{"id":"nsw:sl-2018-0471","name":"Health Services Regulation 2018","slug":"health-services-regulation-2018","collection":"regulation","jurisdiction":"nsw","status":"in_force","isInForce":true,"actNumber":"471 of 2018","makingDate":null,"administeringDepartment":null,"currentVersion":{"id":176655,"registerId":"nsw-nsw:sl-2018-0471-current","compilationNumber":null,"startDate":"2026-04-05","status":"InForce","reasons":null,"registeredAt":null},"sections":[{"sectionNumber":"Part 1","sectionType":"part","heading":"Preliminary","content":"# Part 1 Preliminary\n\nPart 1 Preliminary","sortOrder":0},{"sectionNumber":"1","sectionType":"section","heading":"Name of Regulation","content":"#### 1 Name of Regulation\n\n1 Name of Regulation\n\n> This Regulation is the [Health Services Regulation 2018](/view/html/inforce/current/sl-2018-0471).","sortOrder":1},{"sectionNumber":"2","sectionType":"section","heading":"Commencement","content":"#### 2 Commencement\n\n2 Commencement\n\n> This Regulation commences on the day on which it is published on the NSW legislation website.\n> \n> Note.\n> \n> This Regulation repeals and replaces the [Health Services Regulation 2013](/view/html/repealed/current/sl-2013-0479), which would otherwise be repealed on 1 September 2018 by section 10(2) of the [Subordinate Legislation Act 1989](/view/html/inforce/current/act-1989-146).","sortOrder":2},{"sectionNumber":"3","sectionType":"section","heading":"Definition","content":"#### 3 Definition\n\n3 Definition\n\n> > (1) In this Regulation—\n> > \n> > the Act means the [Health Services Act 1997](/view/html/inforce/current/act-1997-154).\n> > \n> > Note.\n> > \n> > The Act and the [Interpretation Act 1987](/view/html/inforce/current/act-1987-015) contain definitions and other provisions that affect the interpretation and application of this Regulation.\n> \n> > (2) Notes included in this Regulation do not form part of this Regulation.","sortOrder":3},{"sectionNumber":"Part 2","sectionType":"part","heading":"Visiting practitioners","content":"# Part 2 Visiting practitioners\n\nPart 2 Visiting practitioners","sortOrder":4},{"sectionNumber":"4","sectionType":"section","heading":"Definitions","content":"#### 4 Definitions\n\n4 Definitions\n\n> In this Part—\n> \n> clinical privileges has the same meaning as it has in section 105(2) of the Act.\n> \n> medical and dental appointments advisory committee or advisory committee, in relation to a public health organisation, means a committee—\n> \n> > (a) established by the public health organisation, and\n> \n> > (b) having the function of advising the public health organisation in relation to the appointment of persons as visiting practitioners to the public health organisation and the clinical privileges that should be granted to those persons.","sortOrder":5},{"sectionNumber":"5","sectionType":"section","heading":"Applications for appointment as visiting practitioners","content":"#### 5 Applications for appointment as visiting practitioners\n\n5 Applications for appointment as visiting practitioners\n\n> > (1) A public health organisation that decides to make available an appointment as a visiting practitioner must advertise the availability of the appointment in at least one of the following—\n> > \n> > > (a) a newspaper circulating generally in New South Wales,\n> > \n> > > (b) an employment website affiliated with such a newspaper,\n> > > \n> > > Note.\n> > > \n> > > The employment website www.adzuna.com.au is affiliated with the Sydney Morning Herald and the employment website www.careerone.com.au is affiliated with The Daily Telegraph.\n> > \n> > > (c) the NSW Health website used for the purpose of advertising employment positions in the NSW Health service.\n> > > \n> > > Note.\n> > > \n> > > The current NSW Health jobs website address is https://nswhealth.erecruit.com.au.\n> > \n> > The public health organisation may, in addition, advertise the availability in other ways.\n> \n> > (2) An application for appointment as a visiting practitioner is to be made in writing to the public health organisation concerned and is to include—\n> > \n> > > (a) a statement setting out, in a manner that satisfies the public health organisation, the clinical privileges sought by the applicant, and\n> > \n> > > (b) an authority for the medical and dental appointments advisory committee of the public health organisation to obtain information as to the applicant’s past performance as a medical practitioner or dentist, as the case may be.\n> \n> > (3) On receipt of the application, the public health organisation is to refer the application to the advisory committee for advice.\n> \n> > (4) Subclauses (1)–(3) do not apply—\n> > \n> > > (a) to an appointment as a visiting practitioner that is to be held as part of the duties of a person who is to be or has been appointed to a teaching position at a tertiary institution, or\n> > \n> > > (b) to an appointment as a visiting practitioner that is to be held by a person for a period of not more than 6 months, or\n> > \n> > > (c) to any appointment as a visiting practitioner, to the extent that the Health Secretary determines that the provisions of those subclauses are not to apply.\n> \n> > (5) A determination under subclause (4)(c)—\n> > \n> > > (a) may be made in respect of a particular appointment or in respect of appointments of any specified kind or description, and\n> > \n> > > (b) must be made in writing.","sortOrder":6},{"sectionNumber":"6","sectionType":"section","heading":"Appointment and conditions to be in written agreement","content":"#### 6 Appointment and conditions to be in written agreement\n\n6 Appointment and conditions to be in written agreement\n\n> > (1) A person is to be appointed as a visiting practitioner to a public health organisation by written agreement between the person and the public health organisation.\n> \n> > (2) The written agreement must specify the conditions to which the appointment is subject, including the clinical privileges of the visiting practitioner.