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


HEALTH LEGISLATION AMENDMENT BILL 2017





                               New South Wales




Health Legislation Amendment Bill 2018
Contents
                                                                                   Page


             1   Name of Act                                                         2
             2   Commencement                                                        2
Schedule 1       Amendment of Health Administration Act 1982 No 135                  3
Schedule 2       Amendment of Health Services Act 1997 No 154                       11
Schedule 3       Amendment of Human Tissue Act 1983 No 164                          13
Schedule 4       Amendment of Mental Health Act 2007 No 8                           14
Schedule 5       Amendment of Mental Health (Forensic Provisions) Act 1990 No 10    17
Schedule 6       Amendment of Government Sector Employment Act 2013 No 40           19
Schedule 7       Amendment of Government Information (Public Access) Act 2009
                 No 52                                                              20
I certify that this public bill, which originated in the Legislative Assembly, has finally passed
the Legislative Council and the Legislative Assembly of New South Wales.


                                                Clerk of the Legislative Assembly.
                                                Legislative Assembly,
                                                Sydney,                                   , 2018




                                    New South Wales




Health Legislation Amendment Bill 2018

Act No      , 2018



An Act to make miscellaneous amendments to various Acts that relate to health and associated
matters.




I have examined this bill and find it to correspond in all respects with the bill as finally
passed by both Houses.


                                                Assistant Speaker of the Legislative Assembly.
Health Legislation Amendment Bill 2018 [NSW]




The Legislature of New South Wales enacts:
  1   Name of Act
               This Act is the Health Legislation Amendment Act 2018.
  2   Commencement
         (1)   This Act commences on the date of assent to this Act, except as provided by
               subsection (2).
         (2)   Schedules 1, 4, 5 and 7 commence on a day or days to be appointed by proclamation.




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Schedule 1 Amendment of Health Administration Act 1982 No 135



Schedule 1             Amendment of Health Administration Act 1982
                       No 135
[1]   Part 2, Division 6C Root cause analysis teams
      Omit the Division.
[2]   Part 2A
      Insert after Part 2:

      Part 2A Response to incidents
      Division 1             Preliminary
      21A    Definitions
                    In this Part:
                    assessor means an assessor appointed under Division 2.
                    health practitioner has the same meaning it has in the Health Practitioner
                    Regulation National Law (NSW).
                    health service includes any administrative or other service related to a health
                    service.
                    impairment has the same meaning it has in the Health Practitioner Regulation
                    National Law (NSW).
                    incident reviewer--see section 21L.
                    performance or impairment issue, in relation to a health practitioner, means:
                     (a) professional misconduct, unsatisfactory professional conduct or
                            unsatisfactory professional performance by the health practitioner, or
                    (b) the health practitioner suffering from an impairment.
                    professional misconduct and unsatisfactory professional conduct have the
                    same meanings as they have in Part 8 of the Health Practitioner Regulation
                    National Law (NSW).
                    relevant health services organisation--see section 21B.
                    reportable incident means an incident of a type prescribed by the regulations
                    or set out in a document adopted by the regulations.
                    serious adverse event review means a root cause analysis or any other type of
                    review prescribed by the regulations.
                    serious adverse event review team means a serious adverse event review team
                    appointed under Division 3.
                    unsatisfactory professional performance means professional performance
                    that is unsatisfactory within the meaning of Division 5 of Part 8 of the Health
                    Practitioner Regulation National Law (NSW).
      21B    Incidents to which Part applies
                    This Part applies to the following incidents:
                    (a) an incident involving the provision of a health service by a local health
                          district, in which case the relevant health services organisation in
                          respect of the incident is the local health district,
                    (b) an incident involving the provision of a health service by a statutory
                          health corporation prescribed by the regulations, in which case the



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                         relevant health services organisation in respect of the incident is the
                         statutory health corporation,
                   (c)   an incident involving the provision of a health service by an affiliated
                         health organisation prescribed by the regulations, in which case the
                         relevant health services organisation in respect of the incident is the
                         affiliated health organisation,
                   (d)   an incident involving the provision of a health service under Chapter 5A
                         (Ambulance services) of the Health Services Act 1997 or the provision
                         of a service under Part 1A of Chapter 10 of that Act, in which case the
                         relevant health services organisation in respect of the incident is the
                         Health Secretary.

