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Policies

Our Policy Library contains NSW Health Pathology policies, procedures, guidelines and supporting documents.

You can also access NSW Health Policy Directives, Policy and Procedure Manuals, Information Bulletins and Public Service Commission policy documents.

If you cannot find what you are looking for or if you find a broken link, email NSWPATH-Policy@health.nsw.gov.au

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Type Name Number Type Policy Sponsor Subject
Document: Guidelines for Clinical Placements in NSW Health GL2016_028 Ministry Policy Executive Director, People and Culture Workforce - Workplace Management - Workforce Planning
Document: 2003-08 Australian Health Care Agreement IB2005_005 Ministry Information Bulletin Executive Director, Finance and Corporate Services Accounting
Document: 2016/17 Service Agreement Key Performance Indicators and Service Measures Data Dictionary IB2016_036 Ministry Policy Executive Director Strategy and Transformation Information and Data
Document: 2018-19 KPI and Improvement Measure Data Supplement IB2018_048 Ministry Information Bulletin Executive Director Strategy and Transformation Information and Data
Document: 2222 For In-Hospital Emergency Situations IB2019_009 Ministry Information Bulletin Executive Director, Clinical Operations Workforce - Work Health and Safety and Security
Document: Aboriginal and Torres Strait Islander Origin - Recording of Information of Patients and Clients PD2012_042 Ministry Policy Executive Director, Clinical Services Information and Data
Document: Aboriginal and Torres Strait Islander Peoples - Preferred Terminology to be Used PD2005_319 Ministry Policy Executive Director, Strategic Communications Cultural Diversity
Document: Aboriginal Cultural Activities Policy PD2019_025 Ministry Policy Executive Director, Strategic Communications Cultural Diversity
Document: Aboriginal Family Health Workers - Operational Guidelines GL2009_001 Ministry Policy Executive Director, Clinical Operations Clinical Governance
Document: Aboriginal Health Impact Statement PD2017_004 Ministry Policy Director, Corporate Governance Policy
Document: Aboriginal Mental Health and Well Being Policy 2006-2010 PD2007_059 Ministry Policy Executive Director, People and Culture Cultural Diversity
Document: Accommodation - Health Owned - Consideration of Rental/Market Rental Assistance Grant PD2010_038 Ministry Policy Executive Director, Finance and Corporate Services Finance
Document: Accommodation - Health Owned - Requests from External Organisations PD2009_061 Ministry Policy Executive Director, Finance and Corporate Services Finance
Document: Accounting Manual for Public Health Organisations Ministry Policy and Procedure Manual Executive Director, Finance and Corporate Services Accounting
Document: Accounts and Audit Determination for Public Health Organisations Ministry Policy and Procedure Manual Executive Director, Finance and Corporate Services Finance
Document: Accreditation of Pathology Laboratories in NSW Health PD2017_005 Ministry Policy Executive Director, Clinical Governance and Quality Pathology
Document: Ad Hoc Requests for Funding - Organisations External to NSW Health PD2005_507 Ministry Policy Executive Director, Finance and Corporate Services Finance
Document: Additional Public Holiday during Christmas Closedown Period 2018-19 IB2018_052 Ministry Information Bulletin Executive Director, People and Culture Workforce - Workplace Management - Leave
Document: Administration of NSW Health Grant Funding for Non-Government Organisations PD2019_013 Ministry Policy Executive Director, Finance and Corporate Services Finance
Document: Admitted Patient Election Processes for NSW Public Hospitals PD2018_029 Ministry Policy Executive Director, Finance and Corporate Services Asset Management
Document: Adoption Act 2000 - Release of Information PD2016_036 Ministry Policy Executive Director, Clinical Operations Clinical Governance
Document: Adult Urethral Catheterisation for Acute Care Settings GL2015_016 Ministry Policy Executive Director, Clinical Services Communicable and Infectious Diseases and Control
Document: Agency Change Management Guidelines D2011_014 NSW Government Policy Document Executive Director, People and Culture Workforce - Workplace Management - Employee Relations
