Healthcare facility licensing

Health care facilities carry out prescribed medical and dental procedures. They also offer overnight patient stays before or after medical treatment. The operator of Health Care facilities that provide prescribed medical and dental procedures must hold a Health Care Facility Activity Licence. Licences are issued under the ACT Health Care Facilities Code of Practice 2001.

Health care facilities carry out prescribed medical and dental procedures. They also offer overnight patient stays before or after medical treatment.

The operator of Health Care facilities that provide prescribed medical and dental procedures must hold a Health Care Facility Activity Licence.

Licences are issued under the ACT Health Care Facilities Code of Practice 2001.

Prescribed medical and dental procedures are defined by the Code as activities carried out for medical or cosmetic reasons by a health care professional, involving:

  • the administration of general, spinal, epidural or major regional block anesthetic or intravenous sedative during an elective procedure, not including mandibular blocks
  • endoscopy
  • dialysis, haemofiltration or haemoperfusion
  • prolonged intravenous infusion of a single cytotoxic agent of sequential intravenous infusion of more than one cytotoxic agent
  • cardiac catheterisation
Licence applications

The Health Protection Service encourages applicants to discuss their fit-out plans and proposed procedures with us. Please call 02 6205 1700 during business hours.

All applications for Health Care Facility Activity Licences must be submitted online and accompanied by the fee. Fit out plans should accompany your application form.

If you need to update or change the details on your licence, please apply online for a Health Care Facility Licence Variation.

Please send all hardcopies of forms to: Health Protection Service, Locked Bag 5005, Weston Creek, ACT 2611

Helpful links

Current licence fees

Please see the table below for licence fees.

Type of Facility Annual Fee
Accredited facility (<200 beds) $623
Accredited facility (>200 beds) $1245
Non-accredited facility $932
Dental practitioner $249

Please note: there is a $76 fee for transfer of a licence.

Item 4: Accreditation

ACT Health follows the National Safety and Quality Health Service Standards (NSQHS). For more information on accrediting agencies, please check their website.

The following organisations are recognised accreditation systems under the Code:

  • The Australian Council on Healthcare Standards
  • EQuIP
  • Global Mark
  • Reproductive Technology Accreditation Committee (RTAC)
  • Benchmark in Health

New facility operators should use an accreditation agency from the list approved by the Australian Commission on Safety and Quality in Healthcare.

If you have any questions, please contact the Health Protection Service on 02 6205 1700.

Accreditation

ACT Health follows the National Safety and Quality Health Service Standards (NSQHS). For more information on accrediting agencies, please check their website.

The following organisations are recognised accreditation systems under the Code:

  • The Australian Council on Healthcare Standards
  • EQuIP
  • Global Mark
  • Reproductive Technology Accreditation Committee (RTAC)
  • Benchmark in Health

New facility operators should use an accreditation agency from the list approved by the Australian Commission on Safety and Quality in Healthcare.

If you have any questions, please contact the Health Protection Service on 02 6205 1700.

Structure of Facilities

Please see the following links for compliance with relevant health care facility structure standards.

For more information on building guidelines for the ACT, please see the ACT Planning and Land Authority website:

Information Management

All general records maintained by health care facilities must be stored in accordance with Australian Standards. This includes storage of accounts, insurance documents and correspondence.

The procedure for storing medical, or health records is set under Part 5 of the ACT Health Care Facilities Code of Practice 2001.

Food Safety

If you provide food to your patients, you must register as a food business. You must also meet the requirements of the Food Act 2001, the Food Regulation ACT 2002 and the Australia New Zealand Standards Code. This may include the option of a Food Safety program for providing food to vulnerable groups.

You can discuss your food safety obligations with our public health officers on 02 6205 1700.

Nutritional Assessment

Health care facility licensees must ensure all food provided is consistent with the Dietary Guidelines for Australians.

Laundering

Health care facility licensees must ensure all linen used is cleaned in accordance with Australian Standards. You can purchase Standards from SAI Global.

Clinical Waste Management

Clinical wastes arise from the treatment and care of patients. They include hypodermic needles, scalpels, tissue and fluid specimens, drugs and pharmaceuticals and materials that have been in contact with these substances.

Health care facility licensees must comply with the Clinical Waste Act 1990 and the Clinical Waste Manual 1991. These documents detail the requirements about the storage, treatment, transportation and disposal of clinical waste. This includes the engagement of an approved entity for the removal of clinical waste from a facility.

ACT legislation

ACT Health encourages you to familiarise yourself with the relevant ACT legislation including:

  • Children and Young People Act 2008
  • Clinical Waste 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

You can find all legislations on the ACT Legislation website.

Food Safety Regulation

The Health Protection Service is responsible for food safety in the ACT.

We manage food businesses, develop food regulations and policies and provide advice and information for food businesses and the community.

ACT Food Safety Laws

There are various legal obligations you need to be aware of when preparing and selling food. These obligations are set out in the following pieces of food law in the ACT:

Some community organisations are not covered by the Food Act 2001 and are instead regulated by the Public Health Act 1997.

Please contact us to speak with one of our Public Health Officers about food-related complaints or concerns, or for advice on food business regulation and safety and hygiene requirements on 02 6205 1700 or email hps@act.gov.au

Our office hours are 9am to 4:30pm on weekdays.

We are located at 25 Mulley Street, Holder ACT 2611.

You can contact us on 02 6205 1700 or hps@act.gov.au

Postal Address: Locked Bag 5005, Weston Creek ACT 2611. Our Fax number is 02 6205 1705

If you require after-hours assistance, please call 02 9962 8612.

Page last updated on: 19 Sep 2018