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[Any]NoneFormMinistry GuidelineMinistry PolicyMinistry Policy and Procedure ManualNSW Government Policy DocumentNSW Health Pathology Corporate Governance DocumentNSW Health Pathology GuidelineNSW Health Pathology Policy and Procedure ManualNSW Health Pathology ProcedureNSW Health Pathology Supporting DocumentStandardNSW Health Pathology PolicyMinistry Information BulletinPublic Service Commission Policy

Policy Sponsor[Any]NoneExecutive Director Medical ServicesExecutive Director Strategy and TransformationExecutive Director, Clinical Governance and QualityExecutive Director, Strategic CommunicationsExecutive Director, Strategy and ReformExecutive Director, Finance and Corporate ServicesDirector GenomicsDirector, Management Accounting and RevenueExecutive Director, People and CultureDirector of OperationsManager, Statewide Capital Planning and ProcurementDirector, Revenue and Process ImprovementExecutive Director, Clinical OperationsExecutive Director, Clinical ServicesExecutive Director, FASSExecutive Director, Forensic and Analytical Science ServiceExecutive Director Scientific and Technical StrategyExecutive Director, Scientific and TechnicalDirector, Corporate GovernanceChief Medical Information Officer

Subject[Any]NoneClinical OperationsClinical ServicesPopulation HealthAccountingAnatomical PathologyAsset ManagementAudit and Risk ManagementChemical PathologyClinical GovernanceCommunicable and Infectious Diseases and ControlCommunicationsComplaint ManagementCorporate GovernanceCultural DiversityDelegationsDisaster ManagementFacilities ManagementFinanceHaematologyIncident ManagementImmunologyInformation and DataLegal and RegulatoryMicrobiologyPathologyPolicyPre and Post AnalyticalPrivacyProcurementRecords ManagementResearchTransfusionWorkforce - Recruitment and SelectionWorkforce - Work Health and Safety and SecurityWorkforce - Workplace ConductWorkforce - Workplace Management - Conditions of EmploymentWorkforce - Workplace Management - Employee RelationsWorkforce - Workplace Management - Learning and DevelopmentWorkforce - Workplace Management - LeaveWorkforce - Workplace Management - SalariesWorkforce - Workplace Management - Workforce PlanningClinical/Patient ServicesForensic and Analytical Science ServicesGenomicsPoint of Care TestingPlanningScientific and Technical

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Type	Name	Number	Type	Policy Sponsor	Subject
			None	None	None
			None	None	None
	Guidelines for Clinical Placements in NSW Health	GL2016_028	Ministry Policy	Executive Director, People and Culture	Workforce - Workplace Management - Workforce Planning
	2003-08 Australian Health Care Agreement	IB2005_005	Ministry Information Bulletin	Executive Director, Finance and Corporate Services	Accounting
	2016/17 Service Agreement Key Performance Indicators and Service Measures Data Dictionary	IB2016_036	Ministry Policy	Executive Director Strategy and Transformation	Information and Data
	2018-19 KPI and Improvement Measure Data Supplement	IB2018_048	Ministry Information Bulletin	Executive Director Strategy and Transformation	Information and Data
	2222 For In-Hospital Emergency Situations	IB2019_009	Ministry Information Bulletin	Executive Director, Clinical Operations	Workforce - Work Health and Safety and Security
	Aboriginal and Torres Strait Islander Origin - Recording of Information of Patients and Clients	PD2012_042	Ministry Policy	Executive Director, Clinical Services	Information and Data
	Aboriginal and Torres Strait Islander Peoples - Preferred Terminology to be Used	PD2005_319	Ministry Policy	Executive Director, Strategic Communications	Cultural Diversity
	Aboriginal Cultural Activities Policy	PD2019_025	Ministry Policy	Executive Director, Strategic Communications	Cultural Diversity
	Aboriginal Family Health Workers - Operational Guidelines	GL2009_001	Ministry Policy	Executive Director, Clinical Operations	Clinical Governance
	Aboriginal Health Impact Statement	PD2017_004	Ministry Policy	Director, Corporate Governance	Policy
	Aboriginal Mental Health and Well Being Policy 2006-2010	PD2007_059	Ministry Policy	Executive Director, People and Culture	Cultural Diversity
	Accommodation - Health Owned - Consideration of Rental/Market Rental Assistance Grant	PD2010_038	Ministry Policy	Executive Director, Finance and Corporate Services	Finance
