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


HEALTH LEGISLATION AMENDMENT BILL 2010





                              New South Wales




Health Legislation Amendment
Bill 2010

Explanatory note
This explanatory note relates to this Bill as introduced into Parliament.

Overview of Bill
The objects of this Bill are as follows:
(a) to amend the Health Services Act 1997 and the Criminal Procedure Act 1986
      to create offences of obstructing and hindering ambulance officers and
      obstructing and hindering such officers by acts of violence,
(b) to amend the Health Administration Act 1982 and the Private Health Facilities
      Act 2007 with respect to root cause analysis teams,
(c) to amend the Assisted Reproductive Technology Act 2007 to require certain
      information to be provided for the purposes of the central ART donor register,
(d) to amend the Guardianship Act 1987 to clarify the relationship between Part 5
      of that Act and the Mental Health (Forensic Provisions) Act 1990,
(e) to amend the Health Administration Act 1982 with respect to the bodies and
      organisations that are part of NSW Health,
(f)   to amend the Health Services Act 1997 with respect to the delegation of
      functions by area health services and the joint management of services or
      facilities by statutory health corporations,



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Health Legislation Amendment Bill 2010

Explanatory note




(g)   to amend the Public Health (Tobacco) Act 2008 to increase the period within
      which tobacco retailers must provide notification of certain matters.

Outline of provisions
Clause 1 sets out the name (also called the short title) of the proposed Act.
Clause 2 provides for the commencement of the proposed Act on a day or days to be
appointed by proclamation except for certain provisions that are to commence on the
date of assent to the proposed Act.

Schedule 1                Amendments relating to ambulance
                          officers
Schedule 1.1 Health Services Act 1997 No 154
Schedule 1.1 [1] creates an offence if a person intentionally obstructs or hinders an
ambulance officer when the ambulance officer is providing or attempting to provide
ambulance services to another person or persons. The maximum penalty for the
offence is imprisonment for 2 years or a fine of $5,500 or both. However, if the
ambulance officer is hindered or obstructed by an act of violence against the
ambulance officer the maximum penalty is imprisonment for 5 years. Provision is
made for an alternative verdict where a trier of fact finds that the more serious
offence is not proven but it is satisfied that the person charged committed the less
serious offence. Schedule 1.1 [2] makes a consequential amendment that enables the
offence of obstructing or hindering an ambulance officer by an act of violence on the
ambulance officer to be tried by way of indictment.

Schedule 1.2 Criminal Procedure Act 1986 No 209
Schedule 1.2 provides that the offence proposed in Schedule 1.1 [1] of obstructing
or hindering an ambulance officer by an act of violence on the ambulance officer is
to be tried summarily unless the prosecutor elects otherwise. The proposed
amendment also reorganises the order and layout of some existing provisions.

Schedule 2                Amendments relating to root cause
                          analysis teams
Schedule 2.1 Health Administration Act 1982 No 135
A relevant health services organisation (which includes all area health services and
those statutory health corporations and affiliated health organisations that are
prescribed) is required to appoint a root cause analysis team if a reportable incident
involving the organisation is reported to the chief executive officer of the
organisation. Schedule 2.1 [1] permits a root cause analysis team to be appointed if
the incident reported to the chief executive officer is not a reportable incident but is
one that, in the opinion of the chief executive officer, may be the result of a serious


