Health Practitioner Regulation (Adoption of National Law) Regulation 2022
In ForceNSW
Jurisdiction
New South Wales
Act Number
668 of 2022
Collection
regulation
Plain English Summary
7/10 complexity
This Regulation selectively adopts and adapts recent Queensland amendments into the NSW National Law, with staged commencements. It inserts new guiding principles prioritising public health and safety, cultural safety for Aboriginal and Torres Strait Islander Peoples, fairness and efficiency, and a requirement that fees be reasonable.
It also changes Board notification duties—Boards must or may notify named co‑located practitioners and entities about certain decisions (including withdrawal of registration)—affecting registered practitioners, National Boards, and entities with practice arrangements.
This Regulation (Health Practitioner Regulation (Adoption of National Law) Regulation 2022) applies and modifies specified amendments in the Queensland Health Practitioner Regulation National Law and Other Legislation Amendment Act 2022 so that those amendments operate as amendments to the Health Practitioner Regulation National Law (NSW), enacted through the Health Practitioner Regulation (Adoption of National Law) Act 2009 (the Act). The Regulation sets staged commencement rules (s 2) tying commencement of particular parts to either the date of assent to the Queensland Amendment Act, the commencement dates of specified provisions of that Queensland Act, or publication on the NSW legislation website. It lists Queensland Amendment Act provisions that are not applied in NSW at this time (Part 2 note).
Mechanically, the Regulation amends the NSW Schedule to the Act (Schedule 1 of the Regulation) to:
insert a new set of guiding principles specific to NSW (section 3A) and replace a heading so that there is a 3B Objective and guiding principle heading (Schedules 1[2] and 1[3]);
alter notice and disclosure provisions concerning practice information and decisions to take health, conduct or performance action (Schedules 1[15], which insert a new paragraph after s 175(1)(a) and replace s 176B(2), extend s 176B(3), and add s 176D(4));
implement a number of schedule-level modifications required to apply the Queensland amendments in NSW (Schedule 1[1] and the items listed in Schedule 1).
The Regulation identifies which chapters, parts and sections of the Queensland Amendment Act apply as amendments to the NSW National Law (s 4 and s 5). It also modifies some of those Queensland amendments before applying them in NSW, by amending the Act, Schedule 1 in the ways set out in Schedule 1[2], [4], [5] and [6] (s 5 and the Schedule notes). The Regulation explicitly defines the meaning of “the Act”, “Queensland Act” and “Queensland Amendment Act” for interpretation purposes (s 3), and notes that the Act and the Interpretation Act 1987 affect interpretation.
Current sections
Direct links to the current provisions in Health Practitioner Regulation (Adoption of National Law) Regulation 2022.
(a) for sections 4, other than paragraphs (a)(iii) and (b), and 5, other than section 5(1)(b) and (c) and (3), and Schedule 1[1]–[3]—on the date of assent to the Queensland Amendment Act,
(b) for section 4(b)—on the day on which provisions of the Queensland Amendment Act specified in section 4(b) commence,
(c) for section 5(1)(b) and Schedule 1[4]—on the day on which the Queensland Amendment Act, Chapter 3, Part 11, section 74 commences,
(d) for section 5(1)(c) and Schedule 1[5]—on the day on which the Queensland Amendment Act, Chapter 3, Part 15, section 84 commences,
(e) for section 5(3) and Schedule 1[6]—on the day on which the Queensland Amendment Act, Chapter 3, Part 13 commences,
(f) otherwise—on the day on which it is published on the NSW legislation website.
For the Act, section 4(2), the following provisions of the Queensland Amendment Act, Chapter 3 that amend the Schedule to the Queensland Act apply as amendments to the Health Practitioner Regulation National Law (NSW)—
(a) for the following provisions that commence on the date of assent to the Queensland Amendment Act—
(i) Part 2, sections 33 and 35,
(ia) Part 3, section 36,
(ii) Parts 4–6 and 12,
(iii) Parts 16 and 17,
(iv) Part 19,
(v) Part 31, sections 117(1), 118, 120, 125, 126 and 129,
(b) for the following provisions that commence by proclamation—
(i) Parts 7–10,
(ii) Part 11, sections 69 and 70,
(iii) Part 14,
(iv) Part 15, sections 82 and 83,
(v) Parts 27–30,
(vi) Part 31, sections 117(2), 119, 127 and 128.
s 4: Am 2023 (48), Sch 1[1] [2].
5
Application of modified amendments—the Act, s 4
5 Application of modified amendments—the Act, s 4
5 Application of modified amendments—the Act, s 4
(1) For the Act, section 4(2) and (3), the following provisions of the Queensland Amendment Act, as modified by amendments to the Act, Schedule 1 set out in Schedule 1[2], [4] and [5] of this Regulation, apply as amendments to the Health Practitioner Regulation National Law (NSW)—
(a) Chapter 3, Part 2, section 34,
(a1) Chapter 3, Part 3, section 37,
(b) Chapter 3, Part 11, section 74,
(c) Chapter 3, Part 15, section 84.
(2) For the Act, section 4(2) and (3), the Act, Schedule 1 is amended by Schedule 1[1] and [3] of this Regulation for the purpose of applying amendments made by the Queensland Amendment Act, Chapter 3, Part 2, section 34 and Part 3, section 37 as amendments to the Health Practitioner Regulation National Law (NSW).
Schedule 1[2] modifies the amendments made to the Schedule to the Queensland Act, Part 1 by the Queensland Amendment Act, Chapter 3, Part 2, section 34 and Part 3, section 37 (the guiding principle amendments). Schedule 1[1] and [3] amend the Act, Schedule 1 for the purpose of applying the guiding principle amendments.