\n> \n> > (3) However, the written agreement does not need to include any conditions prescribed by or under the Act.","sortOrder":7},{"sectionNumber":"7","sectionType":"section","heading":"Term of appointment","content":"#### 7 Term of appointment\n\n7 Term of appointment\n\n> > (1) The period for which a person may be appointed as a visiting practitioner is such period (not exceeding 5 years) as the public health organisation determines.\n> \n> > (2) A person is, if otherwise qualified, eligible for re-appointment from time to time.\n> \n> > (3) Despite subclause (1), a person may be appointed as a visiting practitioner for the duration of the person’s appointment to a teaching position at a tertiary institution (or for such lesser period as the public health organisation may determine) if the public health organisation has first obtained the advice of the medical and dental appointments advisory committee about the length of the appointment.\n> \n> > (4) Despite subclause (1), a person may be appointed as a visiting practitioner for a period exceeding 5 years, but not exceeding 10 years, if the Health Secretary, in the particular circumstances of the case, approves the additional period of appointment.","sortOrder":8},{"sectionNumber":"8","sectionType":"section","heading":"Resignation","content":"#### 8 Resignation\n\n8 Resignation\n\n> > (1) A person may resign an appointment as a visiting practitioner by giving 3 months written notice of resignation to the public health organisation concerned.\n> \n> > (2) However, a public health organisation may waive that requirement for notice or accept a lesser period of time for the giving of such notice if, in the opinion of the public health organisation, it is reasonable to do so.","sortOrder":9},{"sectionNumber":"Part 3","sectionType":"part","heading":"Transfer of accrued leave entitlements","content":"# Part 3 Transfer of accrued leave entitlements\n\nPart 3 Transfer of accrued leave entitlements","sortOrder":10},{"sectionNumber":"9","sectionType":"section","heading":"Definitions","content":"#### 9 Definitions\n\n9 Definitions\n\n> In this Part—\n> \n> accrued leave means leave of any description that is owing to a person (but not taken), and includes any leave to which a person would have been entitled in the event of illness.\n> \n> non-declared AHO means an affiliated health organisation that is not a declared affiliated health organisation within the meaning of section 62A of the Act.","sortOrder":11},{"sectionNumber":"10","sectionType":"section","heading":"Transfer of accrued leave—moving from non-declared AHO to NSW Health Service","content":"#### 10 Transfer of accrued leave—moving from non-declared AHO to NSW Health Service\n\n10 Transfer of accrued leave—moving from non-declared AHO to NSW Health Service\n\n> > (1) Period between employment must be continuous This clause applies in relation to a person only if the person’s employment in the NSW Health Service immediately follows the person’s employment with a non-declared AHO. However, this clause does apply in relation to a person’s accrued long service leave entitlement if the break in employment is no longer than 2 months.\n> \n> > (2) Transfer of existing leave balance If a person—\n> > \n> > > (a) ceases to be employed by a non-declared AHO, and\n> > \n> > > (b) commences employment in the NSW Health Service in connection with a public health organisation,\n> > \n> > the person is taken to have the amount of any accrued leave to which the person was entitled immediately before ceasing to be employed by the non-declared AHO.\n> \n> > (3) Election to cash-out accrued annual or long service leave In the case of any such accrued leave that comprises annual leave or long service leave, the person may, instead of retaining the entitlement to that accrued leave, elect to be paid the money value of that accrued leave.\n> \n> > (4) Limit on how much accrued annual leave can be retained The amount of any accrued annual leave that a person may retain under this clause cannot, except with the approval of the Health Secretary, exceed the amount of annual leave that the person was entitled to over a 2-year period as an employee of the non-declared AHO.\n> \n> > (5) Liability for cost of existing annual or long service leave The non-declared AHO is liable for the cost of any annual or long service leave entitlements in respect of the person concerned that have accrued up until the date on which the person ceases to be employed by the non-declared AHO.\n> \n> > (6) Orders under section 64 of the Act This clause does not apply in relation to a person who ceases to be employed by a non-declared AHO by the operation of an order under section 64 of the Act.","sortOrder":12},{"sectionNumber":"11","sectionType":"section","heading":"Transfer of accrued leave—moving from NSW Health Service to non-declared AHO","content":"#### 11 Transfer of accrued leave—moving from NSW Health Service to non-declared AHO\n\n11 Transfer of accrued leave—moving from NSW Health Service to non-declared AHO\n\n> > (1) Period between employment must be continuous This clause applies in relation to a person only if the person’s employment with a non-declared AHO immediately follows the person’s employment in the NSW Health Service. However, this clause does apply in relation to a person’s accrued long service leave entitlement if the break in employment is no longer than 2 months.\n> \n> > (2) Transfer of existing leave balance If a person—\n> > \n> > > (a) ceases to be employed in the NSW Health Service in connection with a public health organisation, and\n> > \n> > > (b) commences employment with a non-declared AHO,\n> > \n> > the person is taken to have the amount of any accrued leave to which the person was entitled immediately before ceasing to be employed in the NSW Health Service.\n> \n> > (3) Election to cash-out accrued annual or long service leave In the case of any such accrued leave that comprises annual leave or long service leave, the person may, instead of retaining the entitlement to that accrued leave, elect to be paid the money value of that accrued leave.