Explanatory note page 2
Health Legislation Amendment Bill 2010

Explanatory note




systemic problem that justifies the appointment of such a team. Schedule 2.1 [2]
and [5] make consequential amendments.
Schedule 2.1 [3] requires a member of a root cause analysis team to act in a fair and
reasonable manner in the exercise of his or her functions. This replaces an obligation
that a root cause analysis team is to have regard to the rules of natural justice.
A root cause analysis team is required to notify the relevant health services
organisation if the incident that it is considering raises matters that may involve
professional misconduct or unsatisfactory professional conduct by a visiting
practitioner or staff member or if such a person may be suffering from an impairment.
A root cause analysis team may also make such a notification if the incident indicates
unsatisfactory professional performance. Schedule 2.1 [4] specifies that any such
notification is to disclose the identity of the person to whom it relates and whether
the notification relates to professional misconduct, unsatisfactory professional
conduct, unsatisfactory professional performance or impairment. Schedule 2.1 [4]
also includes a new ground for making a notification if the root cause analysis team
is of the opinion that the incident that it is considering indicates a problem giving rise
to a risk of serious and imminent harm to a person. Schedule 2.1 [9] provides that a
member of a root cause analysis team may disclose information acquired by the
person as such a member for the purposes of any such notification. Schedule 2.1 [8]
includes definitions of the terms professional misconduct, unsatisfactory
professional conduct, unsatisfactory professional performance and impairment.
Schedule 2.1 [6] clarifies that a root cause analysis team may, but is not required to,
make recommendations in respect of an incident that it has considered.
Schedule 2.1 [7] provides that the contents of a report of a root cause analysis team
may be disclosed to any person and used for any purpose. However,
Schedule 2.1 [12] provides that evidence as to the contents of a notification or report
of a root cause analysis team cannot be adduced or admitted in any proceedings.
Currently, any such notification or report is not admissible as evidence in any
proceedings that a procedure or practice is or was careless or inadequate.
Schedule 2.1 [10] provides that a person (currently this privilege only applies to
members of root cause analysis teams and the health services organisations that
appoint them) cannot be required to produce any document or disclose any
communication to a court, tribunal, board, person or body if the document was
prepared, or the communication was made, for the dominant purpose of the conduct
of an investigation by a root cause analysis team. However, this does not apply to a
requirement made in proceedings in respect of an act or omission by a root cause
analysis team or by a member of such a team. Schedule 2.1 [11] provides that this
also does not apply to a requirement made by a person or body who has been
approved by the Director-General of the Department of Health (the
Director-General) to carry out a review or audit of an investigation conducted by a
root cause analysis team.
Schedule 2.1 [13] permits regulations to be made in relation to the conduct of
reviews or audits of investigations conducted by root cause analysis teams.
Schedule 2.1 [14] omits a spent provision.


                                                                  Explanatory note page 3
Health Legislation Amendment Bill 2010

Explanatory note




Schedule 2.1 [15] enables regulations to be made containing provisions of a savings
or transitional nature consequent on the enactment of the proposed Act.
Schedule 2.1 [16] inserts savings and transitional provisions consequential on the
enactment of the proposed Act.

Schedule 2.2 Private Health Facilities Act 2007 No 9
A licensee of a private health facility is required to appoint a root cause analysis team
if a reportable incident involving the facility is reported to the licensee.
Schedule 2.2 [1] permits a root cause analysis team to be appointed if the incident
reported to the licensee is not a reportable incident but is one that, in the opinion of
the licensee, may be the result of a serious systemic problem that justifies the
appointment of such a team. Schedule 2.2 [2] and [5] make consequential
amendments.
Schedule 2.2 [3] requires a member of a root cause analysis team to act in a fair and
reasonable manner in the exercise of his or her functions. This replaces an obligation
that a root cause analysis team is to have regard to the rules of natural justice.
A root cause analysis team is required to notify the licensee and the chair of the
medical advisory committee for the relevant facility if the incident that it is
considering raises matters that may involve professional misconduct or
unsatisfactory professional conduct by a staff member or person who is accredited to
provide health services at the facility or if such a person may be suffering from an
impairment. A root cause analysis team may also make such a notification if the
incident indicates unsatisfactory professional performance. Schedule 2.2 [4]
specifies that any such notification is to disclose the identity of the person to whom
it relates and whether the notification relates to professional misconduct,
unsatisfactory professional conduct, unsatisfactory professional performance or
impairment. Schedule 2.2 [4] also includes a new ground for making a notification
if the root cause analysis team is of the opinion that the incident that it is considering
indicates a problem giving rise to a risk of serious and imminent harm to a person.
Schedule 2.2 [9] provides that a member of a root cause analysis team may disclose
information acquired by the person as such a member for the purposes of any such
notification. Schedule 2.2 [8] includes definitions of the terms professional
misconduct, unsatisfactory professional conduct, unsatisfactory professional
performance and impairment.
Schedule 2.2 [6] clarifies that a root cause analysis team may, but is not required to,
make recommendations in respect of an incident that it has considered.
Schedule 2.2 [7] provides that the contents of a report of a root cause analysis team
may be disclosed to any person and used for any purpose. However,
Schedule 2.2 [12] provides that evidence as to the contents of a notification or report
of a root cause analysis team cannot be adduced or admitted in any proceedings.
Currently, any such notification or report is not admissible as evidence in any
proceedings that a procedure or practice is or was careless or inadequate.