Schedule 1[4] modifies the amendment made to the Schedule to the Queensland Act, section 199 by the Queensland Amendment Act, Chapter 3, Part 11, section 74.
Schedule 1[5] modifies the amendment made to the Schedule to the Queensland Act, section 206 by the Queensland Amendment Act, Chapter 3, Part 15, section 84.
Schedule 1[6] amends the Act, Schedule 1 for the purpose of applying amendments made to the Schedule to the Queensland Act, Part 7, Division 9 by the Queensland Amendment Act, Chapter 3, Part 13.
sch 1: Am 2023 (48), Sch 1[5]–[8].
3A
Guiding principles [NSW]
3A Guiding principles [NSW]
3A Guiding principles [NSW]
(1) The main guiding principle of the national registration and accreditation scheme is that the protection of the health and safety of the public must be the paramount consideration.
(2) The other guiding principles of the national registration and accreditation scheme are as follows—
(a) the scheme is to operate in a transparent, accountable, efficient, effective and fair way;
(a1) the scheme is to ensure the development of a culturally safe and respectful health workforce that—
(i) is responsive to Aboriginal and Torres Strait Islander Peoples and their health; and
(ii) contributes to the elimination of racism in the provision of health services;
Example—
Codes and guidelines developed and approved by National Boards under section 39 may provide guidance to health practitioners about the provision of culturally safe and respectful health care.
(b) fees required to be paid under the scheme are to be reasonable having regard to the efficient and effective operation of the scheme;
(c) restrictions on the practice of a health profession are to be imposed under the scheme only if it is necessary to ensure health services are provided safely and are of an appropriate quality.
Note—
This section is a substituted New South Wales provision.
6
Schedule 1[15]
6 Schedule 1[15]
[6] Schedule 1[15]
Insert after section 176D(3)—
(4) Subsection (3) does not apply if the person’s registration in a health profession would have ended during the period of suspension.
Note—
See the Health Practitioner Regulation National Law, Part 7, Division 9, Subdivision 2.
Source text
Sourced from legislation.nsw.gov.au, CC BY 4.0.
Part 1 Preliminary
Part 1 Preliminary
Part 1 Preliminary
1 Name of Regulation
1 Name of Regulation
1 Name of Regulation
This Regulation is the Health Practitioner Regulation (Adoption of National Law) Regulation 2022.
2 Commencement
2 Commencement
2 Commencement
This Regulation commences as follows—
(a) for sections 4, other than paragraphs (a)(iii) and (b), and 5, other than section 5(1)(b) and (c) and (3), and Schedule 1[1]–[3]—on the date of assent to the Queensland Amendment Act,
(b) for section 4(b)—on the day on which provisions of the Queensland Amendment Act specified in section 4(b) commence,
(c) for section 5(1)(b) and Schedule 1[4]—on the day on which the Queensland Amendment Act, Chapter 3, Part 11, section 74 commences,
(d) for section 5(1)(c) and Schedule 1[5]—on the day on which the Queensland Amendment Act, Chapter 3, Part 15, section 84 commences,
(e) for section 5(3) and Schedule 1[6]—on the day on which the Queensland Amendment Act, Chapter 3, Part 13 commences,
(f) otherwise—on the day on which it is published on the NSW legislation website.
3 Definitions
3 Definitions
3 Definitions
In this Regulation—
the Act means the Health Practitioner Regulation (Adoption of National Law) Act 2009.
Queensland Act means the Health Practitioner Regulation National Law Act 2009 of Queensland.
Queensland Amendment Act means the Health Practitioner Regulation National Law and Other Legislation Amendment Act 2022 of Queensland.
Note—
The Act and the Interpretation Act 1987 contain definitions and other provisions that affect the interpretation and application of this Regulation.
Part 2 Application of Health Practitioner Regulation National Law and Other Legislation Amendment Act 2022 of Queensland
Part 2 Application of Health Practitioner Regulation National Law and Other Legislation Amendment Act 2022 of Queensland
Part 2 Application of Health Practitioner Regulation National Law and Other Legislation Amendment Act 2022 of Queensland
Health Practitioner Regulation (Adoption of National Law) Regulation 2022 (New South Wales) | Zoe
In short, this instrument is an adoption-and-modification regulation: it effectuates particular Queensland amendments into the NSW adoption of the National Law, with specific textual modifications and staged commencements set out in Schedule 1 and sections 4-5.
Main concepts
The Regulation introduces and modifies several core concepts in the NSW version of the National Law by textual insertion and substitution in Schedule 1 of the Act. The most prominent conceptual insert is a standalone guiding principles provision for NSW, placed as section 3A (Schedule 1[2]). Section 3A establishes a hierarchy of principles:
Paramount consideration: “the protection of the health and safety of the public must be the paramount consideration” (s 3A(1)). This elevates public protection as the top objective for the national registration and accreditation scheme in the NSW text.
Secondary guiding principles: transparency, accountability, efficiency, effectiveness and fairness in operation (s 3A(2)(a)); an express cultural safety and anti-racism element requiring the scheme to ensure “the development of a culturally safe and respectful health workforce” responsive to Aboriginal and Torres Strait Islander Peoples and contributing to elimination of racism (s 3A(2)(a1)); fees required under the scheme are to be reasonable with regard to efficient and effective operation (s 3A(2)(b)); and restrictions on practice are to be imposed only if necessary to ensure safe, quality services (s 3A(2)(c). The instrument explicitly describes this as a substituted NSW provision.
