The Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG; the College) welcomes the release of the Report of the Special Commission of Inquiry into Healthcare Funding, led by The Honourable Justice Richard Beasley (the Beasley Report; the Report).
This comprehensive review represents a pivotal moment for healthcare reform in New South Wales and opens the opportunity to strengthen our health system for the benefit of all women and families across the state.
A catalyst for transformative change
The Beasley Report’s 41 recommendations provide a solid framework for addressing the systemic challenges that have long impacted healthcare delivery in NSW. RANZCOG is particularly encouraged by the Report’s focus on workforce development, education and training pathways, and the critical need to support regional and rural healthcare services.
For women’s healthcare, these recommendations could not come at a more crucial time. The shortage of specialist obstetricians and gynaecologists, particularly in regional areas, has created significant gaps in access to essential reproductive health services, maternity care, and specialist gynaecological treatment. The Report’s emphasis on workforce planning and training reform aligns with RANZCOG’s longstanding advocacy for sustainable solutions to these challenges.
Strengthening regional healthcare delivery
TV endorses the Report’s recommendations regarding regional workforce support and the expansion of specialist training networks. The creation of better rural and regional training pathways represents an approach that could fundamentally change how we prepare the next generation of specialists to serve communities outside metropolitan areas.
For too long, regional women have faced significant barriers accessing specialist obstetric and gynaecological care, often requiring long-distance travel for routine consultations and procedures. The Report’s vision for strengthened regional services offers genuine hope for reducing these inequities and ensuring that postcode does not determine access to quality women’s healthcare.
Our GP obstetrician colleagues, who provide invaluable maternity care across regional NSW, would particularly benefit from enhanced training pathways and support structures outlined in the Report. Strengthening the bridge between general practice and specialist obstetric care is essential for maintaining safe, accessible maternity services in smaller communities.
Training and education reform
The Report’s focus on education and training reform resonates with RANZCOG’s commitment to excellence in obstetrics and gynaecology education. The recommendations for expanding specialist training networks and creating more flexible, regionally-focused training opportunities could help address the maldistribution of specialists that has long challenged our healthcare system.
A call for swift implementation
While welcoming the Report is important, RANZCOG emphasises that the true test lies in implementation. The NSW Government now has a clear roadmap for reform, backed by extensive consultation and rigorous analysis. We urge swift action on the recommendations, particularly those addressing workforce development and regional service delivery, and training.
TV stands ready to work collaboratively with the NSW Government, health services, and other stakeholders to translate these recommendations into meaningful change. The College’s expertise in obstetrics and gynaecology training, workforce planning, and clinical standards setting positions us to be a constructive partner in this reform agenda.
Looking forward with optimism
The Beasley Report represents more than just another review – it provides a genuine blueprint for creating a more equitable, sustainable, and effective healthcare system for NSW women and girls and broader community. For the specialist obstetricians and gynaecologists, GP obstetricians, and other healthcare professionals who dedicate their careers to women’s health, this Report offers hope for systemic changes that could transform how they deliver care.
TV is optimistic about the opportunity this Report presents to reform NSW healthcare in ways that will benefit current and future generations. RANZCOG commits to playing part in ensuring these important recommendations translate into improved health outcomes for women and families across New South Wales.
Media enquiries
Bec McPhee
Head of Advocacy & Communications
bmcphee@ranzcog.edu.au
+61 413 258 166