Explanatory note page 4
Health Legislation Amendment Bill 2010

Explanatory note




Schedule 2.2 [10] provides that a person (currently this privilege only applies to
members of root cause analysis teams and the licensee and chair of the medical
advisory committee for the facility for which the team was appointed) cannot be
required to produce any document or disclose any communication to a court,
tribunal, board, person or body if the document was prepared, or the communication
was made, for the dominant purpose of the conduct of an investigation by a root
cause analysis team. However, this does not apply to a requirement made in
proceedings in respect of an act or omission by a root cause analysis team or by a
member of such a team. Schedule 2.2 [11] provides that this also does not apply to a
requirement made by a person or body who has been approved by the
Director-General to carry out a review or audit of an investigation conducted by a
root cause analysis team.
Schedule 2.2 [13] permits regulations to be made in relation to the conduct of
reviews or audits of investigations conducted by root cause analysis teams.
Schedule 2.2 [14] enables regulations to be made containing provisions of a savings
or transitional nature consequent on the enactment of the proposed Act.
Schedule 2.2 [15] inserts savings and transitional provisions consequential on the
enactment of the proposed Act.

Schedule 3             Other amendments
Schedule 3.1 Assisted Reproductive Technology Act 2007 No 69
The Assisted Reproductive Technology Act 2007 establishes a central ART donor
register which requires certain information about donors of gametes and adult
offspring born as a result of assisted reproductive technology (ART) treatment using
a donated gamete, to be given to the Director-General. The Director-General is then
able to disclose certain information about a donor to any adult offspring of the donor
and certain information about any offspring of a donor to the donor. This scheme is
limited to information in respect of ART treatment occurring after 1 January 2010.
For ART treatment occurring before this date a donor or offspring may apply to the
Director-General to have the person's information included in the central ART donor
register.
Schedule 3.1 [1] provides that when the Director-General receives such an
application he or she may direct an ART provider to provide information so as to
enable the Director-General to identify, in the case of an application by a donor, any
offspring of the donor, and in the case of a person who was born as a result of ART
treatment using a donated gamete, the donor of the gamete. An ART provider must
comply with any such direction. Schedule 3.1 [2] makes a consequential
amendment.
Schedule 3.1 [3] provides that the Director-General must not disclose any
information provided by an ART provider as a result of a direction unless the person
to whom the information relates is an adult and consents to the disclosure.




                                                               Explanatory note page 5
Health Legislation Amendment Bill 2010

Explanatory note




Schedule 3.2 Guardianship Act 1987 No 257
Schedule 3.2 provides that in the event of an inconsistency between Part 5 (Medical
and dental treatment) of the Guardianship Act 1987 and the Mental Health (Forensic
Provisions) Act 1990, the Mental Health (Forensic Provisions) Act 1990 prevails.

Schedule 3.3 Health Administration Act 1982 No 135
Schedule 3.3 provides that the expression "NSW Health" includes bodies and
organisations under the control and direction of the Director-General.

Schedule 3.4 Health Services Act 1997 No 154
Schedule 3.4 [1] permits an area health service to delegate its functions to visiting
practitioners, to councils or committees appointed by the area health service, to
certain bodies appointed by the Minister for Health or the Director-General or to
persons or bodies of a class prescribed by the regulations.
Schedule 3.4 [2] permits 2 or more statutory health corporations to agree to jointly
manage a public hospital, health institution, health service or health support service
or to agree that any such service under the control of one of the statutory health
corporations be managed by another statutory health corporation. Such an agreement
cannot be entered without the approval of the Minister for Health.
Schedule 3.4 [3] enables regulations to be made containing provisions of a savings
or transitional nature consequent on the enactment of the proposed Act.

Schedule 3.5 Public Health (Tobacco) Act 2008 No 94
Schedule 3.5 amends the Public Health (Tobacco) Act 2008 to increase, from 7 to
28 days, the period within which a person engaged in tobacco retailing must notify
the Director-General after becoming aware of certain changes affecting the person's
tobacco retailing business.