      Division 2         Preliminary risk assessment
     21C    Appointment of assessors to assess incidents
             (1)   When an incident is reported to the relevant health services organisation in
                   respect of the incident, the organisation must appoint one or more assessors to
                   carry out a preliminary risk assessment of the incident if:
                    (a) it is of the opinion that the incident is (or may be) a reportable incident,
                          or
                   (b) the incident is not a reportable incident but may be the result of a serious
                          systemic problem and the organisation is of the opinion that a
                          preliminary risk assessment of the incident should be carried out.
             (2)   Assessors may be appointed in response to a particular incident or otherwise.
             (3)   The persons appointed as assessors in respect of an incident must (subject to
                   the regulations) be persons that the relevant health services organisation
                   reasonably considers can properly carry out a preliminary risk assessment of
                   the incident.
     21D    Functions of assessors in relation to incidents
                   An assessor is to carry out a preliminary risk assessment of the incident and is
                   to provide advice (in writing or otherwise) to the relevant health services
                   organisation to assist the organisation in understanding the events comprising
                   the incident and the measures required to appropriately manage the incident
                   and remove or mitigate any risk.
     21E    Immediate notification if person at risk
                   An assessor must immediately advise the relevant health services organisation
                   in writing if the assessor is of the opinion that the incident in respect of which
                   the assessor was appointed raises matters that indicate a problem giving rise to
                   a risk of serious or imminent harm to a person.
     21F    Outcome of assessment of incidents
             (1)   A relevant health services organisation may only disclose an advice of an
                   assessor or any information obtained from the advice as follows:
                   (a) to provide the advice to the Health Secretary,
                   (b) to notify any person or body authorised under section 23 of the incident,
                   (c) to advise a serious adverse event review team appointed to carry out a
                         serious adverse event review of the incident to which the advice relates,




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                   (d)   to provide relevant information to a patient involved in the incident, a
                         family member or carer of the patient or a person nominated by any such
                         patient, family member or carer,
                   (e)   to a law enforcement agency or regulatory body,
                   (f)   in any other manner as may be prescribed by the regulations.
             (2)   A relevant health services organisation must take reasonable steps to not
                   disclose information that identifies a person (other than the patient involved in
                   the incident) when it provides information under subsection (1) (d).

      Division 3         Serious adverse event review
     21G    Appointment of team to review incidents
             (1)   Following the preliminary risk assessment of an incident, the relevant health
                   services organisation in respect of the incident must appoint one or more
                   persons as a serious adverse event review team to carry out a serious adverse
                   event review of the incident if:
                   (a) the incident is a reportable incident, or
                   (b) the incident is not a reportable incident but may be the result of a serious
                         systemic problem and the organisation is of the opinion that a serious
                         adverse event review of the incident should be carried out.
             (2)   Despite subsection (1), a relevant health services organisation may, but is not
                   required to, appoint a serious adverse event review team to carry out a serious
                   adverse event review of an incident:
                    (a) in circumstances prescribed by the regulations, or
                   (b) if the Health Secretary has informed the organisation that the Health
                         Secretary intends to conduct a review of, or an inquiry into, the incident.
             (3)   The persons appointed as a serious adverse event review team in respect of an
                   incident must (subject to the regulations) be persons that the relevant health
                   services organisation reasonably considers can properly carry out a serious
                   adverse event review of the incident.
             (4)   The relevant health services organisation is to cause a written record to be kept
                   of the persons appointed as a serious adverse event review team.
             (5)   The Health Secretary may issue directions setting out the type of serious
                   adverse event review, and the manner in which the serious adverse event
                   review is to be carried out, in respect of an incident or a class of incidents.
     21H    Serious adverse event review of incident
             (1)   A serious adverse event review team is to carry out a serious adverse event
                   review of the incident in respect of which it was appointed.
             (2)   A serious adverse event review team must, on completion of the serious
                   adverse event review of an incident, provide a report in writing to the relevant
                   health services organisation that sets out a description of the incident and
                   details of the following findings identified by the team:
                   (a) how the incident occurred,
                   (b) any factors that caused or contributed to the incident,
                   (c) any procedures, practices or systems that could be reviewed (areas for
                          review findings) for the purposes of a recommendations report.




