Illawarra Shoalhaven Local Health District (ISLHD)

Director, Clinical Operations

After Hours Nurse Manager (Casual) & Registered Nurse Emergency Department (Casual)

Project Manager - PMO, Redesign & Innovation

Project Manager - ED Transformation Redesign Program

Project Officer with focus on change management and commissioning of the new Bulli Hospital facility

Project Officer - Bulli Hospital Redevelopment Project

Deputy Director of Nursing - Bulli Hospital

Nurse Unit Manager - Medical Assessment Unit & General Medicine

Whole of Health Lead

Registered Nurse Emergency Department

Nurse Unit Manager - Medical Assessment Unit and Acute Aged Care

Clinical Nurse Educator

Emergency Department Clinical Nurse Specialist - Registered nurse

Assistant in Nursing

MedApps

Nursing & Midwifery Clinical Lead / Hospital Success Manager

Western Sydney University - School of Nursing & Midwifery

Sessional Academic - face-to-face teaching and marking for undergraduate students

Sessional Academic (Casual)

I help nurses who feel stuck in their job to feel motivated to chase their dreams | Career Navigator | Registered Nurse | Content Creator

I am an experienced leader, project manager and clinician, working within the healthcare industry for over  15 years. I have worked across several clinical areas and hospitals in operational, strategic and project roles. I currently work in the health tech industry as the Nursing and Midwifery Clinical Lead for Med Apps. I hold post-grad qualifications in Health Leadership and Management and a Master in Business Administration.

Dan Graham

If your business can’t run without you, you don’t own the company — it owns you.You’re rich — but you’re still broke.Not in money. In time, peace, and freedom.Revenue is growing. Headcount is up. But the right leaders are scarce, operations are uneven, and you’re still the brain that keeps the machine alive. One disruption can wipe out momentum. One absence can stall production, decisions, or cash.You’ve built success — yet you’re still trapped inside it.Cash flow surges, then shrinks.Execution is inconsistent.You’re reacting more than leading.Inflation, tariffs, staffing, compliance — external forces squeeze harder every quarter. And while the business expands, your life shrinks.Date nights look like drive-by conversations. Weekends get swallowed by backlog. Golf clubs collect dust.That’s what it means to be rich — but still broke.And here’s the truth most leaders won’t say out loud:More sales won’t fix this.Growth is not the cure — it’s the amplifier of every structural weakness you haven’t addressed.That’s where Structure • Leadership • Flow goes to work.No fluff. No theory. A business operating system installed into the real-world guts of your company.• Structure — Roles, systems, and performance expectations that eliminate chaos and make profit repeatable• Leadership — Capability, accountability, and decision power that doesn’t collapse when you’re gone• Flow — Smooth operations, clean communication, and cash you can count on month after monthThis framework turns a founder-dependent operation into a self-running, profit-producing company.Built on Fortune 500 discipline — right-sized for established small and mid-market businesses ($200K–$21M revenue | 5–100 employees) across B2B services, B2C services, and small manufacturing.If you’re working harder with no freedom to show for it, you don’t have a revenue problem.You have a system problem — and it’s fixable.Book a Strategy Session                👇https://calendly.com/timewithfran/vip_strategy_session

Frances Strickland

This should scare you.

You can lose $200K on your best-selling service line and not even know it.

And the real danger isn’t the cash-flow problem. 

It’s the moment you as CEO says, “I don’t know where we stand.”

That’s when the business is already running you.

I’ve seen this across multiple established multi-million-dollar companies:
On the outside, the business looks strong.

On the inside, profit is leaking from every direction - quietly, consistently, and invisibly.

Here’s what was really happening inside two different businesses I supported:

– KPI reports existed, but didn't decision-makers consistently.
– A major service line that once drove 60%+ of revenue dropped by half over two years, undetected.
– Labor costs rose with no structure for merit increases, no budgeting rhythm, and no clarity on total compensation.
– Credit card spend ballooned into years of miscellaneous, unmonitored expenses.
– Parts and equipment purchases often made without knowing they already existed.
– And all new business relied on one person.  There was no shared topline responsibility, no commercial system, no pipeline discipline.

These weren’t “money problems.”

These were Structure, Leadership, and Flow problems.

Here’s what they stopped doing and what changed everything:

Step 1: Stopped running blind.

We rebuilt visibility: automated weekly KPIs, accurate segmentation of direct/indirect costs, and real-time clarity on labor cost and benefits.

Step 2: Stopped carrying dead weight.