Explanatory note page 6
                                                                      First print




                            New South Wales




Health Legislation Amendment
Bill 2010


Contents

                                                                            Page
              1    Name of Act                                                 2
              2    Commencement                                                2
     Schedule 1    Amendments relating to ambulance officers                   3
     Schedule 2    Amendments relating to root cause analysis teams            5
     Schedule 3    Other amendments                                           13




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                            New South Wales




Health Legislation Amendment
Bill 2010
No     , 2010


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 2010




The Legislature of New South Wales enacts:                                             1

 1    Name of Act                                                                      2

               This Act is the Health Legislation Amendment Act 2010.                  3

 2    Commencement                                                                     4

         (1)   Except as otherwise provided in this section, this Act commences on a   5
               day or days to be appointed by proclamation.                            6

         (2)   Schedule 3.2­3.4 commence on the date of assent to this Act.            7




Page 2
Health Legislation Amendment Bill 2010

Amendments relating to ambulance officers                                  Schedule 1




Schedule 1             Amendments relating to ambulance                                      1
                       officers                                                              2


1.1 Health Services Act 1997 No 154                                                          3

[1]   Section 67J                                                                            4

      Insert after section 67I:                                                              5

      67J    Obstruction of and violence against ambulance officers                          6

             (1)    A person must not intentionally obstruct or hinder an ambulance          7
                    officer when the ambulance officer is providing or attempting to         8
                    provide ambulance services to another person or persons.                 9
                    Maximum penalty: 50 penalty units or imprisonment for 2 years,          10
                    or both.                                                                11

             (2)    A person must not, by an act of violence against an ambulance           12
                    officer, intentionally obstruct or hinder the ambulance officer         13
                    when the ambulance officer is providing or attempting to provide        14
                    ambulance services to another person or persons.                        15
                    Maximum penalty: Imprisonment for 5 years.                              16

             (3)    If on the trial of a person charged with an offence against             17
                    subsection (2) the trier of fact is not satisfied that the offence is   18
                    proven but is satisfied that the person has committed an offence        19
                    against subsection (1), the trier of fact may acquit the person of      20
                    the offence charged and find the person guilty of an offence            21
                    against subsection (1). The person is liable to punishment              22
                    accordingly.                                                            23

             (4)    In this section:                                                        24
                    ambulance officer means a member of staff of the Ambulance              25
                    Service of NSW.                                                         26
                    ambulance services means the work of rendering first aid to, or         27
                    transporting, sick and injured persons.                                 28

[2]   Section 137 Proceedings for offences                                                  29

      Insert "(other than an offence under section 67J (2))" after "this Act".              30




                                                                                 Page 3
               Health Legislation Amendment Bill 2010

Schedule 1     Amendments relating to ambulance officers




1.2 Criminal Procedure Act 1986 No 209                                                 1

      Schedule 1 Indictable offences triable summarily                                 2

      Omit Parts 10 and 11 of Table 2.                                                 3

      Insert at the end of Table 2 with appropriate Part and clause numbering:         4


      Part        Offences under certain other Acts                                    5

             Child Protection (Offenders Registration) Act 2000                        6

                  An offence under section 17 or 18 of the Child Protection            7
                  (Offenders Registration) Act 2000.                                   8

             Health Services Act 1997                                                  9

                  An offence under section 67J (2) of the Health Services Act 1997.   10

             Surveillance Devices Act 2007                                            11

                  An offence under Part 2 or 5 (other than section 40 (2)) of the     12
                  Surveillance Devices Act 2007.                                      13




Page 4
Health Legislation Amendment Bill 2010

Amendments relating to root cause analysis teams                           Schedule 2




Schedule 2             Amendments relating to root cause                                     1
                       analysis teams                                                        2


2.1 Health Administration Act 1982 No 135                                                    3

[1]   Section 20M Appointment of RCA teams to deal with incidents                            4

      Insert after section 20M (1):                                                          5

           (1A)     When an incident involving the provision of health services by a         6
                    relevant health services organisation (other than a reportable           7
                    incident) is reported to the chief executive officer of the              8
                    organisation, the organisation may appoint a root cause analysis         9
                    team in relation to the incident if the chief executive officer is of   10
                    the opinion that the incident may be the result of a serious            11
                    systemic problem that justifies the appointment of such a team.         12

[2]   Sections 20M (2) and (3) and 20O (1), (2) and (3) (a) and (b)                         13

      Omit "reportable" wherever occurring.                                                 14

[3]   Section 20N Restrictions on RCA teams                                                 15

