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[2014] NSWIRComm 6
Industrial Relations Commission (NSW)
2014-03-05
Backman J, Mr J, Mr P
Original judgment source is linked above.
DECISION 1The Health Services Union East (HSU East) (the applicant) notified a dispute under s 130 of the Industrial Relations Act 1996 (the IR Act). The respondent to the dispute is the Director-General, NSW Health, in respect of the NSW Ministry of Health (the respondent). The notification of dispute identified the terms of the dispute as follows: 1) Hunter New England Local Health District (formally known as Hunter New England Area Health Service) has not correctly translated Ms Cheryl Watterson, who has been and is performing the duties of Director Nutrition and Dietetics Greater Newcastle Acute Hospital Network. 2) Reference has been made by Hunter New England Local Health District to the NSW Health Service Health Professionals (State) Award, Clause 12 - Translation Arrangements, paragraph 12.1.3 which states ... "Employees will be placed into a position in the new structure that is most reflective of their current duties and responsibilities." At the time of translation to the new award salary structure, Ms Watterson was the Clinical Network Director Nutrition and Dietetics Greater Newcastle Acute Hospital Network and this situation remains unchanged. 3) Accordingly, all documentation supports translation to Level 8 of the NSW Health Service Professionals (State) Award. Ms Watterson has only been translated to a Level 7. 4) HSUeast disputes the Hunter New England Local Health District position that Ms Watterson is a Department Head. The HSUeast contends that she is responsible for multiple sites. 5) The award, agreement or determination which applies to the employees, etc. is: NSW Health Service Health Professionals (State) Award. 2Following a series of compulsory conferences which failed to resolve the issues between the parties the applicant applied to the Commission for the following directions under s 136(1)(a) of the IR Act: 1. Pursuant to s. 136(1)(a) of the Act the position of Director Nutrition and Dietetics, Greater Newcastle Acute Hospital Network (currently occupied by Ms Cheryl Watterson) is to be classified and remunerated at Level 8 Grade 2 under the NSW Health Service Professionals (State) Award with effect from the beginning of the first full pay period to commence on or after 30 November 2007. 2. Pursuant to s. 136(1)(a) of the Act Hunter New England Local Health District shall pay to Ms Cheryl Watterson back pay of the difference between the rate applicable to Level 7 Grade 1 and to Level 8 Grade 2 for the period from the beginning of the first full pay period to commence on or after 30 November 2007 up until the date of these directions. Such payment to be effective within 14 days. 3At the same time the applicant lodged several other applications expressed to be in the alternative. These included applications under s 136(1)(b) and (d), an application for declaratory orders under s 154, and, an application under s 175 of the IR Act. In submissions the applicant placed primary (if not sole) reliance on its application under s 136(1)(a). The respondent, although conceding that the Commission had power to make the directions sought under s 136(1)(a), objected to a number of the applications in the alternative on jurisdictional grounds. In my view it is unnecessary to consider these objections for two reasons. First because of the primary reliance placed on the application under s 136(1)(a) and secondly, because the applicant's case rises and falls on the success or otherwise of that application. 4The issue in the dispute concerns the translation into the Award of Cheryl Watterson (Ms Watterson), the Director, Nutrition and Dietetics, Greater Newcastle Acute Hospital Network (GNAHN), Hunter New England Local Health District (HNELHD). According to the applicant at the time of translation (30 November 2007) Ms Watterson held the position of permanent full time Director, Nutrition and Dietetics, GNAHN, in the Division of Allied Health, GNAHN, within HNELHD (or as it was then known, Hunter New England Area Health Service (HNEAHS)). Shortly stated, the applicant claims that HNELHD incorrectly placed Ms Watterson into a position classified under the Award as Level 7 Grade 1 and that the position into which she should have been placed in the Award is Discipline Specific Director/Advisor Level 8 Grade 2. The Commission is asked to interpret the relevant provisions of the Award, apply it to Ms Watterson's translation under the Award, and order the respondent to pay the salary due to her under the Award. The applicant points to what it says were a series of erroneous interpretations of the Award and to factual errors by the HNELHD and an internal review body called the Peak Level Committee which it says should be corrected to ensure that the Award is properly applied. 5Before descending into detail about the merits of the respective parties' submissions, it is necessary to provide some brief background facts. These may be distilled from the account of David William Rhodes, formerly employed by the respondent from January 2000 to August 2010, initially in the position of Area Director, Allied Health, Hunter Area Health Service (HAHS) and from July 2005 in the position of Area Director, Allied Health, HNEAHS. 6Mr Rhodes described the term "allied health" as an umbrella term applied to a number of distinct professions, often applied broadly in the health industry to encompass all health professions which are not medical, nursing/midwifery, dental or paramedic practitioners. In HNEAHS a number of allied health professionals were employed at the time of translation, including dieticians, medical radiation practitioners, occupational therapists, pharmacists, physiotherapists, podiatrists, psychologists, social workers and speech pathologists. 7Mr Rhodes explained that because allied health professionals work in a variety of organisational structures, it is common that many such professionals have a line manager who is either not of the same profession or does not have a clinical background. These line managers therefore may lack the knowledge and skills-base to provide clinical direction, supervision, monitoring and advice, to assist in the professional development of the allied health staff members. In order to provide this critical clinical governance, professional support is accessed through another person of the same profession. Accordingly, allied health staff have two formal reporting lines, one to the line manager for administrative, budget, safety, most human resources and quality functions, and the other to the professional manager for professional supervision and support, professional aspects of performance, management and education and training. 8As at 30 November 2007, Mr Rhodes held the position of Area Director Allied Health, HNEAHS. 9In 2005 the NSW Government reduced the number of Area Health Services (AHS) from 17 to eight by merging health services. At that time HAHS merged with the NEAHS and parts of the Lower Mid North Coast AHS to become HNEAHS. According to Mr Rhodes prior to the merger in 2005 there was a position known as Area Profession Director (APD) Nutrition and Dietetics in HAHS which reported to the Area Director, Allied Health Services (that is, Mr Rhodes). There was a similar position, known as the Area Advisor, Nutrition and Dietetics in the NEAHS. After the merger the two positions were amalgamated to become known as the APD Nutrition and Dietetics - Southern and Northern Area Advisor, Nutrition and Dietetics, respectively. The APD for the various allied health professions, including Nutrition and Dietetics, reported directly to the Area Director, Allied Health, HNEAS (Mr Rhodes). 