{"id":"health-services-quadriplegic-centre-order-2018","name":"Health Services (Quadriplegic Centre) Order 2018","slug":"health-services-quadriplegic-centre-order-2018","collection":"regulation","jurisdiction":"wa","status":"in_force","isInForce":true,"actNumber":null,"makingDate":null,"administeringDepartment":null,"currentVersion":{"id":176809,"registerId":"wa-health-services-quadriplegic-centre-order-2018-current","compilationNumber":null,"startDate":"2026-04-05","status":"InForce","reasons":null,"registeredAt":null},"sections":[{"sectionNumber":"1","sectionType":"section","heading":"Health Services (Quadriplegic Centre) Order 2018","content":"![Crest]()Western Australia\n\nHealth Services Act 2016\n\nHealth Services (Quadriplegic Centre) Order 2018\n\nWestern Australia\n\nHealth Services (Quadriplegic Centre) Order 2018\n\nContents\n\n1. Citation 1\n\n2. Commencement 1\n\n3. Terms used 1\n\n4. Governance of Quadriplegic Centre changed 1\n\nNotes\n\nCompilation table 2\n\nDefined terms\n\n  \n\nHealth Services Act 2016\n\nHealth Services (Quadriplegic Centre) Order 2018\n\n##### 1. Citation\n\n\t\tThis order is the *Health Services (Quadriplegic Centre) Order 2018*.\n\n##### 2. Commencement\n\nThis order comes into operation as follows —\n\n(a) clauses 1 and 2 — on the day on which this order is published in the *Gazette*;\n\n(b) the rest of the order — on 1 January 2019.\n\n##### 3. Terms used\n\nIn this order —\n\nQuadriplegic Centre means the body corporate mentioned in section 251(2) of the Act;\n\nQuadriplegic Centre Order means section 251(2) of the Act, being a provision that by reason of section 251(4) of the Act has effect as if it were an order under section 32(1) of the Act.\n\n##### 4. Governance of Quadriplegic Centre changed\n\nThe Quadriplegic Centre Order is amended by changing the governance of the Quadriplegic Centre from a board governed provider to a chief executive governed provider.\n\n![dline]()\n\nNotes\n\n1 This is a compilation of the *Health Services (Quadriplegic Centre) Order 2018*. The following table contains information about that order.\n\nCompilation table\n\n| **Citation** | **Gazettal** | **Commencement** |\n| --- | --- | --- |\n| *Health Services (Quadriplegic Centre) Order 2018* | 30 Nov 2018 p. 4596-7 | cl. 1 and 2: 30 Nov 2018 (see cl. 2(a));   Order other than cl. 1 and 2: 1 Jan 2019 (cee cl. 2(b)) |\n\n\nDefined terms\n\n*[This is a list of terms defined and the provisions where they are defined. The list is not part of the law.]*\n\n**Defined term Provision(s)**\n\nQuadriplegic Centre 3\n\nQuadriplegic Centre Order 3\n","sortOrder":0}],"analysis":{"issue_detection":{"absurdities":[],"contradictions":[]},"flash_summary":{"complexity_score":2,"scope_assessment":{"changed":false,"description":"The Order is narrowly targeted: it changes the governance model of the Quadriplegic Centre from board-governed to chief-executive-governed. It does not expand the Centre’s functions, powers, or funding arrangements, nor create additional duties or beneficiaries. Therefore it has not grown beyond its apparent original, limited purpose of altering governance structure (see clause 4)."},"complexity_factors":["Very short instrument: 4 clauses (1 title, 2 commencement, 3 definitions, 4 substantive change).","Only 2 defined terms introduced in the Order (Quadriplegic Centre; Quadriplegic Centre Order).","Single substantive amendment (clause 4) — changes governance model only.","Cross-references to the Health Services Act 2016: section 251(2), section 251(4) and section 32(1) — simple but necessary external reference.","Commencement staged (two dates) — minor timing complexity."],"plain_english_summary":"**What this order does (mechanically)**\n\n- This Order changes who governs the Quadriplegic Centre.  It replaces a “board governed provider” model with a “chief executive governed provider” model (clause 4).\n- The Order relies on the Health Services Act 2016 definitions for the Quadriplegic Centre (see clause 3) and is effective as an exercise of powers that treat section 251(2) of the Act as an order under section 32(1) of the Act (see clause 3).\n- Clauses 1 and 2 (title and commencement mechanics) commenced on publication in the Gazette; the substantive change (clause 4) took effect on 1 January 2019 (clause 2).\n\n**Who and what is affected**\n\n- The Order affects the Quadriplegic Centre — the body corporate identified in section 251(2) of the Health Services Act 2016 (clause 3).\n- It changes internal governance arrangements only: the legal entity, its statutory functions, funding arrangements and the fact of its existence are not altered by the text of this Order. The Order does not on its face change services provided, funding, or statutory duties; it changes who has governance authority over the Centre (clause 4).\n\n**Why it matters (practical effects and decision mechanics)**\n\n- Decision-maker: Authority for governance and operational control moves from a multi-person board to a single chief executive role. That means the chief executive (or the office/person who fills that statutory role under the Act) becomes the primary decision-maker instead of a board (clause 4).\n- Accountability and oversight: A shift from board to chief executive changes the institutional checks and decision processes — for example, there will be fewer collective board meetings and decisions will be concentrated in executive hands. The Order itself does not specify new reporting lines or oversight details; those follow from the governance model under the Act and associated administrative rules.