      Omit section 20N (3). Insert instead:                                                 16

             (3)    A member of a RCA team is to act in a fair and reasonable               17
                    manner in the exercise of his or her functions as such a member.        18

[4]   Section 20O Responsibilities of RCA team in relation to incident                      19

      Insert after section 20O (2):                                                         20

           (2A)     A notification under subsection (1) or (2) is to disclose the           21
                    identity of the person to whom the notification relates (regardless     22
                    of whether the person consents to the disclosure) and specify           23
                    whether the notification relates to:                                    24
                     (a) professional misconduct, unsatisfactory professional               25
                           conduct or unsatisfactory professional performance by the        26
                           person, or                                                       27
                    (b) the person suffering from an impairment.                            28

            (2B)    A RCA team may notify in writing the relevant health services           29
                    organisation by which it was appointed if the RCA team is of the        30
                    opinion that the incident that it is considering raises matters that    31
                    indicate a problem giving rise to a risk of serious and imminent        32
                    harm to a person.                                                       33




                                                                                Page 5
                    Health Legislation Amendment Bill 2010

Schedule 2          Amendments relating to root cause analysis teams




 [5]   Sections 20O (3) and 20T (f)                                                        1
       Omit "a reportable incident" wherever occurring. Insert instead "an incident".      2

 [6]   Section 20O (3) (c)                                                                 3

       Omit the paragraph. Insert instead:                                                 4
                    (c) if the RCA team has any recommendations as to the need             5
                         for changes or improvements in relation to a procedure or         6
                         practice     arising out   of     the    incident--those          7
                         recommendations.                                                  8

 [7]   Section 20O (3A)                                                                    9

       Insert after section 20O (3):                                                      10

             (3A)      Subject to section 20R, the contents of a report of a RCA team     11
                       under subsection (3) may be disclosed to any person and used for   12
                       any purpose.                                                       13

 [8]   Section 20O (4)                                                                    14

       Insert in alphabetical order:                                                      15
                     impairment has the same meaning it has in the Health                 16
                     Practitioner Regulation National Law (NSW).                          17
                     professional misconduct and unsatisfactory professional              18
                     conduct have the same meanings that they have in Part 8 of the       19
                     Health Practitioner Regulation National Law (NSW).                   20
                     unsatisfactory professional performance means professional           21
                     performance that is unsatisfactory within the meaning of             22
                     Division 5 of Part 8 of the Health Practitioner Regulation           23
                     National Law (NSW).                                                  24

 [9]   Section 20P Disclosure of information                                              25

       Omit "report prepared by a RCA team under section 20O (3)" from                    26
       section 20P (c).                                                                   27

       Insert instead "notification or report under section 20O".                         28

[10]   Section 20Q Information not to be given in evidence                                29

       Omit section 20Q (1). Insert instead:                                              30

              (1)      A person is neither competent nor compellable to produce any       31
                       document or disclose any communication to a court, tribunal,       32
                       board, person or body if the document was prepared, or the         33
                       communication was made, for the dominant purpose of the            34
                       conduct of an investigation by a RCA team.                         35




Page 6
Health Legislation Amendment Bill 2010

Amendments relating to root cause analysis teams                        Schedule 2




[11]   Section 20Q (3)                                                                    1
       Insert after section 20Q (2):                                                      2

              (3)   Subsection (1) does not apply to a requirement made by a person       3
                    or body who has been approved by the Director-General to carry        4
                    out a review or audit of an investigation conducted by a RCA          5
                    team.                                                                 6

[12]   Section 20R                                                                        7

       Omit the section. Insert instead:                                                  8

       20R   Notifications and reports not to be admitted in evidence                     9

              (1)   Evidence as to the contents of a notification or report of a RCA     10
                    team under section 20O cannot be adduced or admitted in any          11
                    proceedings.                                                         12

              (2)   Subsection (1) does not apply to proceedings in respect of any act   13
                    or omission by a RCA team or by a member of a RCA team as a          14
                    member.                                                              15

[13]   Section 20T Regulations concerning RCA teams                                      16

       Insert after section 20T (f):                                                     17
                      (g) the conduct of reviews or audits of investigations             18
                            conducted by RCA teams.                                      19

[14]   Section 20U Review of Division                                                    20

       Omit the section.                                                                 21

[15]   Schedule 2 Savings, transitional and other provisions                             22