10According to Mr Rhodes, the APD roles were intended to be the most senior professional and leadership positions for their particular allied health profession, representing their profession, and HNEAHS, in relation to external stakeholders, as well as being the point of contact for significant professional and performance issues. The APDs are members of the Area Management Forum, the peak meeting for service managers across the HNEAHS. Mr Rhodes also said that the APD position has the accountability for clinical governance of the profession and is responsible for establishing the strategic direction for the profession consistent with the LHD strategic direction. Following advertisements and recruitments to the position of APD toward the end of 2007, Helen Jackson was appointed as the APD for Nutrition and Dietetics. Prior to this Ms Jackson had been in the position of APD Nutrition and Dietetics - Southern. Prior to the merger in 2005, Ms Jackson had occupied the position of APD Nutrition and Dietetics in HAHS having first been appointed to that role in 2003. 11According to Mr Rhodes the relationship between the APD positions and the positions occupied by dieticians was as follows: Dieticians are professionally accountable to the APD in the same way as nurses and midwives are professionally accountable to the Director of Nursing and Midwifery. Most dieticians have professional accountability through another senior dietician. Senior dieticians have professional responsibility directly to the APD. 12In his affidavit Mr Rhodes further explained that as at 30 November 2007, Ms Watterson was the Director of Nutrition and Dietetics for GNAHN. This role he characterised as equivalent to a head of department across three hospitals, John Hunter Hospital (JHH) and Royal Newcastle Centre (physically adjoining and located at the one site) and Belmont Hospital. There were four other Director positions in the division of Allied Health GNAHN - Director Occupational Therapy; Director Physiotherapy; Director Social Work; and Director Speech Pathology. I should note at this point that the applicant disputes Mr Rhodes' characterisation of Ms Watterson's position as, "equivalent to a head of department ...". I will return to this matter at a later stage in the decision. 13The Directors in the division of Allied Health, GNAHN, including Ms Watterson, reported to and were responsible to the Service Manager up to October 2007 and from October 2007 to the Operations Manager of Allied Health, GNAHN. 14Up to about July 2007 Mr Rhodes held the position of Service Manager, Allied Health, GNAHN in addition to his role as Area Director Allied Health. Sometime in early 2007 a decision was made to reallocate the function of Service Manager, Allied Health, GNAHN to an Operations Manager. Judith Henderson, formerly the Director of Physiotherapy, GNAHN, was appointed to the position on a trial basis. The new position combined the Department Head and Operations Manager positions. Mr Rhodes maintained the higher level functions of the Service Manager role. Ms Henderson reported to Mr Rhodes. As at 30 November 2007 Ms Henderson managed the financial, human resource, quality and safety matters of the Division of Allied Health. Budget development, service development matters and significant variances in activity and financial performances were referred to Mr Rhodes. Mr Rhodes continued to sit on the GNAHN Executive and Ms Henderson took over chairing the informal Division meeting. This continued until June 2008 when Mr Rhodes ceased to be the Service Manager of Allied Health, GNAHN. At the same time, the functions which had been retained by Mr Rhodes were transferred to Ms Henderson. Mr Rhodes explains that until the implementation of the Operations Manager position in late 2007, the Service Manager was responsible for the performance management and general supervision of all his "direct reports". This included Ms Watterson's position of Director Nutrition and Dietetics. Professional supervision was sourced through either another like professional or through peer review. As at 30 November 2007 Ms Watterson was "line managed" by the Operations Manager, Allied Health Services ([19] Ms Watterson's first affidavit). 15Annexed to Ms Watterson's affidavit sworn on 27 February 2012, are extracts of the HNEAHS annual reports for 2004/2005 and 2007/2008 (Annexure P). The earlier report contains a map of the HNEAHS divided into eight "clusters", one of which is titled, "Greater Newcastle Cluster", covering the local councils of Newcastle, Lake Macquarie and Port Stephens. In addition to the eight clusters the report cites four acute hospital networks one of which is GNAHN. According to the report GNAHN incorporates John Hunter Hospital (JHH), John Hunter Children's Hospital, Belmont Hospital, Newcastle Mater Misericordiae Hospital and The Royal Newcastle Hospital. According to Ms Watterson, the map depicts the structure of geographic clusters and acute hospital networks as at 30 November 2007. 16The report also refers to Managed Clinical Networks. According to the report these clinical networks are in addition to the eight geographic clusters and the four acute hospital networks. The clinical networks are described in the report in the following way: These networks enable linked groups of health professionals and organisations from primary, secondary and tertiary care to work together in a co-ordinated manner, unconstrained by existing professional and organisational boundaries to ensure equitable provision of high quality, clinically effective care. Managed clinical networks shift the emphasis from buildings and organisations towards services and consumers/carers with a focus on the 'patient journey'. Hunter New England Health's network of mental health services is an example of how Managed Clinical Networks will deliver services across the area. 17The later 2007/2008 report provides a description of "Area Clinical Networks" as follows: In addition to the geographic clusters and acute hospital networks, Hunter New England Health has established and continues to develop a number of Area Clinical Networks and Streams. Area clinical networks and streams are designed to improve co-ordination of service delivery and build staff capacity across the area to ensure equitable provision of high quality, clinically effective care. Area Clinical Networks and streams shift the emphasis from separate institutions to a system of integrated care for the consumer. Hunter New England Health's Children's, Young Persons and Family network, which consists of six streams including Newborn Services, Paediatric Surgery and Trauma, Tertiary Paediatrics, General Paediatrics, Violence Prevention and Child and Family is an example of how Area Clinical Networks will deliver services across the area. 18Given the similarity of descriptions between "Managed Clinical Networks" and "Area Clinical Networks", it would appear (and there were no submissions directed towards this aspect of the evidence) they are one and the same thing.
