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


HEALTH SERVICES AMENDMENT BILL 2004




                        New South Wales




Health Services Amendment Bill 2004


Contents

                                                                      Page
          1    Name of Act                                              2
          2    Commencement                                             2
          3    Amendment of Health Services Act 1997 No 154             2
          4    Amendment of Public Sector Employment and
               Management Act 2002 No 43                                2
  Schedule 1   Principal amendments to Health Services Act 1997         3
  Schedule 2   Consequential amendments to Health Services Act 1997    28
  Schedule 3   Amendments to Public Sector Employment and
               Management Act 2002                                     34
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,                     , 2004




                             New South Wales




Health Services Amendment Bill 2004
Act No      , 2004




An Act to amend the Health Services Act 1997 with respect to the control and
management of area health services and statutory health corporations; and for other
purposes.




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


                          Chairman of Committees of the Legislative Assembly.
Clause 1      Health Services Amendment Bill 2004




The Legislature of New South Wales enacts:
 1    Name of Act
           This Act is the Health Services Amendment Act 2004.
 2    Commencement
           This Act commences on a day or days to be appointed by proclamation.
 3    Amendment of Health Services Act 1997 No 154
           The Health Services Act 1997 is amended as set out in Schedules 1
           and 2.
 4    Amendment of Public Sector Employment and Management Act 2002
      No 43
           The Public Sector Employment and Management Act 2002 is amended
           as set out in Schedule 3.




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Health Services Amendment Bill 2004

Principal amendments to Health Services Act 1997                             Schedule 1




Schedule 1             Principal amendments to Health
                       Services Act 1997
                                                                                (Section 3)
[1]   Section 16 Who constitutes the NSW Health Service?
      Insert before section 16 (a):
                  (a1) all persons employed under Part 3 of Chapter 9 by the
                          Health Administration Corporation, and
[2]   Chapter 3, Part 2
      Omit the Part. Insert instead:

      Part 2        Control and management of area health
                    services
      Division 1           The chief executive
       23    Appointment of chief executive
             (1)    A chief executive is to be appointed for each area health service.
             (2)    The chief executive is, for all purposes, taken to be employed by
                    the Health Administration Corporation.
             (3)    Chapter 2 of the Public Sector Employment and Management Act
                    2002 does not apply to or in respect of the chief executive.
                    Note. Under Part 3 of Chapter 9, the chief executive is appointed by the
                    Health Administration Corporation as a member of the Health Executive
                    Service.

       24    Chief executive to manage and control affairs of area health
             service
             (1)    The affairs of an area health service are to be managed and
                    controlled by the chief executive of the service.
             (2)    Any act, matter or thing done in the name of, or on behalf of, an
                    area health service by its chief executive is taken to have been
                    done by the service.
       25    Functions of chief executive generally
                    The chief executive of an area health service:
                    (a) has, and may exercise, such functions as are conferred or
                          imposed on the chief executive by or under this or any
                          other Act, and


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Schedule 1          Principal amendments to Health Services Act 1997




                       (b)    is, in the exercise of his or her functions, subject to the
                              control and direction of the Director-General.

      Division 2              Area health advisory councils
         26   Constitution of area health advisory councils
              (1)      An area health advisory council is to be established for each area
                       health service.
              (2)      An area health advisory council is to consist of between 9 and 13
                       members, appointed by the Minister, of whom:
                       (a) some must be persons having experience in the provision
                             of health services, and
                       (b) the others must be persons who can represent the interests
                             of consumers of health services and the local community,
                             and
                       (c) at least one (who may be one of the members referred to in
                             paragraph (a) or (b)) must be a person who has expertise,
                             knowledge or experience in relation to Aboriginal health.
              (3)      The membership of an area health advisory council must
                       maintain a reasonable balance between persons of the kind
                       referred to in subsection (2) (a) and persons of the kind referred
                       to in subsection (2) (b), so that at all times the persons of one kind
                       do not outnumber persons of the other kind by more than 2.
              (4)      A member of an area health advisory council holds office for
                       such period (not exceeding 4 years) as may be specified in the
                       member's instrument of appointment.
              (5)      A member whose term of office expires is eligible (if otherwise
                       qualified) for re-appointment, but may not be appointed so as to
                       hold office for more than 8 years in total.
              (6)      One of the members of an area health advisory council is, by the
                       relevant instrument of appointment or by a further instrument
                       signed by the Minister, to be appointed as the chairperson of the
                       council.
              (7)      A member of an area health advisory council is entitled to be paid
                       such remuneration (including travelling and subsistence
                       allowances) as the Minister may from time to time determine in
                       respect of the member.
              (8)      Subject to this section, the constitution and procedure of an area
                       health advisory council are to be as prescribed by the regulations.




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       27    Role of area health advisory councils
                    The role of an area health advisory council is to facilitate the
                    involvement of providers and consumers of health services, and
                    of other members of the local community, in the development of
                    the area health service's policies, plans and initiatives for the
                    provision of health services.
       28    Functions of area health advisory councils
                    The area health advisory council for an area health service has the
                    following functions:
                     (a) to advise providers and consumers of health services, and
                          other members of the local community, as to the area
                          health service's policies, plans and initiatives for the
                          provision of health services,
                    (b) to seek the views of providers and consumers of health
                          services, and of other members of the local community, as
                          to the area health service's policies, plans and initiatives
                          for the provision of health services, and to advise the chief
                          executive of the area health service of those views,
                     (c) to confer with the chief executive of the area health service
                          in connection with the operational performance targets set
                          by any performance agreement to which the area health
                          service is a party under section 126,
                    (d) to advise the chief executive on how best to support,
                          encourage and facilitate community, consumer and health
                          service provider involvement in the planning of health
                          services by the area health service,
                     (e) to liaise with other area health advisory councils in relation
                          to both local and State-wide initiatives for the provision of
                          health services,
                     (f) to publish reports (annually or more frequently) as to its
                          work and activities,
                    (g) such other functions as are conferred or imposed on it by
                          the regulations.
       29    Charter for area health advisory councils
             (1)    The Minister may, by order in writing, establish a charter for area
                    health advisory councils.
             (2)    The text of a charter established under this section must be
                    published on the internet website of the Department of Health
                    and on the internet websites of each of the area health services.



