DRAFT PRO FORMA

For Development Of Your Health Services Own Policy

( nsert Health Service !ame Here" #O$ OFF%R& !'()D !* %MP(OYM%!T 'O!TRA'T+A*R%%M%!T
Private and Confidential Dear Re: Offer of Employment We are pleased to inform that you application for the position of _ _ _ _ _ _ _ _ _ _ _ _ _ _ has been successful. ttached are the terms and conditions of the offer. We advise that you should read these carefully! and if you a"ree! si"n the acceptance form at the bottom of this letter and return to us by _ _ _ _ _ (date#. Once si"ned by you! this letter $ill form the basis of the Employment "reement bet$een you and the _ _ _ _ _ _ _ %ealth &ervice. Please contact me if you have any 'uestions or concerns. (he offer is as follo$s: Position )our position $ith the _ _ _ _ _ _ _ %ealth &ervice $ill be as _ _ _ _ _ _. current *ob description is attached. (his may be amended by the _ _ _ _ _ _ _ %ealth +oard! after ne"otiations $ith you! as a conse'uence of operational re'uirements of the service and the altered *ob description $ill apply to the position. ,. (erm of the "reement (he term of your contract of employment shall be _ _ _ years. (he contract $ill apply from your commencement date at the be"innin" of business hours on _ _ _ _ _ _ _ (date# and $ill cease at the close of business on the _ _ _ _ _ _ _ (date#. -. vailability of .undin" ll terms e/cept for those dealin" $ith salary level! annual! sic0 and lon" service leave and $or0ers1 compensation are sub*ect to the availability of fundin" for the position. 2. Contract of Employment

)our contract of employment $ith the _ _ _ _ _ _ _ %ealth &ervice consists of the terms and conditions $ithin this offer and any _ _ _ _ _ _ _ %ealth &ervice policies that may e/ist from time to time. (his contract is separate from and e/cludes any and all a$ards and enactments! or their provisions! unless they are e/pressly contained in this contract. (his contract replaces any previous $ritten or verbal offers! understandin"s or contracts. 3. &alary )our ordinary salary on commencement shall be 4 _ _ _ _ _ _ per annum. )our salary $ill be paid t$o $ee0s in arrears! by direct deposit into an account nominated by you. Other allo$ances include District llo$ance and 5an"ua"e llo$ance (if lan"ua"e is relevant to this health service#. &alary increments $ill be "ranted! sub*ect to fundin" availability! to employees $hose $or0 performance has been satisfactory and $ho have completed t$elve months of employment. 6. &alary &acrifice (he _ _ _ _ _ _ _ %ealth &ervice has access to salary sacrifice! $hich is available to employees at the _ _ _ _ _ _ _ %ealth &ervice1s discretion. (he _ _ _ _ _ _ _ %ealth &ervice holds the ri"ht to $ithdra$ salary sacrifice benefits if any la$s chan"e that impact on this arran"ement. (he _ _ _ _ _ _ _ %ealth &ervice $ill allo$ _ _ _ _ _ _ _ (employee# to salary sacrifice a ma/imum amount of 477. "rossed up value for approved purposes. 8. &uperannuation (he _ _ _ _ _ _ _ %ealth &ervice shall contribute on your behalf an amount e'ual to 9: of your ordinary salary into the _ _ _ _ _ _ _ &uperannuation .und. (he conditions applyin" to superannuation $ill be determined by _ _ _ _ _ _ _ %ealth &ervice policy! the &uperannuation ;uarantee ct and the rules of the fund. <. %ours of Wor0 Ordinary hours of $or0 shall be a minimum of <6 hours per fortni"ht $or0ed fle/ibly to the needs of the community. (he employee must complete a timesheet. (he normal hours of the clinic are $ee0days _ _ am to _ _ pm and _ _ _ _ am to _ _ pm. =. On Call Overtime hours! includin" $ee0ends! $ill be shared by the 'ualified medical and nursin" staff. (he assistance of all staff may be re'uired for emer"ency situations! $hich $ill be performed $ithout remuneration. _ _ : loadin" of normal salary $ill be paid to cover on call $or0 and call>outs. 9. Other Duties )ou may be re'uired by the _ _ _ _ _ _ _ %ealth &ervice to perform duties in addition to! or in place of! those stated in the *ob description at! and for! any time. ,?. Probationary Period probationary period of three (2# months from the startin" date $ill apply. t the e/piration of the probation period a performance appraisal $ill be carried out! and

