The government has fallen behind in implementing a raft of measures it was told to put in place following a scathing review into ACT's public health system last year.
Canberra's health system has been plagued for years by allegations of bullying, harassment and poor culture.
An independent report handed down in March last year found the issues were systemic in parts of the system. It made 20 wide ranging recommendations.
More than 15 months on, consultant Mick Reid has handed down the first annual review on how well changes are being implemented.
He found on balance there had been considerable progress on implementing the recommendations.
But some groups and individuals interviewed for the report were frustrated by delays in progress and inconsistency in implementation across the three arms of ACT's public health system.
The report showed only six of the recommendations were fully on track.
It found that while individual arms of the health system had generally been able to progress their reform well, recommendations that applied to the whole system had been harder to implement.
Some of the delays have been blamed on the bushfires and then COVID-19
But Mr Reid said it was critical the groups set up to implement the changes regained momentum "as soon as possible".
Among the key recommendations currently off track, is the need to put in place a program across the health system that promotes a healthier culture to reduce workplace bullying.
Plans to improve doctors' engagement and participation in strategy and policy initiatives are also yet to get off the ground.
"I am pleased that this report has confirmed we are heading in the right direction, but I know there remains more to do. Cultural change takes time and requires sustained effort over several years," health minister Rachel Stephen-Smith said.
"Across the ACT public health system, we remain committed to achieving real cultural change, and I look forward to continuing to work with system leaders, staff, consumers and all stakeholders to deliver on the full intent of the culture review.
"I thank everyone across the ACT public health system for their commitment to developing initiatives and approaches to support positive culture change, recognising that this will benefit the entire health workforce, as well as patients and their families and carers."
The report was released as the government came under renewed pressure over its handling of mental health in the ACT.
The adult mental health unit at Canberra Hospital has faced bed shortages and is consistently at or above capacity.
Opposition health spokeswoman Vicki Dunne put forward a motion in the ACT Legislative Assembly on Thursday, calling on the government to refer the system to the ACT Human Rights Commission to conduct an inquiry.
"Many patients reportedly leave the public mental health system worse off than when they went in. Our dedicated and hardworking mental health staff are being assaulted at record rates," she said.
"Out of concern for the wellbeing of both patients and mental health staff, it is very important that these ongoing issues are appropriately examined by the ACT Human Rights Commission." The government did not support the motion to refer the system to the commission.