Health Systems Leadership & Reform

PERSISTconsulting

Where strategy meets culture.

Dr Jillann Farmer. Three decades of health system leadership — from the bedside to the boardroom, from Central Queensland to the United Nations — in service of one conviction: that the health system is capable of being better.

MB BS (Hons)  ·  FRACGP  ·  GC App Law  ·  MHA  ·  FRACMA  ·  FRACGP-RG

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About

Reform. Culture. Leadership.

Dr Jillann Farmer holds three specialist fellowships — FRACGP, FRACMA, and FRACGP-RG — alongside a Master of Health Administration and a Graduate Certificate in Applied Law. That combination is not incidental. It reflects a career that has moved deliberately across the boundaries of clinical practice, health system leadership, law, and governance.

The through-line of that career is reform. At the Queensland Health Patient Safety Centre, Jillann led the team that designed and negotiated Ryan's Rule — now embedded in Queensland and inspiring change in other countries. As Director of Medical Services at the United Nations, she led the largest strategic reform in the history of the Division, overseeing health services for 100,000 deployed peacekeeping personnel across more than 200 military healthcare facilities worldwide. As CEO of A Better Culture, she led a national project to address adverse findings on workplace culture in the Medical Training Survey.

Her work sits at the intersection of three persistent questions: Why do health systems get stuck? What does it actually take to shift culture? And who gets left out when we don't?

Jillann is a regular columnist for MJA Insight+ and Medical Republic, a sought-after keynote speaker on four continents, and a Non-Executive Director on the ACRRM Board. She brings to every engagement the same disposition: clear-eyed about the barriers, and committed to succeeding in spite of them.

Credentials & Roles

FRACGP, FRACMA & FRACGP-RGTriple specialist fellowship

Master of Health AdministrationUniversity of New South Wales

Graduate Certificate in Applied LawUniversity of Queensland

Non-Executive Director, ACRRM BoardFinance, Audit & Risk · Respectful Workplaces

Director, Division of Healthcare Management & OSHUnited Nations Secretariat, 2012–2020

Deputy Director-General, Clinical Excellence QueenslandQueensland Health, 2020–2021

CEO, A Better CultureRoyal Australasian College of Medical Administrators, 2023–2025

Harvard Law School Program on NegotiationYale School of Management Executive Women's Leadership Program

UQ Vice-Chancellor's Award for Distinguished Alumnus2024

Our Story

Why “Persist”?

The name has a history.

In 2017, a United States Senator was silenced mid-speech as she read aloud a letter that was critical of the Senate Majority leader. Her colleagues invoked a provision to silence her. The official record noted that she had been warned, she had been given an explanation. Nevertheless, she persisted. The phrase was meant as a rebuke. It became a rallying call — reclaimed by women who recognised, in those three words, something they had lived themselves.

But persistence, for Jillann, is not a political statement. It is a practice. One learned long before that Senate chamber, and tested repeatedly since.

It began in sport. In Kyokushin karate, persisting to earn a 2nd Dan black belt despite two devastating knee injuries, where “Osu no Seishin” (to push oneself to the limits of endurance under pressure of any kind) became part of her DNA.

That discipline — the capacity to absorb difficulty and continue — became the foundation of a career defined by taking on things that weren’t working and refusing to accept that they couldn’t be fixed.

At the United Nations, leading health services for 100,000 deployed peacekeeping personnel across some of the world’s most dangerous environments, the barriers were always real and always numerous. When her team would lay them out — the political constraints, the resource limits, the institutional resistance — Jillann’s response was consistent: “And in spite of all that, we will still succeed.” They usually did, ultimately implementing the largest strategic reform in the history of the Medical Services Division.

Back in Australia, her return to Queensland Health as Deputy Director-General happened just as the world closed down. Australia sealed its borders, Queensland Health moved into full Covid emergency mode, and the role Jillann had returned to lead became almost unrecognisable within weeks. It was not the chapter anyone had planned.

What that period clarified, if nothing else, was that persistence actually requires not just the capacity to push forward, but the willingness to keep advocating for what is right even when the room goes quiet.

“Nevertheless, she persisted.”

And persistence, it turns out, is not a single act. It is a direction of travel.

Jillann returned to the clinical frontlines at the height of the pandemic — to community practice and then emergency departments, to patients, to the work that had started everything. From there, she earned her Rural Generalist Fellowship, was appointed to lead A Better Culture — a national project to address the findings of the Medical Training Survey and reshape the culture of medicine in Australia — and took her place on the ACRRM Board. Each step chosen deliberately. Each one a continuation of the same conviction: that the health system is capable of being better, that culture is not fixed, and that the people willing to say so out loud — and keep saying so — are exactly the people it needs.

The work continues.

Services

How Persist Consulting can help

Strategic Reform & Organisational Turnaround

For health organisations that are stuck — where the strategy exists but isn’t moving, or where structural and cultural barriers are preventing progress. Jillann has led reform at state, national, and international scale.

Workplace Culture & Safety

Culture is not an HR problem — it is an occupational safety problem and a patient safety problem. Advisory, assessment, and facilitation services for health organisations committed to building workplaces where people can do their best work and patients are safer for it.

Harnessing Diversity

Diversity without inclusion is a statistic. Advisory and facilitation support for health organisations seeking to move beyond representation to genuinely harness the benefits of diverse teams — in decision-making, innovation, and safety.