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               (3)   After considering the findings of the serious adverse event review team, the
                     relevant health services organisation may (and must if the findings include
                     areas for review findings) direct the team to prepare a report (a
                     recommendations report) setting out its recommendations (if any) as to the
                     need for changes or improvements in relation to a procedure, practice or
                     system (including clinical redesign) arising out of the incident.
               (4)   The relevant health services organisation may, for the purposes of the
                     preparation of a recommendations report, appoint additional persons to the
                     serious adverse event review team.
               (5)   The serious adverse event review team must provide the recommendations
                     report in writing to the relevant health services organisation.
               (6)   Subject to section 21O (Information not to be given in evidence), the contents
                     of a report of a reviewer under this section may be disclosed to any person and
                     used for any purpose.
         21I   Immediate notification if person at risk
                     A serious adverse event review team must immediately advise the relevant
                     health services organisation in writing if it is of the opinion that the incident in
                     respect of which it was appointed raises matters that indicate a problem giving
                     rise to a risk of serious or imminent harm to a person.
     21J       Notification about performance or impairment of health practitioner
               (1)   A serious adverse event review team must advise the relevant health services
                     organisation in writing as soon as practicable once it is of the opinion that the
                     incident in respect of which it was appointed raises matters that may involve a
                     performance or impairment issue (other than unsatisfactory professional
                     performance) in relation to a health practitioner.
               (2)   A serious adverse event review team may advise the relevant health services
                     organisation in writing if it is of the opinion that the incident raises matters that
                     may involve unsatisfactory professional performance by a health practitioner.
               (3)   A written advice under this section must disclose the identity of the health
                     practitioner to whom the notification relates (regardless of whether the health
                     practitioner consents to the disclosure) and the nature of the concern, and
                     specify whether the notification relates to:
                     (a) professional misconduct, unsatisfactory professional conduct or
                            unsatisfactory professional performance by the health practitioner, or
                     (b) the health practitioner suffering from an impairment.
     21K       Discontinuing serious adverse event review
               (1)   The relevant health services organisation may authorise a serious adverse
                     event review team to discontinue taking any further steps in relation to a
                     serious adverse event review of an incident:
                     (a) if advice has been provided to the organisation under section 21J
                           (Notification about performance or impairment of health practitioner)
                           and the organisation is of the opinion that the incident was substantially
                           caused by a performance or impairment issue in relation to a health
                           practitioner and the team is not likely to identify any other root causes,
                           contributory factors or system improvements, or
                     (b) in circumstances prescribed by the regulations.




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             (2)   A serious adverse event review team that is authorised under this section may,
                   if it considers it to be appropriate, determine to take no further steps in relation
                   to the serious adverse event review and in such a case may discontinue the
                   review.