	Accommodation - Health Owned - Requests from External Organisations	PD2009_061	Ministry Policy	Executive Director, Finance and Corporate Services	Finance
	Accounting Manual for Public Health Organisations		Ministry Policy and Procedure Manual	Executive Director, Finance and Corporate Services	Accounting
	Accounts and Audit Determination for Public Health Organisations		Ministry Policy and Procedure Manual	Executive Director, Finance and Corporate Services	Finance
	Accreditation of Pathology Laboratories in NSW Health	PD2017_005	Ministry Policy	Executive Director, Clinical Governance and Quality	Pathology
	Ad Hoc Requests for Funding - Organisations External to NSW Health	PD2005_507	Ministry Policy	Executive Director, Finance and Corporate Services	Finance
	Additional Public Holiday during Christmas Closedown Period 2018-19	IB2018_052	Ministry Information Bulletin	Executive Director, People and Culture	Workforce - Workplace Management - Leave
	Administration of NSW Health Grant Funding for Non-Government Organisations	PD2019_013	Ministry Policy	Executive Director, Finance and Corporate Services	Finance
	Admitted Patient Election Processes for NSW Public Hospitals	PD2018_029	Ministry Policy	Executive Director, Finance and Corporate Services	Asset Management
	Adoption Act 2000 - Release of Information	PD2016_036	Ministry Policy	Executive Director, Clinical Operations	Clinical Governance
	Adult Urethral Catheterisation for Acute Care Settings	GL2015_016	Ministry Policy	Executive Director, Clinical Services	Communicable and Infectious Diseases and Control
	Agency Change Management Guidelines	D2011_014	NSW Government Policy Document	Executive Director, People and Culture	Workforce - Workplace Management - Employee Relations
	Amendments to the Building and Construction Industry Security of Payments Act 1999	IB2011_018	Ministry Information Bulletin	Executive Director, Finance and Corporate Services	Finance
	Analytical Performance in Chemical Pathology Procedure	NSWHP_PR_018	NSW Health Pathology Procedure	Executive Director Strategy and Transformation	Chemical Pathology
	Annulment of Appointment Template Letter	NSWHP_SD_022	NSW Health Pathology Supporting Document	Executive Director, People and Culture	Workforce - Workplace Management - Employee Relations
	Application and Use of Procurement Cards (PCards) within NSW Health	PD2016_005	Ministry Policy	Executive Director, Finance and Corporate Services	Procurement
	Application of Policies - Newly Established NSW Health Agencies	IB2020_014	Ministry Policy	Director, Corporate Governance	Policy
	Application to Develop a Policy	NSWHP_F_001	Form	Director, Corporate Governance	Policy
	Area of Need Program	PD2013_003	Ministry Policy	Executive Director Medical Services	Workforce - Workplace Management - Workforce Planning
	Asbestos - Changes to Licensing Impacting on Demolition & Removal - 1 July 2007	IB2007_018	Ministry Information Bulletin	Executive Director, Finance and Corporate Services	Facilities Management
	Assets - Valuation of Physical Non-Current Assets at Fair Value	PD2008_013	Ministry Policy	Executive Director, Finance and Corporate Services	Asset Management
	Asylum Seekers - Medicare Ineligible - Provision of Specified Public Health Services	PD2009_068	Ministry Policy	Executive Director, Finance and Corporate Services	Accounting
	Audit and Risk Committee Independent Chairs and Members - Prequalification Scheme Revision	IB2013_012	Ministry Information Bulletin	Director, Corporate Governance	Audit and Risk Management
	Australasian Health Facility Guidelines - Use in NSW	GL2018_024	Ministry Guideline	Executive Director Strategy and Transformation	Asset Management
	Australasian Health Facility Guidelines Variations Process	PD2019_051	Ministry Policy	Executive Director Strategy and Transformation	Asset Management
	Blood Alcohol Sampling by Hospital Staff	PD2005_495	Ministry Policy	Executive Director, Clinical Services	Pre and Post Analytical
	Blood and Urine Testing of Drivers Apparently Under the Influence of Drugs	PD2005_029	Ministry Policy	Executive Director, Clinical Services	Pre and Post Analytical
	Blood Management	PD2018_042	Ministry Policy	Executive Director Strategy and Transformation	Transfusion
