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This is a Bill, not an Act. For current law, see the Acts databases.


HEALTH LEGISLATION AMENDMENT BILL 2013





Health Legislation Amendment Bill
2013
No     , 2013


A Bill for

An Act to make miscellaneous amendments to various Acts that relate to health and
associated matters.
Clause 1      Health Legislation Amendment Bill 2013




The Legislature of New South Wales enacts:                          1

 1    Name of Act                                                   2

           This Act is the Health Legislation Amendment Act 2013.   3

 2    Commencement                                                  4

           This Act commences on the date of assent to this Act.    5




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Health Legislation Amendment Bill 2013

Amendment of Health Administration Act 1982 No 135                      Schedule 1




Schedule 1             Amendment of Health Administration                                 1
                       Act 1982 No 135                                                    2

[1]   Section 11 Disposal of land by Corporation                                          3

      Insert at the end of the section:                                                   4

             (2)    The Corporation may request the Minister to give approval to          5
                    (and the Minister may approve) a disposition of land, being a         6
                    disposition:                                                          7
                     (a) that is contrary to a provision of, or a trust arising under,    8
                          the Crown grant of that land, or                                9
                    (b) that, if this section had not been enacted, may make the         10
                          land liable to be forfeited to the Crown.                      11

             (3)    If the Minister has given an approval under this section to a        12
                    disposition of land, the disposition of the land:                    13
                     (a) is not to be regarded as a breach of any provision of, or any   14
                           trust arising under, the Crown grant of that land, and        15
                    (b) does not make the land liable to be forfeited to the Crown.      16

[2]   Schedule 4 Medical Services Committee                                              17

      Insert after clause 4 (2):                                                         18

             (3)    Despite subclause (2), a person may be appointed to a fourth         19
                    consecutive term as a member if the person was appointed as          20
                    Chairperson during the person's third consecutive term.              21




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                Health Legislation Amendment Bill 2013

Schedule 2          Amendment of Health Care Complaints Act 1993 No 105




Schedule 2                Amendment of Health Care Complaints                                1
                          Act 1993 No 105                                                    2

[1]   Section 3A Outline of role and principles of Commission and related                    3
      government agencies in health care system                                              4

      Insert after section 3A (5A):                                                          5

             (5B)      Principles                                                            6

                       The Commission and other government agencies with functions           7
                       in connection with health care complaints under this Act are, in      8
                       carrying out those functions, to have regard to the following         9
                       principles:                                                          10
                        (a) the Commission and those government agencies are to be          11
                              accountable to the New South Wales community,                 12
                       (b) the decision-making processes are to be open, clear and          13
                              understandable for clients and health service providers,      14
                        (c) an acceptable balance is to be maintained between               15
                              protecting the rights and interests of clients and health     16
                              service providers,                                            17
                       (d) the processes of the Commission and those government             18
                              agencies are to be effective in protecting the public from    19
                              harm,                                                         20
                        (e) the Commission and those government agencies are to             21
                              strive to improve the efficiency of the administration of     22
                              those functions so as to benefit the New South Wales          23
                              community,                                                    24
                        (f) the Commission and those government agencies are to be          25
                              flexible and responsive as the health care system evolves     26
                              and changes.                                                  27

[2]   Sections 7 (1) (b), 25 (4) (b) and 25A (3) (b)                                        28

      Insert ", or is likely to affect," after "affects" wherever occurring.                29

[3]   Section 8 Who may make a complaint?                                                   30

      Insert at the end of the section:                                                     31

              (2)      The Commissioner may make a complaint under this Act, but            32
                       only if it appears to the Commissioner that the matter that is the   33
                       subject of the complaint:                                            34
                       (a) raises a significant issue of public health or safety, or        35




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Health Legislation Amendment Bill 2013

Amendment of Health Care Complaints Act 1993 No 105                       Schedule 2




                    (b)    raises a significant question regarding a health service that    1
                           affects, or is likely to affect, the clinical management or      2
                           care of an individual client, or                                 3
                    (c)    if substantiated, would:                                         4
                            (i) provide grounds for disciplinary action against a           5
                                  health practitioner, or                                   6
                           (ii) be found to involve gross negligence on the part of         7
                                  a health practitioner, or                                 8
                          (iii) result in the health practitioner being found guilty of     9
                                  an offence under Division 1 or 3 of Part 7 of the        10
                                  Public Health Act 2010.                                  11

             (3)    The provisions of this Part apply to the making of a complaint by      12
                    the Commissioner, subject to any modifications prescribed by the       13
                    regulations.                                                           14