\n- Implementation work and costs: Converting governance typically requires administrative steps — reassigning delegations, amending governance documents, changing appointment and meeting arrangements, and updating public records. The Order does not allocate funding for those steps; any costs would be met from existing administrative budgets unless other arrangements are made under the Act or by government.\n\n**Mechanisms, incentives and trade-offs (brief analytical note)**\n\n- Mechanism: The Order operates by amending the Quadriplegic Centre Order (section 251(2) of the Act) so the Centre is treated as a chief executive governed provider instead of a board governed provider (clauses 3–4).\n- Incentives and behaviour: Centralising governance in a chief executive tends to speed decision-making and concentrate authority; it reduces the formal role of board members and external stakeholders who would otherwise participate in governance. That may lower transaction costs for operational decisions but reduces formal collective oversight. The Order does not itself change legal obligations of staff or contractors, nor does it alter funding arrangements explicitly.\n- Risks and implementation issues: The principal risks are transitional — ensuring delegations, employment and appointment arrangements are lawfully converted and that statutory accountability (reporting, compliance with the Act) is maintained. The Order is short and leaves the detailed administrative arrangements to implementing bodies and the Act’s broader governance framework.\n\n**What the Order does not do (limits)**\n\n- It does not amend service functions, funding formulas, regulatory powers, or statutory duties of the Centre in this instrument; it makes a governance-type change only (clause 4).\n\n(References: clauses 2–4 of the Health Services (Quadriplegic Centre) Order 2018 and the defined terms in clause 3.)"},"summary":{"complexity_score":1,"scope_assessment":{"changed":false,"description":"Scope change cannot be assessed as the legislative text is inaccessible. No comparison between original intent and enacted provisions is possible from the available information."},"complexity_factors":["Legislative text is entirely unavailable — the source URL returns a 'page not found' error due to website migration","Only the title and a system notice were retrievable; no substantive provisions, schedules, or operative clauses could be assessed","Complexity cannot be meaningfully rated without content; score of 1 reflects absence of data, not simplicity of the law itself"],"plain_english_summary":"This Order is a WA government delegated instrument concerning the Quadriplegic Centre (a specialist spinal-cord/rehabilitation service in Perth) made under the Health Services Act framework. Though the text is currently unavailable, it likely sets governance, administrative or funding arrangements for the Centre. It matters to people receiving care there, staff, and health administrators who run or regulate the service."},"flash_summary_failed":{"failed":true,"reason":"Unauthenticated. Configure AI_GATEWAY_API_KEY or use a provider module. Learn more: https://ai-sdk.dev/unauthenticated-ai-gateway","source":"analysis-cron"},"kimi_summary":{"content_quality":"ok","complexity_score":2,"scope_assessment":{"changed":false,"description":"The legislation performs exactly one narrow function: changing the governance model of a single health facility. It has not expanded beyond this original purpose."},"complexity_factors":["Very short document (4 clauses, approximately 200 words)","Only 2 defined terms","Single substantive amendment (clause 4)","Heavy reliance on external references to the Health Services Act 2016 (sections 32, 251) without reproducing that content","No conditional logic, exceptions, or procedural requirements"],"plain_english_summary":"This is a short piece of Western Australian legislation that changes who runs the Quadriplegic Centre — a facility that provides care for people with quadriplegia (paralysis affecting all four limbs).\n\n**What it does:**\n- Changes the governance structure of the Quadriplegic Centre from being run by a **board of directors** (a group of people making collective decisions) to being run by a **chief executive** (a single senior manager).\n\n**Who it affects:**\n- The Quadriplegic Centre itself and its management\n- Staff and patients of the Centre\n- The Western Australian health department, which now oversees a chief executive rather than a board\n\n**Why it matters:**\nThis is a governance change that shifts decision-making power from a collective board structure to a single executive leader. This typically means faster decision-making but less distributed oversight. It aligns the Centre with how many other Western Australian health services are managed under the *Health Services Act 2016*."}},"importantCases":[],"_links":{"self":"/api/acts/health-services-quadriplegic-centre-order-2018","history":"/api/acts/health-services-quadriplegic-centre-order-2018/history","analysis":"/api/acts/health-services-quadriplegic-centre-order-2018/analysis","conflicts":"/api/acts/health-services-quadriplegic-centre-order-2018/conflicts","importantCases":"/api/acts/health-services-quadriplegic-centre-order-2018/important-cases","documents":"/api/acts/health-services-quadriplegic-centre-order-2018/documents"}}