\n> \n> > (4) Limit on how much accrued annual leave can be retained The amount of any accrued annual leave that a person may retain under this clause cannot, except with the approval of the non-declared AHO, exceed the amount of annual leave that the person was entitled to over a 2-year period as a member of the NSW Health Service.\n> \n> > (5) Liability for cost of existing annual or long service leave The Government of New South Wales is liable for the cost of any annual or extended leave entitlements in respect of the person concerned that have accrued up until the date on which the person ceases to be employed in the NSW Health Service.","sortOrder":13},{"sectionNumber":"Part 4","sectionType":"part","heading":"Ambulance Service","content":"# Part 4 Ambulance Service\n\nPart 4 Ambulance Service","sortOrder":14},{"sectionNumber":"Division 1","sectionType":"division","heading":"Preliminary","content":"## Division 1 Preliminary\n\nDivision 1 Preliminary","sortOrder":15},{"sectionNumber":"12","sectionType":"section","heading":"Part applies to staff of Ambulance Service","content":"#### 12 Part applies to staff of Ambulance Service\n\n12 Part applies to staff of Ambulance Service\n\n> This Part applies to those staff of the NSW Health Service who are employed primarily in connection with the provision of ambulance services under Chapter 5A of the Act but (unless otherwise expressly provided) does not apply to the chief executive.","sortOrder":16},{"sectionNumber":"13","sectionType":"section","heading":"Objects of Part","content":"#### 13 Objects of Part\n\n13 Objects of Part\n\n> The objects of this Part are—\n> \n> > (a) to protect the health and safety of the public by providing mechanisms to maintain appropriate standards of conduct in the Ambulance Service, and\n> \n> > (b) to ensure that the public interest is protected.","sortOrder":17},{"sectionNumber":"14","sectionType":"section","heading":"Effect of Part","content":"#### 14 Effect of Part\n\n14 Effect of Part\n\n> For avoidance of doubt, this Part does not do any of the following—\n> \n> > (a) prevent the Health Secretary from taking any lawful action against a member of staff for any reason,\n> \n> > (b) affect any statutory right that a member of staff may have in relation to the termination of his or her employment under this Part,\n> \n> > (c) affect the operation of the [Criminal Records Act 1991](/view/html/inforce/current/act-1991-008) in relation to spent convictions within the meaning of that Act.","sortOrder":18},{"sectionNumber":"15","sectionType":"section","heading":"Definitions","content":"#### 15 Definitions\n\n15 Definitions\n\n> In this Part—\n> \n> Ambulance Service means the Ambulance Service of NSW within the meaning of section 67A of the Act.\n> \n> chief executive means the person appointed as chief executive of the Ambulance Service of NSW under section 67A(2) of the Act or, if at any time there is no person appointed to that position, the Health Secretary.\n> \n> member of staff means a member of staff of the Ambulance Service, being a member of staff of the NSW Health Service who is employed primarily in connection with the provision of ambulance services under Chapter 5A of the Act, other than the chief executive.\n> \n> traffic offence means an offence under any of the following provisions of the [Road Transport Act 2013](/view/html/inforce/current/act-2013-018) or a former corresponding provision within the meaning of that Act—\n> \n> > (a) section 54 (relating to driving while disqualified or unlicensed),\n> \n> > (b) section 110, 111, 111A, 112, 117, 118, 146 or 175.\n> \n> **cl 15:** Am 2021 No 3, Sch 2.2.","sortOrder":19},{"sectionNumber":"Division 2","sectionType":"division","heading":"Criminal conduct, traffic offences and misconduct","content":"## Division 2 Criminal conduct, traffic offences and misconduct\n\nDivision 2 Criminal conduct, traffic offences and misconduct","sortOrder":20},{"sectionNumber":"16","sectionType":"section","heading":"Duty to report certain criminal conduct and traffic offences","content":"#### 16 Duty to report certain criminal conduct and traffic offences\n\n16 Duty to report certain criminal conduct and traffic offences\n\n> > (1) A member of staff who is charged with having committed, or is convicted of, a serious sex or violence offence must, within 7 days of the charge being laid or conviction, report that fact in writing to the chief executive.\n> > \n> > Note.\n> > \n> > The term serious sex or violence offence is defined in Parts 1 and 2 of the Dictionary to the Act.\n> \n> > (2) A member of staff who is required to drive a motor vehicle as part of his or her duties and who is charged with or convicted of a traffic offence must immediately report that fact in writing to the chief executive.","sortOrder":21},{"sectionNumber":"17","sectionType":"section","heading":"Duty to report driving disqualification","content":"#### 17 Duty to report driving disqualification\n\n17 Duty to report driving disqualification\n\n> A member of staff who is required to drive a motor vehicle as part of his or her duties and who is disqualified from holding a driver licence or whose licence is cancelled or suspended must immediately report the disqualification, cancellation or suspension to the chief executive.","sortOrder":22},{"sectionNumber":"18","sectionType":"section","heading":"Duty to report disciplinary matters","content":"#### 18 Duty to report disciplinary matters\n\n18 Duty to report disciplinary matters\n\n> > (1) A member of staff who has a misconduct finding made against him or her under the [Health Practitioner Regulation National Law (NSW)](/view/html/inforce/current/act-2009-86a) must, within 7 days of receiving notice of the finding—\n> > \n> > > (a) report that fact to the chief executive, and\n> > \n> > > (b) provide the chief executive with a copy of that finding.\n> \n> > (2) In this clause, misconduct finding includes a finding of professional misconduct or unsatisfactory professional conduct.