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NURSES AND MIDWIVES AMENDMENT (PERFORMANCE ASSESSMENT) BILL 2004





                        New South Wales




Nurses and Midwives Amendment
(Performance Assessment) Bill 2004


Contents

                                                                 Page
           1   Name of Act                                         2
           2   Commencement                                        2
           3   Amendment of Nurses and Midwives Act 1991 No 9      2
  Schedule 1   Amendments                                          3
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




Nurses and Midwives Amendment
(Performance Assessment) Bill 2004
Act No      , 2004




An Act to amend the Nurses and Midwives Act 1991 with respect to the performance
assessment of the professional performance of nurses and midwives; 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      Nurses and Midwives Amendment (Performance Assessment) Bill 2004




The Legislature of New South Wales enacts:
 1    Name of Act
           This Act is the Nurses and Midwives Amendment (Performance
           Assessment) Act 2004.
 2    Commencement
           This Act commences on a day or days to be appointed by proclamation.
 3    Amendment of Nurses and Midwives Act 1991 No 9
           The Nurses and Midwives Act 1991 is amended as set out in Schedule 1.




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Nurses and Midwives Amendment (Performance Assessment) Bill 2004

Amendments                                                               Schedule 1




Schedule 1             Amendments
                                                                            (Section 3)
[1]   Section 3 Definitions
      Insert in alphabetical order in section 3 (1):
                    assessor means a person appointed as an assessor under
                    Division 6 of Part 4A.
                    Performance Review Panel means a Performance Review Panel
                    constituted under Division 6 of Part 4A.
[2]   Part 4A
      Insert after Part 4:

      Part 4A Performance assessment
      Division 1             Preliminary
      42E    Meaning of "professional performance"
                    For the purposes of this Part, a reference to the professional
                    performance of a nurse or midwife is a reference to the
                    knowledge, skill or care possessed and applied by the nurse or
                    midwife in the practice of nursing or midwifery.
      42F    Meaning of "unsatisfactory" in relation to professional
             performance
                    For the purposes of this Part, the professional performance of a
                    nurse or midwife is unsatisfactory if it is below the standard
                    reasonably expected of a nurse or midwife of an equivalent level
                    of training or experience.

      Division 2             Board may obtain performance assessment
      42G    Power to obtain assessment
                    The Board may have the professional performance of a nurse or
                    midwife assessed under this Part if any matter comes to its
                    attention that indicates that the professional performance of the
                    nurse or midwife, or any aspect of the nurse's or midwife's
                    professional performance, is unsatisfactory. This is not limited to
                    matters that are the subject of a complaint or notification to the
                    Board.




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Schedule 1       Amendments




     42H       Serious matters not to be referred for assessment
               (1)   The Board must not have the professional performance of a nurse
                     or midwife assessed under this Part if a matter giving rise to the
                     proposed assessment:
                     (a) raises a significant issue of public health or safety, or
                     (b) raises a prima facie case of professional misconduct by the
                           nurse or midwife, or unsatisfactory professional conduct
                           by the nurse or midwife.
               (2)   Any such matter is to be dealt with as a complaint.
         42I   Persons may notify the Board of professional performance
               matters
               (1)   A person may notify the Board of any matter that the person
                     thinks indicates that the professional performance of a nurse or
                     midwife is unsatisfactory.
               (2)   The Board is not to have the professional performance of the
                     nurse or midwife concerned assessed on the basis of that
                     notification if it is made anonymously.
                     Note. A complaint can be made by any person (see section 44). The
                     complaint must be in writing and contain particulars of the allegations on
                     which it is founded (see section 44). A complaint can be treated by the
                     Board as a performance assessment matter (see section 45), but the
                     Board must consult with the Commission before taking any action with
                     respect to the complaint (see section 46).

     42J       Commission may refer professional performance matters to Board
               (1)   If the Commission becomes aware of any matter that the
                     Commission considers indicates that the professional
                     performance of a nurse or midwife is unsatisfactory, the
                     Commission may refer the matter to the Board.
               (2)   This section does not affect the functions of the Board in relation
                     to a complaint made to the Commission or a matter referred to the
                     Commission for investigation.