[4]   Section 16A                                                                          15

      Insert after section 16:                                                             16

      16A    Employer to be notified of complaint against employee                         17

             (1)    The Commission must give written notice of the making of a             18
                    complaint, the nature of the complaint and the identity of the         19
                    complainant to a person who currently employs or engages the           20
                    health practitioner concerned as a health practitioner if the          21
                    Commission considers on reasonable grounds that the giving of          22
                    the notice is necessary:                                               23
                     (a) to assess the matter effectively, or                              24
                    (b) to protect the health or safety of the public or a member of       25
                          the public.                                                      26

             (2)    This section does not require the Commission to give notice            27
                    under this section if it appears to the Commission, on reasonable      28
                    grounds, that the giving of the notice will:                           29
                    (a) place the complainant or another person at risk of                 30
                          intimidation or harassment, or                                   31
                    (b) unreasonably prejudice the employment or engagement of             32
                          the health practitioner.                                         33

[5]   Section 25 Notification of certain complaints to Director-General                    34

      Omit "Division 3 of Part 2A of the Public Health Act 1991" from the note to          35
      the section.                                                                         36

      Insert instead "Division 3 of Part 7 of the Public Health Act 2010".                 37




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                 Health Legislation Amendment Bill 2013

Schedule 2          Amendment of Health Care Complaints Act 1993 No 105




 [6]   Section 28 Notice of action taken or decision made following                               1
       assessment                                                                                 2

       Omit "to the complainant" from section 28 (8).                                             3

       Insert instead "to the parties to the complaint".                                          4

 [7]   Part 2, Division 5, note                                                                   5

       Omit the following:                                                                        6
                       The Commission will investigate with a view to moving to prosecution of    7
                       the complaint before the appropriate professional board, committee or      8
                       tribunal.                                                                  9

 [8]   Section 41A Prohibition orders and public statements                                      10

       Omit "Section 10AK (1) of the Public Health Act 1991" from the note to                    11
       section 41A (2) (a).                                                                      12

       Insert instead "Section 102 (3) of the Public Health Act 2010".                           13

 [9]   Section 45 Notification of results of investigation                                       14

       Insert after section 45 (3):                                                              15

              (4)      In this section, results of an investigation includes any action          16
                       taken under section 42 and the reasons for taking that action.            17

[10]   Section 80 Functions of Commission                                                        18

       Omit "complaints concerning the clinical management or care of individual                 19
       clients by health service providers" from section 80 (1) (a).                             20

       Insert instead "complaints concerning a health service that affects, or is likely         21
       to affect, the clinical management or care of individual clients".                        22

[11]   Section 90B Functions of Director of Proceedings                                          23

       Insert after section 90B (3A):                                                            24

             (3B)      The Director may refer a complaint back to the Commission for             25
                       further investigation under Division 5 of Part 2 if the Director:         26
                        (a) is unable to determine whether the complaint should be               27
                              prosecuted before a disciplinary body, or                          28
                       (b) is of the opinion that further evidence is required to enable         29
                              the Director to prosecute the complaint before the                 30
                              disciplinary body.                                                 31

             (3C)      If a complaint has been referred to the Commission for further            32
                       investigation under subsection (3B), sections 39 (2) and 40 apply         33
                       in relation to the complaint only if the Commission, at the end of        34




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Health Legislation Amendment Bill 2013

Amendment of Health Care Complaints Act 1993 No 105                      Schedule 2




                    the further investigation of the complaint, proposes to take any of   1
                    the following action:                                                 2
                     (a) change the person whose conduct appears to be the subject        3
                           of the complaint or include another person as a person         4
                           whose conduct appears to be the subject of the complaint,      5
                    (b) add to, substitute, amend or delete any of the specific           6
                           allegations comprising the complaint (including add an         7
                           allegation arising out of an investigation of the complaint    8
                           that may not be the particular object of the complaint).       9




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                     Health Legislation Amendment Bill 2013

Schedule 3           Amendment of Health Practitioner Regulation (Adoption of National Law)
                     Act 2009 No 86



Schedule 3                 Amendment of Health Practitioner                                    1
                           Regulation (Adoption of National Law)                               2
                           Act 2009 No 86                                                      3

[1]   Schedule 1 Modification of Health Practitioner Regulation National Law                   4

      Insert after section 150D (4) in Schedule 1 [15]:                                        5

              (4A)      Despite subsections (3) and (4), the Commission is not required        6
                        to investigate the complaint or cause it to be investigated if the     7
                        matter that is the subject of the complaint is being, or has been,     8
                        investigated as, or as part of, another complaint to the               9
                        Commission.                                                           10