Another conceptual change concerns disclosure and notice obligations tied to practice information and decisions to take action against registered practitioners. Schedule 1[15] inserts after s 175(1)(a) a new paragraph so that “a decision by a National Board to withdraw the person’s registration” is explicitly included among decisions for notification purposes. Schedule 1[15] also replaces s 176B(2) and extends s 176B(3) to specify when the National Board must or may give written notice of a decision. The reworked provision distinguishes between practice information that contains names of other registered practitioners (s 176B(2)) and practice information that is of the other kind defined in s 132(4)(b) (s 176B(3)). The new text sets different notification duties depending on whether the practitioner currently shares premises and costs, previously shared premises, has a current or previous practice arrangement with an entity, and whether the Board “reasonably believes” the practitioner’s state posed specific risks. The Regulation also defines “decision” for these sections as “a decision of a National Board or adjudication body to take health, conduct or performance action against a registered health practitioner” (s 176B(4)).
A further technical concept is the interaction of suspension and the period of registration. Schedule 1[15] inserts s 176D(4) clarifying that subsection (3) (of 176D) does not apply if the person’s registration in a health profession would have ended during the period of suspension. The Schedule notes describe these amendments and how they are applied or modified when imported from the Queensland text.
Finally, the Regulation is selective: Part 2 contains an express note listing multiple provisions of the Queensland Amendment Act, Chapter 3, that are not applied as amendments to the NSW National Law at this time (for example, Part 11, sections 71-73; Parts 20-26; Part 18, and Part 31 ss 121-124). This selective application is a structural concept: the Regulation is not a wholesale adoption but a tailored application and modification of a Queensland statute into the NSW enactment.
All of these concepts depend on cross-references to the Act and to other provisions of the National Law (for example, the definition of “practice information” in s 132(4)), and the Regulation notes that interpretation must rely on the Act and the Interpretation Act 1987 (s 3).
Who it affects
The instrument affects parties governed by the Health Practitioner Regulation National Law as enacted in NSW. Explicitly named actors in the text are National Boards, registered health practitioners, and entities or other registered practitioners that have current or prior practice arrangements or shared premises with a registered practitioner. The Schedule amendments alter duties and notification pathways that attach to National Boards and place information-handling and disclosure obligations on those Boards in relation to named practitioners and entities (Schedule 1[15], inserting and replacing s 176B).
Registered health practitioners are affected in multiple ways. The new guiding principles (s 3A) set priorities that National Boards and the scheme must take into account when exercising powers or making rules that affect practitioners , for example, decisions about fees, restrictions on practice, or accreditation procedures are to be made in the context of public protection being paramount (s 3A(1)) and with attention to cultural safety and anti-racism objectives (s 3A(2)(a1)). Practitioners who share premises with or have practice arrangements with other practitioners or entities should expect that National Boards may give written notice of decisions to those named individuals and entities when certain events occur (s 176B as replaced). The Regulation explicitly extends recipients of notice to named practitioners “with whom the practitioner previously shared premises and the cost of the premises if the Board reasonably believes the practitioner’s health, conduct or performance while the practitioner shared the premises … posed a risk” (s 176B(2)(b)). For entities, s 176B(3) draws a distinction: if there is a current practice arrangement, the Board must give written notice to the entity; for previous arrangements, notice may be given on a reasonable belief of risk (s 176B(3)(a)-(b)).
National Boards are the decision-makers and the implementing agencies. The Regulation repeatedly assigns them notice and disclosure functions (s 176B(2)-(3)) and identifies them as the bodies making “decisions” that trigger disclosure obligations (s 176B(4)). The Act itself and the Interpretation Act 1987 are invoked in the definitions section (s 3) to indicate that operational and interpretative responsibilities fall within the broader statutory framework.
Finally, administrators and legal teams within NSW health regulation and those advising practitioners are affected by timing and implementation complexity. Section 2 contains multiple different commencement triggers, including linkage to provisions of the Queensland Amendment Act and to the NSW publication date, which means affected parties must track commencement status carefully to know when new duties or rights are in force. The Part 2 note explicitly lists Queensland provisions not applied in NSW, so stakeholders relying on Queensland’s full package cannot assume those parts apply here.
Key duties and rights
The Regulation modifies statutory text so that several duties and rights relevant to the National Law are explicit in the NSW schedule.
Paramount duty principle
The scheme’s paramount concern is “the protection of the health and safety of the public” (s 3A(1)). This is expressed as the main guiding principle and will inform the exercise of powers under the scheme where the guiding principles are applicable.
Scheme operation duties
The scheme is to operate “in a transparent, accountable, efficient, effective and fair way” (s 3A(2)(a)). That language operates as a statutory principle for decision-makers within the scheme.
Cultural safety duty
The scheme must “ensure the development of a culturally safe and respectful health workforce” responsive to Aboriginal and Torres Strait Islander Peoples and contributing to the elimination of racism in the provision of health services (s 3A(2)(a1)). The Regulation even gives an example that codes and guidelines developed by National Boards may provide guidance to practitioners about culturally safe care.
Fees principle
Fees required under the scheme are to be reasonable having regard to efficient and effective operation (s 3A(2)(b)). This inserts a statutory benchmark against which fee-setting or fee challenges might be measured.
Restriction threshold
Restrictions on practice are to be imposed under the scheme only when necessary to ensure health services are provided safely and of an appropriate quality (s 3A(2)(c)). This sets a necessity test for restrictions.
Notification duties of National Boards
The amended s 176B imposes duties on National Boards to give written notice of decisions in specified circumstances. When the practice information includes names of other registered practitioners (s 176B(2)), the Board “may give” written notice to current and former shared-premises co-practitioners, and must do so as soon as practicable after the triggering event if the practice information includes those names (s 176B(2) as replaced). The Board’s discretion is curtailed by the requirement to act “as soon as practicable” for named current co-practitioners (s 176B(2)(a)).
For practice information of the other kind (s 132(4)(b) type), s 176B(3) imposes a “must” where there is a current practice arrangement with an entity named in the information, and a “may” for previous practice arrangements subject to a reasonable belief that the practitioner’s health, conduct or performance while with the entity posed a risk (s 176B(3)(a)-(b)).