       Insert at the end of clause 13 (1):                                               23
                     Health Legislation Amendment Act 2010 (but only to the extent       24
                     that it amends this Act)                                            25




                                                                              Page 7
                  Health Legislation Amendment Bill 2010

Schedule 2           Amendments relating to root cause analysis teams




[16]   Schedule 2, Part 3                                                                   1
       Insert after Part 2:                                                                 2


       Part 3           Provisions consequent on enactment of                               3
                        Health Legislation Amendment Act 2010                               4

         15    Definition                                                                   5

                        In this Part:                                                       6
                        amending Act means the Health Legislation Amendment                 7
                        Act 2010.                                                           8

         16    Appointment of RCA teams                                                     9

                        Section 20M (1A), as inserted by the amending Act, does not        10
                        extend to an incident that was reported to the chief executive     11
                        officer of a relevant health services organisation before the      12
                        commencement of that subsection.                                   13

         17    RCA team not required to make recommendations                               14

                        Section 20O (3) (c), as substituted by the amending Act, extends   15
                        to an investigation commenced before that substitution.            16

         18    Information not to be given in evidence                                     17

                        Section 20Q (1), as substituted by the amending Act, extends to:   18
                        (a) a document that was prepared or a communication that was       19
                              made before that substitution, and                           20
                        (b) proceedings that are pending on that substitution.             21

         19    Notifications and reports not to be admitted in evidence                    22

                        Section 20R, as substituted by the amending Act, extends to:       23
                        (a) a notification that was given or a report that was prepared    24
                              before that substitution, and                                25
                        (b) proceedings that are pending on that substitution.             26

2.2 Private Health Facilities Act 2007 No 9                                                27

 [1]   Section 42 Appointment of root cause analysis teams to deal with                    28
       incidents                                                                           29

       Insert after section 42 (1):                                                        30

              (1A)      When an incident involving the provision of health services by a   31
                        private health facility (other than a reportable incident) is      32




Page 8
Health Legislation Amendment Bill 2010

Amendments relating to root cause analysis teams                          Schedule 2




                    reported to the licensee of the facility, the licensee may appoint a    1
                    root cause analysis team in relation to the incident if the licensee    2
                    is of the opinion that the incident may be the result of a serious      3
                    systemic problem that justifies the appointment of such a team.         4

[2]   Sections 42 (2) and (3) and 44 (1), (2) and (3) (a) and (b)                           5

      Omit "reportable" wherever occurring.                                                 6

[3]   Section 43 Restrictions on root cause analysis teams                                  7

      Omit section 43 (3). Insert instead:                                                  8

             (3)    A member of a root cause analysis team is to act in a fair and          9
                    reasonable manner in the exercise of his or her functions as such      10
                    a member.                                                              11

[4]   Section 44 Responsibilities of root cause analysis team in relation to               12
      incident                                                                             13

      Insert after section 44 (2):                                                         14

           (2A)     A notification under subsection (1) or (2) is to disclose the          15
                    identity of the person to whom the notification relates (regardless    16
                    of whether the person consents to the disclosure) and specify          17
                    whether the notification relates to:                                   18
                     (a) professional misconduct, unsatisfactory professional              19
                           conduct or unsatisfactory professional performance by the       20
                           person, or                                                      21
                    (b) the person suffering from an impairment.                           22

            (2B)    A root cause analysis team may notify in writing the licensee and      23
                    the chair of the medical advisory committee for the relevant           24
                    facility if the team is of the opinion that the incident that it is    25
                    considering raises matters that indicate a problem giving rise to a    26
                    risk of serious and imminent harm to a person.                         27

[5]   Section 44 (3)                                                                       28

      Omit "a reportable incident". Insert instead "an incident".                          29

[6]   Section 44 (3) (c)                                                                   30

      Omit the paragraph. Insert instead:                                                  31
                   (c) if the team has any recommendations as to the need for              32
                        changes or improvements in relation to a procedure or              33
                        practice     arising out  of    the    incident--those             34
                        recommendations.                                                   35




                                                                               Page 9
                    Health Legislation Amendment Bill 2010

Schedule 2          Amendments relating to root cause analysis teams




 [7]   Section 44 (3A)                                                                    1
       Insert after section 44 (3):                                                       2