      Division 4          Incident reviewers
     21L    Meaning of "incident reviewer"
                   In this Part:
                   incident reviewer means a member of a serious adverse event review team or
                   an assessor.
     21M    Restrictions on incident reviewers
             (1)   An incident reviewer does not have authority to carry out an investigation
                   relating to the competence of an individual in providing services.
             (2)   Except as otherwise provided by or under this Part, an advice or report
                   furnished by a serious adverse event review team must not disclose:
                    (a) the name or address of an individual who is a provider or recipient of
                         services unless the individual has consented in writing to that
                         disclosure, or
                   (b) as far as is practicable, any other material that identifies, or may lead to
                         the identification of, such an individual.
             (3)   An incident reviewer is to act in a fair and reasonable manner in the exercise
                   of his or her functions as an incident reviewer.
     21N    Disclosure of information
                   A person who is or was an incident reviewer must not make a record of, or
                   divulge or communicate to any person, any information acquired by the person
                   as such a reviewer, except:
                   (a) for the purpose of exercising the functions of an incident reviewer, or
                   (b) for the purpose of any advice provided as an incident reviewer, or
                   (c) for the purpose of any advice or report under this Part, or
                   (d) in accordance with the regulations.
                   Maximum penalty: 50 penalty units.
     21O    Information not to be given in evidence
             (1)   A person is neither competent nor compellable to produce any document or
                   disclose any communication (or to disclose any information that the person
                   obtained from any such document or 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 exercise of a function under this
                   Part by an incident reviewer.
             (2)   This section does not apply to a requirement made:
                   (a) in proceedings in respect of any act or omission by an incident reviewer,
                         or
                   (b) by a person or body who has been approved by the Health Secretary to
                         carry out a review or audit of an assessment or review by an incident
                         reviewer.



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     21P    Advice and reports not to be admitted in evidence
             (1)   Evidence as to the contents of an advice or report of an incident reviewer
                   cannot be adduced or admitted in any proceedings.
             (2)   Subsection (1) does not apply to proceedings in respect of any act or omission
                   by an incident reviewer.
     21Q    Personal liability of incident reviewers
             (1)   Anything done by an incident reviewer or any person acting under the
                   direction of an incident reviewer, in good faith for the purposes of the exercise
                   of the incident reviewer's functions, does not subject the incident reviewer or
                   person personally to any action, liability, claim or demand.
             (2)   Without limiting subsection (1), an incident reviewer has qualified privilege in
                   proceedings for defamation in respect of:
                   (a) any statement made orally or in writing in the exercise of the functions
                         of an incident reviewer, or
                   (b) the contents of any advice or report or other information published by
                         an incident reviewer.
             (3)   An incident reviewer is, and is entitled to be, indemnified in respect of any
                   costs incurred in defending proceedings in respect of a liability against which
                   the reviewer is protected by this section by the relevant health services
                   organisation in respect of the incident for which the incident reviewer was
                   appointed.

      Division 5         Miscellaneous
     21R    When incident is reported to relevant health services organisation
             (1)   An incident is reported to a relevant health services organisation (other than
                   the Health Secretary) when the incident is reported to:
                    (a) the chief executive of the organisation, or
                   (b) if the incident reporting procedures of the organisation specify another
                         person to whom incidents are to be reported--that other person.
             (2)   An incident is reported to the Health Secretary when it is reported to the Health
                   Secretary or to a person nominated by the Health Secretary for the purposes of
                   this Part.
     21S    Regulations for purposes of Part
                   The regulations may make provision for or with respect to the following:
                   (a) the appointment of persons as members of a serious adverse event
                         review team or as assessors,
                   (b) the functions of incident reviewers and the manner in which they are to
                         exercise those functions,
                   (c) the procedures of a preliminary risk assessment or a serious adverse
                         event review,
                   (d) permitting or requiring incident reviewers or a relevant health services
                         organisation to make specified information (including personal
                         information and health information) available to the public,
                   (e) permitting or requiring incident reviewers to furnish reports concerning
                         their activities to the Minister and to relevant health services
                         organisations,


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Schedule 1 Amendment of Health Administration Act 1982 No 135



                     (f)     the carrying out of reviews or audits of any preliminary risk assessment
                             or serious adverse event review.
[3]   Schedule 2 Savings, transitional and other provisions
      Insert at the end of clause 13 (1):
                    any Act that amends this Act
[4]   Schedule 2, Part 4
      Insert after Part 3:

      Part 4        Provisions consequent on enactment of Health
                    Legislation Amendment Act 2018
         20   Definition
                    In this Part:
                    amending Act means the Health Legislation Amendment Act 2018.
         21   Existing incidents
                    Part 2A of this Act extends to an incident that occurred before the
                    commencement of that Part.
         22   Existing RCA teams
                    Despite clause 21, Part 2A of this Act does not extend to an incident if an RCA
                    team has been appointed in relation to the incident before the commencement
                    of that Part and in such a case Division 6C of Part 2, as in force immediately
                    before its repeal, continues to apply to and in respect of the RCA team.
         23   Disclosure of information
                    Section 21N extends to a person who was a member of an RCA team before
                    the commencement of that section in the same way as it applies to an incident
                    reviewer but only in respect of information that the person was not able to
                    make a record of, or divulge or communicate to any person under section 20P
                    immediately before the repeal of that section.
         24   Information not to be given in evidence
                    Section 21O extends to:
                    (a) a document that was prepared, or a communication that was made,
                          before the commencement of that section for the dominant purpose of
                          the conduct of an investigation by an RCA team, and
                    (b) proceedings that are pending on that commencement.
         25   Notifications and reports of former RCA teams not to be admitted in evidence
                    Section 21P extends to:
                    (a) a notification that was given, or a report that was prepared, before the
                          commencement of that section by an RCA team, and
                    (b) proceedings that are pending on that commencement.
         26   Personal liability of members of former RCA teams
                    Section 21Q extends to a person who was a member of an RCA team before
                    the commencement of that section or to a person acting under the direction of


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Schedule 1 Amendment of Health Administration Act 1982 No 135



                   any such person in the same way as that section applies to an incident reviewer
                   or any person acting under the direction of an incident reviewer.




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Health Legislation Amendment Bill 2018 [NSW]
Schedule 2 Amendment of Health Services Act 1997 No 154



Schedule 2             Amendment of Health Services Act 1997 No 154
[1]   Section 28 Functions of local health district boards
      Insert at the end of the section:
             (2)   A local health district board must not exercise a function in a way that is
                   inconsistent with the exercise of a function by the Health Secretary (including
                   a function that has been delegated to the Health Secretary).
[2]   Section 67C Ambulance Service Advisory Board
      Omit "Ambulance Services Advisory Council" from section 67C (1).
      Insert instead "Ambulance Service Advisory Board (the Advisory Board)".
[3]   Section 67C (2), (5), (6) and (7)
      Omit "Advisory Council" wherever occurring. Insert instead "Advisory Board".
[4]   Section 67C (2) (b)
      Omit "Minister". Insert instead "Health Secretary".
[5]   Section 67C (3)
      Omit section 67C (3) and (4). Insert instead:
             (3)   The persons appointed as members of the Advisory Board are to be persons
                   who, in the opinion of the Health Secretary, have expertise and experience in
                   one or more of the following areas:
                   (a) health management,
                   (b) financial management,
                   (c) clinical paramedic services or other health services,
                   (d) business management.
[6]   Section 121H Termination of employment
      Omit section 121H (5). Insert instead:
             (5)   The employer of a NSW Health Service senior executive may not terminate
                   the employment of the executive under this section or section 68 (2) of the
                   Government Sector Employment Act 2013 unless the employer is, or has the
                   concurrence of, the Health Secretary.
[7]   Schedule 6, heading
      Omit "Ambulance Services Advisory Council".
      Insert instead "Ambulance Service Advisory Board".
[8]   Schedule 6
      Omit "Advisory Council" wherever occurring. Insert instead "Advisory Board".
[9]   Schedule 6
      Omit "Minister" wherever occurring. Insert instead "Health Secretary".




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Schedule 2 Amendment of Health Services Act 1997 No 154


[10]   Schedule 6, clause 4
       Omit the clause. Insert instead:
          4   Term of office
                    An appointed member holds office, subject to this Schedule, for such period
                    not exceeding 4 years as may be specified in the instrument of appointment of
                    the member, but is eligible (if otherwise qualified) for re-appointment.
[11]   Schedule 6
       Omit "the Council" wherever occurring. Insert instead "the Board".
[12]   Schedule 7 Savings, transitional and other provisions
       Insert at the end of the Schedule, with appropriate Part and clause numbering:

       Part         Provisions consequent on enactment of Health
                    Legislation Amendment Act 2018
              Existing members of Ambulance Services Advisory Council
                    A person who is a member of the Ambulance Services Advisory Council does
                    not cease to be a member on the commencement of Schedule 2 to the Health
                    Legislation Amendment Act 2018 (the amending Act) despite any of the
                    following:
                     (a) the renaming of that Council as the Ambulance Service Advisory
                          Board,
                    (b) the person having been appointed by the Minister rather than the Health
                          Secretary,
                     (c) the person not having any of the expertise or experience required by
                          section 67C (3), as substituted by the amending Act.