\n> \n> Note.\n> \n> Section 142 of the [Health Practitioner Regulation National Law (NSW)](/view/html/inforce/current/act-2009-86a) imposes obligations on employers to notify the Australian Health Practitioner Regulation Agency of misconduct by health practitioners.","sortOrder":23},{"sectionNumber":"19","sectionType":"section","heading":"Disciplinary action in certain cases of serious sex or violence offences","content":"#### 19 Disciplinary action in certain cases of serious sex or violence offences\n\n19 Disciplinary action in certain cases of serious sex or violence offences\n\n> > (1) The chief executive is, within 30 days (or such further period as may be agreed to by the Health Secretary) of becoming aware that a member of staff has been convicted (whether before or during his or her employment) of a serious sex or violence offence, to notify the Health Secretary of the staff member’s conviction.\n> \n> > (2) On being notified under subclause (1), the Health Secretary is to afford the member of staff concerned a reasonable opportunity to make written submissions concerning any matter relevant to the conviction that the staff member wishes to have considered in determining what (if any) disciplinary action should be taken in relation to the staff member.\n> \n> > (3) The Health Secretary may take such disciplinary action as the Health Secretary considers appropriate (having regard to clause 21) against a member of staff who has been convicted (whether before or during his or her employment) of a serious sex or violence offence.\n> \n> > (4) If, under this clause, a member of staff who is a NSW Health Service senior executive is assigned to or from a division of the NSW Health Service for which the Health Secretary does not exercise employer functions in relation to the Health Service senior executives employed in that division, the Health Secretary is to consult the person or body that exercises or will exercise employer functions in relation to the executive.\n> \n> > (5) A person may not, under this clause, be transferred and assigned to the role of chief executive of a local health district or specialty network governed health corporation without the concurrence of the board of the local health district or specialty network governed health corporation to which the person is transferred.\n> \n> > (6) This clause does not apply to a conviction that occurred before a person was employed if, before that employment, the person notified the Health Secretary in writing of the fact of the conviction.\n> \n> > (7) This clause extends to a conviction that occurred before the commencement of this Regulation.\n> \n> > (8) In this clause—\n> > \n> > disciplinary action means—\n> > \n> > > (a) dismissal from the NSW Health Service, or\n> > \n> > > (b) imposing conditions in respect of the supervision of, or reporting by, a member of staff or in respect of the scope of a staff member’s duties, or\n> > \n> > > (c) transferring a member of staff who is not a NSW Health Service senior executive to another position in the NSW Health Service or assigning a member of staff who is a NSW Health Service senior executive to another role in the NSW Health Service.","sortOrder":24},{"sectionNumber":"20","sectionType":"section","heading":"Transfer or reduction of classification or position of members of staff after misconduct","content":"#### 20 Transfer or reduction of classification or position of members of staff after misconduct\n\n20 Transfer or reduction of classification or position of members of staff after misconduct\n\n> The Health Secretary may, if a member of staff has engaged in misconduct, without limiting any other action the Secretary may take—\n> \n> > (a) transfer the member of staff to another position in the NSW Health Service without reducing the member of staff’s classification or position, or\n> \n> > (b) reduce the employee’s classification or position (but not in the case of a member of staff who is employed under a fixed term contract, the conditions of which are fixed by the Health Administration Corporation).","sortOrder":25},{"sectionNumber":"21","sectionType":"section","heading":"Protection of patients, clients and children to be paramount consideration","content":"#### 21 Protection of patients, clients and children to be paramount consideration\n\n21 Protection of patients, clients and children to be paramount consideration\n\n> The protection of the Ambulance Service of NSW’s patients and clients and of children for which it is responsible is to be the paramount consideration in relation to determining whether to take disciplinary action against a member of staff under this Division.","sortOrder":26},{"sectionNumber":"Division 3","sectionType":"division","heading":null,"content":"## Division 3\n\nDivision 3\n\n22, 23 (Repealed)\n\n**pt 4, div 3 (cll 22, 23):** Rep 2018 (471), cl 23.","sortOrder":27},{"sectionNumber":"Division 4","sectionType":"division","heading":"Miscellaneous","content":"## Division 4 Miscellaneous\n\nDivision 4 Miscellaneous","sortOrder":28},{"sectionNumber":"24","sectionType":"section","heading":"Delegation","content":"#### 24 Delegation\n\n24 Delegation\n\n> The chief executive may delegate any function of the chief executive under this Part to a member of staff of the NSW Health Service.","sortOrder":29},{"sectionNumber":"Part 5","sectionType":"part","heading":"Miscellaneous","content":"# Part 5 Miscellaneous\n\nPart 5 Miscellaneous","sortOrder":30},{"sectionNumber":"25","sectionType":"section","heading":"Local health district descriptions","content":"#### 25 Local health district descriptions\n\n25 Local health district descriptions\n\n> > (1) A reference in Column 2 of Schedule 1 to the Act to Sydney (part), in relation to the Sydney Local Health District, is a reference to the following Statistical Local Areas—\n> > \n> > > (a) Sydney (C)–West,\n> > \n> > > (b) Sydney (C)–South.