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              (3)      In exercising its functions, an area health advisory council must
                       comply with the requirements of the charter.
              (4)      A charter established under this section may include a code of
                       conduct to be observed by members of area health advisory
                       councils.
      29A     Annual report
              (1)      As soon as practicable after 30 June (but on or before
                       31 December) of each year, the chairperson of an area health
                       advisory council is to provide the Minister with a report on the
                       performance by the area health advisory council of its role and
                       functions under this Act during the period of 12 months ending
                       on 30 June in that year.
              (2)      The report is to include performance indicators to measure the
                       area health advisory council's success in the performance of its
                       role and functions under this Act.
              (3)      The Minister is to cause the report to be laid before both Houses
                       of Parliament as soon as practicable after receiving the report.

      Division 3              Other committees and councils
      29B     Other committees and councils
                       The chief executive may establish such committees and councils
                       as he or she considers appropriate to assist the area health service
                       in the exercise of its functions.
[3]   Section 31 Opening and closing of hospitals, health institutions, health
      services or health support services
      Omit ", subject to any direction of the Minister under section 25," from section
      31 (1) and (2) wherever occurring.
      Insert instead ", subject to any direction under this Act,".
[4]   Section 31 (4)
      Omit the subsection.
[5]   Section 32
      Omit the section. Insert instead:
         32   Determination of role, functions and activities of area health
              services
              (1)      The Director-General may, from time to time, determine the role,
                       functions and activities of any public hospital, health institution,


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Principal amendments to Health Services Act 1997                             Schedule 1




                    health service or health support service under the control of an
                    area health service and, for that purpose, give any necessary
                    directions to the chief executive of the area health service.
              (2)   The Minister may direct an area health service to do any of the
                    following if the Minister is satisfied that it is in the public interest
                    to do so:
                     (a) establish any hospital, health institution, health service or
                           health support service,
                    (b) close any public hospital or health institution, or cease to
                           provide any health service or health support service, under
                           its control,
                     (c) restrict the range of health care or treatment provided by
                           any public hospital, health institution or health service
                           under its control.
 [6]   Section 37 Contracts of area health service
       Omit "Minister" from section 37 (2). Insert instead "Director-General".
 [7]   Section 39 Area health service may make by-laws
       Omit "Minister" wherever occurring. Insert instead "Director-General".
 [8]   Section 39 (1) (f) and (g)
       Omit section 39 (1) (f), (g) and (h). Insert instead:
                    (f) the keeping of records concerning its acts and decisions,
                    (g) the appointment and functions of its councils and
                          committees.
 [9]   Section 40 Delegations by area health service
       Omit "Minister" from section 40 (2) wherever occurring.
       Insert instead "Director-General".
[10]   Section 41 Constitution of statutory health corporations
       Insert after section 41 (2):
              (3)   A statutory health corporation is to be either a chief executive
                    governed health corporation or a board governed health
                    corporation, as specified from time to time in Schedule 2.




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[11]   Section 42 Amendment of Schedule 2 (Statutory health corporations)
       Insert ", or by changing its governance from chief executive governance to
       board governance or from board governance to chief executive governance"
       after "corporation" in section 42 (a).
[12]   Section 42 (b)
       Insert "and the nature of their governance" after "corporations".
[13]   Section 51
       Omit the section. Insert instead:
         51   Appointment of chief executive
              (1)      The Minister may appoint a chief executive for each board
                       governed health corporation.
              (2)      Chapter 2 of the Public Sector Employment and Management Act
                       2002 does not apply to or in respect of the chief executive.
              (3)      If the position of chief executive is an executive position within
                       the meaning of Part 3 of Chapter 9, the appointment of a chief
                       executive is not subject to section 121C (1), but the chief
                       executive is, for all purposes, taken to be employed by the Health
                       Administration Corporation.
              (4)      If the position of chief executive is an executive position within
                       the meaning of Part 3.1 of the Public Sector Employment and
                       Management Act 2002, the chief executive is, for all purposes,
                       taken to be employed (but not under section 54) by the board
                       governed health corporation for which he or she is appointed.
              (5)      If the position of chief executive is neither an executive position
                       within the meaning of Part 3 of Chapter 9 nor an executive
                       position within the meaning of Part 3.1 of the Public Sector
                       Employment and Management Act 2002:
                        (a) the chief executive is taken, while holding that office, to be
                              employed by the board governed health corporation for
                              which he or she is appointed, and
                       (b) the conditions of employment (including remuneration) of
                              the chief executive are to be determined in accordance
                              with section 115.
              (6)      The affairs of a board governed health corporation are to be
                       managed by the chief executive of the corporation.




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              (7)   The chief executive of a board governed health corporation:
                    (a) has, and may exercise, such functions as are conferred or
                          imposed on the chief executive by or under this or any
                          other Act, and
                    (b) is, in the exercise of his or her functions, subject to the
                          control and direction of the health corporation board for
                          the corporation.
[14]   Section 52 Removal of members and appointment of administrator
       Insert ", for any reason or no reason and without notice" after "at any time" in
       section 52 (1).
[15]   Section 52 (6) and (7)
       Insert after section 52 (5):
              (6)   If the position of chief executive is an executive position within
                    the meaning of Part 3 of Chapter 9:
                     (a) the chief executive may not be removed from office under
                           section 121N, and
                    (b) section 121N applies:
                            (i) to and in respect of a chief executive who is
                                  removed from office under this section, and
                           (ii) to and in respect of the executive position of a chief
                                  executive who is so removed,
                           in the same way as it applies to and in respect of a health
                           executive who is removed from office under section 121N
                           and to and in respect of the executive position of a health
                           executive who is so removed.
              (7)   If the position of chief executive is an executive position within
                    the meaning of Part 3.1 of the Public Sector Employment and
                    Management Act 2002:
                     (a) the chief executive may not be removed under section 77
                           of that Act, and
                    (b) section 77 of that Act applies:
                            (i) to and in respect of a chief executive who is
                                  removed from office under this section, and
                           (ii) to and in respect of the executive position of a chief
                                  executive who is so removed,
                           in the same way as it applies to and in respect of an
                           executive officer who is removed from office under