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Health Legislation Amendment Bill 2018 [NSW]
Schedule 3 Amendment of Human Tissue Act 1983 No 164



Schedule 3            Amendment of Human Tissue Act 1983 No 164
[1]   Section 4 Definitions
      Omit the definition of Director-General from section 4 (1). Insert in alphabetical order:
                  Health Secretary means the Secretary of the Ministry of Health.
[2]   Sections 4 (1) (definition of "governing body"), 21C (1) and (5), 27A, 33A (1) and (2),
      33I (2), (3) and (7) (b), 33J (1), (3) and (5) and 37A (2)-(6)
      Omit "Director-General" wherever occurring. Insert instead "Health Secretary".
[3]   Sections 4 (7) (b) and 21Z (2) (b)
      Omit "Director-General" wherever occurring. Insert instead "Secretary".
[4]   Section 27 Effect of authority under this Part
      Omit section 27 (1A). Insert instead:
           (1A)    Without limiting subsection (1), an authority under this Part which authorises
                   the removal of tissue for one or more of the following purposes (whether or
                   not it authorises the removal of tissue for any other purpose) is sufficient
                   authority for a person other than a medical practitioner to remove tissue from
                   the body of the deceased person referred to in the authority for that purpose if
                   the person removing the tissue is appointed, in writing, by the Health Secretary
                   to remove tissue under this section for that purpose and is not the person by
                   whom the authority was given:
                    (a) corneal transplantation,
                   (b) skin transplantation,
                    (c) the transplantation of cardiovascular tissue,
                   (d) the transplantation of musculoskeletal tissue,
                    (e) any other purpose prescribed by the regulations.
[5]   Section 39 Regulations
      Omit "Director-General of the Department of Health" from section 39 (1A) (c).
      Insert instead "Health Secretary".




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Health Legislation Amendment Bill 2018 [NSW]
Schedule 4 Amendment of Mental Health Act 2007 No 8



Schedule 4                Amendment of Mental Health Act 2007 No 8
[1]   Section 37 Reviews of involuntary patients by Tribunal
      Insert after section 37 (3):
           (3A)    The Tribunal may review the case of an involuntary patient in the absence of
                   the patient if:
                    (a) the authorised medical officer applies to have the review carried out in
                          the absence of the patient because the patient has refused to attend the
                          review or because the officer is of the opinion that the patient is too
                          unwell to attend the review, and
                   (b) the Tribunal is satisfied that the patient has refused to attend or is too
                          unwell to attend and is unlikely to be well enough to attend within a
                          reasonable period, and
                    (c) the Tribunal is satisfied that any representative of the patient (being an
                          Australian legal practitioner, or other person approved by the Tribunal,
                          who is representing the patient for the purposes of the review) has been
                          notified of the review, and
                           Note. Section 154 contains provisions relating to the right to representation.
                    (d)     the Tribunal has considered the views (if known) of each of the
                            following:
                             (i) the patient,
                            (ii) any representative of the patient,
                           (iii) the designated carer of the patient,
                           (iv) the principal care provider of the patient, and
                    (e)     the Tribunal is of the opinion that carrying out the review in the absence
                            of the patient is desirable for the safety or welfare of the patient.
[2]   Section 48 Apprehension of persons not permitted to be absent from mental health
      facility
      Insert "(whether directly or indirectly by way of another mental health facility)" after
      "herself" in section 48 (3).
[3]   Section 63 Review of detained affected persons by Tribunal
      Insert after section 63 (2):
           (2A)    The Tribunal may review the case of the affected person in the absence of the
                   affected person if:
                   (a) the authorised medical officer applies to have the review carried out in
                          the absence of the affected person because the affected person has
                          refused to attend the review or because the officer is of the opinion that
                          the affected person is too unwell to attend the review, and
                   (b) the Tribunal is satisfied that the affected person has refused to attend or
                          is too unwell to attend and is unlikely to be well enough to attend within
                          a reasonable period, and
                   (c) the Tribunal is satisfied that any representative of the affected person
                          (being an Australian legal practitioner, or other person approved by the
                          Tribunal, who is representing the affected person for the purposes of the
                          review) has been notified of the review, and
                           Note. Section 154 contains provisions relating to the right to representation.