\n> \n> > (2) A reference in Column 2 of Schedule 1 to the Act to Sydney (part), in relation to the South Eastern Sydney Local Health District, is a reference to the following Statistical Local Areas—\n> > \n> > > (a) Sydney (C)–Inner,\n> > \n> > > (b) Sydney (C)–East.\n> \n> > (3) A reference in Column 2 of Schedule 1 to the Act to Tenterfield (part), in relation to the Hunter New England Local Health District, is a reference to the local government area of Tenterfield except for the following 2011 Statistical Areas—\n> > \n> > > (a) Statistical Area Level 1 (SAl) 11002119409,\n> > \n> > > (b) Statistical Area Level 1 (SAl) 11002119410.\n> \n> > (4) A reference in Column 2 of Schedule 1 to the Act to Lachlan (part), in relation to the Murrumbidgee Local Health District, is a reference to the following 2011 Statistical Areas—\n> > \n> > > (a) Statistical Area Level 1 (SAl) 10302106209,\n> > \n> > > (b) Statistical Area Level 1 (SAl) 10302106210,\n> > \n> > > (c) Statistical Area Level 1 (SAl) 10302106211,\n> > \n> > > (d) Statistical Area Level 1 (SAl) 10302106212,\n> > \n> > > (e) Statistical Area Level 1 (SAl) 10302106213,\n> > \n> > > (f) Statistical Area Level 1 (SAl) 10302106215,\n> > \n> > > (g) Statistical Area Level 1 (SAl) 10302106225.\n> \n> > (5) A reference in Column 2 of Schedule 1 to the Act to Lachlan (part), in relation to the Western NSW Local Health District, is a reference to the local government area of Lachlan except for the following 2011 Statistical Areas—\n> > \n> > > (a) Statistical Area Level 1 (SAl) 10302106209,\n> > \n> > > (b) Statistical Area Level 1 (SAl) 10302106210,\n> > \n> > > (c) Statistical Area Level 1 (SAl) 10302106211,\n> > \n> > > (d) Statistical Area Level 1 (SAl) 10302106212,\n> > \n> > > (e) Statistical Area Level 1 (SAl) 10302106213,\n> > \n> > > (f) Statistical Area Level 1 (SAl) 10302106215,\n> > \n> > > (g) Statistical Area Level 1 (SAl) 10302106225.\n> \n> > (6) A reference in Column 2 of Schedule 1 to the Act to Tenterfield (part), in relation to the Northern NSW Local Health District, is a reference to the following 2011 Statistical Areas—\n> > \n> > > (a) Statistical Area Level 1 (SAl) 11002119409,\n> > \n> > > (b) Statistical Area Level 1 (SAl) 11002119410.\n> \n> > (7) In this clause—\n> > \n> > Statistical Local Area means a Statistical Local Area specified in the document entitled Australian Standard Geographical Classification (ASGC), published by the Australian Bureau of Statistics in July 2010.\n> > \n> > 2011 Statistical Area means a Statistical Area specified in the Australian Statistical Geography Standard (ASGS), published by the Australian Bureau of Statistics in December 2010.","sortOrder":31},{"sectionNumber":"26","sectionType":"section","heading":"Provisions with respect to administrators","content":"#### 26 Provisions with respect to administrators\n\n26 Provisions with respect to administrators\n\n> > (1) In this clause—\n> > \n> > administrator means—\n> > \n> > > (a) an administrator of a local health district appointed under section 29 of the Act, or\n> > \n> > > (b) an administrator of a statutory health corporation appointed under section 52 of the Act.\n> \n> > (2) On the expiration of a person’s appointment or reappointment as administrator, the Minister (in relation to an administrator of a local health district) or the Governor (in relation to an administrator of a statutory health corporation) may, by order published in the Gazette, reappoint the person as administrator for a further period or appoint another person as administrator.\n> \n> > (3) The Minister (in relation to an administrator of a local health district) or the Governor (in relation to an administrator of a statutory health corporation) may, by order published in the Gazette—\n> > \n> > > (a) remove from the office of administrator any person appointed to that office, or\n> > \n> > > (b) appoint a person to fill a vacancy in the office of administrator.\n> \n> > (4) The Minister may appoint a person to act in the office of an administrator during the illness or absence of the administrator, and the person, while so acting, has and may exercise all the functions of the administrator and is taken to be the administrator.\n> \n> > (5) The Minister may remove from the office of administrator any person appointed to act in that office under subclause (4).","sortOrder":32},{"sectionNumber":"27","sectionType":"section","heading":"Provision of ambulance transport","content":"#### 27 Provision of ambulance transport\n\n27 Provision of ambulance transport\n\n> For the purposes of section 67E(3)(e) of the Act, The Sydney Children’s Hospitals Network (Randwick and Westmead) (incorporating The Royal Alexandra Hospital for Children), in respect of services provided or operations conducted by the NSW Newborn & paediatric Emergency Transport Service (NETS), is a person to whom section 67E does not apply.","sortOrder":33},{"sectionNumber":"28","sectionType":"section","heading":"Ambulance fee exemptions","content":"#### 28 Ambulance fee exemptions\n\n28 Ambulance fee exemptions\n\n> The following kinds of concession cards are prescribed for the purposes of section 67N(b) of the Act—\n> \n> > (a) a Health Care Card issued on behalf of the Commonwealth of Australia,\n> \n> > (b) a Pensioner Concession Card issued on behalf of the Commonwealth of Australia,\n> \n> > (c) a Commonwealth Seniors Health Card issued on behalf of the Commonwealth of Australia,\n> \n> > (d) a DVA Health Card – For All Conditions (also known as a Gold Card) issued by the Commonwealth Department of Veterans’ Affairs (but not in relation to non-emergency ambulance services and transfers that are not funded by the Department of Veterans’ Affairs),\n> \n> > (e) a DVA Health Card – For Specific Conditions (also known as a White Card) issued by the Commonwealth Department of Veterans’ Affairs (but only in relation to a specific condition that is funded by the Department of Veterans’ Affairs).","sortOrder":34},{"sectionNumber":"29","sectionType":"section","heading":"Quarantine services prescribed to be health service","content":"#### 29 Quarantine services prescribed to be health service\n\n29 Quarantine services prescribed to be health service\n\n> > (1) For the purposes of paragraph (f) of the definition of health service in the Dictionary to the Act, a quarantine service is a health service.