             (3A)      Subject to section 47, the contents of a report of a root cause    3
                       analysis team under subsection (3) may be disclosed to any         4
                       person and used for any purpose.                                   5

 [8]   Section 44 (6)                                                                     6

       Insert after section 44 (5):                                                       7

              (6)      In this section:                                                   8
                       impairment has the same meaning it has in the Health               9
                       Practitioner Regulation National Law (NSW).                       10
                       professional misconduct and unsatisfactory professional           11
                       conduct have the same meanings that they have in Part 8 of the    12
                       Health Practitioner Regulation National Law (NSW).                13
                       unsatisfactory professional performance means professional        14
                       performance that is unsatisfactory within the meaning of          15
                       Division 5 of Part 8 of the Health Practitioner Regulation        16
                       National Law (NSW).                                               17

 [9]   Section 45 Disclosure of information                                              18

       Omit "report prepared by a team under section 44 (3)" from section 45 (c).        19

       Insert instead "notification or report under section 44".                         20

[10]   Section 46 Information not to be given in evidence                                21

       Omit section 46 (1). Insert instead:                                              22

              (1)      A person is neither competent nor compellable to produce any      23
                       document or disclose any communication to a court, tribunal,      24
                       board, person or body if the document was prepared, or the        25
                       communication was made, for the dominant purpose of the           26
                       conduct of an investigation by a root cause analysis team.        27

[11]   Section 46 (3)                                                                    28

       Insert after section 46 (2):                                                      29

              (3)      Subsection (1) does not apply to a requirement made by a person   30
                       or body who has been approved by the Director-General to carry    31
                       out a review or audit of an investigation conducted by a root     32
                       cause analysis team.                                              33




Page 10
Health Legislation Amendment Bill 2010

Amendments relating to root cause analysis teams                           Schedule 2




[12]   Section 47                                                                            1
       Omit the section. Insert instead:                                                     2

       47     Notifications and reports not to be admitted in evidence                       3

              (1)    Evidence as to the contents of a notification or report of a root       4
                     cause analysis team under section 44 cannot be adduced or               5
                     admitted in any proceedings.                                            6

              (2)    Subsection (1) does not apply to proceedings in respect of any act      7
                     or omission by a root cause analysis team or by a member of a           8
                     root cause analysis team as a member.                                   9

[13]   Section 49 Regulations concerning root cause analysis teams                          10

       Insert after section 49 (e):                                                         11
                      (f) the conduct of reviews or audits of investigations                12
                            conducted by root cause analysis teams.                         13

[14]   Schedule 4 Savings, transitional and other provisions                                14

       Insert at the end of clause 1 (1):                                                   15

                     Health Legislation Amendment Act 2010 (but only to the extent          16
                     that it amends this Act)                                               17

[15]   Schedule 4, Part 3                                                                   18

       Insert after Part 2:                                                                 19


       Part 3        Provisions consequent on enactment of                                  20
                     Health Legislation Amendment Act 2010                                  21

       21     Definition                                                                    22

                     In this Part:                                                          23
                     amending Act means the Health Legislation Amendment                    24
                     Act 2010.                                                              25

       22     Appointment of root cause analysis teams                                      26

                     Section 42 (1A), as inserted by the amending Act, does not             27
                     extend to an incident that was reported to the licensee of a private   28
                     health facility before the commencement of that subsection.            29

       23     Root cause analysis team not required to make recommendations                 30

                     Section 44 (3) (c), as substituted by the amending Act, extends to     31
                     an investigation commenced before that substitution.                   32




                                                                               Page 11
               Health Legislation Amendment Bill 2010

Schedule 2      Amendments relating to root cause analysis teams




      24     Information not to be given in evidence                                  1
                   Section 46 (1), as substituted by the amending Act, extends to:    2
                   (a) a document that was prepared or a communication that was       3
                         made before that substitution, and                           4
                   (b) proceedings that are pending on that substitution.             5

      25     Notifications and reports not to be admitted in evidence                 6

                   Section 47, as substituted by the amending Act, extends to:        7
                   (a) a notification that was given or a report that was prepared    8
                         before that substitution, and                                9
                   (b) proceedings that are pending on that substitution.            10




Page 12
Health Legislation Amendment Bill 2010

Other amendments                                                       Schedule 3




Schedule 3             Other amendments                                                  1


