the ones you need and drop the rest.

Cover
Masthead cover with the service, plan period and three pillar line.
1 and 2. Message and who we are
Why the plan matters now, four headline figures and a community profile.
3 and 4. What we heard, vision and values
Four consultation methods, five themes, the vision and four values.
5. Three pillars and nine goals
A goals table with a 2030 measure for each goal.
6 to 8. The three pillars
Why each pillar matters and four priority actions with lead and timing.
9 and 10. Milestones and measures
Milestones by year and pillar, six measures with targets and a line chart.
11 to 13. Funding, risks and reporting
$6.0 million by pillar and source, five risks and a governance table.

How to adapt this document

First, start from your own consultation and let the themes choose the pillars, not the other way round; a plan whose pillars do not trace back to evidence reads as a wish list. Second, give every goal one measure with a baseline you already collect, so progress can be reported from day one. Third, if you are a business rather than a service, swap the community profile for a market profile and the funding sources for investment and expected return.

What makes this document work

Every goal has a number to hit

The nine goals each carry a 2030 measure, and the measures table sets a baseline and a target for every year: care outside the sites rising from 22% to 28%, 34% and 40%, allied health waits falling from 11 weeks to 4, clients on care plans growing from 350 to 2,000.

Built on what people said

Section 3 shows 1,240 survey responses, 14 focus groups, 6 partner workshops and 9 staff sessions, then five themes with evidence, such as 41% of outer valley respondents delaying care because of the drive. The first pillar, care closer to home, answers that finding directly.

The money adds up

Investment by pillar adds to $2.7 million, $1.5 million and $1.8 million, and by year to $1.8 million, $2.2 million and $2.0 million, both totalling $6.0 million. Sources of $2.6 million, $1.4 million and $2.0 million match the same total, and the risks table says what happens if the appeal falls short.

Questions people ask

How many strategic pillars should a plan have?

Three to five is common, and three is often enough for a mid sized organisation. Fewer pillars force real choices and are easier for staff to remember. This plan uses three, two about the people served and one about the organisation, each with exactly three goals so the plan stays readable.

What is the difference between a goal and a milestone?

A goal is the result you want by the end of the plan, such as an average allied health wait of 4 weeks. A milestone is a checkpoint on the way, such as the single intake line opening in 2028. Milestones let a board see drift early instead of discovering a missed goal in the final year.

Should a strategic plan include a budget?

It should show what the plan costs beyond normal operations and where the money will come from, even if the detailed budget sits elsewhere. Without it, a plan can promise more than the organisation can afford. This one sets out $6.0 million by pillar and year, and names the funding sources.

How should the community be consulted for a strategic plan?

Use more than one method so different people can take part: a survey for reach, focus groups for depth with groups who are often unheard, and workshops with partners and staff. Report back what you heard, as section 3 does, so people can see their input shaped the plan.

How often should a board review a strategic plan?

Progress against measures and milestones each quarter, and a fuller review of the plan once a year, here at the December board meeting. Midway through, it is worth asking whether the goals still fit. This plan also returns to the community in late 2029 to shape the next one.

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