A division that burned $1.2M over two years was divested long overdue, and instantly margin-positive.

Step 3: Stopped letting labor costs drift.

We implemented merit-based increases and annual budgeting discipline.

Step 4: Stopped revenue leakage.

We put a cap on how much each salesperson could leave on the table and built a simple, reliable commercial system for predictable growth.

Step 5: Stopped bottlenecking decisions at the CEO.

Clear decision rights. Authority limits. A leadership cadence that stopped the chaos.

And here’s what happened next:
✔ Negative margins on their best-selling service line flipped positive, a $100K net gain.
✔ Miscellaneous credit-card spend dropped to a two-year low.
✔ A full parts-and-equipment cataloging system stopped duplicate purchasing.
✔ Cash flow stabilized.
✔ Leadership alignment strengthened.
✔ The CEO finally led from clarity instead of crisis.

Revenue didn’t save these businesses.

Structure, Leadership, and Flow did.

If you’re generating strong revenue but still don’t know exactly where you stand, that’s your signal.

And there's a proven way to do something about it.

The link’s in the comments.


#strategy #business #creativity #innovation #richbutbrokenomorewithfran

Frances Melvina Strickland 

Partner & Architect for Established SMBs to Regain Control, Predictable Profits, and Their Lives | Fortune 500 Insights Brilliantly Sized for SMBs | Structure • Leadership • Flow | Rich But Broke No More | The Fixer

Leadership shows before you say a word.  So does your business.

The last time I was this close to a horse was over 25 years ago in the US, in an Arizona ghost town attraction.

But this morning, the horses weren’t props. They were the coaches.

And my time in an equine leadership experience reminded me of something leaders forget:
 
You can’t fake presence.

Not with a horse.

Not with your team.

Not with your business.

Horses follow clear leadership and ignore unclear leadership.
 
There is no negotiation, no debate, no “let me explain.”

One horse, bold, extroverted, boundary-testing, made it obvious:

If your signal is clear, he follows.
 
If it isn’t, he fills the space and takes control.

Your business behaves the same way. 

When clarity slips, confusion grows.

When direction is soft, execution slows.

When presence is ambivalent, performance becomes unpredictable.

This is why Structure • Leadership • Flow is not theory.
 
It’s the operating reality of every SMB.

So here’s your Sunday check-in:

💎 Where is clarity missing?
💎 What boundary needs resetting? 
💎 What decision must be made instead of delayed?
💎 What part of the business is waiting on you — not the market?
💎 What signal will your team read first tomorrow?

Your business already knows who’s leading it.

The only question is whether your presence confirms it.

If you want to stabilize operations and increase profit this quarter using the Structure • Leadership • Flow framework,  let’s talk. 

The link is in the comments section.

 #strategy #business #creativity #innovation #richbutbrokenomorewithfran

A woman in a gray plaid coat stands close to a dark brown horse with a pink halter, her hand resting on its neck as the horse leans in, sensing her calm leadership energy.

Tiny choices compound into massive profit erosion. 

What feels insignificant today costs thousands annually.

Business owners obsess over major expenses while countless small daily decisions quietly drain profit margins through accumulated inefficiency and poor judgment.

These micro-decisions feel too minor to scrutinize individually, but their collective impact destroys more profitability than any single large expense on your P&L.

Scroll through to identify which daily decision patterns might be bleeding thousands from your bottom line without appearing anywhere on financial reports.

Are small choices quietly destroying the profits your big decisions are trying to create?

Are you looking to build a team that operates independently, maintaining standards while you work fewer hours and get more done?


Let’s talk. Book a 30-minute complimentary call to solve just one of your situations that has you being a bottleneck and blocking team development. 
Link is in the comments.



#strategy #business #creativity #innovation #richbutbrokenomorewithfran

The Profit Leak Hiding in Small Daily Decisions

Be In Your Superpower!  Self Regulate Your Nervous System

Join Dharma Funder and me for a live conversation on how to elevate our overall impact by developing our ability to self-regulate from the real power center - our nervous system

Nihal Prasad, Frances Melvina Strickland and 4 other attendees

Be In Your Superpower!  Self Regulate Your Nervous System

Your week reflects your leadership. Adjust your frame.

Business advice gets noisy. You get to cut through it.

Strip away the pillar-based models, the recycled “Three Ps,” and even strong operating systems like EOS.

You’re left with the forces that actually determine whether a business prospers or quietly erodes:

💎 Structure:  the clarity of purpose, vision, and message that anchors every decision.