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Schedule 4 Amendment of Mental Health Act 2007 No 8



                    (d)     the Tribunal has considered the views (if known) of each of the
                            following:
                             (i) the affected person,
                            (ii) any representative of the affected person,
                           (iii) the designated carer of the affected person,
                           (iv) the principal care provider of the affected person, and
                    (e)     The Tribunal is of the opinion that carrying out the review in the
                            absence of the affected person is desirable for the safety or welfare of
                            the affected person.
[4]   Section 78 Notifications to designated carers and principal care providers of events
      affecting patients or detained persons
      Insert after section 78 (1) (g):
                     (h) the patient or person has any matter before the Tribunal.
[5]   Section 96 Purpose and findings of ECT inquiries
      Insert after section 96 (5):
           (5A)    Rights of appearance
                   A patient or person must appear before the Tribunal during an ECT inquiry
                   unless:
                   (a) an authorised medical officer applies to have the ECT inquiry carried
                         out in the absence of the patient or person because the patient or person
                         has refused to attend the ECT inquiry or because the officer is of the
                         opinion that the patient or person is too unwell to attend the ECT
                         inquiry, and
                   (b) the Tribunal is satisfied that the patient or person has refused to attend
                         or is too unwell to attend and is unlikely to be well enough to attend
                         within a reasonable period, and
                   (c) the Tribunal is satisfied that any representative of the patient or person
                         (being an Australian legal practitioner, or other person approved by the
                         Tribunal, who is representing the patient or person for the purposes of
                         the inquiry) has been notified of the review or that reasonable steps have
                         been taken to notify the representative, and
                           Note. Section 154 contains provisions relating to the right to representation.
                    (d)     the Tribunal has considered the views (if known) of each of the
                            following:
                             (i) the patient or person,
                            (ii) any representative of the patient or person,
                           (iii) the designated carer of the patient or person,
                           (iv) the principal care provider of the patient or person, and
                    (e)     the Tribunal is of the opinion that determining the ECT inquiry in the
                            absence of the patient or person is desirable for the safety or welfare of
                            the patient or person.
[6]   Section 96 (6) (a)
      Insert "take reasonable steps to" before "find out".
[7]   Section 96 (6) (b)
      Insert "take reasonable steps to" before "inform".


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Schedule 4 Amendment of Mental Health Act 2007 No 8


[8]   Section 96 (6) (d)
      Insert "take reasonable steps to" before "consider".
[9]   Section 154 Rights of appearance and representation
      Insert after section 154 (4):
             (5)   This section applies to a patient or person who is absent from proceedings held
                   by the Tribunal in relation to the patient or person in the same way as it applies
                   to a patient or person who appears before the Tribunal.




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Health Legislation Amendment Bill 2018 [NSW]
Schedule 5 Amendment of Mental Health (Forensic Provisions) Act 1990 No 10



