St Kilda community health clinic to close, clients redirected to Prahran and South Melbourne

Staff warn of lost trust as Better Health Network cites lease problems and a forecast deficit

By LineZotpaper
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Sources3 outlets
Better Health Network will close its St Kilda clinic on October 23, redirecting vulnerable clients to services in Prahran and South Melbourne. The not-for-profit blames lease and landlord building issues and a forecast operating deficit, but former staff say the move dismantles community trust built over decades.

Better Health Network (BHN) will close its clinic at 22-28 Fitzroy Street in St Kilda this week, with clients directed to services in Prahran and South Melbourne. The clinic provides alcohol and drug programs, counselling, housing support, and the Resourcing Health and Education program, which serves the local street-based sex work community.

In an internal announcement seen by The Age, the organisation cited problems securing a suitable lease and structural building changes required by the landlord, described as outside its control. The current lease expires on October 30. The same document warns of a "significant forecasted operating deficit" for the 2025/26 financial year and says the organisation must focus on cost efficiencies.

Five former and current BHN staff criticised the closure and wider management decisions. Former case manager Alana Lewis, who left in May, said moving services would erode trust built over years with communities that have historically experienced stigma and discrimination. "Closing Fitzroy Street isn't simply relocating a service. It's dismantling decades of trust, community connection and accessible support," she said.

A former staff member speaking anonymously called the proposed travel to other clinics a "middle-class view of mobility", noting many vulnerable clients cannot move around the city easily. "If you're in community health, you can't take community out," they said.

The closure follows the permanent shutdown of two BHN clinics in Clarinda and Bentleigh last December. Chief executive Andrea McLeod told The Age at the time that there were no planned redundancies and staff would be redistributed to nearby clinics. A current employee, however, described "near-continuous" restructuring, high turnover of senior leadership and multiple redundancy rounds. An internal document from January details 23 program leaders being made redundant and 17 new leadership positions created.

BHN will continue to lease an administrative office at the Victorian Pride Centre in St Kilda, which is not permitted to provide client-facing services. One former staff member described this as an example of the "corporatisation of community health", with leadership "shooting for dollar outcomes, not client outcomes".

A BHN spokesperson said the organisation remained committed to providing client-facing services in St Kilda and was in the final stages of negotiating a lease for a new clinic in the suburb, though no timeframe was given. In the interim, clients would be supported with the relocation to Prahran and South Melbourne and with access to partner organisations. The spokesperson said the Pride Centre site remained "an important base for a range of frontline teams", including those who coordinate support by phone, and recognised that organisational change affecting employment is challenging.

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Analysis

Why This Matters

  • Vulnerable clients including homeless people, drug and alcohol program participants and street-based sex workers lose a local service point and must travel for care.
  • The closure follows two clinic shutdowns last year and a restructuring that included 23 program leader redundancies, raising questions about the provider's direction.
  • BHN says it is negotiating a new St Kilda lease, but without a timeframe, the community faces an uncertain gap in services.

Background

Better Health Network is a not-for-profit community health organisation formed in 2022 through the voluntary amalgamation of three smaller community health bodies. It provides primary and allied care to people experiencing homelessness, socioeconomic disadvantage or complex health needs. Community health organisations in Victoria operate on government funding and are expected to serve people who often cannot easily access mainstream services. The St Kilda clinic has been a longstanding point of contact for street-based sex workers and people with housing and substance use needs, groups that typically rely on continuity and familiarity.

Key Perspectives

Better Health Network: The closure is driven by lease and structural issues outside its control, and by the need for financial sustainability given a forecast operating deficit. It says clients will be supported through the transition and it is working to open a new St Kilda clinic.

Former and current staff: They argue that relocation is unrealistic for many vulnerable clients, that trust built over years cannot be transferred, and that restructuring prioritises financial outcomes over client care. Some also say speaking up internally has become difficult.

Critics and skeptics: Former staff describe a pattern of repeated restructuring, leadership turnover and redundancy rounds, and question the decision to keep a non-client-facing administrative office in St Kilda while closing the clinic.

What to Watch

  • Whether BHN secures the new St Kilda lease and announces a timeframe for a replacement clinic.
  • Whether clients redirected to Prahran and South Melbourne actually continue their care or drop out of services.
  • Any further restructuring or redundancy rounds as the organisation pursues cost efficiencies in the 2025/26 financial year.