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                              section 77 of that Act and to and in respect of the executive
                              position of an executive officer who is so removed.
[16]   Chapter 4, Part 2, Division 2
       Insert after section 52:

       Division 2             Chief executive governed health
                              corporations
       52A   Appointment of chief executive
              (1)      The Director-General may appoint a chief executive for each
                       chief executive governed health corporation.
              (2)      Chapter 2 of the Public Sector Employment and Management Act
                       2002 does not apply to or in respect of the chief executive.
              (3)      If the position of chief executive is an executive position within
                       the meaning of Part 3 of Chapter 9, the appointment of a chief
                       executive is not subject to section 121C (1), but the chief
                       executive is, for all purposes, taken to be employed by the Health
                       Administration Corporation.
              (4)      If the position of chief executive is not an executive position
                       within the meaning of Part 3 of Chapter 9:
                        (a) the chief executive is taken, while holding that office, to be
                              employed by the chief executive governed health
                              corporation for which he or she is appointed, and
                       (b) the conditions of employment (including remuneration) of
                              the chief executive are to be determined in accordance
                              with section 115, and
                        (c) the chief executive may at any time, for any reason or no
                              reason and without notice, be removed from office by the
                              Director-General.
       52B   Chief executive to manage and control affairs of chief executive
             governed health corporation
              (1)      The affairs of a chief executive governed health corporation are
                       to be managed and controlled by the chief executive of the
                       corporation.
              (2)      Any act, matter or thing done in the name of, or on behalf of, a
                       chief executive governed health corporation by its chief
                       executive is taken to have been done by the corporation.




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       52C   Functions of chief executive generally
                    The chief executive of a chief executive governed health
                    corporation:
                    (a) has, and may exercise, such functions as are conferred or
                          imposed on the chief executive by or under this or any
                          other Act, and
                    (b) is, in the exercise of his or her functions, subject to the
                          control and direction of the Director-General.
       52D   Advisory councils
              (1)   The Minister may establish an advisory council for each chief
                    executive governed health corporation.
              (2)   The constitution, procedure and functions of an advisory council
                    are to be as determined by the Minister.
       52E   Other committees and councils
                    The chief executive may establish such committees and councils
                    as he or she considers appropriate to assist the chief executive
                    governed health corporation in the exercise of its functions.
[17]   Section 53 Determination of functions of statutory health corporations
       Omit section 53 (1). Insert instead:
              (1)   The relevant authority may, from time to time, determine the role,
                    functions and activities of any public hospital, health institution,
                    health service or health support service under the control of a
                    statutory health corporation and, for that purpose, give any
                    necessary directions:
                     (a) in the case of a chief executive governed health
                           corporation, to the chief executive of that corporation, or
                    (b) in the case of a board governed health corporation, to the
                           health corporation board for that corporation.
[18]   Section 53 (3)
       Insert after section 53 (2):
              (3)   In this section, relevant authority means:
                     (a) in relation to a board governed health corporation, the
                           Minister, and
                    (b) in relation to a chief executive governed health
                           corporation, the Director-General.




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[19]   Section 58 Contracts of statutory health corporations
       Omit "Minister" from section 58 (2). Insert instead "relevant authority".
[20]   Section 58 (4)
       Insert after section 58 (3):
              (4)      In this section, relevant authority means:
                        (a) in relation to a board governed health corporation, the
                              Minister, and
                       (b) in relation to a chief executive governed health
                              corporation, the Director-General.
[21]   Section 60 Statutory health corporation may make by-laws
       Omit "Minister" wherever occurring. Insert instead "relevant authority".
[22]   Section 60 (1) (f), (g) and (h)
       Omit the paragraphs. Insert instead:
                    (f) the keeping of records concerning its acts and decisions,
                    (g) in the case of a board governed health corporation:
                          (i) the keeping of records concerning the acts and
                                decisions of the board, and
                         (ii) the procedure for the calling of meetings of the
                                board and for the conduct of business at those
                                meetings,
                    (h) the appointment and functions of its councils and
                         committees.
[23]   Section 60 (7)
       Insert after section 60 (6):
              (7)      In this section, relevant authority means:
                        (a) in relation to a board governed health corporation, the
                              Minister, and
                       (b) in relation to a chief executive governed health
                              corporation, the Director-General.
[24]   Section 61 Delegations by statutory health corporations
       Omit "Minister" wherever occurring in section 61 (2).
       Insert instead "relevant authority".




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[25]    Section 61 (4) (a)
        Omit "statutory". Insert instead "board governed".
[26]    Section 61 (5)
        Insert after section 61 (4):
               (5)    In this section, relevant authority means:
                       (a) in relation to a board governed health corporation, the
                             Minister, and
                      (b) in relation to a chief executive governed health
                             corporation, the Director-General.
[27]    Chapter 9, Part 3
        Insert after Part 2:

        Part 3        The Health Executive Service
        Division 1             Preliminary
       121A    Definitions (cf PSE&M Act s 63)
               (1)    In this Part:
                      contract of employment means a contract of employment under
                      this Part between a health executive and the Health
                      Administration Corporation.
                      executive position means:
                       (a) the position of chief executive of an area health service, or
                      (b) a position the subject of a determination referred to in
                             section 121B (1) (b).
                      health executive means a person holding an executive position.
                      remuneration package means the remuneration package for a
                      health executive determined for the time being by the Health
                      Administration Corporation under section 121J.
               (2)    In this Part, a reference to the remuneration package for a health
                      executive is, if a range of amounts has been determined by the
                      Health Administration Corporation, a reference to:
                       (a) the amount within that range nominated in the executive's
                             contract of employment, or
                      (b) in any other case, the minimum amount within that range.