The Award translation process 19On 30 November 2007 the NSW Health Service Health Professionals (State) Award (the Award) was made by the Commission. The Award covers allied health positions and other health classifications. In a briefing note prepared for the purpose of translating allied health positions, Mr Rhodes identified a number of outstanding issues in relation to the various professions covered under the Award. These included:
Relevant award provisions 30Some words and expressions used in the various documents and by the parties are defined in the Award. One such expression, "Heads of Departments" in cl 2.4 has already been extracted and set out in this decision. The expression "complex" professional work is defined in cl 2.1 as follows: "Complex" professional work denotes work which includes various tasks involving different processes and methods that may be unrelated. It depends on analysis of the subject, phase or issue involved in each assignment and the appropriate course of action may have to be selected from the many alternatives. The work involves conditions and elements that must be identified and analysed to discern interrelationships. 31The term "Professional Supervision" is defined as cl 2.10: "Professional supervision" refers to supervision given to subordinate health professionals from the same discipline, which requires the exercise of professional judgment and consists of:
Principles of award construction 34A useful starting point with regard to the principles of award construction may be found in Amcor Limited v Construction, Forestry, Mining and Energy Union and Others (2005) 222 CLR 241. The issue in that decision was whether, following a corporate reorganisation, employees became entitled to redundancy payments under the provisions of an industrial agreement (see [1] per Gleeson CJ and McHugh J). This in turn required the Court to construe the relevant provisions of the industrial instrument. Gleeson CJ and McHugh J (at [2]) referred to the approach to construction as turning upon, "the language of the particular agreement, understood in the light of its industrial context and purpose ...". Gummow, Hayne and Heydon JJ approached the construction issue having regard to a wide range of material including the circumstances under which the agreement came to be made. Their Honours' intended approach to the issue was set out first in summary form (later followed by a detailed analysis) which appears at [30]: Clause 55.1.1 must be read in context. It is necessary, therefore, to have regard not only to the text of cl 55.1.1, but also to a number of other matters: first, the other provisions made by cl 55; secondly, the text and operation of the Agreement both as a whole and by reference to other particular provisions made by it; and, thirdly, the legislative background against which the Agreement was made and in which it was to operate. 35Award interpretation has been held to be akin, or to be undertaken in a similar fashion, to other enactments: see Kingmill Construction Pty Ltd T/A Thrifty Car Rental v Federated Clerks' Union of Australia, NSW Branch (2012) 106 IR 217 at [67] which endorsed and approved the observations of Walton J, President, in Perisher Blue Pty Ltd and Others v Australian Worker's Union (1999) 91 IR 274 at 283 - 284. 36In written submissions the applicant relied upon City of Wanneroo v Australian Municipal, Administrative, Clerical and Services Union (2006) 153 IR 426 at [50] - [57] for two propositions, namely that the construction of an award begins with a consideration of the ordinary meaning of its words, and, if the terms of an award are clear and unambiguous, the award must be interpreted according to those terms (see also Project Blue Sky Inc v Australian Broadcasting Authority (1998) 194 CLR 355 at [69]; Board of Bendigo TAFE v Barclay [2012] HCA 32 at [41]).
Matters agreed between the parties 37Before commencing my analysis of the application I should set out three matters about which there is no controversy. These are set out in the applicant's submissions, extracted below: The parties are agreed that the translation of employees covered by the Award, including Ms Watterson, must be based upon employee's duties and responsibilities as they were as at 30 November 2007. The parties are also agreed that either Level 7 Grade 1 or Level 8 Grade 2 is 'most reflective' of Ms Watterson's duties and responsibilities. Accordingly, the differences between the criteria for those two levels are especially important in the resolution of this dispute. The parties are further agreed that the grading of Ms Watterson's position is based solely on the number of full time equivalent (FTE) health professionals or technical and other support staff within her area of responsibility. It is agreed that Ms Watterson's area of responsibility is 25 plus FTE ...