\n> \n> > (2) In this clause—\n> > \n> > quarantine service means the provision of accommodation and associated services to persons subject to a quarantine period at a quarantine facility or medical facility under an order made under section 7 of the [Public Health Act 2010](/view/html/inforce/current/act-2010-127).\n> \n> **cl 29:** Rep 2018 (471), cl 29 (4). Ins 2020 (406), cl 3.","sortOrder":35},{"sectionNumber":"30","sectionType":"section","heading":"Appeals concerning appointment decisions","content":"#### 30 Appeals concerning appointment decisions\n\n30 Appeals concerning appointment decisions\n\n> > (1) An appeal under section 106 of the Act may be withdrawn at any time before the determination of the appeal by the appellant giving written notice of the withdrawal to the Minister in the form and manner approved by the Minister from time to time.\n> \n> > (2) The Committee is not required to determine an appeal that has been withdrawn.","sortOrder":36},{"sectionNumber":"31","sectionType":"section","heading":"Samaritan Funds","content":"#### 31 Samaritan Funds\n\n31 Samaritan Funds\n\n> > (1) In this clause—\n> > \n> > Samaritan Fund of a public health organisation means the Samaritan Fund of the organisation referred to in section 133(2) of the Act.\n> > \n> > Special Purposes and Trust Fund, in relation to a public health organisation, means the fund of that name established by the public health organisation.\n> \n> > (2) The Samaritan Fund of a public health organisation is to be kept as a separate account in its Special Purposes and Trust Fund.\n> \n> > (3) The Minister may determine the manner in which the accounts for a Samaritan Fund are to be kept and the circumstances in which those accounts are to be audited.\n> \n> > (4) Money is not to be withdrawn from the Samaritan Fund of a public health organisation except by, or with the written approval of, the chief executive (or person authorised in writing by the chief executive) of the public health organisation.\n> \n> > (5) Money is not to be withdrawn from the Samaritan Fund of a public health organisation except for payment to, or for the purchase of items for, a patient in need or an outgoing patient in need. The payment or purchase may be made only if it is essential to the well-being of the patient.","sortOrder":37},{"sectionNumber":"32","sectionType":"section","heading":"Functions of local health district boards","content":"#### 32 Functions of local health district boards\n\n32 Functions of local health district boards\n\n> For the purposes of section 28(l) of the Act, a function of a local health district board is to liaise with the governing bodies of affiliated health organisations and Primary Health Networks established by the Commonwealth in relation to both local and State-wide initiatives for the provision of health services.","sortOrder":38},{"sectionNumber":"33","sectionType":"section","heading":"Smoke-free areas","content":"#### 33 Smoke-free areas\n\n33 Smoke-free areas\n\n> The following outdoor public places (within the meaning of the [Smoke-free Environment Act 2000](/view/html/inforce/current/act-2000-069)) are designated as smoke-free areas for the purposes of section 6A (Smoke-free areas—outdoor public places) of that Act—\n> \n> > any outdoor public place at Albury Hospital, 201 Borella Road, Albury.","sortOrder":39},{"sectionNumber":"34","sectionType":"section","heading":null,"content":"#### 34\n\n34 (Repealed)","sortOrder":40},{"sectionNumber":"34A","sectionType":"section","heading":"Delegation of functions of local health districts","content":"#### 34A Delegation of functions of local health districts\n\n34A Delegation of functions of local health districts\n\n> For the purposes of section 40(1)(d) of the Act, persons employed in or by a government sector agency (within the meaning of the [Government Sector Employment Act 2013](/view/html/inforce/current/act-2013-040)) are prescribed as a class of persons to whom a local health district may delegate any of its functions.\n> \n> Note.\n> \n> Section 40 of the Act qualifies the scope of delegations of the functions of local health districts, including by providing that certain functions may not be delegated, that the whole of a local health district’s functions may not be delegated and that the Health Secretary may give a direction to a local health district concerning delegations under that section.\n> \n> **cl 34A:** Ins 2019 (499), cl 3.","sortOrder":42},{"sectionNumber":"35","sectionType":"section","heading":"Repeal and savings","content":"#### 35 Repeal and savings\n\n35 Repeal and savings\n\n> > (1) The [Health Services Regulation 2013](/view/html/repealed/current/sl-2013-0479) is repealed.\n> \n> > (2) Any act, matter or thing that, immediately before the repeal of the [Health Services Regulation 2013](/view/html/repealed/current/sl-2013-0479), had effect under that Regulation continues to have effect under this Regulation.","sortOrder":43}],"analysis":{"flash_summary":{"complexity_score":6,"scope_assessment":{"changed":false,"description":"This regulation is a routine remake of the Health Services Regulation 2013, with only minor updates (e.g., adding clause 34A on delegation in 2019, updating references to statistical areas, and inserting clause 29 on quarantine services in response to the COVID-19 pandemic). The core provisions and scope remain substantially the same."