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      Division 2             Composition of Health Executive Service
    121B     Composition of Health Executive Service (cf PSE&M Act s 65)
             (1)      The Health Executive Service comprises:
                      (a) the chief executives of the area health services, and
                      (b) the persons holding:
                            (i) such positions in the NSW Health Service involving
                                  employment in connection with public health
                                  organisations, other than positions in an affiliated
                                  health organisation, and
                           (ii) such positions in the Health Administration
                                  Corporation,
                           as are for the time being determined by the Health
                           Administration Corporation to be executive positions.
             (2)      A list of the positions determined for the time being under
                      subsection (1) (b) is to be made publicly available on the website
                      of the Department of Health.

      Division 3             Appointment and employment of health
                             executives
    121C     Appointment of health executives (cf PSE&M Act ss 17 and 24)
             (1)      Appointments to vacant executive positions are to be made by the
                      Health Administration Corporation.
             (2)      The Health Administration Corporation may appoint any person
                      employed in the NSW Health Service to act in an executive
                      position while the position is vacant or its holder is suspended,
                      sick or absent.
             (3)      While acting in an executive position, a person has all the
                      functions of the holder of the position, but does not thereby
                      become a health executive.
             (4)      The Health Administration Corporation may, at any time,
                      terminate the appointment of a person to act in an executive
                      position.
             (5)      This section does not prevent the payment of an allowance to a
                      person employed in the NSW Health Service for exercising all or
                      any of the functions of an executive position while the position is
                      vacant or its holder is suspended, sick or absent.




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    121D     Term appointments (cf PSE&M Act s 68)
             (1)    Subject to this Act, a health executive holds office for such period
                    (not exceeding 5 years) as is specified in the executive's
                    instrument of appointment, but is eligible (if otherwise qualified)
                    for re-appointment.
             (2)    A health executive may be re-appointed with effect before the
                    expiry of the executive's term of office. In that case, the
                    executive's existing term of office expires.
    121E     Employment of health executives to be governed by contract of
             employment (cf PSE&M Act s 69)
             (1)    The employment of a health executive is to be governed by a
                    contract of employment between the executive and the Health
                    Administration Corporation.
             (2)    A contract of employment may be made before or after the
                    appointment of the health executive concerned.
             (3)    A health executive is not appointed by, nor is a health executive's
                    term of office fixed by, the contract of employment.
             (4)    However, a contract of employment may constitute the
                    instrument of appointment if the person authorised to make the
                    appointment is also the person who signs the contract with the
                    health executive concerned.
             (5)    A contract of employment may be varied at any time by a further
                    contract between the parties.
             (6)    A contract of employment may not vary or exclude a provision of
                    this Act or the regulations.
    121F     Matters regulated by contract of employment (cf PSE&M Act s 70)
             (1)    The matters to be dealt with in a contract of employment between
                    a health executive and the Health Administration Corporation
                    include the following:
                     (a) the duties of the executive's position (including
                          performance criteria for the purpose of reviews of the
                          executive's performance),
                    (b) the monetary remuneration and employment benefits for
                          the executive as referred to in Division 4 (including the
                          nomination of the amount of the remuneration package if
                          a range of amounts has been determined for the
                          remuneration package).




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             (2)      A contract of employment may provide for any matter to be
                      determined:
                      (a) by further agreement between the parties, or
                      (b) by further agreement between the health executive
                            concerned and some other person specified in the contract,
                            or
                      (c) by the Health Administration Corporation or by some
                            other person or body specified in the contract.
    121G     Performance reviews (cf PSE&M Act s 71)
             (1)      A health executive's performance must be reviewed, at least
                      annually, by such person as may be nominated by the Health
                      Administration Corporation.
             (2)      Any such review is to have regard to the agreed performance
                      criteria for the position and any other relevant matter.
    121H     Industrial arbitration or legal proceedings excluded (cf PSE&M Act s
             72)
             (1)      In this section, a reference to the employment of a health
                      executive is a reference to:
                       (a) the appointment of, or failure to appoint, a person to a
                            vacant executive position, or
                      (b) the removal, retirement, termination of employment or
                            other cessation of office of a health executive, or
                       (c) any disciplinary proceedings or disciplinary action taken
                            against a health executive, or
                      (d) the remuneration or conditions of employment of a health
                            executive.
             (2)      The employment of a health executive, or any matter, question or
                      dispute relating to any such employment, is not an industrial
                      matter for the purposes of the Industrial Relations Act 1996.
             (3)      Subsection (2) applies whether or not any person has been
                      appointed to a vacant executive position.
             (4)      Part 6 (Unfair dismissals) and Part 9 (Unfair contracts) of
                      Chapter 2 of the Industrial Relations Act 1996 do not apply to or
                      in respect of the employment of a health executive.
             (5)      Any State industrial instrument (whether made before or after the
                      commencement of this section) does not have effect in so far as
                      it relates to the employment of health executives.




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             (6)    Subsection (5) does not prevent the regulations from applying the
                    provisions of an award or industrial agreement to the
                    employment of a health executive.
             (7)    An appeal does not lie to the Government and Related Employees
                    Appeal Tribunal in relation to the employment of a health
                    executive.
             (8)    No proceedings for an order in the nature of prohibition,
                    certiorari or mandamus or for a declaration or injunction or for
                    any other relief, lie in respect of the appointment of or failure to
                    appoint a person to an executive position, the entitlement or
                    non-entitlement of a person to be so appointed or the validity or
                    invalidity of any such appointment.
             (9)    In this section, industrial agreement includes any determination
                    under section 115.