Definition of “decision”
The Regulation explicitly defines “decision” for the notice provisions to mean a decision of a National Board or adjudication body “to take health, conduct or performance action against a registered health practitioner” (s 176B(4)). That places the notification regime in the context of regulatory enforcement or remedial action.
Suspension/registration timing qualification
The inserted s 176D(4) clarifies that subsection (3) does not apply if the person’s registration in a health profession would have ended during the period of suspension. This affects the operation of suspension mechanics and how certain provisions apply during a suspended registration period.
Rights implicit in the text
Rights in the text are mainly negative or procedural: practitioners have an implicit right to expect that boards will adhere to the guiding principles (s 3A) and that notification obligations follow the defined thresholds. The Regulation does not insert new appeal or review mechanisms in the text provided; rather, it modifies who is notified and under what circumstances.
All duties and rights above operate within the interpretative frame given by the Act and the Interpretation Act 1987 (s 3), and rely on cross-referenced definitions such as “practice information” in s 132(4), which is not reproduced in the Regulation text but is a statutory dependency.
Penalties and enforcement
The Regulation itself does not create new discrete criminal penalties or administrative fines in the text provided. Instead, it adjusts the framework of enforcement by amending notification and definitional provisions that attach to existing regulatory actions and sanctions contained elsewhere in the National Law. The primary enforcement-relevant changes are procedural and information-disclosure focused.
Enforcement actors and triggers
National Boards and adjudication bodies are the primary decision-makers for enforcement because the Regulation ties notification duties to their decisions to “take health, conduct or performance action against a registered health practitioner” (s 176B(4)). The term “decision” is explicitly linked to actions such as withdrawal of registration (Schedule 1[15] inserting a new paragraph after s 175(1)(a)).
Notification as an enforcement adjunct
The amended s 176B requires or permits Boards to notify other registered practitioners or entities of a Board decision in circumstances where the practice information contains certain names or entities (s 176B(2)-(3)). Those notification obligations make enforcement outcomes publicly and institutionally consequential beyond the immediate subject practitioner by informing co-located practitioners and practice entities. The notice duty is framed in both mandatory and discretionary terms depending on whether the practice arrangement is current or previous, and whether the Board “reasonably believes” there was a risk (s 176B(2)-(3)).
Temporal interaction with suspension
Schedule 1[15] adds s 176D(4), which clarifies that a particular subsection (3) does not apply if the person’s registration would have ended during the period of suspension. In practice, this modifies the enforcement timeline in cases where suspension and the expiration of registration overlap.
Absence of explicit penalties in the instrument
The Regulation does not set or change penalties directly in the inserted or amended text supplied. Enforcement continues to rely on the National Law’s existing health, conduct and performance action architecture; the Regulation modifies notification and principled guidance around exercise of those actions. Any sanctions remain those provided elsewhere in the Act or National Law and are not restated in the Regulation text.
Operational risk and enforcement discretion
The amendments create discrete points of administrative discretion that could affect enforcement outcomes, notably the Board’s “reasonable belief” standard and the mandatory/optional split for notifying current versus former co-practitioners and entities (s 176B(2)-(3)). Those formulations shape when and to whom enforcement-related information must be disclosed, thereby affecting reputational and institutional consequences even when statutory penalties are not varied.
In short, the instrument changes enforcement practice by reallocating and clarifying notification duties and by embedding guiding principles that are intended to constrain decision-making priorities. The Regulation does not itself create monetary penalties or new grounds for criminal liability in the text provided.
How it interacts with other laws
The Regulation is expressly an instrument that imports, tailors and applies parts of another jurisdiction’s amendment act (the Queensland Amendment Act) into the NSW enactment of the National Law. The text indicates multiple interaction layers:
Reference and dependence on the Act and other instruments
Section 3 defines “the Act” as the Health Practitioner Regulation (Adoption of National Law) Act 2009. The Region’s acceptance that the Act and the Interpretation Act 1987 contain definitions and interpretative provisions (s 3 note) means that the Regulation must be read in conjunction with those instruments. The Regulation modifies Schedule 1 of the Act and thereby modifies how the National Law applies in NSW.
Selective adoption of Queensland amendments
Part 2 and sections 4-5 carefully enumerate which Queensland Amendment Act, Chapter 3 provisions apply as amendments to the Health Practitioner Regulation National Law (NSW) and which do not at this time. The Regulation therefore creates a patchwork where some Queensland provisions are in force in NSW and some are not. For example, s 4 lists particular Parts and sections of the Queensland Amendment Act that apply (Parts 4-6 and 12, Parts 16 and 17, etc.), while Part 2 notes certain provisions that are not applied (Part 11 sections 71-73; Part 18; Parts 20-26; Part 31 sections 121-124). This selective incorporation must be reconciled with the existing NSW National Law text when advising clients.
Modifications to applied amendments
Section 5 states that certain Queensland provisions apply as modified by amendments to the Act, Schedule 1 set out in Schedule 1[2], [4] and [5] of the Regulation. The Schedule then makes textual changes to insert NSW-specific guiding principles and to alter notice and suspension provisions. That is, the Regulation does not simply adopt Queensland wording; it adjusts it to align with NSW policy choices and drafting conventions. Those modifications can create operational differences between Queensland’s National Law and NSW’s National Law, potentially affecting cross-border practitioners.
Cross-reference dependency on definitions in the National Law
The amended notice provisions (s 176B(2)-(3)) make repeated cross-references to “practice information” as defined in s 132(4). The Regulation does not reproduce s 132(4), so the operation of the new notice duties requires consulting the Act/National Law for that definition. Similarly, the term “adjudication body” and other enforcement mechanisms are part of the wider National Law statutory architecture and must be read together.