      Division 3            Assessment of professional performance by
                            assessor
     42K       How Board obtains an assessment
                     The Board has the professional performance of a nurse or
                     midwife assessed by having one or more assessors conduct an
                     assessment of the nurse's or midwife's professional performance,
                     or of any particular aspect or aspects of the nurse's or midwife's
                     professional performance.


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Nurses and Midwives Amendment (Performance Assessment) Bill 2004

Amendments                                                             Schedule 1




     42L     Information to be given to nurse or midwife
             (1)   As soon as practicable after deciding to have the professional
                   performance of a nurse or midwife assessed, the Board is to
                   inform the nurse or midwife in writing of that decision.
             (2)   The information given to the nurse or midwife is to include the
                   following:
                    (a) details of the matter or matters that gave rise to the
                         assessment,
                   (b) information about how the performance assessment
                         process under this Part works.
     42M     Report and recommendations by assessor
             (1)   An assessor who is required by the Board to conduct an
                   assessment of a nurse's or midwife's professional performance is
                   to:
                    (a) conduct an assessment of the nurse's or midwife's
                         professional performance, and
                   (b) report in writing on that assessment to the Board.
             (2)   The report is to include such recommendations as the assessor
                   considers appropriate.
             (3)   If more than one assessor is appointed to assess the professional
                   performance of a nurse or midwife, the report may be made
                   jointly or separately, but in any case is to be made in the manner
                   directed by the Board.
     42N     Action that may be taken by Board
             (1)   After receiving the report of an assessor, the Board may:
                   (a) determine that no further action should be taken in respect
                          of the nurse or midwife concerned, or
                   (b) require a Performance Review Panel to conduct a review
                          of the professional performance of the nurse or midwife, or
                   (c) make a complaint against the nurse or midwife in
                          accordance with Part 5, or
                   (d) refer the matter to an Impairment Panel, or
                   (e) counsel the nurse or midwife concerned or direct the nurse
                          or midwife concerned to attend counselling.
             (2)   The Board must make a complaint against the nurse or midwife
                   concerned if the assessment:
                   (a) raises a significant issue of public health or safety, or


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Schedule 1     Amendments




                   (b)   raises a prima facie case of professional misconduct by a
                         nurse or midwife, or unsatisfactory professional conduct
                         by a nurse or midwife.
             (3)   This section does not limit the Board's powers under section 48.

      Division 4         Performance review by Performance Review
                         Panel
     42O     Performance Review Panel to conduct performance review
             (1)   A Performance Review Panel is to conduct a review (referred to
                   in this Part as a performance review) of the professional
                   performance of a nurse or midwife if required to do so by the
                   Board.
             (2)   The chairperson of the Performance Review Panel is to inform
                   the nurse or midwife concerned in writing that a performance
                   review will be conducted not less than 14 days before the time
                   and place appointed for the performance review.
     42P     Performance Review Panel not to take action while Commission
             investigating
                   A Performance Review Panel is not to take any action in relation
                   to a nurse or midwife if the Panel becomes aware that the nurse
                   or midwife is the subject of a complaint that is being investigated
                   by the Commission, unless the Commission agrees to the
                   continuation of the performance review.
     42Q     Performance Review Panel must refer certain matters to Board
             (1)   A Performance Review Panel must terminate a performance
                   review if before or during the performance review the Panel
                   forms an opinion that:
                    (a) the performance review raises a significant issue of public
                         health or safety, or
                   (b) the performance review raises a prima facie case of
                         professional misconduct by a nurse or midwife, or
                         unsatisfactory professional conduct by a nurse or midwife.
             (2)   When the Performance Review Panel terminates a performance
                   review because of subsection (1), it must refer the issue or case
                   back to the Board with a recommendation that a complaint be
                   made against the nurse or midwife concerned.
             (3)   The Board is to deal with the matter accordingly.