[2]   Schedule 1 [15]                                                                         11

      Insert "or suspension" after "conditions" in section 152J (b).                          12

[3]   Schedule 1 [25]                                                                         13

      Insert after Part 4 of Schedule 5A:                                                     14


      Part 5            Provision consequent on enactment of                                  15
                        Health Legislation Amendment Act 2013                                 16
                        [NSW]                                                                 17

         35    Appointments of acting members and acting President of Councils                18

                        The amendment of clause 11 (1) and (3) of Schedule 5C by the          19
                        Health Legislation Amendment Act 2013 does not affect the             20
                        appointment of any person holding office as an acting member or       21
                        an acting President of a Council immediately before the               22
                        commencement of that amendment.                                       23

[4]   Schedule 1 [25]                                                                         24

      Omit "Governor" wherever occurring in clause 11 (1), (3) and (5) of                     25
      Schedule 5C.                                                                            26

      Insert instead "Minister".                                                              27




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Health Legislation Amendment Bill 2013

Amendment of Health Services Act 1997 No 154                                   Schedule 4




Schedule 4                 Amendment of Health Services Act 1997                                   1
                           No 154                                                                  2

      Section 120A                                                                                 3

      Insert after section 120:                                                                    4

    120A     Suspension of members of staff from duty pending decision in                          5
             relation to misconduct or serious criminal charge                                     6

             (1)    If:                                                                            7
                     (a)   the registration of a member of staff as a registered health            8
                           practitioner is suspended under section 150 of the Health               9
                           Practitioner Regulation National Law (NSW), or                         10
                    (b) conditions are imposed on the registration of a member of                 11
                           staff as a registered health practitioner under                        12
                           section 150 (1) (b) of that Law that, in the opinion of the            13
                           Director-General, are inconsistent with any of the inherent            14
                           requirements of the terms of employment of the staff                   15
                           member, or                                                             16
                     (c) an interim prohibition order is made in respect of a                     17
                           member of staff under section 41AA of the Health Care                  18
                           Complaints Act 1993 that prohibits the staff member from               19
                           providing health services or specified health services, or             20
                    (d) an interim prohibition order is made in respect of a                      21
                           member of staff under section 41AA of that Act that places             22
                           conditions on the provision of health services or specified            23
                           health services by the staff member that, in the opinion of            24
                           the Director-General, are inconsistent with any of the                 25
                           inherent requirements of the terms of employment of the                26
                           staff member, or                                                       27
                     (e) a member of staff is charged with having committed a                     28
                           serious criminal offence,                                              29
                    the Director-General may suspend the member of staff from duty                30
                    until the suspension, interim prohibition order or conditions have            31
                    been removed or expire or the criminal charge has been dealt                  32
                    with.                                                                         33
                    Note. Under section 3J of the Public Sector Employment and                    34
                    Management Act 2002 the Public Service Commissioner may, for the              35
                    purposes of exercising his or her functions, give a direction in writing to   36
                    the head of a public sector agency in relation to the staff of that agency.   37
                    The head of a public sector agency to whom such a direction is given          38
                    must comply with the direction.                                               39




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               Health Legislation Amendment Bill 2013

Schedule 4         Amendment of Health Services Act 1997 No 154




             (2)      Any salary payable to a person as a member of staff while the             1
                      person is suspended from duty under this section is (if the               2
                      Director-General so directs) to be withheld.                              3

             (3)      If:                                                                       4
                       (a)   the registration of the member of staff as a registered            5
                             health practitioner is cancelled or suspended under                6
                             section 149C of the Health Practitioner Regulation                 7
                             National Law (NSW), or                                             8
                      (b) conditions are imposed on the registration of the member              9
                             of staff as a registered health practitioner under                10
                             section 149A (1) (b) of that Law that, in the opinion of the      11
                             Director-General, are inconsistent with any of the inherent       12
                             requirements of the terms of employment of the staff              13
                             member, or                                                        14
                       (c) a prohibition order is made in respect of the member of             15
                             staff under section 41A of the Health Care Complaints Act         16
                             1993 that prohibits the staff member from providing health        17
                             services or specified health services, or                         18
                      (d) a prohibition order is made in respect of the member of              19
                             staff under section 41A of that Act that places conditions        20
                             on the provision of health services or specified health           21
                             services by the staff member that, in the opinion of the          22
                             Director-General, are inconsistent with any of the inherent       23
                             requirements of the terms of employment of the staff              24
                             member, or                                                        25
                       (e) the person is convicted of the offence concerned,                   26
                      the salary withheld under subsection (2) is forfeited to the State       27
                      unless the Director-General otherwise directs or that salary was         28
                      due to the person in respect of a period before the suspension was       29
                      imposed.                                                                 30