      Division 4          Remuneration of health executives
     121I    Definitions (cf PSE&M Act s 73)
                    In this Division:
                    approved means approved for the time being, in writing, by the
                    Health Administration Corporation, either generally or in relation
                    to any health executive or class of health executives.
                    employment benefit means:
                     (a) contributions payable to a superannuation scheme by the
                           Health Administration Corporation in respect of a health
                           executive, including any liability of the Corporation to
                           make any such contributions or to pay approved costs
                           associated with that scheme, or
                    (b) the provision by the Health Administration Corporation of
                           a motor vehicle for private use by a health executive, or
                     (c) any other approved benefit provided to a health executive
                           at the cost of the Health Administration Corporation (being
                           a benefit of a private nature).
                    monetary remuneration includes allowances paid in money, but
                    does not include:
                     (a) travelling or subsistence allowances, or
                    (b) allowances in relation to relocation expenses, or
                     (c) any other allowances in relation to expenses incurred in the
                           discharge of a health executive's duties.




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                      superannuation scheme means a superannuation scheme
                      established by or under an Act or approved for the purposes of
                      this definition.
    121J     Determination of remuneration packages
             (1)      The Health Administration Corporation may from time to time
                      determine the remuneration packages for health executives.
             (2)      The amount of the remuneration package for a health executive
                      is to be no less than the minimum amount that may be determined
                      by the Statutory and Other Offices Remuneration Tribunal under
                      Part 3A of the Statutory and Other Offices Remuneration Act
                      1975 with respect to the remuneration package for an executive
                      officer within the meaning of Part 3.1 of the Public Sector
                      Employment and Management Act 2002.
    121K     Monetary remuneration and employment benefits for health
             executives (cf PSE&M Act s 74)
             (1)      Health executives are entitled to monetary remuneration at such
                      rate, and employment benefits of such kinds, as are provided in
                      their contract of employment.
             (2)      Contributions payable to a superannuation scheme by the Health
                      Administration Corporation in respect of a health executive that
                      are required to be made by the Corporation under a law of the
                      State relating to superannuation are, until provided for by the
                      executive's contract of employment, taken to be an employment
                      benefit provided in the contract.
             (3)      The total amount of:
                       (a) the annual rate of monetary remuneration for a health
                             executive, and
                      (b) the annual cost of employment benefits provided for a
                             health executive under the relevant contract of
                             employment,
                      is to be equal to the amount of the remuneration package for the
                      executive.
             (4)      The cost of an employment benefit is the approved amount or an
                      amount calculated in the approved manner.
             (5)      This section does not affect:
                      (a) any approved performance-related incentive payments
                            made to a health executive, or




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                    (b)   any remuneration or benefits to which a health executive is
                          otherwise entitled by law (such as statutory or agreed fees
                          for attendance at meetings or the like).
             (6)    A contract of employment may provide for the payment of part
                    of the monetary remuneration under the contract to be made in
                    the form of a periodic leave loading.
             (7)    A health executive is entitled to be paid an amount equivalent to
                    the approved cost of a part of any entitlement to take annual or
                    extended leave with pay if the executive forgoes (with the
                    approval of the Health Administration Corporation) the right to
                    take that part of that leave. This subsection has effect despite
                    anything to the contrary in the Annual Holidays Act 1944 or any
                    other Act.
             (8)    During any period when the monetary remuneration and
                    employment benefits for a health executive cannot be determined
                    under subsection (1), the executive is entitled to monetary
                    remuneration at the rate of the amount of the remuneration
                    package for the executive, subject to any subsequent adjustment
                    of payments in accordance with the executive's contract of
                    employment.
             (9)    If the remuneration package for a health executive is varied, the
                    executive is entitled to monetary remuneration and employment
                    benefits in accordance with the executive's contract of
                    employment pending any necessary variation of the contract and
                    adjustment of payments to comply with this section with effect
                    from the date of the variation.
    121L     Travelling and subsistence allowances etc (cf PSE&M Act s 75)
             (1)    A health executive is entitled to be paid:
                    (a) such travelling and subsistence allowances, and
                    (b) such allowances in relation to relocation expenses, and
                    (c) such other allowances in relation to expenses incurred in
                           the discharge of the executive's duties,
                    as the Health Administration Corporation may from time to time
                    determine in respect of the executive.
             (2)    A health executive's contract of employment:
                    (a) may provide for the payment to the executive of
                          allowances of the kind referred to in this section, and
                    (b) may regulate the payment of allowances to the executive
                          under this section.



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      Division 5             Removal, retirement etc of health executives
   121M      Vacation of executive positions (cf PSE&M Act s 76)
             (1)      The position of a health executive becomes vacant if the
                      executive:
                      (a) dies, or
                      (b) completes a term of office and is not re-appointed, or
                      (c) is removed from office, or retires or is retired from office,
                            under this or any other Act, or
                      (d) resigns his or her position in writing addressed to the
                            Health Administration Corporation and the Corporation
                            accepts the resignation.
             (2)      This section does not affect any other provision by or under
                      which a health executive vacates his or her position.
    121N     Removal of health executives from office (cf PSE&M Act s 77)
             (1)      The Health Administration Corporation may remove a health
                      executive from an executive position at any time for any or no
                      reason and without notice.
             (2)      The Health Administration Corporation:
                      (a) may declare a health executive who is removed from an
                           executive position by the Corporation under subsection (1)
                           to be an unattached officer, and
                      (b) may revoke any such declaration.
             (3)      While a declaration under subsection (2) remains in force, the
                      person to whom the declaration relates:
                      (a) is to be regarded as a health executive, although not
                            holding an executive position, and
                      (b) is entitled to monetary remuneration and employment
                            benefits as if the person had not been removed from his or
                            her position.
             (4)      If:
                       (a)  a health executive is removed from an executive position
                            under subsection (1) and a declaration is not made in
                            relation to the executive under subsection (2), or
                      (b) a declaration under subsection (2) made in relation to a
                            health executive is revoked,
                      the executive ceases to be a health executive, unless appointed to
                      some other executive position.