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Amendments                                                               Schedule 1




     42R     Actions by Performance Review Panel
             (1)   At the completion of a performance review, a Performance
                   Review Panel may make such recommendations to the Board in
                   respect of the nurse or midwife concerned as the Panel considers
                   appropriate.
             (2)   Without limiting subsection (1), if the Performance Review
                   Panel finds that the professional performance of the nurse or
                   midwife, or a particular aspect of the professional performance of
                   the nurse or midwife, is unsatisfactory, the Panel may do any one
                   or more of the following things:
                    (a) direct that such conditions, relating to the person's
                         practising nursing or midwifery, as it considers
                         appropriate be imposed on the person's registration or
                         enrolment,
                   (b) order that the nurse or midwife complete such educational
                         courses as are specified by the Panel,
                    (c) order that the nurse or midwife report on his or her practice
                         of nursing or midwifery at the times, in the manner and to
                         the persons specified by the Panel,
                   (d) order that the nurse or midwife seek and take advice, in
                         relation to the management of his or her practice of nursing
                         or midwifery, from such persons as are specified by the
                         Panel.
             (3)   If the Performance Review Panel finds that a matter:
                    (a) raises a significant issue of public health or safety, or
                   (b) raises a prima facie case of professional misconduct by a
                          nurse or midwife, or unsatisfactory professional conduct
                          by a nurse or midwife,
                   the Panel must recommend to the Board that a complaint be made
                   against the nurse or midwife concerned, in which case the Board
                   is to deal with the matter accordingly.
             (4)   In any other case that the Board thinks it appropriate to do so, the
                   Board may make a complaint in respect of a matter that has been
                   considered by a Performance Review Panel, after consulting with
                   the Commission.
     42S     Re-assessment
             (1)   Without limiting section 42R, a Performance Review Panel may
                   direct that a nurse's or midwife's professional performance be
                   re-assessed at a future date.



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Schedule 1     Amendments




             (2)   The Board is to have one or more assessors conduct that
                   assessment, when it is required, and report to the Board on the
                   assessment.
             (3)   The Board may take any action in respect of that assessment that
                   is available to the Board under section 42N, including requiring
                   a Performance Review Panel to conduct a further performance
                   review in relation to the nurse or midwife.
     42T     Decision
             (1)   A Performance Review Panel must provide a written statement of
                   a decision on a performance review to the nurse or midwife
                   concerned and to the Board, and must do so within one month
                   after the decision is made.
             (2)   The statement of the decision must include reasons for the
                   decision.
             (3)   The Board may provide a copy of the statement of decision to
                   such other persons as the Board thinks fit.
     42U     Statement need not contain confidential information
             (1)   A Performance Review Panel is not required to include
                   confidential information in the statement of a decision. If a
                   statement would be false or misleading if it did not include the
                   confidential information, the Panel is not required to provide the
                   statement.
             (2)   When confidential information is not included in the statement of
                   a decision provided to a person or the statement is not provided
                   to a person because of subsection (1), the Performance Review
                   Panel must give a confidential information notice to the person.
             (3)   A confidential information notice is a notice that indicates that
                   confidential information is not included or that the statement will
                   not be provided (as appropriate) and gives the reasons for this.
                   The notice must be in writing and must be given within one
                   month after the decision is made.
             (4)   This section does not affect the power of a court to make an order
                   for the discovery of documents or to require the giving of
                   evidence or the production of documents to a court, subject to the
                   provisions of this Act relating to protected reports.




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Amendments                                                              Schedule 1




      Division 5         Other provisions relating to performance
                         assessment
     42V     Monitoring by Board
             (1)   Following a performance review by a Performance Review
                   Panel, the Board is to:
                   (a) monitor compliance with any orders made by the Panel,
                         and
                   (b) from time to time evaluate the effectiveness of those orders
                         in improving the professional performance of the nurse or
                         midwife concerned to a standard that is commensurate
                         with other nurses or midwives of an equivalent level of
                         training or experience.
             (2)   The Board may take any action under this Act in respect of a
                   nurse or midwife that it considers appropriate as a result of the
                   exercise of its functions under subsection (1).
    42W      Other provisions relating to performance assessments
                   Schedule 2A has effect.