Analysis of the application 38The applicant submitted that Ms Watterson was not employed as a Head of Department of Nutrition and Dietetics for a particular hospital but as a Director. Moreover the description "Head of Department" is said to be incorrect when regard is had to the history of Ms Watterson's position, her contract of employment, her job description as well as the organisational context of her position with HNEAHS/LHD. 39Ms Watterson became the permanent full time Director, Nutrition and Dietetics, GNAHN in November 2004. Her Job Description (reviewed September 2004) at paragraph 5 states that the position is responsible to "Area Director, Allied Health Services". Paragraph 6, headed "Organisation Context" states: The position involves the planning, development and management of services across three sites - Belmont, John Hunter and Royal Newcastle Hospitals - to achieve optimal patient care outcomes. The development of an organisational culture which supports continuous improvement and responsiveness to HAHS service development plans. 40The Job Description at 8.5.2, headed "Maintain a clinical role as determined in consultation with line Manager", states: 8.5.2 Maintain the professional accountability for the clinical component of the Dietary Technical Assistant roles within GNS. Oversee the clinical orientation, ongoing education and performance review of DTAs in collaboration with Patient Support Services. 41The applicant relies on these parts of the Job Description in support of its submission that Ms Watterson's position was as a Director of GNAHN which incorporates rural hospitals as opposed to a Head of Department for a particular hospital. 42A quick perusal of the definition of "Heads of Departments" in the Award reveals that it is not confined to one hospital. The definition refers to responsibilities as extending, "across a number of facilities/sites within a Local Health District." 43The applicant also drew my attention to paragraph 8.1.2 of a Job Description for Ms Watterson's position which sets out an aspect of the detailed tasks of the responsibilities of the position as follows: 8.1.2 Promote a customer focus within the department, and as appropriate, seek feedback from clients and carers on service matters. 44The purpose for so doing was to make the point that the expression "within the department" was repeated in a later version of the Job Description for Ms Watterson's position (reviewed September 2004) with the expression "within the Service" (see clauses 8.1.2 and 8.1.3). According to the applicant this is further evidence that as at 30 November 2007, HNEAHS understood that the position held by Ms Watterson was the position of Director of the Acute Hospital Services (JHH, Royal Newcastle and Belmont hospitals) located in the "Greater Newcastle Sector", and not the position of a Head of Department for a particular hospital. 45I have already observed that the definition of "Head of Department" in the Award is not confined to a particular hospital. 46Nor, in my view, can any real significance be attributed to the use of the title "Director", without more, to describe the position, or more to the point, as confirmation that the position was incorrectly described as a "Head of Department". 47In his affidavit Mr Rhodes helpfully set out some of the history of Ms Watterson's position. It was established in 1990/91 to cover only JHH. At that time it was a professional support role without staff line reporting to it. Instead, staff reported to positions in the patient care division, such as divisions of medicine, surgery, paediatrics. Sometime around 1994 the line management of dietetic staff was transferred to Ms Watterson's position and, according to Mr Rhodes, the dietetics service functioned as a traditional department. In 2001 the position took on expanded responsibilities for Royal Newcastle and Belmont hospitals. At some later stage the paediatrics division became recognised as a distinct hospital known as the John Hunter Children's Hospital (JHCH). Line management for staff providing services to the JHCH transferred to CAYHNET (Children and Youth Health Network) which later became known as Kaleidoscope. Profession reporting (as opposed to line servicing) was retained by the GNAHN Director position. Ms Watterson's position in relation to these arrangements was that it was able to provide advice which Mr Rhodes said would generally be accepted but if a dispute arose the ultimate decision would be made by CAYHNET management. Ms Watterson's position also provided professional support into performance reviews for the Department Head for Nutrition and Dietetics in JHCH. 48According to Mr Rhodes the five Director positions in the division of allied health (as at 30 November 2007), which included Ms Watterson's position, were overseeing services at multiple sites, and because of this the decision was made to use the title "Director". However, Mr Rhodes sought to emphasise, the positions did not relate to any significant analysis by Human Resources. Although Ms Watterson in her position would lead activities in GNAHN for Nutrition and Dietetics this was under the direction and supervision of the Operations Manager/Senior Manager Allied Health, GNAHN. By way of example Mr Rhodes referred to the Clinical Division identifying a service change. When this occurred the Operations/Senior Manager would liaise with the Service Manager of the Clinical Division and the General Manager of GNAHN to define the scope of allied health services required for the changed service delivery. The profession directors would then be consulted as to how this could be delivered by their particular service and the Operations/Senior Manager, Allied Health GNAHN would then assemble a single response and submit a proposal from the division of allied health. 49Mr Rhodes said that the position held by Ms Watterson did not have independent authority to lead, direct or co-ordinate changes to the Nutrition and Dietetics service in GNAHN. Approval was required from the Operations/Senior Manager, Allied Health GNAHN. As at 30 November 2007 Mr Rhodes said that in his role as Senior Manager, Allied Health GNAHN, Ms Watterson was one of his reports through the Operations Manager, Ms Henderson. As Senior Manager he was responsible for Ms Watterson's performance reviews until the Operations Manager, Allied Health GNAHN position was implemented towards the end of 2007. In his affidavit Mr Rhodes described the duties and responsibilities pertaining to Ms Watterson's position as at November 2007: Ms Watterson's position is responsible for Nutrition and Dietetics service across the JHH, Royal Newcastle Centre and Belmont Hospital. This includes the day to day direction, performance management and supervision of the dietitians at these sites, ensuring appropriate supervision is available and in place, managing the Nutrition and Dietetics budget and meeting budget performance targets, participating in developing the budget for