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             (5)    A person who ceases to be a health executive because of
                    subsection (4) ceases to be a member of staff of the Health
                    Administration Corporation unless appointed to some other
                    position on the staff of the Corporation.
             (6)    The making of a declaration under subsection (2) in relation to a
                    health executive does not prevent the executive from ceasing to
                    be a health executive because of the completion of the
                    executive's term of office.
             (7)    Clause 11 of Schedule 4 to the Public Sector Employment and
                    Management Act 2002 applies to and in respect of a person:
                    (a) who ceases to be a health executive pursuant to this
                           section, and
                    (b) who, immediately before he or she became a health
                           executive, was an executive officer to whom that clause
                           applied,
                    as it would have applied to the person had he or she ceased to be
                    an executive officer, as referred to in clause 11 (7) of that
                    Schedule, when he or she ceased to be a health executive.
    121O     Compensation etc where health executive is removed from office
             (cf PSE&M Act s 78)
             (1)    This section applies to the following persons:
                    (a) a health executive who is removed from office under
                          section 121N (1) and ceases to be a health executive
                          because of section 121N (4),
                    (b) a health executive who is otherwise removed from office
                          (except for misbehaviour after due inquiry),
                    (c) a health executive who was employed in the NSW Health
                          Service when first appointed as a health executive, whose
                          term of office as a health executive expires and who is not
                          re-appointed.
                    However, this section does not apply to or in respect of a health
                    executive who consents to a transfer at a lower level of
                    remuneration.
             (2)    A person to whom this section applies is entitled to such
                    compensation (if any) as the Statutory and Other Offices
                    Remuneration Tribunal determines.
             (3)    The Statutory and Other Offices Remuneration Tribunal:
                    (a) may determine that compensation is payable for the failure
                          to re-appoint a health executive only if the Tribunal is



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                             satisfied that the person had a reasonable expectation of
                             being re-appointed, and
                      (b)    must have regard to any general directions given to the
                             Tribunal by the Minister as to the matters to be taken into
                             consideration when it makes determinations under this
                             section.
             (4)      The maximum compensation payable is an amount equal to the
                      person's remuneration package for the period of 38 weeks.
             (5)      The person is not entitled to any other compensation for the
                      removal or retirement from office or for the failure to re-appoint
                      the person or to any remuneration in respect of the office for any
                      period afterwards (except remuneration in respect of a
                      subsequent re-appointment to the office).
             (6)      A health executive who is removed from office or not
                      re-appointed is not entitled to compensation under this section if:
                       (a) the person is appointed on that removal or expiry of term
                            of office:
                             (i) to another executive position within the meaning of
                                   this Part, or
                            (ii) to an executive position within the meaning of the
                                   Public Sector Employment and Management Act
                                   2002, and
                      (b) the remuneration package for the holder of that position is
                            not less than the remuneration package for the holder of the
                            former position.
             (7)      If the Statutory and Other Offices Remuneration Tribunal
                      determines that compensation is payable under this section, it
                      must, in its determination, specify the period to which the
                      compensation relates.
             (8)      During the period so specified, the person:
                      (a) may not be employed in a public sector service within the
                            meaning of the Public Sector Employment and
                            Management Act 2002, and
                      (b) may not be employed in the service of a State owned
                            corporation or a subsidiary of a State owned corporation,
                            and
                      (c) may not be appointed to any statutory office,
                      unless arrangements are made for a refund of the proportionate
                      amount of the compensation.




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      Division 6          General
    121P     Incumbent officers' accrued leave (cf PSE&M Act s 80)
             (1)    A person who:
                     (a) was a chief executive of a statutory health corporation, or
                           was employed in the public sector, when appointed to an
                           executive position, and
                    (b) had a right to accrued extended or annual leave with pay
                           immediately before that appointment, and
                     (c) has not taken that leave before taking up duties in the
                           executive position,
                    is entitled, on taking up those duties, to be paid instead of that
                    leave (or any part of that leave) the money value of that leave (or
                    part) as a gratuity if the person so elects.
             (2)    An election under this section is to be made within the time and
                    in the manner determined by the Health Administration
                    Corporation.
             (3)    The money value of leave is to be calculated at the rate of pay of
                    the person immediately before appointment to the executive
                    position.
             (4)    A person who was a chief executive of a statutory health
                    corporation, or was employed in the public sector, when
                    appointed to an executive position retains any right to extended,
                    annual, sick or other leave accrued or accruing to the person
                    immediately before the appointment (except any accrued leave
                    which is paid out by a gratuity under subsection (1)).
             (5)    In this section, a reference to employment in the public sector is
                    a reference to:
                     (a) employment in the NSW Health Service, the Public
                           Service or the Teaching Service, or
                    (b) employment as a member of NSW Police, or
                     (c) employment as an officer in the service of a public
                           authority within the meaning of Part 3.1 of the Public
                           Sector Employment and Management Act 2002, or
                    (d) appointment to a statutory office.
    121Q     Effect on incumbent when position ceases to be executive
             position (cf PSE&M Act s 81)
             (1)    If a position ceases to be designated as an executive position by
                    a determination under section 121B (1) (b):



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                       (a)    the position is abolished, and
                       (b)    any person holding the position ceases to be a member of
                              staff of the Health Administration Corporation unless
                              appointed to some other position on the staff of the
                              Corporation or declared to be an authorised officer under
                              section 121N (2).
              (2)      A person referred to in subsection (1) (b) has the same rights and
                       obligations as if the person had ceased to be a health executive
                       because of section 121N (4).
              (3)      A determination under section 121B (1) (b) that omits or adds an
                       executive position may contain other provisions of a savings or
                       transitional nature consequent on a position becoming or ceasing
                       to be an executive position or becoming a different kind of
                       executive position.
       121R   Change in title of positions (cf PSE&M Act s 82)
                       A position referred to in a determination under section 121B (1)
                       (b) does not cease to be an executive position merely because of
                       a change in the title of the position.
       121S   Approval to undertake other paid work (cf PSE&M Act s 83)
                       A health executive is not to undertake any paid work outside the
                       duties of the executive position without the consent of the Health
                       Administration Corporation.
       121T   Operation of Part (cf PSE&M Act s 84)
                       This Part prevails over any inconsistent provision of any other
                       Act or law or of the terms of appointment of or contract with a
                       person.
[28]    Schedule 2
        Omit the Schedule. Insert instead:

        Schedule 2               Statutory health corporations
                                                                             (Section 41)