Commencement interaction with Queensland provisions
The Regulation ties commencement of some NSW amendments to the commencement dates of specified provisions of the Queensland Amendment Act (s 2 and s 4(b)). That creates an inter-jurisdictional temporal dependency: when particular Queensland provisions come into effect elsewhere, corresponding NSW provisions may be triggered by proclamation or by specified commencement events. Other provisions commence on assent or on NSW publication. Entities operating across states must therefore track commencements in both Queensland and NSW to know which rules apply.
Interpretation Act 1987
Section 3 explicitly points to the Interpretation Act 1987 as affecting interpretation and application of this Regulation. That means general interpretative principles, such as statutory construction rules and definitions, will be drawn from that Act as part of interpreting the modified Schedule to the NSW National Law.
Net effect
The Regulation interacts with the existing National Law by amending its Schedule, but it also interacts with Queensland’s legislative choices by importing selectively and modifying those choices. Practically, legal advisors, National Boards and practitioners must read the NSW Schedule (as amended) in conjunction with the Act, the Interpretation Act 1987, and the cross-referenced provisions of the National Law to determine operative duties, definitions and procedural rights.
Amendment history
The Regulation itself and the Schedule contain internal amendment notes that record the provenance and textual changes. The instrument is titled as the Health Practitioner Regulation (Adoption of National Law) Regulation 2022 (s 1). The text includes multiple amendment annotations indicating later changes: for example, s 4 ends with “s 4: Am 2023 (48), Sch 1[1] [2]”, and s 5 ends with “s 5: Am 2023 (48), Sch 1[3] [4]”. The Schedule also carries an amendment note “sch 1: Am 2023 (48), Sch 1[5]-[8]”.
Schedule-level amendments and insertions are enumerated as Schedule 1[1]-[6] items. The Schedule’s explanatory notes describe the purpose of each item:
Schedule 1[2] inserts the new NSW guiding principles (3A) and is stated to modify Queensland amendments that inserted guiding principle language (see the Schedule note: Schedule 1[2] modifies the amendments made to the Schedule to the Queensland Act, Part 1 by the Queensland Amendment Act, Chapter 3, Part 2, section 34 and Part 3, section 37).
Schedule 1[1] and [3] amend the Act, Schedule 1 for the purpose of applying the guiding principle amendments.
Schedule 1[4] modifies an amendment made by the Queensland Amendment Act, Chapter 3, Part 11, s 74, to section 199 (the Schedule note states this).
Schedule 1[5] modifies an amendment made by the Queensland Amendment Act, Chapter 3, Part 15, s 84, to section 206.
Schedule 1[6] amends the Act, Schedule 1 for the purpose of applying amendments made to the Schedule to the Queensland Act, Part 7, Division 9 by the Queensland Amendment Act, Chapter 3, Part 13.
Textual insertions
Schedule 1[2] inserts a new section 3A titled “Guiding principles [NSW]” with the full hierarchy of principles (s 3A(1)-(2) including subparagraphs).
Schedule 1[3] replaces the heading “3A Objective and guiding principle [NSW]” with “3B Objective and guiding principle [NSW]”, a structural renumbering or relabelling step.
Schedule 1[15] (which appears to be part of Schedule 1 item numbering in the document) inserts after section 175(1)(a) a new paragraph (a1) adding “a decision by a National Board to withdraw the person’s registration”.
Schedule 1[15] also replaces section 176B(2) with a new, more detailed notice regime, extends 176B(3), and inserts a new subsection defining “decision” (s 176B(4)). It also inserts s 176D(4), clarifying the application of subsection (3) relative to registration end.
Amendment annotations
The presence of “Am 2023 (48), Sch 1[…]” annotations indicates these Schedule insertions and modifications were themselves subject to a 2023 amendment process recorded in the text. The Regulation therefore incorporates not just the Queensland Amendment Act content but also subsequent NSW modifications recorded as amendments.
In short, the amendment history presented inside the instrument shows a sequence of adoption plus NSW tailoring: Queensland changes were identified, selectively adopted, and then modified for NSW via Schedule 1 insertions and replacements. The instrument’s internal amendment notes document that activity and provide a point of reference for tracking the legislative lineage of each inserted subsection.
Litigation history
The Regulation text supplied does not include any reporting of litigation, nor does it cite cases, decisions or judicial interpretations related to its provisions. There are no notes in the instrument that record judicial consideration or precedent for the inserted or modified clauses. The document is purely legislative in nature: it sets out textual changes and commencement arrangements and contains no recitals or annexes summarising litigation.
Although no litigation history is recorded here, the Regulation does create statutory phrases and standards that commonly give rise to interpretive disputes in administrative, civil or judicial review contexts. For example, the amended notice provisions in section 176B use standards such as “as soon as practicable” and “reasonably believes”, and they require application of cross-referenced definitions such as “practice information” (the latter defined in s 132(4) of the National Law). Those terms are routine loci for litigation over administrative discretion in other statutory contexts. The Regulation also introduces a set of guiding principles (s 3A) which can inform the reasons and legality of administrative decisions; courts and tribunals often assess whether decision-makers properly considered relevant statutory principles, though the text supplied contains no record of any judicial interpretation of s 3A or of the amended notice provisions.
Practitioners and boards should therefore be aware that key phrases in the inserted and amended provisions are textual points where interpretation could be contested in future litigation despite no litigation being reported in the instrument itself. Examples of interpretive questions that may arise from the text include:
the temporal meaning and administrative application of “as soon as practicable” in the notice duty (s 176B(2));
the evidential and legal standard for “reasonably believes” when deciding to notify former co-practitioners or entities (s 176B(2)(b), s 176B(3)(b)); and
the scope and operational effects of the guiding principles (s 3A) on discretionary decisions by National Boards and adjudication bodies.