Nutrition and Dietetics for the following financial year, role in facility service planning in conjunction with the Clinical Divisions and the usual managerial functions in health such as responsibilities around EQuIP accreditation surveys, complaints management, including responding to complaints from the Health Care Complaints Commission relevant to her services and student placements. As at November 2007, Ms Watterson was also responsible for the dietitian providing services at the James Fletcher / Morisset Hospitals, as part of HNEAHS Mental Health. It also included the professional supervision of the Dietary Technical Assistants, the senior dietitian for JHCH, the senior dietitian for Greater Newcastle Cluster (GNC) and a position in the STRAS Unit, GNC. 50In cross-examination Ms Henderson also gave some evidence which bears some relation to the characterisation by Mr Rhodes of Ms Watterson's position as "Head of Department". The passage is extracted below: Q. In para 32 you refer to the position of Director Nutrition and Dietetics (Discipline Director or head of department) occupied by Miss Cheryl Watterson, do you see that? A. Yes. Q. Where is the title head of department? A. In 2000 when David Rhodes drafted the proposal and the plans for the new division of Allied Health, the proposed duty statements were headed head of department and the initial positions were recruited under those duty statements and the title was head of department. Q. That was back in 2000 was it? A. Yes, yes. When we were appointed David and I had one of our first meetings together and David said it would sound more authoritative although it would be the same role if the positions were described as director but the function was head of department. 51One matter that emerges from the evidence on this issue is that Ms Watterson's position entailed responsibilities confined to Nutrition and Dietetics across a number of sites, including a number of hospitals within GNAHN, which was, and is, one of four acute hospital networks operating within the HNELHD. This characterisation is consistent with the definition of Heads of Departments under the Award. However, it is not of itself determinative of the issue of whether the position was properly graded. Positions at Level 8 are described under the Award as having a combination of operational and strategic roles and "may have a dual role as department head". Other descriptors of the respective positions in the Award need to be considered. 52The applicant also relies on a number of errors which are said to be apparent from the reasons of the Senior Positions ATC when it determined Ms Watterson's position as Level 7 Grade 1. These include the omission of any reference to "clinical network" which appears in the Level 8 descriptors after the words, "Positions at this level lead, direct, co-ordinate and provide strategic advice on major functions and work areas within a Local Health District(s), a geographic region, zone (or clinical network)". The applicant says that the omission indicates that the ATC erred in failing to consider whether the GNAHN was a clinical network, "within the meaning of the term as used in the Award". The applicant contends that it is clear the GNAHN was and is a "clinical network" for the purpose of the Award. 53According to the applicant the term "clinical network" is a term in everyday use. Its ordinary meaning is clear and unambiguous and it includes any network within a health system which provides links between doctors, nurses and allied health professionals for the delivery of health care and advice to patients. In written submissions the applicant developed its contentions on the meaning of the expression as follows: The ordinary meaning of "clinical network" would catch the Greater Newcastle Acute Hospital Network, described by HNEAHS as part of its "health network" whose stated purpose is to "to support the provision of clinical care as close as possible to where people live" and "encourage stronger professional links between the doctors, nurses and allied health professionals at tertiary referral hospitals and rural referral hospitals. This means stronger support for rural clinicians and better access for rural people to the wide range of services available in the Hunter New England area" (Hunter New England Area Health Service 2007/2008 Annual Report p. 9). According to this report GNAHN consists of John Hunter Hospital, The Royal Newcastle Centre, John Hunter Children's Hospital, Belmont Hospital and the Calvary Mater Newcastle. The employer also used the term "network" when refusing Ms Watterson's claim for Level 8 Discipline/Advisor at the HNEAHS USCC level of appeals. The correspondence to Ms Watterson at Annexure AZ of Exhibit 1 contains the statement: "The USCC did not reach a unanimous outcome in relation to your translation to Level 8 Manager. The USCC was not in agreement on whether the Level 8 classification should only be for Area wide positions and therefore whether a Level 8 is an appropriate translation for this position given that it is based at John Hunter Hospital and belongs to one network." It might be thought that the term "clinical network" is a term of art or bears a special public health industry meaning. However, neither party has offered any evidence of the history of the award in relation to this matter, the circumstances under which it was made, or the proceedings surrounding and documents associated with the making of the Award. Accordingly, the Commission is entitled to, and should rely, on the ordinary and natural meaning of the term in resolving this dispute. 54The reference to "one network" in the correspondence quoted above when describing Ms Watterson's position as based at JHH and belonging to "one network", in my view is a reference to the GNAHN. It does not follow that because the acronym GNAHN contains the word "network" that the GNAHN is a "clinical network" as that expression is used under the Award. 55Under the Level 8 descriptors the expression is used in conjunction with the provision of strategic advice on major functions and work areas within a Local Health District, a geographic region and zone. The expression therefore cannot be considered in isolation. It is predicated upon the requirement to "lead, direct, co-ordinate and provide strategic advice on major functions and work areas". Moreover it is expressed to be in the alternative to a local health district, a geographic region and zone which may suggest, of itself, that a clinical network is something more than an acute hospital network such as the GNAHN, located within a Local Health District. 56The applicant's contention that the expression "has an ordinary meaning which would be consistent with the GNAHN as part of the HNEAHS health network" is not supported by any developed explanation or evidence by the applicant as to why this contention should be accepted. 