Strategic Planning

Facilitation and advisory support for health organisations undertaking strategic planning — board and executive strategy retreats, strategic plan development, implementation frameworks, and progress evaluation.

Education & Facilitation

CPD session design and delivery, workshop facilitation, and keynote delivery for medical colleges, health organisations, and professional conferences. Known for intellectual rigour and the ability to move audiences from awareness to action.

Independent Review & Investigation

Independent clinical and organisational review, governance assessments, and medico-legal opinion. Drawing on triple specialist qualifications, extensive executive experience, and a track record of high-stakes independent review at state and international level.

Clinical Governance & Safety Systems

Strategic advisory for health organisations navigating accreditation, safety culture transformation, clinical risk, and quality improvement. Grounded in direct experience designing and implementing safety systems at scale.

Rural & Remote Health Policy

Policy analysis, workforce strategy, and submissions at the intersection of rural health, primary care, and national health reform. Informed by both frontline rural generalist practice and senior health system leadership.

Speaking & Keynotes

Making complex ideas land

Jillann is an experienced international keynote speaker who brings clinical authority, hard-won organisational experience, and genuine conviction to the platform. She has delivered keynote addresses across Australia, Canada, and the United States — to colleges of surgeons, emergency physicians, general practitioners, medical administrators, psychiatrists, and nursing leaders.

Her sessions are known for their intellectual rigour, their refusal to offer easy answers, and their capacity to move an audience from recognition to resolve.

Topic areas

Workplace Culture as a Safety Issue Women in Medical Leadership Getting Organisations Unstuck Harnessing Diversity in Health Teams Reconciliation & First Nations Health Health System Reform Clinician Wellbeing & Professional Safety Rural Health Workforce

Enquire about speaking fees and availability

Fees are tailored to the engagement, organisation, and context. Travel, accommodation and expenses are additional.
“The health system is capable of being better. Culture is not fixed. And the people willing to say so out loud — and keep saying so — are exactly the people it needs.”
— Dr Jillann Farmer

Selected Keynotes

Rural Medicine Australia2018 and 2024
RACGP International Women’s Day OrationRoyal Australian College of GPs, 2024
ANZCA Leadership Development Program2024
ACEM National ConferenceAustralasian College for Emergency Medicine, 2023
Rural Doctors Association of CanadaAnnual Conference, 2023
Cilento OrationRACMA National Conference, 2021
Canadian Conference on Physician LeadershipVancouver, 2018
Women in SimulationNew York, 2018
Alberta Psychiatry AssociationBanff, Canada, 2019

Writing & Thought Leadership

The argument, in print

Jillann is a regular contributor to MJA Insight+ and Medical Republic, writing on health workforce, culture, safety, gender equity, and the future of Australian medicine. She also has peer-reviewed publications across clinical, safety, and policy domains, and has contributed to book chapters, UN reports, and Queensland Health policy frameworks.

Opinion

Selected columns — MJA Insight+

Regular commentary on health workforce, Covid policy, mental health systems, gender equity in medicine, Medicare compliance, and safety and quality in primary care.

Opinion

Selected columns — Medical Republic

Commentary on bullying and racism in medicine, the gender pay gap, scope of practice, and what health organisations can learn from other sectors about culture change.

Peer-reviewed

Journal publications

Publications spanning open disclosure, clinical communication, arboviral disease, occupational health of UN personnel, and paediatric procedural safety. Co-authored with researchers at QIMR Berghofer, University of Queensland, NYU, and the United Nations.

Policy & Reports

Policy frameworks & reports

Co-author of A Better Culture — The Pathway to Better (2025); Learning to Action III & IV (Queensland Health clinical incident management, 2010 and 2011); UN Staff Wellbeing Survey (2016); and multiple Queensland Health and UN policy handbooks.

Governance & Board

Leadership at the table that counts

With active NED experience, deep familiarity with health sector governance frameworks, and a career that has included appearances before committees of the United Nations General Assembly, Jillann brings a distinctive clinical-executive lens to board and governance work.

Current

ACRRM Board — Non-Executive Director

Finance, Audit & Risk Committee and Respectful Workplaces Committee. Australian College of Rural and Remote Medicine.

Expertise

Finance, Audit & Risk

Board-level oversight of financial performance, audit processes, and enterprise risk management in health sector organisations.

Expertise

Clinical Governance

Safety and quality frameworks, credentialling, accreditation oversight, and governance of clinical risk at board level. Direct experience designing and implementing state-wide and UN-wide clinical safety systems.

Expertise

Workforce & Culture

Board-level stewardship of organisational culture, respectful workplace frameworks, and medical workforce strategy. Grounded in national reform leadership and frontline clinical experience.

Expertise

International & Complex Governance

Experience presenting to and working within UN General Assembly committees — including the Fifth Committee (budget and HR), Committee for Programme Co-ordination, and the Special Committee on Peacekeeping.

Advisory

Governance Consulting

Independent advisory support for health boards navigating governance challenges, board effectiveness reviews, committee restructuring, and organisational governance frameworks.

Contact

Start the conversation

Persist Consulting works with health organisations, government agencies, PHNs, aged care providers, professional colleges, medical colleges, and conference organisers across Australia and internationally.

Jillann is based in rural Queensland and works nationally and internationally.

Bunya, Queensland, Australia

Available nationally & internationally

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