Policies & Procedures

September 2020

Documents overdue for review



WSLHD Executive has made a commitment that WSLHD will have ALL policies & procedures reviewed, updated, implemented or rescinded to comply with the National Quality Standards.

With an upcoming accreditation we are focusing greatly on ensuring the WSLHD Policy & Procedure database is up to date and all documents are current.

If you have been nominated to review an overdue document for review, please follow the below steps:

1. Contact WSLHD-PolicyAndProcedure@health.nsw.gov.au to request the latest word version of the document. This is important to ensure the correct template/version is being reviewed.
2. Make required amendments along with appropriate consultation which must be recorded on the consultation/authorisation form. Templates can be found here.
3.. When the review is complete submit the amended document and the completed consultation/authorisation form to WSLHD-PP&GCommittee@health.nsw.gov.au (if a WSLHD document) or to your local P&P committee if facility based.

If a WSLHD document is no longer required, please email WSLHD-PolicyAndProcedure@health.nsw.gov.au with a detailed justification along with Department head approval.

If a facility based document is no longer required, please email your local P&P committee with a justification and they will instruct you on the next steps required.

If anyone requires assistance or guidance please do not hesitate to contact us. We are here to help!

Thank you for your co-operation and dedication.


Contact for more information

Elisha Keill

0409 467 569



Submitted by Policies & Procedures Team

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