57The expression "clinical network" has a particular meaning and significance within the public health system in New South Wales. Mr Rhodes gave evidence on the meaning of the expression in cross-examination. This evidence was not impugned. In my view Mr Rhodes was eminently qualified to give the evidence. He is a highly experienced public health employee who worked in a number of senior positions within the HNELHD over many years. There has been no suggestion to the contrary. In his evidence Mr Rhodes distinguished between GNAHN (as a network) and the expression "clinical network" and explained the meaning of that latter term: Q. One of the networks that was well established at the time was the Greater Newcastle Acute Hospital Network? A. That was a name, it wasn't functionally the same as a clinical network. The clinical networks were based upon health issues. Q. I want to put to you that what was the concern of the employees within the Greater Newcastle Acute Hospital Networks was certainly health issues? A. The theme of each clinical network was around say women and children or paediatrics or mental health, drug and alcohol. That was what was meant by the focus of the clinical network, and the clinical network spread across the whole area and provided standards, guidelines, protocols, et cetera, for individual services to manage clients and patients with those clinical diagnoses. 58This explanation is consistent with the expressions "Managed Clinical Networks" and "Area Clinical Networks" to which I adverted earlier, that is, a clinical network is akin to a system of integrated care which shifts the emphasis from buildings and organisations towards services and commissions/carers. The expression "Area Clinical Networks" is uplifted from the HNEAHS 2007/2008 report. The applicant relied on the report (in the written submissions extracted above) in support of its contention that the GNAHN constituted a clinical network. According to that report (and the earlier report for 2004/2005) Managed Clinical Networks/Area Clinical Networks exist and operate in addition to the eight geographic clusters and the four acute hospital networks (including GNAHN) which form part of the HNEAHS/LHD. The applicant suggested that Mr Rhodes' explanation that a clinical network "spread across the whole area" could not be correct because it produced the result that the expression "Local Health District" used in conjunction with "clinical network" in the Level 8 descriptors would be rendered redundant. I do not agree. As Mr Rhodes explained the expression is directed towards describing a system focussed upon particular health issues such as children's health, mental health and drug and alcohol issues. 59It follows from this analysis that a "clinical network" is quite different from an acute hospital network. Moreover, it must be borne in mind as I earlier observed that the expression cannot be viewed in isolation in the Award. This particular Level 8 descriptor is preceded by, and must be read together with, the words "Positions in this level lead, direct, co-ordinate and provide advice on major functions and work areas within a (clinical network)". Finally, it should be noted that Ms Watterson managed and was responsible for one single unit within the GNAHN as Director of Nutrition and Dietetics, not GNAHN itself. 60The applicant also criticised what was perceived as an error in the characterisation of the FTE staff reporting to Ms Watterson's position. It will be recalled that the ATC found that Ms Watterson's position line managed 12.26 FTE and professionally managed approximately 15 FTE (Dietitians and DTAs). According to the applicant the error by the ATC occurred when it characterised some FTE's as being line managed and other FTE's as receiving professional input from Ms Watterson but that the Award does not allow for a different consideration of the two types of FTE's in determining the grading for a position. 61In addition the applicant submitted the following matters should be taken into account on this issue: For a position to be classified as a Department Head, Level 7, Grade 1, the Award requires that "the department contains more than 25 - 40 other full time equivalent health professionals or technical and other support staff providing clinical input". 62The basis upon which the submission was put relies upon the following extract said to be from Appendix A, Schedule B of the Award: The Award uses the terms (grading), "will generally rely upon the number of full time equivalent health professionals or technical and other support staff within an area of responsibility" (Exhibit 1, Appendix A, Schedule B). 63The extract taken from the particular Level 7 descriptor is not complete, however. The full extract is as follows: The criteria for a Department Head will generally rely upon the number of full time equivalent (FTE) health professionals or other support staff within a department. This does not preclude the employer from taking into account other aspects or demands of the role required including a significant variance between the actual number of staff managed to the FTE figure, organisational complexity, range and scope of duties and other responsibilities to be undertaken. 64In my view, this is precisely what the ATC was attempting to do when it took into account other aspects and demands of the role. The functions taken into account by the ATC have been set out earlier in this decision. It appears to me to be entirely consistent with what the Award contemplates and permits, in relation to an assessment of the criteria for a Department Head. 65In addition the applicant submitted the following matters should be taken into account on this issue: For a position to be classified as a Department Head, Level 7, Grade 1, the Award requires that "the department contains more than 25 - 40 other full time equivalent health professionals or technical and other support staff providing clinical input". This requirement does not apply to Ms Watterson's position. Her area of responsibility for other staff providing clinical input was 25 plus, however, these staff were spread across a number of services and departments. Both Ms Watterson and Mr Rhodes substantially agree on the FTE in Ms Watterson's area of responsibility and their locations across four acute hospitals (JHH, JHCH, RNC and BDH); Patient Support Services, a community dietetic service, two mental health hospitals and a residential unit. (Exhibit 1, Paragraph 23, Appendix W, Exhibit A, Paragraph 154). In Exhibit 1, Appendix AAB, the Allied Health Service Manager, Greater Newcastle Acute Hospital Network, who was Ms Henderson at the time (2009), states on page 3 that the "FTE managed in Nutrition and Dietetics (including reliever who was on staff Nov 07) = 12.77 which is Level 5 Dept Head". And later "The Diet Aides (Dietary Technical Assistants) are not Line Managed by the Director Nutrition and Dietetics. If professional input of diet Aides is considered a substantial role of the Director Nutrition and dietetics, the role could be considered as constituted by: 1. Line management of 12.77 FTE = Level 5 Dept Head plus complexity (Diet Aide professional input; head count of Nutrition and Dietetics) taking the position to Level 6. 