These observations are descriptive of potential litigation vectors that commonly follow the introduction of administrative duties and standards; they reflect the text’s inclusion of discretely litigable formulations rather than any recorded cases. The Regulation itself does not provide appellate guidance or dispute-resolution mechanisms beyond its statutory framework.
Gotchas
The Regulation contains several drafting and operational features that can catch implementers and advisers unaware unless they read the instrument together with the Act and the National Law. The following are concrete points to watch, grounded in the Regulation text.
Staggered and conditional commencement
Section 2 sets multiple commencement timings tied to different triggers: date of assent to the Queensland Amendment Act, the commencement of specific Queensland Amendment Act provisions, or publication on the NSW legislation website. This creates complexity for tracking which provisions are in force in NSW at any given time. Implementers must not assume a single commencement date applies to all changes.
Selective non-adoption
The Part 2 note explicitly lists Queensland Amendment Act provisions not applied to NSW at this time (for example, Part 11 sections 71-73; Part 18; Parts 20-26; Part 31 sections 121-124). That means that NSW’s version of the National Law will diverge from Queensland’s, and comparison with Queensland practice could be misleading.
Textual modifications alter meaning
The Regulation does not wholesale import Queensland wording. It modifies Queensland amendments via Schedule 1[2], [4], [5] and [6]. For example, it substitutes an explicitly NSW-focused guiding principles provision (s 3A). Those textual changes can alter thresholds and obligations relative to the Queensland template, so relying on Queensland secondary materials or guidance without checking the NSW text is risky.
Cross-reference dependencies
The new notice provisions refer to “practice information” as defined in s 132(4) of the National Law. The Regulation does not reproduce that definition. Advisers must consult the primary Act/National Law definitions to operationalise duties. Failure to do so can lead to misidentifying when notice obligations are triggered.
Mandatory versus discretionary duties
The replaced s 176B differentiates between “must” and “may” obligations. For example, the Board must give written notice to named registered practitioners with whom the practitioner currently shares premises and the cost of the premises (s 176B(2)(a)), but may give notice to those who previously shared premises only if the Board reasonably believes there was a risk (s 176B(2)(b)). Similarly, for entities, notice is mandatory for current practice arrangements but discretionary for previous ones (s 176B(3)(a)-(b)). Implementers must track the “current” versus “previous” status of arrangements to determine when notice is a legal obligation as opposed to permissive.
Definition of “decision” narrows application
The Regulation defines “decision” for the purposes of the notice regime as a decision “to take health, conduct or performance action against a registered health practitioner” (s 176B(4)). That definition ties notice obligations to enforcement-type decisions. Administrative actors must check whether an action falls within that definition before assuming a notification duty exists.
Interaction of suspension and registration end
The inserted s 176D(4) states that subsection (3) does not apply if the person’s registration would have ended during the period of suspension. This temporal carve-out can alter the effect of suspension in situations where registration expires during suspension and must be accounted for in case management and communications planning.
Cultural safety and fee reasonableness as statutory principles
The insertion of s 3A(2)(a1) and (b) imposes statutory expectations on National Boards concerning cultural safety and fee reasonableness. These are framed as guiding principles and can be invoked in judicial review or internal governance disputes. Boards and their advisers should ensure that deliberation records show consideration of these principles where relevant.
Documentation demands from notification duties
The “as soon as practicable” and “reasonably believes” standards in the notice duties suggest that Boards will need contemporaneous records evidencing timing and reasoning to defend decisions not to notify or to justify the timing of notices.
Dependence on other enacted provisions
The Regulation’s amendments are meaningful only when read with the rest of the National Law and the Act as adopted in NSW, plus the Interpretation Act 1987. Overlooking those sources risks misapplication.
In sum, the principal gotchas are timing and commencement complexity, selective and modified adoption of Queensland amendments, care in applying mandatory versus discretionary notice duties, dependence on external definitions, and the new statutory principles that must be demonstrably considered in decision-making.
How to comply
Compliance with the Regulation requires operational, procedural and record-keeping adjustments by National Boards, registrars, entities with practice arrangements, and registered health practitioners. The following tasks map the Regulation’s text into discrete compliance steps, each tied to statutory language.
Confirm operative commencement dates (s 2; s 4; s 5)
Action: Maintain a commencement register that records when each listed provision or modified amendment comes into force in NSW. The register must track whether a provision’s commencement depends on Queensland’s commencement of corresponding provisions, the NSW publication date, or the date of assent.
Rationale: The Regulation uses multiple triggers (s 2) and selectively applies Queensland provisions (s 4, s 5); incorrect assumptions about commencement expose boards and entities to compliance risk.
Integrate the guiding principles into decision-making frameworks (s 3A)
Action: Update internal policy, governance checklists and training materials so that all decisions affecting registration, accreditation, restrictions, fees and codes of conduct explicitly record consideration of: (a) public protection as paramount (s 3A(1)); (b) transparency, accountability, efficiency, effectiveness and fairness (s 3A(2)(a)); (c) cultural safety and anti-racism obligations (s 3A(2)(a1)); (d) the reasonableness of fees (s 3A(2)(b)); and (e) necessity standard for restrictions (s 3A(2)(c)).
Rationale: These principles are statutory; decision records that show engagement with them reduce legal and governance risk.