        Column 1                                                 Column 2
        Name of statutory health corporation                     Nature of governance
        Clinical Excellence Commission                           Board



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Principal amendments to Health Services Act 1997                            Schedule 1




       Column 1                                                 Column 2
       Name of statutory health corporation                     Nature of governance
       HealthQuest                                              Board
       Justice Health                                           Board
       The Royal Alexandra Hospital for Children                Chief executive
       The Stewart House Preventorium, Curl Curl                Board

[29]   Schedule 7 Savings and transitional provisions
       Insert at the end of clause 1 (1):
                        Health Services Amendment Act 2004 (but only to the extent that
                        it amends this Act)
[30]   Schedule 7
       Insert at the end of the Schedule, with appropriate Part and clause numbers:

       Part             Provisions consequent on the enactment
                        of the Health Services Amendment Act
                        2004
              Definition
                        In this Part, the 2004 amending Act means the Health Services
                        Amendment Act 2004.
              Abolition of area health boards
              (1)       Each area health board constituted under section 23, as in force
                        immediately before the commencement of Schedule 1 [2] to the
                        2004 amending Act, is abolished.
              (2)       The members of each area health board cease to hold office on the
                        commencement of Schedule 1 [2] to the 2004 amending Act, but
                        are not entitled to be paid any compensation by reason of ceasing
                        to hold office.
              (3)       The chief executive officer of an area health service is not
                        removed from office just because he or she ceases to be a member
                        of the area health board for the service.




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             Abolition of health corporation board for The Royal Alexandra
             Hospital for Children
             (1)      The health corporation board for The Royal Alexandra Hospital
                      for Children, as existing immediately before the commencement
                      of Schedule 1 [28] to the 2004 amending Act, is abolished.
             (2)      The members of the health corporation board for The Royal
                      Alexandra Hospital for Children cease to hold office on the
                      commencement of Schedule 1 [28] to the 2004 amending Act, but
                      are not entitled to be paid any compensation by reason of ceasing
                      to hold office.
             Appointment of first health executives
             (1)      This clause applies to the following positions:
                      (a) the position of chief executive of an area health service,
                      (b) a position that, as at the commencement of this clause, is
                            the subject of a determination in force under section 121B
                            (1) (b).
             (2)      On the commencement of Schedule 1 [27] to the 2004 amending
                      Act, a person who, immediately before that commencement, held
                      a position to which this clause applies, or was an appointee to
                      such a position, is taken to have been appointed to the position
                      under section 121C (1).
             (3)      Until further provision is made under Part 3 of Chapter 9, the
                      person's conditions of employment (including remuneration) are,
                      subject to that Part, to be the same as those that applied to the
                      person immediately before the commencement of Schedule 1
                      [27] to the 2004 amending Act.
             (4)      An appointment by the Governor under section 28, as in force
                      immediately before the commencement of Schedule 1 [2] to the
                      2004 amending Act, has the same effect as if it were an
                      appointment by the Health Administration Corporation under
                      section 121C, as inserted by that Act.
             Existing executive officers
                      Any person within the NSW Health Service who, immediately
                      before the commencement of Schedule 1 [27] to the 2004
                      amending Act, was an executive officer under Part 3.1 of the
                      Public Sector Employment and Management Act 2002, is taken,
                      on that commencement, to be a health executive under Part 3 of
                      Chapter 9 of this Act.




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             Unattached officers
                    Any person who, immediately before the commencement of
                    section 121N, was an unattached officer under section 77 of the
                    Public Sector Employment and Management Act 2002, being a
                    person who was then:
                     (a) an employee in the NSW Health Service, or
                    (b) an employee of an area health service, having been the
                           chief executive officer of the service immediately before
                           he or she became an unattached officer,
                    is taken, on that commencement, to be an unattached officer
                    under section 121N.




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                   Health Services Amendment Bill 2004

Schedule 2         Consequential amendments to Health Services Act 1997




Schedule 2               Consequential amendments to Health
                         Services Act 1997
                                                                            (Section 3)
[1]   The whole Act (except to the extent to which its provisions are otherwise
      amended or repealed by this Act and except Schedule 7)
      Omit "chief executive officer" and "chief executive officers" wherever
      occurring.
      Insert instead "chief executive" and "chief executives", respectively.
[2]   Section 5 Notes
      Insert at the end of the note to the section:

                        �   PSE&M Act: Public Sector Employment and Management Act
                            2002

[3]   Section 16 Who constitutes the NSW Health Service?
      Omit "Public Sector Management Act 1988" from the note to the section.
      Insert instead "Public Sector Employment and Management Act 2002".
[4]   Chapter 3, Introductory note
      Omit "constitutes area health boards for each area health service and".
[5]   Chapter 3, Introductory note
      Insert "and control" after "manage".
[6]   Section 33 Staff of area health services
      Omit section 33 (2) (including the note). Insert instead:
             (2)      Chapter 2 of the Public Sector Employment and Management Act
                      2002 does not apply to or in respect of persons employed under
                      this section.
[7]   Section 40 Delegations by area health service
      Omit section 40 (4) (a).
[8]   Chapter 4, Introductory note
      Omit "each statutory health corporation".
      Insert instead "those statutory health corporations that Schedule 2 indicates are
      to be board governed".



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Consequential amendments to Health Services Act 1997                      Schedule 2




 [9]   Chapter 4, Introductory note
       Insert at the end of the first paragraph "Statutory health corporations are
       governed either by a health corporation board or else by a chief executive who,
       in either case, is responsible for the management of its affairs.".
[10]   Section 43 Dissolution, transfer, amalgamation or change of name or
       nature of governance of statutory health corporations
       Insert "or nature of governance" after "name" in section 43 (1) (d).
[11]   Section 43 (4)
       Insert "or nature of governance" after "name".
[12]   Chapter 4, Part 2, Division 1, heading
       Insert before section 46:

       Division 1          Board governed health corporations
[13]   Sections 46, 47, 49 and 52
       Omit "statutory" wherever occurring. Insert instead "board governed".
[14]   Section 52 Removal of members and appointment of administrator
       Insert "(other than the chief executive)" after "board" in section 52 (1) (c).
[15]   Section 54 Staff of statutory health corporations
       Omit section 54 (2) (including the note). Insert instead:
              (2)   Chapter 2 of the Public Sector Employment and Management Act
                    2002 does not apply to or in respect of persons employed under
                    this section.
[16]   Section 115 Determination of conditions of employment of staff
       Omit "Part 2A of the Public Sector Management Act 1988" from section 115
       (9).
       Insert instead "Part 3 of Chapter 9 of this Act or Part 3.1 of the Public Sector
       Employment and Management Act 2002".
[17]   Section 115 (9) (a)
       Omit the paragraph.