      Division 6         Performance Review Panels and assessors
     42X     Performance Review Panels
             (1)   There are to be Performance Review Panels for the purposes of
                   this Act.
             (2)   A Performance Review Panel has and may exercise the
                   jurisdiction and functions conferred or imposed on it by or under
                   this or any other Act.
             (3)   When the Board decides to require a Performance Review Panel
                   to conduct a performance review of the professional performance
                   of a nurse or midwife, the Board is to appoint 3 persons to sit as
                   the Panel for the purpose of that performance review.
             (4)   Of those 3 persons:
                   (a) 2 are to be nurses if the performance review concerns a
                         nurse or are to be midwives if the performance review
                         concerns a midwife, and
                   (b) one is to be a lay person (that is, a person who is not a nurse
                         or midwife).
             (5)   One of the members of the Panel is to be appointed by the Board
                   as chairperson of the Panel.



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Schedule 1     Amendments




             (6)   A person may be appointed to sit on a Performance Review Panel
                   whether or not the person is a member of the Board, but not if the
                   person has previously dealt with the particular matter before the
                   Panel in his or her capacity as a member of the Board.
             (7)   A member of a Performance Review Panel, while sitting on the
                   Panel, is entitled to be paid by the Board at a rate determined by
                   the Board.
             (8)   The rate is to be determined by the Board having regard to the
                   rate paid to witnesses who give expert evidence in the Supreme
                   Court.
     42Y     Decisions of Performance Review Panels
             (1)   A decision supported by a majority of members of a Performance
                   Review Panel is the decision of the Panel.
             (2)   The chairperson of a Performance Review Panel may exercise the
                   following functions of a Panel:
                    (a) power to terminate a performance review,
                   (b) power to hand down a decision of the Panel on a
                         performance review.
             (3)   Any power of a Performance Review Panel that is exercised by
                   the chairperson of the Panel under this Act is taken to have been
                   exercised by the Panel.
     42Z     Assessors
             (1)   The Board may appoint suitably qualified persons to be assessors
                   for the purposes of this Act.
             (2)   Assessors are to be appointed on such terms and conditions as the
                   Board thinks fit.
             (3)   An assessor has such functions as are conferred on an assessor by
                   this Act and such other functions, in connection with this Part, as
                   may be conferred on an assessor by the Board.

      Division 7         Appeal against actions of Performance
                         Review Panel
    42ZA     Appeals against decisions of Panel
             (1)   A nurse or midwife who is the subject of a performance review
                   by a Performance Review Panel may appeal to the Tribunal
                   against a decision of the Panel or any order or direction made by
                   the Panel under this Part.



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Amendments                                                             Schedule 1




             (2)   An appeal must be made within 28 days (or such longer period as
                   the Registrar may allow in a particular case) after notice of the
                   decision or the making of the order or direction is given to the
                   nurse or midwife concerned.
             (3)   The appeal must be lodged with the Registrar who is to refer it to
                   the Tribunal.
             (4)   The appeal is to be dealt with by way of rehearing and fresh
                   evidence, or evidence in addition to or in substitution for the
                   evidence received at the performance review, may be given.
             (5)   The Tribunal may, as it thinks appropriate:
                   (a) dismiss the appeal, or
                   (b) make any finding or exercise any power or combination of
                         powers that the Performance Review Panel could have
                         made or exercised.
             (6)   An appeal under this section does not affect any finding or
                   exercise of power with respect to which it has been made until the
                   Tribunal makes an order on the appeal.
    42ZB     Appeals on points of law
             (1)   A nurse or midwife who is the subject of a performance review
                   by a Performance Review Panel may appeal with respect to a
                   point of law to the Chairperson of the Tribunal or a Deputy
                   Chairperson nominated by the Chairperson.
             (2)   An appeal may be made:
                   (a) during a performance review--within 28 days after the
                        date of the Performance Review Panel's decision on the
                        point of law that is the subject of the appeal, or
                   (b) before the commencement of a performance review by a
                        Performance Review Panel but after the date the nurse or
                        midwife is informed of the performance review.
             (3)   If a performance review has not been completed when an appeal
                   is made, the Performance Review Panel must not continue with
                   the performance review until the appeal has been disposed of.
             (4)   The Performance Review Panel must not make any decision that
                   is inconsistent with the Chairperson's or Deputy Chairperson's
                   determination with respect to the point of law.