2. Management or input to FTE = 25.97 (Dietitians and Diet Aides) which is Level 7 grade 1" This error is also documented on page 2 where 12.26 line managed FTE are counted in Ms Watterson's area of responsibility and approximately an additional 15 FTE are professionally managed and are designated as "complexity". There is a handwritten note "L51" with a ring around it. The Union contends that this is the departmental representative's note. 66These issues are dealt with by Mr Rhodes in his affidavit where he refers to the factors considered by the ATC. The relevant portion of Mr Rhodes' affidavit has been set out earlier in this decision (at [23] and [24]). If the ATC had only considered line management functions Ms Watterson's position would have translated as a Level 5 Department Head. The ATC however looked into other aspects and demands of the role in ultimately deciding that the position should be translated to Level 7 Grade 1. 67As Mr Rhodes explained in his affidavit, the other positions referred to by Ms Watterson in her affidavit at paragraph 23 were not given any weight because a peer review meeting does not encompass the full range of professional support activity that would be required and which were provided by other dietitians within HNEAHS. To include these positions in Ms Watterson's staffing profile therefore would have been double counting. 68The applicant's next series of contentions were directed towards the words "geographic region" and "zone" which appear in the opening paragraph of the first Level 8 descriptor. According to the applicant these words are ordinary English words and in the context of the Award they are clear and unambiguous. Resort was had to the Macquarie Dictionary 5th Ed 2009 definition of the words. A geographic region according to the applicant, within the context of the Award is, "simply a small geographic area of the whole geographical area covered by the AHS", and a "zone is a division of a larger area according to a system". 69The expressions are not defined in the Award. Resort to the dictionary is not necessarily of assistance for the reason I identified earlier, namely, the expressions, like the term "clinical network" cannot be considered in isolation from the remainder of the particular Level 8 descriptor in which they appear. They are preceded by, and must be considered together with the words, "Positions at this Level, direct, co-ordinate and provide strategic advice on major functions and work areas within a ... (Local Health Districts) ...". Whether or not Ms Watterson's position operated within a geographic region or zone is wholly dependent upon whether the position provided strategic advice etc. on major functions and work areas (whether for a particular area, zone, geographic region or clinical network). 70This brings me to the next series of contentions relied upon by the applicant which were directed towards "major functions and work areas (within a Local Health District(s), a geographic region, zone or clinical network)". Again the applicant has sought (incorrectly in my view) to have the expressions considered in isolation from the remainder of the Level 8 descriptor. 71 As a starting point the applicant focussed on the word "major" and postulated it meant that the functions or work areas in nutrition and dietetics (that Ms Watterson's duties and responsibilities concern), "should constitute a large ie important part of nutrition and dietetics functions and work areas within an AHS, a geographic region, zone or clinical network." Ms Watterson's position, it is said, was responsible for the planning in the discipline of nutrition and dietetics within HNEAHS and was responsible for the planning, development and management of the Nutrition and Dietetics Services patients in JHH, the only tertiary hospital within the HNEAHS and the major referral centre for Hunter New England Health. The applicant also relied upon a previous Award under which Ms Watterson's position had been designated as "Chief Dietitian". JHH as the only tertiary hospital within HNELHD/AHS is said to be a "major function and work area". 72The applicant also relies upon the following responsibilities which are set out in Ms Watterson's affidavit on the basis that they are reflective of her position as a Level 8 Grade position under the Award: In addition, within the geographic region or zone known as the Greater Newcastle Cluster, Ms Watterson was responsible for: (a) maintaining the professional accountability for the clinical component of the Dietary Technical Assistants (DTAs) roles in relation to John Hunter Hospital, Royal Newcastle Centre, and John Hunter Children's Hospital; overseeing the clinical orientation, ongoing education and performance review of DTAs in collaboration with Patient Support Services in relation to John Hunter Hospital, Royal Newcastle Centre, and John Hunter Children's Hospital [FTE 13.2] (Exhibit 1, Annexure AAL, Clause 8.5.2); (b) the outcomes for clients and HNEAHS from the practice of the Senior Dietitian providing the clinical and professional service in nutrition and dietetics to patients at the only two mental health hospitals, James Fletcher and Morisset, within the geographic region or zone known as Greater Newcastle [FTE 0.2] (Exhibit 1, Paragraph 49, Appendix AV); (c) the professional supervision, co-ordination and leadership to the Head of Department Nutrition and Dietetics John Hunter Children's Hospital for operational aspects of the John Hunter Children's Hospital nutrition and dietetic services, including patient menu management for the whole of the JHH/RNC facility, the adult enteral formulae dispensed by the paediatric formula room; JHH/RNC/JHCH enteral feeding pumps and dietitian shared office environment, within the geographic region or zone known as Greater Newcastle [FTE 1] (Exhibit 1, Paragraph 14, Appendix N); (d) the outcomes for clients and HNEAHS from the practice of the Dietitian providing the clinical and professional service in nutrition and dietetics to patients at STRAS - Short Term Rehabilitation Aged Care Stay Unit located at Belmont District Hospital, within the geographic region or zone known as Greater Newcastle [FTE 0.1] (Exhibit 1, Paragraph 49, Appendix AV); and (e) the professional supervision, co-ordination and leadership to the Head of Department Nutrition and Dietetics providing the clinical and professional service in nutrition and dietetics to the Community Health Services located at Newcastle, Raymond Terrace, Wallsend, Windale, Toronto, and Nelson Bay and to the Rankin Park Rehabilitation Unit, within the geographic region or zone known as Greater Newcastle [FTE 0.8]. This relationship, duties and responsibilities were documented by the employer in JD Reviewed 2004 (Exhibit 1, Paragraphs 15 & 66, Appendices O and AAL). 