Revise notice policies and templates (Schedule 1[15] replacing s 176B)
Action: Implement a notification protocol that distinguishes between:
practice information containing names of other registered practitioners (s 176B(2)): Boards must give written notice “as soon as practicable” to named registered practitioners with whom the subject currently shares premises and costs (s 176B(2)(a)); and may give notice to previously sharing practitioners if the Board reasonably believes risk existed (s 176B(2)(b));
practice information naming entities (s 176B(3)): Boards must notify entities with which the practitioner currently has a practice arrangement (s 176B(3)(a)); and may notify entities previously associated where the Board reasonably believes there was risk (s 176B(3)(b)).
Action: Standardise notice wording and maintain a register of current and past practice arrangements and shared-premises relationships to determine notification obligations.
Rationale: The duty to notify is time-sensitive (“as soon as practicable”) and fact-specific (“current” vs “previous”); clear processes reduce delays and discretionary error.
Document “reasonable belief” and timing decisions
Action: Create a short template for the factual assessment that supports a Board’s “reasonable belief” with contemporaneous notes, evidence considered, and reasons for concluding a risk of harm or public health risk exists. Also log the date and time each notice was issued to show compliance with “as soon as practicable”.
Rationale: The Regulation uses “reasonably believes” and “as soon as practicable” standards; contemporaneous documentation is essential for administrative accountability and potential review.
Map and verify “practice information” definitions (cross-reference s 132(4))
Action: Pull the Act’s definition of “practice information” (s 132(4)) and map how the Board’s intelligence, notifications, and reporting systems capture the two categories referenced in the amended s 176B. Adjust information intake forms accordingly.
Rationale: The amended notice duties hinge on the type of practice information; compliance requires precise classification.
Update governance for withdrawal decisions and appeals (s 175 insertion)
Action: Ensure that any decision to withdraw registration is captured as a “decision” under the notice rules (Schedule 1[15] inserting an (a1) after s 175(1)(a)). Update notification checklists and communications plans for withdrawal decisions.
Rationale: Withdrawal decisions now trigger the notice regime expressly.
Account for suspension and registration expiry interactions (s 176D(4))
Action: When suspending registration, check whether the registration would end during the period of suspension and apply s 176D(4) to determine which subsections apply. Integrate this check into suspension decision templates.
Rationale: The inserted subsection modifies operational consequences of suspension relative to registration end.
Training and stakeholder communications
Action: Run targeted training for Board members, registrars and assessment staff on the new guiding principles, notice duties, and documentation expectations. Notify practitioners and entities about the changed notification rules and what they mean in practice.
Rationale: The new rules create obligations for third parties; transparency reduces disputes and ensures lawful exercise of powers.
Fee-setting processes aligned with reasonableness principle (s 3A(2)(b))
Action: When proposing fees, compile and retain analyses showing how proposed fee structures are reasonable with regard to efficient and effective operation. Ensure fee governance processes explicitly reference s 3A(2)(b).
Rationale: The scheme’s fee rule is now an express statutory principle and should be defensible with records.
Legal review and cross-jurisdictional alignment
Action: Lawyers advising Boards or practitioners should review the NSW text alongside the Queensland Amendment Act provisions that have not been adopted (Part 2 note) to advise cross-border practitioners of differences. Keep a change-log of where NSW and Queensland diverge.
Rationale: Cross-border practitioners may assume uniformity across jurisdictions; the Regulation is selective in adoption and modification.
Record retention and FOI considerations
Action: Given the increased scope of notification, retain copies of notices sent and the supporting reasoning for a period consistent with record-keeping obligations and potential freedom of information or privacy procedures.
Rationale: The Regulation increases institutional disclosure activity, creating new records that may be subject to external access requests or regulatory review.
Following these steps aligns operational practices with the Regulation’s textual requirements in the NSW National Law framework. Each step is grounded in the Regulation’s specific insertions and replacements: the new guiding principles (s 3A), the modified notice regime and definition of “decision” (Schedule 1[15], replacing s 176B and inserting s 176B(4)), and the suspension/expiry nexus (s 176D(4)).
The following provisions of the Queensland Amendment Act, Chapter 3, are not applied as amendments to the Health Practitioner Regulation National Law (NSW) at this time—
(a) Part 11, sections 71–73,
(b) Part 18,
(c) Parts 20–26,
(d) Part 31, sections 121–124.
4 Application of amendments—the Act, s 4
4 Application of amendments—the Act, s 4
4 Application of amendments—the Act, s 4
For the Act, section 4(2), the following provisions of the Queensland Amendment Act, Chapter 3 that amend the Schedule to the Queensland Act apply as amendments to the Health Practitioner Regulation National Law (NSW)—
(a) for the following provisions that commence on the date of assent to the Queensland Amendment Act—
(i) Part 2, sections 33 and 35,
(ia) Part 3, section 36,
(ii) Parts 4–6 and 12,
(iii) Parts 16 and 17,
(iv) Part 19,
(v) Part 31, sections 117(1), 118, 120, 125, 126 and 129,
(b) for the following provisions that commence by proclamation—
(i) Parts 7–10,
(ii) Part 11, sections 69 and 70,
(iii) Part 14,
(iv) Part 15, sections 82 and 83,
(v) Parts 27–30,
(vi) Part 31, sections 117(2), 119, 127 and 128.
s 4: Am 2023 (48), Sch 1[1] [2].
5 Application of modified amendments—the Act, s 4
5 Application of modified amendments—the Act, s 4
5 Application of modified amendments—the Act, s 4
(1) For the Act, section 4(2) and (3), the following provisions of the Queensland Amendment Act, as modified by amendments to the Act, Schedule 1 set out in Schedule 1[2], [4] and [5] of this Regulation, apply as amendments to the Health Practitioner Regulation National Law (NSW)—
(a) Chapter 3, Part 2, section 34,
(a1) Chapter 3, Part 3, section 37,
(b) Chapter 3, Part 11, section 74,
(c) Chapter 3, Part 15, section 84.