Document: Amendments to the Building and Construction Industry Security of Payments Act 1999 IB2011_018 Ministry Information Bulletin Executive Director, Finance and Corporate Services Finance
Document: Analytical Performance in Chemical Pathology Procedure NSWHP_PR_018 NSW Health Pathology Procedure Executive Director Strategy and Transformation Chemical Pathology
Document: Annulment of Appointment Template Letter NSWHP_SD_022 NSW Health Pathology Supporting Document Executive Director, People and Culture Workforce - Workplace Management - Employee Relations
Document: Application and Use of Procurement Cards (PCards) within NSW Health PD2016_005 Ministry Policy Executive Director, Finance and Corporate Services Procurement
Document: Application of Policies - Newly Established NSW Health Agencies PD2013_021 Ministry Policy Director, Corporate Governance Policy
Document: Application to Develop a Policy NSWHP_F_001 Form Director, Corporate Governance Policy
Document: Area of Need Program PD2013_003 Ministry Policy Executive Director Medical Services Workforce - Workplace Management - Workforce Planning
Document: Asbestos - Changes to Licensing Impacting on Demolition & Removal - 1 July 2007 IB2007_018 Ministry Information Bulletin Executive Director, Finance and Corporate Services Facilities Management
Document: Assets - Valuation of Physical Non-Current Assets at Fair Value PD2008_013 Ministry Policy Executive Director, Finance and Corporate Services Asset Management
Document: Asylum Seekers - Medicare Ineligible - Provision of Specified Public Health Services PD2009_068 Ministry Policy Executive Director, Finance and Corporate Services Accounting
Document: Audit and Risk Committee Independent Chairs and Members - Prequalification Scheme Revision IB2013_012 Ministry Information Bulletin Director, Corporate Governance Audit and Risk Management
Document: Australasian Health Facility Guidelines - Use in NSW GL2018_024 Ministry Guideline Executive Director Strategy and Transformation Asset Management
Document: Australasian Health Facility Guidelines Variations Process PD2019_051 Ministry Policy Executive Director Strategy and Transformation Asset Management
Document: Blood Alcohol Sampling by Hospital Staff PD2005_495 Ministry Policy Executive Director, Clinical Services Pre and Post Analytical
Document: Blood and Urine Testing of Drivers Apparently Under the Influence of Drugs PD2005_029 Ministry Policy Executive Director, Clinical Services Pre and Post Analytical
Document: Blood Management PD2018_042 Ministry Policy Executive Director Strategy and Transformation Transfusion
Document: Brain Injury Rehabilitation Program (BIRP) - Fees Policy and Schedule of Fees PD2019_029 Ministry Policy Executive Director, Finance and Corporate Services Accounting
Document: Brief Template NSWHP_SD_039 NSW Health Pathology Supporting Document Director, Corporate Governance Corporate Governance
Document: Brief to Chief Executive re Annulment Appointment Template NSWHP_SD_023 NSW Health Pathology Supporting Document Executive Director, People and Culture Workforce - Workplace Management - Employee Relations
Document: Building Code of Australia 2005 Edition & its application to public & private health care facilities IB2005_024 Ministry Information Bulletin Executive Director, Finance and Corporate Services Facilities Management
Document: Business Activity Statement Procedures - NSW Health Standards GL2010_012 Ministry Policy Executive Director, Finance and Corporate Services Finance
Document: Cancer Registry - Notifying Cancer Cases to the NSW Central Cancer Registry PD2009_012 Ministry Policy Executive Director, Clinical Operations Information and Data
Document: Capital Works Administration Costs - Capital Works Procedure No 12 PD2005_046 Ministry Policy Executive Director, Finance and Corporate Services Finance
Document: Cashing Out Accrued Additional Annual Leave IB2016_054 Ministry Information Bulletin Executive Director, People and Culture Workforce - Workplace Management - Leave
Document: Central Registry of Contracts arising from Government Tenders IB2007_032 Ministry Information Bulletin Executive Director, Finance and Corporate Services Procurement