73Ms Watterson's duties and responsibilities were also said to be "most reflective" (refer cl 12.1.3 of the Award) of the Level 8 criteria, paragraph 6, dot point 1 and dot point 2. The first dot point concerns professional responsibility with regard to "strategic workforce and development and professional practice ...". In this regard the applicant contends that Ms Watterson provided professional co-ordination and leadership in nutrition and dietetics to each department head within the geographic region and zone known as Greater Newcastle. 74The contention in my view cannot be accepted. It is unsupported by evidence, and in any event, stands in contrast to the evidence of Mr Rhodes, earlier referred to, that Ms Watterson's position was essentially a "Head of Department" position. The second dot point relies on Ms Watterson's position as providing strategic advice to GNAHN and CARE Network Service Executive Management as well as planning and implementing service developments and professional practice across the Greater Newcastle geographic region and zone of HNEAHS. The applicant has not sought to support the particular contention by reference to any evidence, apart from pointing to cl 7.2 of the position's job description which provides that a key responsibility is, "... collaboration with senior managements of the GNS Acute Service (and the CARE Network - added in the job description reviewed in 2004), plan, organise, implement and evaluate service provision and delivery to meet customer needs". It is not apparent to me how an extract from the job description which focuses on collaboration, meets the criteria in paragraph 6, dot point 2, which directly concerns the provision of professional co-ordination and leadership. Of greater significance are the opening words in relation to which the dot points in paragraph 6 must be assessed, namely, "Positions with this level have a combination of operational and strategic roles as follows:". The requirements of a Level 8 position to perform a dual role consisting of both operational and strategic components was not directly addressed by the applicant. I propose to deal with this issue in more detail shortly. 75As for the other matters raised in support of the contention that Ms Watterson's position concerned the provision of strategic advice etc. on "major functions and work areas", I make the following observations. First, the respondent in submissions accepted that Ms Watterson's position had responsibilities involving planning, development and operational management of the nutrition and dietetics services within GNAHN. It does not follow, however, that Ms Watterson's position falls within and can be properly described as a Level 8 position and that Ms Watterson's duties and responsibilities as at 30 November 2007 were "most reflective" of the Level 8 criteria. Simply put, the respondent contends that the functions of the position were not and are not strategic in nature as contemplated by Level 8. Nor does the respondent accept the applicant's conclusion that the JHH is a "major function" and "work area" within an "Area Health Service, a geographic region, zone or clinical network" solely because it is a tertiary hospital. I agree with the respondent's contention with regard to the last mentioned matter. The contention of the applicant was put no higher than a bare assertion without supporting evidence, and there is no evidence to which the Commission has been directed that might have provided some support for the assertion that JHH, because it is a tertiary hospital, is therefore a "major function" and "work area" in relation to which Ms Watterson's position provides strategic advice etc. The applicant's reliance on predecessor awards and how Ms Watterson's position was graded under those awards is not relevant to any of the issues presently under consideration. 76 The applicant also contended that Ms Watterson's position met the Level 8 criteria, paragraph 6, dot point 3 ("acts as a central point of contact for strategic consultation and liaison with Service Executive Management and the Area Allied Health Director/Advisor"). The basis upon which this is put is that Ms Watterson's title, duties and responsibilities and her position's location at HNEAHS's only tertiary level hospital, and within the Greater Newcastle geographical region, provide evidence that she occupies the management position which is the "end-point" of accountability and responsibility for everything to do with the discipline/profession of Nutrition and Dietetics in Greater Newcastle. In contrast the Level 7 "Head of Department" positions according to the applicant do not include generally making or being involved in decisions about "programs, strategies and priorities". 77The notion of "end-point" accountability was raised in the evidence of Marianna Milosavljevic, a witness called by the applicant. In her affidavit Ms Milosavljevic gave the following evidence: In the case of Level 8 it was specifically designed to reflect the existence of discipline directors. This meant these management positions were the 'end-point' of accountability and responsibility for everything to do with that discipline/profession. The span of this responsibility could be for a zone/network or geographical region within a larger health service. (Paragraph 8) The total number of Discipline Directors for each area/district was not prescribed. The expectation was that each health area/district would examine their allied health management positions. This examination would compare the current job descriptions, as of the 30th November 2007 to the criteria outlined in the HPA or level 8 Directors". (Paragraph 9) There were no Level 8 Discipline Director positions in existence prior to November 30th but there were positions that fulfilled the role of level 8 positions. If these positions had the end point responsibility for their profession within a district / network / geographical area they would have met the main requirements of a level 8 Director. (Paragraph 12) 78According to the applicant the essence of Ms Watterson's grievance is that at 30 November 2007 she was employed by HNEAHS as the Dietitian with "ultimate responsibility" for major functions or work areas in nutrition and dietetics within the Greater Newcastle Sector, GNAHN, and "Greater Newcastle" was a geographic region and zone within HNEAHS and the GNAHN was a clinical network within HNEAHS. 79Many of these contentions I have already dealt with. In my view the evidence does not sustain the contention that Ms Watterson's position was one of "ultimate responsibility" or that the position was the "end-point" of accountability. Ms Milosavljevic's evidence needs to be assessed in the context of the actual words used in the Level 8 descriptors. It is worthwhile setting out again here what those actual words are: Positions at this level have a combination of operational and strategic roles as follows:
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