Sources

Checked

12 claims in this story checked against 1 source: 12 supported.

Show each claim
  1. SupportedSt Kilda community health clinic to close, clients redirected to Prahran and South MelbourneSydney Morning Herald - Latest News: “A prominent community health organisation will close the doors of its major clinic in St Kilda this week, forcing vulnerable clients to instead travel to Prahran or South Melbourne for help.”
  2. SupportedStaff warn of lost trust as BHN cites lease problems and a forecast deficitSydney Morning Herald - Latest News: “Among the reasons given were issues securing a suitable lease and structural building changes required by the landlord... With a significant forecasted operating deficit for the 2025/26 financial year, the organisation must focus on achieving cost efficiencies.”
  3. SupportedBHN will close its St Kilda clinic on October 23Sydney Morning Herald - Latest News: “criticised the St Kilda closure – set to take place on October 23”
  4. SupportedReasons for closure were lease issues and structural building changes required by the landlord, described as outside BHN's controlSydney Morning Herald - Latest News: “Among the reasons given were issues securing a suitable lease and structural building changes required by the landlord, described as being 'outside [the] control' of the organisation.”
  5. SupportedInternal document warns of a 'significant forecasted operating deficit' for 2025/26 and need for cost efficienciesSydney Morning Herald - Latest News: “With a significant forecasted operating deficit for the 2025/26 financial year, the organisation must focus on achieving cost efficiencies that can support our need for financial sustainability.”
  6. SupportedAlana Lewis, former case manager who left in May, said: 'Closing Fitzroy Street isn't simply relocating a service. It's dismantling decades of trust, community connection and accessible support.'Sydney Morning Herald - Latest News: “Closing Fitzroy Street isn't simply relocating a service. It's dismantling decades of trust, community connection and accessible support.”
  7. SupportedAn anonymous former staff member called the proposed travel to other clinics a 'middle-class view of mobility' and said 'If you're in community health, you can't take community out.'Sydney Morning Herald - Latest News: “That's a middle-class view of mobility … a lot of people can't travel in those sorts of ways. ... If you're in community health, you can't take community out.”
  8. SupportedInternal document from January details 23 program leaders made redundant and 17 new leadership positions createdSydney Morning Herald - Latest News: “It refers to 23 program leaders being made redundant, 17 new leadership positions being created and a range of title and role description changes.”
  9. SupportedThe closure follows the permanent shutdown of two BHN clinics in Clarinda and Bentleigh last December; CEO Andrea McLeod then said there were no planned redundanciesSydney Morning Herald - Latest News: “Last December, two BHN clinics in Clarinda and in Bentleigh permanently closed. Chief executive Andrea McLeod told The Age at the time there were no planned redundancies... and staff would be redistributed to nearby clinics.”
  10. SupportedBHN will continue leasing an administrative office at the Victorian Pride Centre, which is not permitted to provide client-facing services; a former staff member called this 'corporatisation of community health'Sydney Morning Herald - Latest News: “not-for-profit will continue to lease its administrative office at the Victorian Pride Centre in St Kilda... but which is not permitted to provide client-facing services... an example of the 'corporatisation of community health'.”
  11. SupportedA BHN spokesperson said the organisation was committed to client-facing services in St Kilda and in final stages of negotiating a lease for a new clinic, without a timeframeSydney Morning Herald - Latest News: “a spokesperson for BHN said the organisation was committed to providing client-facing services in St Kilda. They said they were in the final stages of negotiating a lease for a new clinic in the suburb, but declined to provide a specific timeframe.”
  12. SupportedFive former and current BHN staff criticised the closure and wider management decisions, including a current employee describing 'near-continuous' restructuringSydney Morning Herald - Latest News: “The Age has spoken to five former and current Better Health Network staff who criticised the St Kilda closure... described a dynamic of 'near-continuous' restructuring, including a high turnover of senior leadership and multiple redundancy rounds.”

Zotpaper

Written by Harper Lane on the Science desk. Claims checked by Ines Fairley, verification. Edited by Angus Burke, chief sub. Plate by Ollie Flash, picture desk.

1 source12 of 12 claims matched to a sourcefirst published 19 Oct, 6:46 pm
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