Document: Changes to the Accrual of Additional Days Off for Nurses and Midwives IB2019_042 Ministry Information Bulletin Executive Director, People and Culture Workforce - Workplace Management - Leave
Document: Child Related Allegations, Charges and Convictions against NSW Health Staff PD2016_025 Ministry Policy Executive Director, People and Culture Workforce - Workplace Conduct
Document: Child Wellbeing and Child Protection Policies and Procedures for NSW Health PD2013_007 Ministry Policy Executive Director, People and Culture Workforce - Workplace Management - Learning and Development
Document: Children and Infants - Acute Management of Head Injury PD2011_024 Ministry Policy Executive Director Strategy and Transformation Pathology
Document: Christmas close down 2019-20 and additional public holiday 2019 IB2019_044 Ministry Information Bulletin Executive Director, People and Culture Workforce - Workplace Management - Leave
Document: Client Registration Guideline GL2007_024 Ministry Policy Executive Director Strategy and Transformation Information and Data
Document: Client Registration Policy PD2007_094 Ministry Policy Executive Director Strategy and Transformation Information and Data
Document: Clinical Academics Employed in the NSW Health Service PD2019_055 Ministry Policy Executive Director, People and Culture Workforce - Workplace Management - Conditions of Employment
Document: Clinical and Related Waste Management for Health Services PD2017_026 Ministry Policy Executive Director, Clinical Operations Facilities Management
Document: Clinical Governance Framework NSWHP_CG_009 NSW Health Pathology Policy and Procedure Manual Executive Director, Clinical Governance and Quality Clinical Governance
Document: Clinical Nurse / Midwife Consultants - List of Domains and Functions IB2017_002 Ministry Information Bulletin Executive Director, People and Culture Workforce - Workplace Management - Employee Relations
Document: Clinical Nurse Consultants - Domains and Functions IB2011_024 Ministry Information Bulletin Executive Director, People and Culture Workforce - Workplace Management - Employee Relations
Document: Clinical Procedure Safety PD2014_036 Ministry Policy Executive Director, Clinical Governance and Quality Clinical Governance
Document: Clinical Trial Research Agreements for Use in NSW Public Health Organisations PD2011_028 Ministry Policy Executive Director, Clinical Governance and Quality Research
Document: Clinical Trials - Insurance and Indemnity PD2011_006 Ministry Policy Executive Director, Clinical Governance and Quality Research
Document: Collecting Blood and Urine Samples in Emergency Departments - Changes to Governing Legislation IB2015_033 Ministry Information Bulletin Executive Director, Clinical Services Pre and Post Analytical
Document: Combined Delegations Ministry Policy and Procedure Manual Director, Corporate Governance Delegations
Document: Commercial Building Energy Efficiency Disclosure (CBD) IB2010_043 Ministry Information Bulletin Executive Director, Finance and Corporate Services Facilities Management
Document: Commonwealth Paid Parental Leave IB2017_037 Ministry Information Bulletin Executive Director, People and Culture Workforce - Workplace Management - Leave
Document: Communicating Positively: A Guide to Appropriate Aboriginal Terminology GL2019_008 Ministry Guideline Executive Director, Clinical Operations Cultural Diversity
Document: Communications - Use and Management of Misuse of NSW Health Communications Systems PD2009__076 Ministry Policy Executive Director, People and Culture Communications
Document: Complaint Management Guidelines GL2006_023 Ministry Guideline Executive Director, Strategic Communications Complaint Management
Document: Complaint Management Policy PD2006_073 Ministry Policy Director, Corporate Governance Complaint Management
Document: Compliance Management Framework NSWHP_CG_010 NSW Health Pathology Corporate Governance Document Director, Corporate Governance Legal and Regulatory
Document: Compliance Report NSWHP_F_024 Form Executive Director Strategy and Transformation Legal and Regulatory
Document: Conduct of Anatomical Examinations and Anatomy Licensing in NSW PD2011_052 Ministry Policy Executive Director Strategy and Transformation Anatomical Pathology
Document: Confirmation of Appointment Template Letter NSWHP_SD_021 NSW Health Pathology Supporting Document Executive Director, People and Culture Workforce - Workplace Management - Employee Relations
