The Shangri-La Hospital is the major tertiary referral centre for the outer west sector of a
major capital city. Analysis of the demographic profile of the population indicates that a
large proportion of the population is composed of young families whose socioeconomic
circumstances are described as marginal. There is significant ethnic diversity and the area
has one of the largest indigenous populations of any urban area in the region. The ShangriLa
Hospital has 650 beds and offers a broad range of specialty services. These include
paediatric, oncology, cardiology, endocrine, respiratory, aged care, neurology, obstetrics
and gynaecology, psychiatry, indigenous health and other public health services.
The hospital is currently structured along functional lines. It is currently having difficulty
coordinating services and working within the ever-tightening constraints of the health
care budget A group of management consultants has bee