Health Care Facilities Licensing

The operator of a health care facility that provides prescribed medical and dental procedures is required to hold a Health Care Facility Activity Licence in order to conduct the business of that facility.

Licences are issued under the ACT Health Care Facilities Code of Practice 2001, an enforceable Code of Practice under the Public Health Act 1997.

Definition

Health care facilities are premises where prescribed medical and dental procedures are carried out and/or premises in which overnight patient stays are provided prior to or after receiving medical treatment.

The operator of a health care facility is required to hold a Health Care Facility Activity Licence in order to conduct the business of that facility. Licenses are issued under the ACT Health Care Facilities Code of Practice 2001, an enforceable Code of Practice under the Public Health Act 1997.

Under the Code, prescribed medical and dental procedures are defined as those undertaken for medical or cosmetic reasons by a health care professional that involves:

  • the administration of a general, spinal, epidural or major regional block anaesthetic or intravenous sedative for the purpose of performing an elective procedure, but does not include mandibular blocks;
  • endoscopy;
  • dialysis, haemofiltration or haemoperfusion;
  • prolonged intravenous infusion of a single cytotoxic agent or sequential intravenous infusion of more than one cytotoxic agent; or
  • cardiac catheterisation.

Licence applications

Applicants are encouraged to discuss their fitout plans and proposed procedures with the Health Directorate on (02) 6205 1700 during business hours.

Applications for a Health Care Facility Activity Licence must be submitted on the following forms, accompanied by the prescribed fee. Fitout plans should accompany your application form.

Apply Online

Health Care Facility Application Form (2016)

To update or change the details on your licence, apply for a Health Care Facility Licence Variation online, or download PDF form

To transfer ownership of your facility

Completed forms should be addressed to:

Health Protection Service
Locked Bag 5005
WESTON CREEK ACT 2611

Fee structure

The Health Care Facility Activity Licence is available at two levels:

  • type 1 licence for non-accredited facilities
  • type 2 licence for accredited facilities

An annual fee is payable in respect to a licence.

Current licence fees

The current licence fees are:

Type of Facility Annual Fee
Accredited facility (<200 beds) $599
Accredited facility (>200 beds) $1197
Non-accredited facility $896
Dental practitioner $239

A fee of $73 is charged for transfer of a licence.

Accreditation

Australian Governments have committed to implementation of the National Safety and Quality Health Service Standards (NSQHS). Information on accrediting agencies can be found at www.safetyandquality.gov.au.

In addition the following organisations continue to be recognised accreditation systems under the Code:

The Australian Council on Healthcare Standards - EQuIP, Global Mark, Reproductive Technology Accreditation Committee (RTAC) and Benchmark in Health.

Please note, new facility operators should seek an accrediting agency from the list approved by the Australian Commission on Safety and Quality in Healthcare (www.safetyandquality.gov.au). If you have questions, please contact the Health Protection Service on (02) 6205 1700.

Structure of Facilities

To ensure the structure of health care facilities in the ACT comply with relevant standards, applicants are referred to:

Information Management

General records, such as accounts, insurance documents and correspondence, maintained by a health care facility, must be stored in accordance with Australian Standards.

  • AS ISO 15489.1 2002 (Record Management General) and AS ISO 15489.2 2002 (Record Management Guidelines) may be purchased from SAI Global.
  • Note that the procedure for storing medical records is prescribed under Part 5 of the ACT Health Care Facilities Code of Practice 2001.

Food Safety

Health care facilities providing food to patients are required to register as food businesses. They must meet the requirements of the Food Act 2001, the Food Regulation 2002 and the Australia New Zealand Food Standards Code. This may include having a Food Safety program in place if providing food to vulnerable populations.

You can discuss your food safety obligations with a public health officer at the HPS on (02) 6205 1700.

Nutritional Assessment

The licensee of a health care facility must ensure that the food provided by the facility is consistent with the Dietary Guidelines for Australians.

Laundering

The licensee of a health care facility must ensure that all linen used in the facility is cleaned in accordance with Australian Standards.

AS/NZS 4146:2000 (Laundry Practice) may be purchased from SAI Global.

Clinical Waste Management

Clinical wastes are those arising from the treatment and care of patients and includes such things as hypodermic needles, scalpels, tissue and fluid specimens, drugs and pharmaceuticals and their wastes and materials that have been in contact with these sorts of substances.

The licensee of a health care facility must comply with the Clinical Waste Act 1990 and the Clinical Waste Manual 1991 that detail the requirements in regards to the storage, treatment, transportation and disposal of clinical waste. This includes the engagement of an approved entity for the removal of clinical waste from the facility.

ACT legislation

Applicants are encouraged to familiarise themselves with relevant ACT legislation including:

Children and Young People Act 2008
Clinical Waste Act 1990
Food Act 2001
Health Records (Privacy and Access) Act 1997
Medical Treatment (Health Directions) Act 2006
Medicines, Poisons and Therapeutic Goods Act 2008
Radiation Protection Act 2006
Work Health and Safety Act 2011

The above legislation is available on the ACT Legislation website.

More information

For further information on building guidelines pertaining to the ACT please follow the links below to the ACT Planning and Land Authority website: