Notation
Records a limitation on the practice of a registrant. Used by National Boards to describe and explain the scope of a practitioner’s practice by noting the limitations on that practice. The notation does not change the practitioner’s scope of practice but may reflect the requirements of a registration standard.
Midwives that meet the Nursing and Midwifery Board of Australia Eligible midwife registration standard requirements may apply for a notation that reflects an expanded scope of practice. This notation states: An eligible midwife competent to provide pregnancy, labour, birth and postnatal care and qualified to provide the associated services and order diagnostic investigations required for midwifery practice, in accordance with relevant state or territory legislation. Eligible midwife, but NOT qualified to obtain endorsement under section 94 to prescribe Schedule 2, 3, 4 & 8 medicines required for midwifery practice in accordance with state and territory legislation.
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Notification
Anyone can make a notification (complaint) about a registered health practitioner. This is the way to raise a concern about a practitioner’s professional conduct, performance or health. More detailed information about notifications is published here. If you have concerns about the conduct, health or performance of a registered health practitioner, please contact AHPRA on 1300 419 495.
Notifications may be investigated by National Boards. A National Board may decide to take action about the notification if:
- the practitioner has been found to have engaged in unprofessional conduct or professional misconduct
- the practitioner has been found to have engaged in unsatisfactory professional performance, or
- the practitioner’s health is impaired and their practice may place the public at risk.
The Boards are ‘notified’ of an issue. The word ‘notification’ is deliberate and reflects that the Boards are not complaint resolution agencies. Health practitioner regulation is a protective jurisdiction. The role of the National Boards is to protect the public by dealing with practitioners who may be putting the public at risk as a result of their conduct, professional performance or health.
Voluntary notifications
Most notifications are made voluntarily by patients, concerned members of the public or colleagues of the practitioner. Anyone can make a notification voluntarily.
Grounds for voluntary notifications about health practitioners include that:
- the practitioner’s professional conduct is, or may be, of a lesser standard than that expected by the public or their professional peers
- the knowledge, skill or judgement possessed, or care exercised by the practitioner is, or may be, below the standard reasonably expected
- the practitioner is not, or may not be, a suitable person to hold registration
- the practitioner has, or may have, an impairment
- the practitioner has, or may have, contravened the National Law
- the practitioner has, or may have, contravened a condition on his or her registration or an undertaking given to the Board, and/or
- the practitioner’s registration was, or may have been, obtained improperly.
Mandatory notifications
Registered health practitioners and employers have mandatory reporting obligations in specific circumstances if they believe that a practitioner has engaged in ‘notifiable conduct’. Notifiable conduct is explained below. Each National Board has issued guidance on mandatory reporting, which is published on their website.
Health practitioners must report another health practitioner or student if, in the course of treating them, they form the reasonable belief that the second practitioner or student has engaged in notifiable conduct.
Health practitioners and education providers have specific mandatory reporting responsibilities in relation to students.
Notifiable conduct
This term is used in the context of mandatory notifications. The National Law defines ‘notifiable conduct’. In relation to a registered health practitioner, it means the practitioner has:
- practised their profession while intoxicated by alcohol or drugs
- engaged in sexual misconduct in connection with the practice of their profession
- placed the public at risk of substantial harm in their practice of the profession because they have an impairment, or
- placed the public at risk of harm because they practised their profession in a way that constitutes a significant departure from accepted professional standards.
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