},"complexity_factors":["Multiple defined terms specific to each part (e.g., 'clinical privileges', 'non-declared AHO', 'traffic offence').","Cross-references to several other Acts: Health Services Act 1997, Interpretation Act 1987, Road Transport Act 2013, Health Practitioner Regulation National Law (NSW), etc.","Conditional clauses with exceptions and sub-exceptions (e.g., clause 5 exemptions for teaching appointments, short-term appointments, or Health Secretary determinations).","Use of statistical area codes (SA1, SLA) for boundary descriptions, requiring external reference to ABS documents.","Part 4 has layered disciplinary procedures with multiple steps (reporting, notification, submissions, consultation).","Amendments and repeals history (clauses 22, 23 repealed; clause 29 inserted by another regulation; clause 34 substituted and later repealed)."],"plain_english_summary":"This regulation sets out detailed rules for how public health organisations in NSW operate. It covers:\n\n- **Visiting practitioners**: How hospitals advertise, accept applications, and appoint visiting doctors and dentists, including their clinical privileges and appointment terms (up to 5 years, extendable to 10).\n- **Transfer of leave**: When staff move between a non-declared affiliated health organisation (a private or non-government health body) and the NSW Health Service, their accrued annual, long service, and sick leave can be transferred or cashed out, subject to limits.\n- **Ambulance staff conduct**: Ambulance staff must report within 7 days if they are charged with or convicted of a serious sex or violence offence, or if they are disqualified from driving. The Health Secretary can discipline staff convicted of such offences, with the protection of patients and children as the top priority.\n- **Other matters**: Definitions of local health district boundaries using statistical areas, rules for appointing and removing administrators, exemptions from ambulance fees for certain concession card holders, rules for Samaritan Funds (charitable funds for patients in need), and smoke-free areas at Albury Hospital.\n\nThe regulation applies to public hospitals, ambulance staff, and health organisations in NSW. It replaces the 2013 version with mostly technical updates."},"issue_detection":{"absurdities":[],"contradictions":[]},"summary":{"complexity_score":4,"scope_assessment":{"changed":false,"description":"Insufficient substantive content was provided to assess whether the regulation's scope has changed from its original intent. The document only contains navigational website elements, version history, and status metadata rather than the actual legislative provisions. A meaningful scope assessment requires the full text of the regulation."},"complexity_factors":["Only metadata and version history were provided — the actual substantive provisions of the regulation were not included, preventing full analysis","Multiple amendments across 8 versions since 2018 suggest the regulation has evolved in complexity over time","As a subordinate instrument (regulation under an Act), it must be read alongside the parent Health Services Act to be fully understood","Staged repeal mechanism under the Subordinate Legislation Act 1989 adds an additional layer of temporal complexity for compliance purposes","Health services regulation typically involves cross-referencing with other health-related legislation, standards, and licensing frameworks"],"plain_english_summary":"## Health Services Regulation 2018 (NSW)\n\nThis is a **New South Wales regulation** (a set of detailed rules made under a broader law called the Health Services Act) that sets out specific requirements for the delivery of health services in NSW.\n\n**Important note:** The document provided contains only the metadata and version history of the regulation — not the actual rules themselves. Based on what is available, here is what we can tell you:\n\n### What this regulation does\n- It provides the detailed, technical rules that support the **Health Services Act** in NSW.\n- It has been updated **multiple times** since it was first made in August 2018, meaning the rules have evolved over the years to keep up with changes in health service delivery.\n- It affects **health service providers, hospitals, clinics, and other organisations** delivering health services in NSW, as well as the patients and workers within those services.\n\n### Who it affects\n- **Health service operators and administrators** who must comply with its requirements\n- **Healthcare workers** whose roles and obligations may be defined or governed by it\n- **Patients** who benefit from the standards it sets\n\n### Key practical point\n⚠️ **This regulation is scheduled to be automatically cancelled (repealed) on 1 September 2026** under NSW's system for regularly reviewing regulations (the Subordinate Legislation Act 1989 requires older regulations to be periodically reviewed or they expire automatically). This means the rules it contains will cease to apply unless the government renews or replaces them before that date.\n\n### Why it matters\nRegulations like this one fill in the practical details that broad Acts of Parliament leave out — things like specific procedures, forms, fees, and standards. Without seeing the full text, the precise impact on individuals cannot be fully assessed."},"kimi_summary":{"content_quality":"ok","complexity_score":5,"scope_assessment":{"changed":true,"description":"The Regulation has grown significantly beyond its original 2018 scope. The most notable expansion is clause 29 regarding quarantine services, which was repealed and reinserted in 2020 specifically to address COVID-19 pandemic requirements, converting temporary emergency measures into permanent regulatory provisions. Additionally, clause 34A was inserted in 2019 to expand delegation powers for local health districts, and clause 15 was amended in 2021 to update traffic offence references. The original Regulation primarily dealt with visiting practitioners and administrative matters, but now encompasses pandemic response infrastructure and broader workforce mobility mechanisms."