Document: Conflicts of Interest and Gifts and Benefits Procedure NSWHP_PCP_001 NSW Health Pathology Procedure Director, Corporate Governance Workforce - Workplace Conduct
Document: Consent to Medical Treatment - Patient Information PD2005_406 Ministry Policy Executive Director, Clinical Services Pre and Post Analytical
Document: Contingent Workers Procedure NSWHP_PR_028 NSW Health Pathology Procedure Executive Director, People and Culture Workforce - Recruitment and Selection
Document: Continuing Education Allowances - Public Health System Nurses' & Midwives' (State) Award PD2018_008 Ministry Policy Executive Director, People and Culture Workforce - Workplace Management - Employee Relations
Document: Coordination of responses to urgent system-level medicine or medical device issues PD2019_019 Ministry Policy Executive Director, Clinical Governance and Quality Clinical Governance
Document: Cord Blood - Public and Private Cord Blood Banking PD2015_048 Ministry Policy Executive Director, Clinical Operations Clinical Governance
Document: Coroners Cases and the Coroners Act 2009 PD2010_054 Ministry Policy Executive Director, Clinical Operations Clinical Governance
Document: Coronial Checklist IB2010_058 Ministry Information Bulletin Executive Director, Clinical Services Communicable and Infectious Diseases and Control
Document: Corporate Governance & Accountability Compendium Ministry Policy and Procedure Manual Director, Corporate Governance Corporate Governance
Document: Corporate Office Emergency Response Plan NSWHP_CG_004 NSW Health Pathology Corporate Governance Document Executive Director, Clinical Governance and Quality Disaster Management
Document: Corporate Office Emergency Response Plan NSWHP_CG_004 NSW Health Pathology Corporate Governance Document Executive Director, Clinical Governance and Quality Disaster Management
Document: Corrupt Conduct - Reporting to the Independent Commission Against Corruption (ICAC) PD2016_029 Ministry Policy Director, Corporate Governance Workforce - Workplace Conduct
Document: Credentialing & Delineating Clinical Privileges for Senior Medical Practitioners & Senior Dentists PD2019_011 Ministry Policy Executive Director Medical Services Workforce - Workplace Management - Workforce Planning
Document: Creutzfeld-Jakob Disease Related Information Sharing PD2014_041 Ministry Policy Executive Director, Clinical Services Communicable and Infectious Diseases and Control
Document: Critical Alert List - Chemical Pathology NSWHP_SD_037 NSW Health Pathology Supporting Document Executive Director Strategy and Transformation Chemical Pathology
Document: Critical Alert List - Haematology NSWHP_SD_038 NSW Health Pathology Supporting Document Executive Director Strategy and Transformation Haematology
Document: Critical Incident (Clinical and Corporate) Checklist NSWHP_F_027 Form Director, Corporate Governance Incident Management
Document: Critical Incident Huddle Flowchart NSWHP_F_028 Form Director, Corporate Governance Incident Management
Document: Critical Incident Procedure NSWHP_PR_021 NSW Health Pathology Procedure Director, Corporate Governance Incident Management
Document: Crown Development Provisions changed under the Environmental Planning and Assessment Act IB2009_045 Ministry Information Bulletin Executive Director, Finance and Corporate Services Facilities Management
Document: CSR Delivery Dispatch Advice Form NSWHP_F_014 Form Executive Director, Clinical Services Pre and Post Analytical
Document: Data Collections - Disclosure of Unit Record Data for Research or Management of Health Services PD2015_037 Ministry Policy Executive Director, Clinical Governance and Quality Information and Data
Document: Data Dictionary & Collection Requirements for the NSW MDS for Drug and Alcohol Treatment Services PD2015_014 Ministry Policy Executive Director Strategy and Transformation Information and Data
Document: Death - Verification of Death and Medical Certificate of Cause of Death PD2015_040 Ministry Policy Executive Director, Clinical Operations Clinical Governance
Document: Deaths - Reporting of Maternal Deaths to the NSW Department of Health PD2005_219 Ministry Policy Executive Director Strategy and Transformation Information and Data
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