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Schedule 1      Amendments




[3]   Section 45 Referral or dismissal of complaints by Board
      Insert after section 45 (1) (a):
                    (a1) refer the professional performance of the nurse or midwife
                           concerned for assessment under Part 4A, or
[4]   Section 46 Role of Health Care Complaints Commission
      Insert "or the nurse or midwife concerned has been referred for performance
      assessment under Part 4A" after "Panel" in section 46 (4).
[5]   Section 56 Decisions of a Committee
      Insert ", subject to the provisions of this Act relating to protected reports" after
      "to a court" in section 181 (4).
[6]   Section 66 Decisions of the Tribunal
      Insert ", subject to the provisions of this Act relating to protected reports" after
      "to a court" in section 66 (8).
[7]   Section 76A
      Insert after section 76:
      76A    Confidentiality of protected reports
             (1)   A person must not directly or indirectly make a record of or
                   disclose to any person any information contained in a protected
                   report which has come to the person's notice in the exercise of the
                   person's functions under this Act, except for the purposes of
                   exercising functions under this Act.
                   Maximum penalty: 50 penalty units.
             (2)   This section does not prevent the disclosure of a protected report
                   to the Commission.
                    Note. For types of protected reports see clauses 8 and 14 of Schedule
                    2A.

[8]   Section 77 Protection from liability
      Insert at the end of section 77 (e):
                           or
                     (f) a Performance Review Panel or a member of a
                           Performance Review Panel,




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Nurses and Midwives Amendment (Performance Assessment) Bill 2004

Amendments                                                              Schedule 1




[9]   Schedule 2A
      Insert after Schedule 2:

      Schedule 2A            Provisions relating to performance
                             assessments
                                                                        (Section 42W)

      Part 1       Provisions relating to assessors
        1    General
             (1)   An assessor may exercise the powers conferred by this Part only
                   for the purpose of conducting an assessment of the professional
                   performance of a nurse or midwife when required by the Board
                   or a Performance Review Panel.
             (2)   An assessment is to be conducted in accordance with any
                   directions given by the Board or a Performance Review Panel.
             (3)   If the Board or a Performance Review Panel instructs an assessor
                   to limit his or her assessment to a particular aspect or aspects of
                   a nurse's or midwife's professional performance, the assessment
                   is to be limited to that aspect or those aspects.
             (4)   However, an assessor may assess other aspects of the
                   professional performance of a nurse or midwife if during the
                   course of an assessment the assessor forms the opinion that other
                   aspects of the professional performance of the nurse or midwife
                   may be unsatisfactory and should be assessed.
        2    Entry to premises
             (1)   An assessor may at any reasonable time enter and inspect:
                   (a) any premises that the assessor reasonably believes are used
                         by a nurse or midwife in connection with his or her
                         professional practice, and
                   (b) any premises in or on which the assessor reasonably
                         believes records relating to the carrying out of a
                         professional practice by a nurse or midwife are kept.
             (2)   An assessor may enter premises only:
                   (a) with the consent of the occupier and the nurse or midwife
                         to whom the assessment relates, or




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                   (b)   after having given the occupier of the premises, and the
                         nurse or midwife to whom the assessment relates, at least
                         14 days notice of the assessor's intention to enter the
                         premises.
             (3)   On premises entered on the basis that they are used by a nurse or
                   midwife in connection with his or her professional practice, an
                   assessor has the following powers:
                   (a) power to examine any equipment that the assessor
                         reasonably believes is, has been or may be used in
                         connection with the professional practice,
                   (b) power to take photographs of the premises, or of any
                         equipment on the premises (being equipment that the
                         assessor reasonably believes is, has been or may be used in
                         connection with the professional practice),
                   (c) power to require the production of and inspect any stocks
                         of any substance or drugs in or about those premises,
                   (d) power to require any person on those premises to produce
                         any records in the possession or under the control of that
                         person relating to the carrying out of that professional
                         practice,
                   (e) power to take copies of, or extracts or notes from, any such
                         records,
                    (f) power to ask questions of any person on those premises,
                   (g) power to require the owner or occupier of those premises
                         to provide the assessor with such assistance and facilities
                         as is or are reasonably necessary to enable the assessor to
                         exercise the functions of an assessor under this clause.
             (4)   On premises entered on the basis that records relating to the
                   carrying out of professional practice by a nurse or midwife are
                   kept there, an assessor has the following powers:
                   (a) power to require any person on those premises to produce
                          any records in the possession or under the control of that
                          person and relating to the carrying out of that professional
                          practice,
                   (b) power to take copies of, or extracts or notes from, any such
                          records.
             (5)   This clause does not authorise an assessor to enter any part of
                   premises that is being used for residential purposes except with
                   the consent of the occupier.




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Amendments                                                               Schedule 1




             (6)   This clause does not authorise an assessor to require a person to
                   answer any question, and a failure or refusal by a person to
                   answer any question does not constitute an offence against
                   clause 5.
             (7)   However, a failure or refusal by a nurse or midwife, without
                   reasonable excuse, to answer any question asked by an assessor
                   is evidence that the professional performance of the nurse or
                   midwife is unsatisfactory.
        3    Power to conduct assessment exercise
             (1)   An assessor may, by notice given to a nurse or midwife who is
                   the subject of an assessment, require the nurse or midwife to take
                   part in an assessment exercise.
             (2)   An assessment exercise is an exercise during which the assessor
                   observes and assesses the professional performance of the nurse
                   or midwife.
             (3)   If practicable, an assessment exercise is to be based on a
                   simulated clinical situation.
             (4)   However, an assessment exercise may be based on an actual
                   clinical situation if a simulated exercise is not practicable in the
                   circumstances.
             (5)   The time and place for, and the length of, the assessment exercise
                   must be reasonable.
             (6)   A failure or refusal by a nurse or midwife to take part in, or to
                   continue with, an assessment exercise does not constitute an
                   offence against clause 5.
             (7)   However, a failure or refusal by a nurse or midwife, without
                   reasonable excuse, to take part in or to continue with an
                   assessment exercise is evidence that the professional
                   performance of the nurse or midwife is unsatisfactory.
             (8)   This clause does not authorise an assessor to be present during
                   any clinical examination of a person, or at the giving or
                   performance of any other service or treatment by a nurse or
                   midwife in respect of a person, without the consent of the person.
        4    Answers to questions
             (1)   Any information furnished by a person in answering a question
                   asked by an assessor for the purposes of an assessment under
                   Part 4A of this Act is not admissible against the person in any
                   civil proceedings before a court except with the consent of the
                   person.


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              (2)   Subclause (1) does not extend to any information furnished by a
                    person that is a record required to be kept by or under this or any
                    other Act.
              (3)   In this clause:
                    court includes any tribunal, authority or person having power to
                    require the production of documents or the answering of
                    questions, but does not include the Tribunal, a Committee or a
                    Performance Review Panel or the Supreme Court (in respect of
                    appeal proceedings under this Act).
          5   Offences
                    A person must not:
                    (a) prevent an assessor from exercising any function conferred
                          or imposed on the assessor under this Part, or
                    (b) hinder or obstruct an assessor in the exercise of any such
                          function, or
                    (c) furnish an assessor with information knowing it to be false
                          or misleading in a material particular.
                    Maximum penalty:
                    (a) for an offence under paragraph (a) or (b)--50 penalty
                          units, or
                    (b) for an offence under paragraph (c)--20 penalty units.
          6   Offence of impersonating assessor
                    A person must not impersonate or falsely represent that the
                    person is an assessor.
                    Maximum penalty: 50 penalty units.
          7   Certificates of authority
              (1)   An assessor is to be provided with a certificate of authority in a
                    form approved by the Board.
              (2)   An assessor must, on exercising in any place any function of the
                    assessor under this Part, produce the assessor's certificate of
                    authority to any person apparently in charge of the place who
                    requests its production.
          8   Confidentiality of assessor's report
              (1)   A report by an assessor to the Board or a Performance Review
                    Panel about his or her assessment of the professional
                    performance of a nurse or midwife may not be admitted or used
                    in any civil proceedings before a court except with the consent of:


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Amendments                                                               Schedule 1




                   (a)   the person giving the report, and
                   (b)   the nurse or midwife concerned.
             (2)   A person may not be compelled to produce the report or to give
                   evidence in relation to the report or its contents in any such civil
                   proceedings.
             (3)   A report referred to in this clause is a protected report for the
                   purposes of this Act.
             (4)   In this clause:
                   court includes any tribunal, authority or person having power to
                   require the production of documents or the answering of
                   questions, but does not include the Tribunal, a Committee or a
                   Performance Review Panel or the Supreme Court (in respect of
                   appeal proceedings under this Act).
                   report includes a copy, reproduction and duplicate of the report
                   or any part of the report, copy, reproduction or duplicate.
        9    Employment-related performance assessment
             (1)   In this clause, employment-related assessment means an
                   assessment of the performance of a nurse or midwife that has
                   been carried out by or on behalf of the employer of the nurse or
                   midwife in connection with that employment.
             (2)   The employer of a nurse or midwife may provide a copy of an
                   employment-related assessment to an assessor who is conducting
                   an assessment of the professional performance of the nurse or
                   midwife for the Board or a Performance Review Panel.
             (3)   The assessor may attach a copy of the assessment to the
                   assessor's report to the Board or a Performance Review Panel as
                   a part of the assessor's report.

      Part 2       Provisions relating to performance reviews
       10    Conduct of performance review
             (1)   A performance review is to be conducted in the manner
                   determined by the Performance Review Panel.
             (2)   The performance review is to be conducted:
                   (a) with as little formality and technicality, and as much
                         expedition, as the requirements of this Act and the proper
                         consideration of the matter permit, and
                   (b) in the absence of the public.



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Schedule 1     Amendments




             (3)   In conducting a performance review a Performance Review
                   Panel is not bound by the rules of evidence but may inform itself
                   on any matter in any way it thinks appropriate.
      11     Power to summon witnesses and take evidence
             (1)   The chairperson of a Performance Review Panel may summon a
                   person to appear at a performance review and to produce such
                   documents (if any) as are referred to in the summons.
             (2)   The chairperson of the Panel may require a person appearing at
                   the performance review to produce a document.
             (3)   A person served with a summons to appear at a performance
                   review to give evidence must not, without reasonable excuse:
                    (a) fail to attend as required by the summons, or
                   (b) fail to attend from day to day unless excused, or released
                         from further attendance, by a member of the Panel.
                   Maximum penalty: 20 penalty units.
             (4)   A person appearing at a performance review to give evidence
                   must not, without reasonable excuse:
                   (a) fail to answer a question that the person is required to
                         answer by the chairperson of the Panel, or
                   (b) fail to produce a document that the person is required to
                         produce by this clause.
                   Maximum penalty: 20 penalty units.
      12     Power to obtain documents
             (1)   A member of a Performance Review Panel may, by notice in
                   writing served on a person, require the person:
                   (a) to attend, at a time and place specified in the notice, before
                         a person specified in the notice, being a member of the
                         Performance Review Panel or a person authorised by the
                         Panel in that behalf, and
                   (b) to produce, at that time and place, to the person so
                         specified a document specified in the notice.
             (2)   A person who fails, without reasonable excuse, to comply with a
                   notice served on the person under this clause is guilty of an
                   offence.
                   Maximum penalty: 20 penalty units.




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Amendments                                                               Schedule 1