	Brain Injury Rehabilitation Program (BIRP) - Fees Policy and Schedule of Fees	PD2019_029	Ministry Policy	Executive Director, Finance and Corporate Services	Accounting
	Brief Template	NSWHP_SD_039	NSW Health Pathology Supporting Document	Director, Corporate Governance	Corporate Governance
	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
	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
	Business Activity Statement Procedures - NSW Health Standards	GL2010_012	Ministry Policy	Executive Director, Finance and Corporate Services	Finance
	Cancer Registry - Notifying Cancer Cases to the NSW Central Cancer Registry	PD2009_012	Ministry Policy	Executive Director, Clinical Operations	Information and Data
	Capital Works Administration Costs - Capital Works Procedure No 12	PD2005_046	Ministry Policy	Executive Director, Finance and Corporate Services	Finance
	Cashing Out Accrued Additional Annual Leave	IB2016_054	Ministry Information Bulletin	Executive Director, People and Culture	Workforce - Workplace Management - Leave
	Central Registry of Contracts arising from Government Tenders	IB2007_032	Ministry Information Bulletin	Executive Director, Finance and Corporate Services	Procurement
	Changes to Fire Safety Practitioner Accreditation Standards	IB2020_019	Ministry Information Bulletin	Executive Director, People and Culture	Workforce - Work Health and Safety and Security
	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
	Changes to Unit References Codes for Fire Safety Training	IB2020_003	Ministry Information Bulletin	Executive Director, People and Culture	Workforce - Work Health and Safety and Security
	Child Related Allegations, Charges and Convictions against NSW Health Staff	PD2016_025	Ministry Policy	Executive Director, People and Culture	Workforce - Workplace Conduct
	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
	Children and Infants - Acute Management of Head Injury	PD2011_024	Ministry Policy	Executive Director Strategy and Transformation	Pathology
	Christmas close down 2019-20 and additional public holiday 2019	IB2019_044	Ministry Information Bulletin	Executive Director, People and Culture	Workforce - Workplace Management - Leave
	Client Registration Guideline	GL2007_024	Ministry Policy	Executive Director Strategy and Transformation	Information and Data
	Client Registration Policy	PD2007_094	Ministry Policy	Executive Director Strategy and Transformation	Information and Data
	Clinical Academics Employed in the NSW Health Service	PD2019_055	Ministry Policy	Executive Director, People and Culture	Workforce - Workplace Management - Conditions of Employment
	Clinical and Related Waste Management for Health Services	PD2017_026	Ministry Policy	Executive Director, Clinical Operations	Facilities Management
	Clinical Governance Framework	NSWHP_CG_009	NSW Health Pathology Policy and Procedure Manual	Executive Director, Clinical Governance and Quality	Clinical Governance
	Clinical Nurse / Midwife Consultants - List of Domains and Functions	IB2017_002	Ministry Information Bulletin	Executive Director, People and Culture	Workforce - Workplace Management - Employee Relations
	Clinical Nurse Consultants - Domains and Functions	IB2011_024	Ministry Information Bulletin	Executive Director, People and Culture	Workforce - Workplace Management - Employee Relations
	Clinical Procedure Safety	PD2014_036	Ministry Policy	Executive Director, Clinical Governance and Quality	Clinical Governance
	Clinical Trial Research Agreements for Use in NSW Public Health Organisations	PD2011_028	Ministry Policy	Executive Director, Clinical Governance and Quality	Research
	Clinical Trials - Insurance and Indemnity	PD2011_006	Ministry Policy	Executive Director, Clinical Governance and Quality	Research
	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
	Combined Delegations		Ministry Policy and Procedure Manual	Director, Corporate Governance	Delegations
	Commercial Building Energy Efficiency Disclosure (CBD)	IB2010_043	Ministry Information Bulletin	Executive Director, Finance and Corporate Services	Facilities Management
	Commonwealth Paid Parental Leave	IB2017_037	Ministry Information Bulletin	Executive Director, People and Culture	Workforce - Workplace Management - Leave
	Communicating Positively: A Guide to Appropriate Aboriginal Terminology	GL2019_008	Ministry Guideline	Executive Director, Clinical Operations	Cultural Diversity