💎 Leadership:  the authority signals that establish credibility and trust.
 
💎 Flow:  the systems that attract the right people, resources, and energy so execution actually happens.

Simple. Precise. Zero fog.

As you move through your Saturday -- doing the thinking, planning, and quiet follow-ups you can’t reach during the week -- take a moment for a direct leadership check-in.

Not legalistic.
 
Not performative.

A straight look in the mirror.

✅ Where was your clarity sharp—and where did it drift?
 
✅ What signals did you send about your authority and credibility?
 
✅ Did your systems create Flow—or did they force you to carry work your structure should have handled?
 
✅ Did your people bring critical thinking and drive—or wait for direction?
 
✅ Did your leadership create momentum—or friction?

Here's your vital reality:
 
If profitability slipped this week, it wasn’t the market.
 
It was a break in Structure, Leadership, or Flow.
 
Fix the break, and profitability follows.
 
Ignore it, and you’ll relive the same week again.

When these three work together, profits stop being unpredictable.
 
You stop running the business.
 
The business starts running WITH you.

If you want to explore the Structure • Leadership • Flow framework to stabilize your operations and increase profit this quarter, let's talk.
 
The link is in the comments section.

 #strategy #business #creativity #innovation #richbutbrokenomorewithfran

Fran stands under a towering tree with her two dogs, in a quiet nature setting—a grounded moment that reflects leadership, clarity, and intentional presence.

His team went from asking permission for everything to making 80% of decisions independently in 12 weeks.

Marcus managed seven technically competent people who operated like order-takers, escalating every decision and waiting for his direction constantly.

Often, when he had been out of the office, he found that certain activities that should have been automatic had not budged because he hadn’t told anyone to do them. 

One week, he spent 15 hours sitting in his office, answering questions and making choices his team should've handled themselves, creating a bottleneck that prevented growth.

How we solved it:
Step 1: Identified the ownership barriers
Marcus had accidentally trained dependency by always having answers ready and sometimes redoing work that didn't match his exact vision.

Team members learned that waiting for input was safer than risking a decision he might overturn.

Step 2: Established decision authority zones
Created clear frameworks: Green decisions (make independently), Yellow decisions (recommend your approach first), Red decisions (require approval).

Moved 70% of daily decisions into the Green zone with clear parameters around quality standards, budget limits, and client impact.

Step 3: Changed the conversation pattern
When the team asked "What should I do?" Marcus responded with “What have you already done?” or  "What do you think we should do and why?" forcing strategic thinking.

He committed to supporting their decisions even when he might've chosen differently, as long as choices fell within established parameters.

Step 4: Built accountability without micro-management
Created weekly check-ins focused on outcomes rather than activities. Celebrated good independent decisions publicly to reinforce the new standard.

The results within 12 weeks:
Marcus's decision-making time dropped to less than 3 hours per week - his team handled 80% of choices independently and he started handling the clarifications in their check-ins.

Projects wrapped up an average 2 to 3 weeks faster because approval bottlenecks disappeared.

Team confidence jumped as people saw their decisions leading to successful outcomes without constant intervention.

Life after solving the problem:
Marcus focuses on strategic client relationships instead of operational babysitting, which opened two major partnership opportunities.

His team operates like owners, proactively solving problems before they escalate.

The business scaled from $1.1M to $1.6M without adding headcount because existing capacity was unleashed through proper Leadership systems.

Are you looking to build a team that operates independently, maintaining standards while you get to work fewer hours yet get more done?

Take 30 minutes on a complimentary call and let’s solve just one of your situations that has you being a bottleneck and blocking team development. 
Link is in the comments.


#strategy #business #creativity #innovation #richbutbrokenomorewithfran

Episode 7: Coaching for Growth and Wellbeing

With Beate Rotthäuser, Empower Unleashed a lively and insightful discussion of the power of coaching in transforming your life experiences.

Nihal Prasad, Frances Melvina Strickland and 7 other attendees

Episode 7: Coaching for Growth and Wellbeing

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The Battle

Dan Graham

Frances Strickland

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taplio

The Battle

Dan Graham

Frances Strickland

Followers

Posts

Engagements

Likes

Performance Score.css-goub6s{font-size:var(--chakra-fontSizes-md);font-weight:500;color:var(--chakra-colors-gray-600);display:block;margin-top:var(--chakra-space-1);}Frances Strickland's LinkedIn Performance

Ready to grow your LinkedIn presence?

Performance ScoreFrances Strickland's LinkedIn Performance