             (4)      If, at the time that the relevant suspension, interim prohibition        31
                      order or conditions referred to in subsection (1) (a)-(d) are            32
                      removed or expire, action referred to in subsection (3) (a)-(d) is       33
                      not taken in relation to the member of staff, the salary withheld        34
                      under subsection (2) is to be paid to that member of staff unless        35
                      the Director-General directs that the salary is to be forfeited to the   36
                      State (other than any salary that was due to the person in respect       37
                      of a period before the suspension was imposed).                          38

             (5)      If the Director-General has suspended a member of staff from             39
                      duty under this section, the Director-General may at any time            40
                      remove the suspension.                                                   41




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Health Legislation Amendment Bill 2013

Amendment of Health Services Act 1997 No 154                         Schedule 4




             (6)    Nothing in this section prevents the Director-General from       1
                    suspending a member of staff under any other provision of this   2
                    Act or any other law (with or without pay) or from taking any    3
                    other action against a member of staff under this Part.          4

             (7)    In this section, serious criminal offence means an offence       5
                    committed in New South Wales that is punishable by               6
                    imprisonment for 5 years or more or an offence committed         7
                    elsewhere that, if it had been committed in New South Wales,     8
                    would be an offence so punishable.                               9




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                Health Legislation Amendment Bill 2013

Schedule 5      Amendment of Mental Health Act 2007 No 8




Schedule 5                Amendment of Mental Health Act 2007                               1
                          No 8                                                              2

[1]   Section 4 Definitions                                                                 3

      Omit paragraph (b) of the definition of involuntary patient in section 4 (1).         4

      Insert instead:                                                                       5
                    (b)    a forensic patient who is re-classified as an involuntary        6
                           patient under section 53 of the Mental Health (Forensic          7
                           Provisions) Act 1990, or                                         8
                    (c)    a correctional patient who is re-classified as an involuntary    9
                           patient under section 65 of the Mental Health (Forensic         10
                           Provisions) Act 1990.                                           11

[2]   Section 28A                                                                          12

      Insert after section 28:                                                             13

      28A    Tribunal to be informed if detained person is a forensic patient              14

                   If an authorised medical officer of a mental health facility            15
                   becomes aware that a person detained in the mental health facility      16
                   under this Division is a forensic patient, the officer is, as soon as   17
                   is reasonably practicable, to notify the Tribunal.                      18

[3]   Section 43A                                                                          19

      Insert after section 43:                                                             20

      43A    Tribunal to be informed of discharge of a forensic patient                    21

                   An authorised medical officer of a mental health facility must, as      22
                   soon as is reasonably practicable, notify the Tribunal of the           23
                   discharge of a person detained in the mental health facility whom       24
                   the officer knows is a forensic patient.                                25




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Health Legislation Amendment Bill 2013

Amendment of Mental Health (Forensic Provisions) Act 1990 No 10           Schedule 6




Schedule 6              Amendment of Mental Health (Forensic                               1
                        Provisions) Act 1990 No 10                                         2

[1]    Section 52 Additional circumstances for termination of classification as            3
       forensic patient                                                                    4

       Insert "under section 53" after "patient" in section 52 (2) (b).                    5

[2]    Section 67 Community treatment orders                                               6

       Insert after section 67 (4):                                                        7

              (5)   A community treatment order may be made in respect of a                8
                    forensic patient who is to be released unconditionally in              9
                    accordance with an order of the Tribunal. On and from the release     10
                    of the person, the community treatment order is taken to have         11
                    been made under the Mental Health Act 2007.                           12

[3]    Section 68 Breach of orders for release                                            13

       Insert after section 68 (4):                                                       14

              (5)   An apprehension order under this section authorises the detention     15
                    of the person at the mental health facility, correctional centre or   16
                    other place specified in the order.                                   17

[4]    Section 76HA                                                                       18

       Insert after section 76H:                                                          19

      76HA   Forensic patients and correctional patients in the community may             20
             be detained and treated under Mental Health Act 2007                         21

                    Nothing in this Part limits the application of the Mental Health      22
                    Act 2007 to a person who has been granted conditional release or      23
                    leave of absence under this Part.                                     24

[5]    Section 77A Appeals against Tribunal decisions                                     25

       Omit "on a question of law" from section 77A (11).                                 26




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