},"complexity_factors":["Multiple distinct subject matters across 5 Parts (visiting practitioners, leave transfers, Ambulance Service conduct, geographic definitions, miscellaneous administrative provisions)","Cross-references to the Health Services Act 1997, Road Transport Act 2013, Public Health Act 2010, Criminal Records Act 1991, Health Practitioner Regulation National Law (NSW), Smoke-free Environment Act 2000, Government Sector Employment Act 2013, and Subordinate Legislation Act 1989","Nested exceptions in clause 5(4) with three separate exemption categories plus a discretionary Health Secretary override","Conditional logic for leave transfers requiring employment continuity (clause 10(1) and 11(1)) with a 2-month grace period exception specifically for long service leave","Geographic boundary definitions in clause 25 rely on external statistical standards (ASGC July 2010 and ASGS December 2010) with specific Statistical Area Level 1 codes","Amendment history visible in text (clauses 15, 29, 34, 34A) indicating evolving scope, particularly the COVID-19 quarantine service addition in 2020","Defined terms scattered across multiple sections rather than centralized (definitions in clauses 3, 4, 9, 15, 26, 29, 31)","Disciplinary provisions in Part 4 involve multiple decision-makers (chief executive, Health Secretary, boards) with consultation requirements for senior executives"],"plain_english_summary":"**What this Regulation does:**\n\nThis is a NSW regulation that sets out detailed operational rules for how the state's public health system works. It covers four main areas:\n\n**1. Visiting medical practitioners (Part 2)**\n- Sets out how doctors and dentists from outside the public system can get temporary appointments (\"visiting practitioner\" roles) at public hospitals\n- Requires these positions to be advertised publicly (in newspapers, job websites, or NSW Health's jobs portal)\n- Applications must include details of what clinical work the applicant wants to do, and permission for background checks\n- There are exceptions for short-term appointments (under 6 months), university teaching positions, or where the Health Secretary gives approval\n- Appointments must be in writing, can last up to 5 years (or up to 10 with special approval), and can be renewed\n\n**2. Transferring leave when changing employers (Part 3)**\n- Protects workers' leave entitlements when they move between \"non-declared affiliated health organisations\" (private or non-government health providers that work with NSW Health) and the NSW Health Service\n- If you switch jobs between these sectors without a break (or with a break under 2 months for long service leave), your accrued annual leave, sick leave, and long service leave comes with you\n- You can choose to cash out annual or long service leave instead of keeping it\n- There are caps on how much annual leave you can transfer (usually 2 years' worth) unless approved\n- The old employer pays for leave accrued up to the transfer date\n\n**3. Ambulance Service conduct rules (Part 4)**\n- Special rules for Ambulance Service staff (except the chief executive)\n- Staff must report within 7 days if charged or convicted of serious sex or violence offences\n- Staff who drive as part of their job must immediately report traffic offences, licence suspensions, or disqualifications\n- Staff must report any \"misconduct findings\" against them by health practitioner regulators within 7 days\n- The Health Secretary can take disciplinary action against staff convicted of serious sex or violence offences, including dismissal, imposing supervision conditions, or transferring them\n- When deciding discipline, protecting patients, clients, and children is the \"paramount consideration\" (most important factor)\n- These rules apply even to convictions that happened before this Regulation started, unless the person disclosed them before being hired\n\n**4. Miscellaneous administrative matters (Part 5)**\n- Defines exact geographic boundaries for local health districts using statistical areas from the Australian Bureau of Statistics\n- Rules about appointing and removing administrators for local health districts and statutory health corporations\n- Exempts the NSW Newborn & paediatric Emergency Transport Service (NETS) from certain ambulance transport restrictions\n- Lists which concession cards qualify for ambulance fee exemptions (Health Care Card, Pensioner Concession Card, Commonwealth Seniors Health Card, and DVA Gold/White Cards with conditions)\n- Defines quarantine services as \"health services\" (added during COVID-19)\n- Rules for withdrawing appeals about visiting practitioner appointments\n- How Samaritan Funds (charitable funds for needy patients) must be managed\n- Requires local health district boards to liaise with affiliated health organisations and Primary Health Networks\n- Designates outdoor areas at Albury Hospital as smoke-free\n- Allows local health districts to delegate functions to government sector employees\n\n**Who it affects:**\n- Doctors and dentists seeking visiting practitioner roles at NSW public hospitals\n- Health workers moving between the public system and affiliated private/non-government health organisations\n- Ambulance Service staff (paramedics and other operational staff)\n- Health administrators managing local health districts, statutory health corporations, and the Ambulance Service\n- Patients eligible for ambulance fee concessions and charitable assistance from Samaritan Funds\n\n**Why it matters:**\nThis Regulation keeps the NSW health system running smoothly by ensuring fair processes for hiring visiting specialists, protecting workers' leave entitlements when they move between sectors, maintaining high standards of conduct in the Ambulance Service (particularly regarding offences that could endanger vulnerable people), and handling various administrative details like geographic boundaries and fee exemptions."}},"importantCases":[],"_links":{"self":"/api/acts/health-services-regulation-2018","history":"/api/acts/health-services-regulation-2018/history","analysis":"/api/acts/health-services-regulation-2018/analysis","conflicts":"/api/acts/health-services-regulation-2018/conflicts","importantCases":"/api/acts/health-services-regulation-2018/important-cases","documents":"/api/acts/health-services-regulation-2018/documents"}}