(2) For the Act, section 4(2) and (3), the Act, Schedule 1 is amended by Schedule 1[1] and [3] of this Regulation for the purpose of applying amendments made by the Queensland Amendment Act, Chapter 3, Part 2, section 34 and Part 3, section 37 as amendments to the Health Practitioner Regulation National Law (NSW).
(3) For the Act, section 4(2) and (3)—
(a) amendments made by the Queensland Amendment Act, Chapter 3, Part 13 to the Schedule to the Queensland Act apply as amendments to the Health Practitioner Regulation National Law (NSW), and
(b) the Act, Schedule 1 is amended by Schedule 1[6] of this Regulation for the purpose of applying the amendments.
s 5: Am 2023 (48), Sch 1[3] [4].
Schedule 1 Amendment of Health Practitioner Regulation (Adoption of National Law) Act 2009 No 86
Schedule 1 Amendment of Health Practitioner Regulation (Adoption of National Law) Act 2009 No 86
Schedule 1 Amendment of Health Practitioner Regulation (Adoption of National Law) Act 2009 No 86
Note—
Schedule 1[2] modifies the amendments made to the Schedule to the Queensland Act, Part 1 by the Queensland Amendment Act, Chapter 3, Part 2, section 34 and Part 3, section 37 (the guiding principle amendments). Schedule 1[1] and [3] amend the Act, Schedule 1 for the purpose of applying the guiding principle amendments.
Schedule 1[4] modifies the amendment made to the Schedule to the Queensland Act, section 199 by the Queensland Amendment Act, Chapter 3, Part 11, section 74.
Schedule 1[5] modifies the amendment made to the Schedule to the Queensland Act, section 206 by the Queensland Amendment Act, Chapter 3, Part 15, section 84.
Schedule 1[6] amends the Act, Schedule 1 for the purpose of applying amendments made to the Schedule to the Queensland Act, Part 7, Division 9 by the Queensland Amendment Act, Chapter 3, Part 13.
sch 1: Am 2023 (48), Sch 1[5]–[8].
1 Schedule 1 Modification of Health Practitioner Regulation National Law
1 Schedule 1 Modification of Health Practitioner Regulation National Law
[1] Schedule 1 Modification of Health Practitioner Regulation National Law
Omit the heading to Schedule 1[1A]. Insert instead—
[1A] Sections 3A and 3B
2 Schedule 1[1A]
2 Schedule 1[1A]
[2] Schedule 1[1A]
Insert before section 3A—
3A Guiding principles [NSW]
3A Guiding principles [NSW]
3A Guiding principles [NSW]
(1) The main guiding principle of the national registration and accreditation scheme is that the protection of the health and safety of the public must be the paramount consideration.
(2) The other guiding principles of the national registration and accreditation scheme are as follows—
(a) the scheme is to operate in a transparent, accountable, efficient, effective and fair way;
(a1) the scheme is to ensure the development of a culturally safe and respectful health workforce that—
(i) is responsive to Aboriginal and Torres Strait Islander Peoples and their health; and
(ii) contributes to the elimination of racism in the provision of health services;
Example—
Codes and guidelines developed and approved by National Boards under section 39 may provide guidance to health practitioners about the provision of culturally safe and respectful health care.
(b) fees required to be paid under the scheme are to be reasonable having regard to the efficient and effective operation of the scheme;
(c) restrictions on the practice of a health profession are to be imposed under the scheme only if it is necessary to ensure health services are provided safely and are of an appropriate quality.
Note—
This section is a substituted New South Wales provision.
3 Schedule 1[1A]
3 Schedule 1[1A]
[3] Schedule 1[1A]
Omit “3A Objective and guiding principle [NSW]”. Insert instead—
3B Objective and guiding principle [NSW]
4 Schedule 1[15]
4 Schedule 1[15]
[4] Schedule 1[15]
Insert after section 175(1)(a)—
(a1) a decision by a National Board to withdraw the person’s registration;
5 Schedule 1[15]
5 Schedule 1[15]
[5] Schedule 1[15]
Omit section 176B(2). Insert instead—
(2) If the practice information given to the National Board, or of which the Board becomes aware, is information referred to in section 132(4), definition of practice information, paragraph (a) and includes the names of other registered health practitioners, the Board, as soon as practicable after an event specified in subsection (1)(a) occurs, may give written notice of the decision to—
(a) the named registered health practitioners with whom the practitioner currently shares premises and the cost of the premises; and
(b) the named registered health practitioners with whom the practitioner previously shared premises and the cost of the premises if the Board reasonably believes the practitioner’s health, conduct or performance while the practitioner shared the premises with the registered health practitioners posed—
(i) a risk of harm to a person or a class of persons; or
(ii) a risk to public health or safety.
(3) If the practice information given to the Board, or of which the Board becomes aware, is information referred to in section 132(4), definition of practice information, paragraph (b), the Board, as soon as practicable after an event specified in subsection (1)(a) occurs—
(a) if the registered health practitioner has a current practice arrangement with an entity named in the information—must give written notice of the decision to the entity; or
(b) if the practitioner had a previous practice arrangement with an entity named in the information—may give written notice of the decision to the entity if the Board reasonably believes the practitioner’s health, conduct or performance while the practitioner had a practice arrangement with the entity posed—
(i) a risk of harm to a person or a class of persons; or
(ii) a risk to public health or safety.
(4) In this section—
decision means a decision of a National Board or adjudication body to take health, conduct or performance action against a registered health practitioner.
6 Schedule 1[15]
6 Schedule 1[15]
[6] Schedule 1[15]
Insert after section 176D(3)—
(4) Subsection (3) does not apply if the person’s registration in a health profession would have ended during the period of suspension.
Note—
See the Health Practitioner Regulation National Law, Part 7, Division 9, Subdivision 2.