	Communications - Use and Management of Misuse of NSW Health Communications Systems	PD2009__076	Ministry Policy	Executive Director, People and Culture	Communications
	Complaint Management Guidelines	GL2020_008	Ministry Guideline	Executive Director, Strategic Communications	Complaint Management
	Complaints Management Policy	PD2020_013	Ministry Policy	Director, Corporate Governance	Complaint Management
	Compliance Management Framework	NSWHP_CG_010	NSW Health Pathology Corporate Governance Document	Director, Corporate Governance	Legal and Regulatory
	Compliance Report	NSWHP_F_024	Form	Executive Director Strategy and Transformation	Legal and Regulatory
	Conduct of Anatomical Examinations and Anatomy Licensing in NSW	PD2011_052	Ministry Policy	Executive Director Strategy and Transformation	Anatomical Pathology
	Confirmation of Appointment Template Letter	NSWHP_SD_021	NSW Health Pathology Supporting Document	Executive Director, People and Culture	Workforce - Workplace Management - Employee Relations
	Conflicts of Interest and Gifts and Benefits	PD2015_045	Ministry Policy	Director, Corporate Governance	Workforce - Workplace Conduct
	Conflicts of Interest and Gifts and Benefits Procedure	NSWHP_PCP_001	NSW Health Pathology Procedure	Director, Corporate Governance	Workforce - Workplace Conduct
	Conflicts of Interest and Gifts and Benefits Procedure	NSWHP_PCP_001	NSW Health Pathology Procedure	Director, Corporate Governance	Workforce - Workplace Conduct
	Conflicts of Interest Form	NSWHP_F_044	Form	Director, Corporate Governance	Workforce - Workplace Conduct
	Consent to Medical and Healthcare Treatment Manual	IB2020_010	Ministry Information Bulletin	Executive Director, Clinical Services	Pre and Post Analytical
	Contingent Workers Procedure	NSWHP_PR_028	NSW Health Pathology Procedure	Executive Director, People and Culture	Workforce - Recruitment and Selection
	Continuing Education Allowances - Public Health System Nurses' & Midwives' (State) Award	PD2018_008	Ministry Policy	Executive Director, People and Culture	Workforce - Workplace Management - Employee Relations
	Coordination of responses to urgent system-level medicine or medical device issues	PD2019_019	Ministry Policy	Executive Director, Clinical Governance and Quality	Clinical Governance
	Cord Blood - Public and Private Cord Blood Banking	PD2015_048	Ministry Policy	Executive Director, Clinical Operations	Clinical Governance
	Coroners Cases and the Coroners Act 2009	PD2010_054	Ministry Policy	Executive Director, Clinical Operations	Clinical Governance
	Coronial Checklist	IB2010_058	Ministry Information Bulletin	Executive Director, Clinical Services	Communicable and Infectious Diseases and Control
	Corporate Governance & Accountability Compendium		Ministry Policy and Procedure Manual	Director, Corporate Governance	Corporate Governance
	Corporate Office Emergency Response Plan	NSWHP_CG_004	NSW Health Pathology Corporate Governance Document	Executive Director, Clinical Governance and Quality	Disaster Management
	Corporate Office Emergency Response Plan	NSWHP_CG_004	NSW Health Pathology Corporate Governance Document	Executive Director, Clinical Governance and Quality	Disaster Management
	Corrupt Conduct - Reporting to the Independent Commission Against Corruption (ICAC)	PD2016_029	Ministry Policy	Director, Corporate Governance	Workforce - Workplace Conduct
	Credentialing & Delineating Clinical Privileges for Senior Medical Practitioners & Senior Dentists	PD2019_011	Ministry Policy	Executive Director Medical Services	Workforce - Workplace Management - Workforce Planning
	Creutzfeld-Jakob Disease Related Information Sharing	PD2014_041	Ministry Policy	Executive Director, Clinical Services	Communicable and Infectious Diseases and Control
	Critical Alert List - Chemical Pathology	NSWHP_SD_037	NSW Health Pathology Supporting Document	Executive Director Strategy and Transformation	Chemical Pathology
	Critical Alert List - Haematology	NSWHP_SD_038	NSW Health Pathology Supporting Document	Executive Director Strategy and Transformation	Haematology
	Critical Incident (Clinical and Corporate) Checklist	NSWHP_F_027	Form	Director, Corporate Governance	Incident Management
	Critical Incident Huddle Flowchart	NSWHP_F_028	Form	Director, Corporate Governance	Incident Management

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