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Schedule 2       Consequential amendments to Health Services Act 1997




[18]   Section 115 (9) (b) and (c)
       Omit "to that Part" wherever occurring.
       Insert instead "to either of those Parts".
[19]   Schedule 4, heading
       Insert "or nature of governance" after "name".
[20]   Schedule 4, clause 2 (b)
       Insert "or nature of governance" after "name".
[21]   Schedule 4, clause 3 (1) (b)
       Omit the paragraph.
[22]   Schedule 4, clause 3 (2) (b)
       Omit the paragraph.
[23]   Schedule 4, clause 3 (4)
       Omit "Part 2A of the Public Sector Management Act 1988".
       Insert instead "Part 3 of Chapter 9".
[24]   Schedule 4, clause 4 (1) (b)
       Omit the paragraph. Insert instead:
                    (b) in the case of a board governed health corporation, the
                         members of the board cease to hold office, but are not
                         entitled to be paid any compensation by reason of ceasing
                         to hold office, and
[25]   Schedule 4, clause 4 (2) (b)
       Omit the paragraph. Insert instead:
                    (b) in the case of a board governed health corporation, the
                         members of the board cease to hold office, but are not
                         entitled to be paid any compensation by reason of ceasing
                         to hold office, and
[26]   Schedule 4, clause 4 (3) (b)
       Omit the paragraph. Insert instead:
                    (b) the members of any board governed health corporation
                         involved in the amalgamation cease to hold office, and:
                          (i) if the amalgamated corporation is a board governed
                                health corporation, are eligible (if otherwise



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Consequential amendments to Health Services Act 1997                      Schedule 2




                                    qualified) to be appointed as members of the board
                                    of the amalgamated corporation, and
                            (ii)    are not entitled to be paid any compensation by
                                    reason of ceasing to hold office, and
[27]   Schedule 4, clause 4 (4A)
       Insert after clause 4 (4):
            (4A)     Change of governance orders
                     On and from the date specified in an order made under section 43
                     (1) (d) changing the nature of governance of a statutory health
                     corporation from board governance to chief executive
                     governance, the members of the board for the corporation cease
                     to hold office, but are not entitled to be paid any compensation by
                     reason of ceasing to hold office.
[28]   Schedule 4, clause 4 (5)
       Omit "Part 2A of the Public Sector Management Act 1988".
       Insert instead "Part 3 of Chapter 9 of this Act or Part 3.1 of the Public Sector
       Employment and Management Act 2002".
[29]   Schedule 5, heading
       Omit "area health boards and".
[30]   Schedule 5
       Omit "(Sections 27 and 50)". Insert instead "(Section 50)".
[31]   Schedule 5, clause 1, definition of "Board"
       Omit "an area health board or".
[32]   Schedule 5, clause 1, definition of "elected staff member"
       Omit "an area health board or". Insert instead "a".
[33]   Schedule 5, clause 1, definition of "member"
       Omit paragraph (a).
[34]   Schedule 5, clause 2 (1), definition of "employee"
       Omit paragraph (a).




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Schedule 2       Consequential amendments to Health Services Act 1997




[35]   Schedule 5, clause 2 (4)
       Omit "an area health service or". Insert instead "a".
[36]   Schedule 5, clause 2 (4)
       Omit "(as the case may be)".
[37]   Schedule 5, clause 2 (4)
       Omit "service or" where secondly occurring.
[38]   Schedule 5, clause 2 (5), (6), (7) and (10)
       Omit "area health service or" wherever occurring.
[39]   Schedule 5, clause 7 (h)
       Omit "area health service or".
[40]   Schedule 5, clause 7 (i)
       Omit "29 or".
[41]   Schedule 5, clause 9 (1)
       Omit "Part 2 of the Public Sector Management Act 1988".
       Insert instead "Chapter 2 of the Public Sector Employment and Management
       Act 2002".
[42]   Dictionary
       Omit the definition of area health board from Part 1.
[43]   Dictionary, Part 1, definition of "board"
       Omit paragraph (a).
[44]   Dictionary, Part 1, definition of "chief executive" (as amended by item
       [1])
       Omit "corporation" from paragraph (a). Insert instead "service".
[45]   Dictionary, Part 1, definitions of "board governed health corporation",
       "chief executive governed health corporation" and "Health Executive
       Service"
       Insert in alphabetical order:
                    board governed health corporation means a statutory health
                    corporation that, as specified in Schedule 2, is governed by a
                    board.



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Consequential amendments to Health Services Act 1997                    Schedule 2




                   chief executive governed health corporation means a statutory
                   health corporation that, as specified in Schedule 2, is governed by
                   a chief executive.
                   Health Executive Service means the Health Executive Service
                   referred to in section 121B.




                                                                            Page 33
               Health Services Amendment Bill 2004


Schedule 3     Amendments to Public Sector Employment and Management Act 2002




Schedule 3           Amendments to Public Sector
                     Employment and Management Act 2002
                                                                       (Section 4)
[1]   Section 63 Definitions
      Insert ", the Health Service" after "Teaching Service" in the definition of
      public authority in section 63 (1).
[2]   Section 77 Removal of executive officers from office
      Omit "the Health Service," from section 77 (6).
[3]   Schedule 2 Executive positions (other than non-statutory SES positions)
      Omit from Part 3:
                  Chief executive officer of an area health board




Page 34


 


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