       13    Nurse or midwife entitled to make representations
             (1)   A nurse or midwife who is the subject of a performance review is
                   entitled to attend at the performance review and make oral or
                   written representations to the Performance Review Panel with
                   respect to the subject matter of the performance review.
             (2)   The nurse or midwife is entitled to be accompanied by a legal
                   practitioner or other adviser, but is not entitled to be represented
                   by the legal practitioner or other adviser.
             (3)   This clause does not prevent a Performance Review Panel from
                   conducting a performance review in the absence of the nurse or
                   midwife, as long as the nurse or midwife has been informed of the
                   performance review.
       14    Panel may obtain reports
             (1)   A Performance Review Panel may, for the purpose of conducting
                   a performance review, obtain a report from a person who, in the
                   opinion of the Panel, is sufficiently qualified or experienced to
                   give expert advice on the matter that is the subject of the
                   performance review.
             (2)   Such a report may not be admitted or used in any civil
                   proceedings before a court except with the consent of:
                   (a) the person giving the report, and
                   (b) the nurse or midwife concerned.
             (3)   A person may not be compelled to produce the report or to give
                   evidence in relation to the report or its contents in any such civil
                   proceedings.
             (4)   A report referred to in this clause is a protected report for the
                   purposes of this Act.
             (5)   In this clause:
                   court includes any tribunal, authority or person having power to
                   require the production of documents or the answering of
                   questions, but does not include the Tribunal, a Committee or a
                   Performance Review Panel or the Supreme Court (in respect of
                   appeal proceedings under this Act).
                   report includes a copy, reproduction and duplicate of the report
                   or any part of the report, copy, reproduction or duplicate.
       15    Assessors may assist Panel
             (1)   The Board may appoint one or more assessors to assist a
                   Performance Review Panel with a performance review.



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Schedule 1     Amendments




             (2)   The Performance Review Panel may direct such an assessor:
                   (a) to conduct an assessment of the professional performance
                         of a nurse or midwife, and report on that assessment to the
                         Panel, and
                   (b) to provide such other assistance in connection with the
                         performance review as the Panel directs.
      16     Release of information
             (1)   The chairperson of a Performance Review Panel may, if the
                   chairperson thinks it appropriate in the particular circumstances
                   of the case (and whether or not on the request of the nurse or
                   midwife concerned or any other person):
                   (a) direct that the name of any witness is not to be disclosed in
                          the performance review, or
                   (b) direct that all or any of the following matters are not to be
                          published:
                           (i) the name and address of any witness,
                          (ii) the name and address of a nurse or midwife,
                         (iii) any specified evidence,
                         (iv) the subject matter of the performance review.
             (2)   A direction may be amended or revoked at any time by the
                   chairperson of the Performance Review Panel.
             (3)   A direction may be given before or during a performance review,
                   but must not be given before the performance review unless
                   notice is given of the time and place appointed by the chairperson
                   of the Performance Review Panel for consideration of the matter
                   to the following persons:
                    (a) a person who requested the direction,
                   (b) the nurse or midwife concerned,
                    (c) such other persons as the person presiding thinks fit.
             (4)   A person who contravenes a direction given under this clause is
                   guilty of an offence.
                   Maximum penalty:
                   (a) in the case of a corporation, 150 penalty units, or
                   (b) in any other case, 20 penalty units.




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Amendments                                                               Schedule 1




       17    Panel to consider impact of order or direction on third parties
             (1)   If as a result of a performance review a Performance Review
                   Panel proposes to give a direction or make an order that in the
                   opinion of the Panel will impose an appreciable burden on an
                   identifiable third party in connection with a nurse's or midwife's
                   practice, the Panel:
                    (a) is to give the third party an opportunity to make
                          submissions to the Panel with respect to the direction or
                          order, and
                   (b) is to take any such submission into account before giving
                          the direction or making the order.
             (2)   If a Performance Review Panel decides to give a direction or
                   make an order that will, in the opinion of the Panel, impose an
                   appreciable burden on an identifiable third party in connection
                   with a nurse's or midwife's practice, the Panel is to give the third
                   party notice of the direction or order as soon as practicable after
                   it is given or made.
             (3)   An example of a direction or order that may impose an
                   appreciable burden on an identifiable third party in connection
                   with a nurse's or midwife's practice is a direction or order that
                   has the effect of requiring the practice of a nurse or midwife to be
                   supervised by an identified third party.
             (4)   In this clause:
                   third party means a health service provider other than the nurse
                   or midwife to whom a review relates, but does not include a
                   person or body exercising functions conferred by this Act or the
                   Health Care Complaints Act 1993.
[10]   Schedule 3 Savings and transitional provisions
       Insert at the end of clause 2 (1):
                     Nurses and Midwives Amendment (Performance Assessment)
                     Act 2004




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