Schedule 5             Amendment of Mental Health (Forensic
                       Provisions) Act 1990 No 10
[1]   Section 41 Definitions
      Omit "has not been classified by the Tribunal as an involuntary patient" from the definition
      of correctional patient from section 41 (1).
      Insert instead "has not ceased to be a correctional patient under section 64 or 65".
[2]   Section 61 Reviews by Tribunal of correctional patients
      Omit "every 3 months" from section 61 (3).
      Insert instead "no later than 3 months after the community treatment order is made and at
      least once every 6 months during the term of the order".
[3]   Section 64 Termination of classification as correctional patient
      Insert "(other than another mental health facility)" after "other place" in section 64 (a).
[4]   Section 66 Release from mental health facility on ceasing to be correctional patient
      Insert "who ceases to be a correctional patient because the person is" after "other than a
      person".
[5]   Section 68A
      Insert after section 68:
      68A    Apprehension of persons not permitted to be absent from mental health facility
             (1)   Without limiting section 68, the authorised medical officer of a mental health
                   facility may apprehend a person, or direct a person to be apprehended, if the
                   person fails to return to the facility at the end of a period of leave of absence
                   granted under this Part or fails to comply with a condition to which that grant
                   of leave was subject.
             (2)   The person may be apprehended by any of the following persons:
                   (a) the authorised medical officer or any other suitably qualified person
                         employed at the mental health facility,
                   (b) a police officer,
                   (c) a person authorised by the Secretary or the authorised medical officer,
                   (d) a person assisting a person referred to in paragraph (a), (b) or (c).
             (3)   The authorised medical officer may request that a police officer apprehend, or
                   assist in apprehending, a person under this section if the authorised medical
                   officer is of the opinion that there are serious concerns relating to the safety of
                   the person or other persons if the person is taken to the mental health facility
                   without the assistance of a police officer.
             (4)   A police officer to whose notice any such request is brought may:
                   (a) apprehend and take or assist in taking the person to the mental health
                         facility, or
                   (b) cause or make arrangements for some other police officer to do so.
             (5)   A police officer may enter premises to apprehend a person under this section,
                   and may apprehend any such person, without a warrant and may exercise any
                   of the powers conferred on a person who is authorised under section 81 of the
                   Mental Health Act 2007 to take a person to a mental health facility.


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Health Legislation Amendment Bill 2018 [NSW]
Schedule 5 Amendment of Mental Health (Forensic Provisions) Act 1990 No 10



             (6)   A person who is apprehended is to be conveyed to and detained at the mental
                   health facility at which the person was detained immediately before the period
                   of leave commenced.
             (7)   The authorised medical officer must notify the Tribunal of the following
                   occurrences as soon as practicable after the occurrence:
                   (a) the authorised medical officer, directing under subsection (1), a person
                         to be apprehended,
                   (b) a person being apprehended under this section.
[6]   Schedule 3 Savings and transitional provisions
      Insert at the end of the Schedule, with appropriate Part and clause numbering:

      Part         Health Legislation Amendment Act 2018
             Apprehension of persons not permitted to be absent from mental health facility
                   Section 68A extends to permit the apprehension of a person who has failed to
                   return to a mental health facility or who has failed to comply with a condition
                   even if the relevant failure occurred before the day on which Schedule 5 [5] to
                   the Health Legislation Amendment Act 2018 commenced.




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Health Legislation Amendment Bill 2018 [NSW]
Schedule 6 Amendment of Government Sector Employment Act 2013 No 40



Schedule 6             Amendment of Government Sector Employment
                       Act 2013 No 40
      Section 68 Unsatisfactory performance of government sector employees
      Insert after section 68 (3):
             (4)   Without limiting the action that may be taken under this section by the person
                   who exercises employer functions in relation to a NSW Health Service senior
                   executive, the Secretary of the Ministry of Health may, if the Secretary is not
                   the employer of the executive, terminate the executive's employment under
                   this section.




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Health Legislation Amendment Bill 2018 [NSW]
Schedule 7 Amendment of Government Information (Public Access) Act 2009 No 52



Schedule 7            Amendment of Government Information (Public
                      Access) Act 2009 No 52
      Schedule 1 Information for which there is conclusive presumption of overriding
      public interest against disclosure
      Omit "Divisions 6B (Quality assurance committees) and 6C (Root cause analysis teams) of
      Part 2, and section 23 (Specially privileged information)" from the matter relating to the
      Health Administration Act 1982 in clause 1 (1).
      Insert instead "Division 6B (Quality assurance committees) of Part 2, Part 2A (Response to
      incidents) and section 23 (Specially privileged information)".




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