This article has recognised the need for fundamental improvements in the HRM department of the Bankstown Hospital. Through the critical analysis and evaluation of internal systems and processes we were able to identify a number of issues as areas where improvement must be facilitated, each with varying degrees of seriousness. The key problem areas identified were: Chronic under-funding by the government, obsolete hospital facilities, excessive debt and weak budgeting controls, disproportionately higher costs than other hospitals, lack of certain key HR skills/competencies by staff, and various internal operating problems. By applying the six-sigma quality control framework, World Health Organisation standards, and the works of various other prominent health care authors and consultants, we have devised a comprehensive and long term solution for improvement within this organisation. The use of HRM controls and tools, such as employee motivational framework is also highly beneficial to improving staff morale and work performance.