Rebecca Cattermole, CEO of St John of God Accord

From medical science to leading one of Australia’s key disability service providers, Rebecca Cattermole’s journey is driven by a deep passion for people. In this Brooker Executive Perspective, she shares insights on leadership, the evolving disability sector, and the role of AI in shaping its future. Plus, she offers the advice she wishes she’d known as a young scientist—wisdom every leader can learn from.

Leighton:
What skills do you think are most crucial for success in your field today, whether in a CEO or other leadership role in the disability sector?

Rebecca: We’re in a really tight and tense time in the disability sector at the moment, with constant change in the last decade due to the National Disability Insurance Scheme (NDIS) rollout. Organisations and leaders must respond to commercial drivers while maintaining organisational values and mission, and providing compelling reasons for clients to choose their support in a marketplace full of providers.

Leighton:
Your values are something that I know are important to you.  What are the core principles that guide your leadership style?

Rebecca: My approach aligns with servant leadership, though I don’t find specific labels particularly helpful. I connect with the customer service aspect of servant leadership—providing support, vision and motivation. Offering an ongoing invitation to come and join me on creating the path towards that vision. And then I will help them identify for themselves: ‘What do you need to be your best possible self at work?’ And how can I help provide that? It is making sure that, yes sure, it’s an open door, right? But it’s really providing resources and a safe space to be the best you can be.

Leighton:
You’ve talked about being in the sector for 18 years.  When you look back over that time period, what are the biggest changes you have seen in the disability services sector?

Rebecca: The NDIS stands as the largest social reform since Medicare, surpassing it in spending and transforming the disability sector. We’ve shifted from block-funded services, where organisations controlled participant access, to a consumer-driven model. This fundamental change has transferred purchasing power from providers to consumers, introducing competitive forces across the sector. While sales was once considered taboo in disability services, the NDIS has normalised it. This shift should drive providers to improve service quality once the regulatory environment stabilises, ultimately enhancing empowerment and inclusion.

Leighton:
Do you see artificial intelligence impacting the disability services sector?

Rebecca: Considering artificial intelligence in disability support is fascinating, particularly its impact on vulnerable people. We’re already seeing AI applications in epilepsy seizure and fall monitoring, reducing staff reliance for those living independently with health or mobility needs. The next phase could involve shared roaming staff using AI monitoring and alert systems, enabling more independent living through wearable technology. While maintaining safety guardrails is crucial, future possibilities extend to robotics in allied health and community access. Although some applications sound like science fiction, the immediate focus remains on data analytics and gradually optimising staff support.

Rebecca Cattermole appointed CEO o ft John of God Accord