3.1 Assisted Reproductive Technology Act 2007 No 69                                      2

[1]   Schedule 1 Savings, transitional and other provisions                              3

      Insert after clause 4 (3):                                                         4

           (3A)     The Director-General may, on receipt of an application under this    5
                    clause, direct an ART provider in writing to provide such            6
                    information as the Director-General may require to enable the        7
                    Director-General to identify:                                        8
                     (a) in the case of an application by a donor of a gamete--any       9
                          offspring of the donor born as a result of ART treatment      10
                          using the donated gamete, and                                 11
                    (b) in the case of an application by a person who was born as       12
                          a result of ART treatment using a donated gamete--the         13
                          donor of the gamete.                                          14

            (3B)    An ART provider must comply with any such direction of the          15
                    Director-General.                                                   16

[2]   Schedule 1, clause 4 (4)                                                          17

      Insert "or (3A)" after "subclause (2)".                                           18

[3]   Schedule 1, clause 4 (5)                                                          19

      Insert after clause 4 (4):                                                        20

             (5)    The Director-General must not disclose information provided         21
                    under subclause (3A) that identifies a person unless the person:    22
                    (a) is an adult, and                                                23
                    (b) has made an application under this clause or has provided       24
                          written consent to the disclosure.                            25

3.2 Guardianship Act 1987 No 257                                                        26

      Section 34 Application of Part                                                    27

      Insert "or the Mental Health (Forensic Provisions) Act 1990" after "Mental        28
      Health Act 2007" wherever occurring in section 34 (2).                            29

3.3 Health Administration Act 1982 No 135                                               30

      Section 4 Definitions                                                             31

      Insert "or the Director-General" after "Minister" in section 4 (1A).              32




                                                                             Page 13
                    Health Legislation Amendment Bill 2010

Schedule 3          Other amendments




3.4 Health Services Act 1997 No 154                                                             1

[1]   Section 40 Delegations by area health service                                             2

      Omit section 40 (1) including the note. Insert instead:                                   3

              (1)      An area health service may delegate any of its functions (other          4
                       than a function set out in subsection (1A)) to:                          5
                        (a) any member of the NSW Health Service, or                            6
                       (b) a visiting practitioner, council or committee appointed by           7
                              the area health service, or                                       8
                        (c) a body appointed by the Minister or Director-General                9
                              under this or any other Act, or                                  10
                       (d) a person or body of a class prescribed by the regulations.          11
                       Note. Section 49 of the Interpretation Act 1987 contains general        12
                       provisions relating to the delegation of functions.                     13

             (1A)      An area health service cannot delegate:                                 14
                       (a) its power of delegation under this section, or                      15
                       (b) its functions under section 31 (2), or                              16
                       (c) the power to make by-laws.                                          17

[2]   Section 53A                                                                              18

      Insert before section 53:                                                                19

      53A     Combined management or assistance in management of public                        20
              hospitals, health institutions, health services or health support                21
              services                                                                         22

              (1)      Any two or more statutory health corporations may, by                   23
                       agreement, jointly control and manage any public hospital, health       24
                       institution, health service or health support service.                  25

              (2)      A statutory health corporation may, by agreement, manage any            26
                       public hospital, health institution, health service or health support   27
                       service under the control of another statutory health corporation,      28
                       or assist in that management, for and on behalf of that other           29
                       statutory health corporation.                                           30

              (3)      A statutory health corporation must not enter into an agreement         31
                       under this section without the approval of the Minister.                32

              (4)      A public hospital, health institution, health service or health         33
                       support service is not, for the purposes of this or any other Act, to   34
                       be regarded as being under the control of a statutory health            35
                       corporation because the statutory health corporation manages, or        36
                       assists in the management of, the public hospital, health               37




Page 14
Health Legislation Amendment Bill 2010

Other amendments                                                       Schedule 3




                    institution, health service or health support service for and on   1
                    behalf of another statutory health corporation.                    2

[3]   Schedule 7 Savings and transitional provisions                                   3

      Insert at the end of clause 1 (1):                                               4
                    Health Legislation Amendment Act 2010 (but only to the extent      5
                    that it amends this Act)                                           6

3.5 Public Health (Tobacco) Act 2008 No 94                                             7

      Section 39 Notification by person engaging in tobacco retailing                  8

      Omit "within 7 days" from section 39 (4). Insert instead "within 28 days".       9




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