the employer and the employee shall resolve to confirm the employee1s appointment! terminate the a"reement or "rant an e/tension of the probation for a period for a further period of three (2# months. fter one (,# year or more of service no probation period $ill be re'uired. ,,. Performance ppraisal performance appraisal $ill be conducted annually. ,-. (ermination )our contract of employment may be terminated before its e/piry date as follo$s: a. (ermination by notice follo$in" repeated unsatisfactory performance appraisals (he _ _ _ _ _ _ _ %ealth +oard may terminate your employment by "ivin" _ _ _ $ee01s notice of the termination. (he _ _ _ _ _ _ _ %ealth +oard may choose to pay out this notice period rather than have you $or0 out the notice. (he period of notice re'uired in this para"raph does not apply in the circumstances described in para"raph @fA of this clause. b. (ermination by notice from employee )ou may terminate your employment by "ivin" _ _ _ _ _ _ _ $ee0s1 notice of the termination. Bormally you $ould be re'uired to $or0 durin" this notice period but the _ _ _ _ _ _ _ %ealth +oard may a"ree to an earlier release from your duties. (he period of notice re'uired in this para"raph does not apply in the circumstances described in para"raph Cf1 of this clause. c. &ummary dismissal (he _ _ _ _ _ _ _ %ealth +oard may terminate your employment $ithout notice! or payment in lieu of notice! because of any: malin"erin"! ne"li"ence! misconduct! or breach of _ _ _ _ _ _ _ %ealth &ervice policy or breach of Clause --! Code of Conduct! in this contract! on your part. d. Dnsatisfactory performance and behaviour (he _ _ _ _ _ _ _ %ealth +oard may terminate your contract $ithout notice because of unsatisfactory $or0 performance or behaviour! or behaviour that is inappropriate in the community! as determined by the _ _ _ _ _ _ _ %ealth +oard! and actions that brin" the _ _ _ _ _ _ %ealth &ervice into disrepute! on your part. e. Operational re'uirements and economic considerations (he _ _ _ _ _ _ _ %ealth +oard may terminate your employment because of reasons associated $ith operational re'uirements! economic consideration! or financial circumstances (for e/ample! reduced fundin" received from the various fundin" entities $hich may or may not be related to your employment#. f. End of Contract Bo notice is re'uired and no compensation $ill be payable if your contract runs the full term as specified in Clause -. ,2. Bominated Place of Recruitment

)our nominated place of recruitment is _ _ _ _ _ _ _ ,3. (ravel: Relocation and Repatriation a. Relocation (he _ _ _ _ _ _ _ %ealth &ervice $ill provide or pay for airfares for yourself and your immediate family! as a"reed! from your nearest capital city to _ _ _ _ _ _ _ and transport to _ _ _ _ _ _ _ to allo$ you to start your employment $ith the _ _ _ _ _ _ _ %ealth +oard. Ef employed from inside the _ _ _ _ _ _ _ 5and (rustFCommunity there is no entitlement to airfares. b. Repatriation (he health board $ill provide or pay for repatriation for the employee and immediate family! as a"reed! from _ _ _ _ _ _ _ to your nearest capital city on your employment bein" terminated. Ef employed from inside the _ _ _ _ _ _ _ 5and (rustFCommunity there is no entitlement to airfares. c. Gualifications on entitlement Ef you are terminated by the _ _ _ _ _ _ _ %ealth +oard $ithout notice for misconduct or for reasons that summary dismissal $ould apply after you have t$elve (,-# months continuous service $ith the _ _ _ _ _ _ _ %ealth +oard then the health board $ill pay or provide repatriation transport for yourself and immediate family to your nominated place of recruitment. Ef the employee decides to terminate their contract $ithin t$elve (,-# months of their startin" date there is no entitlement to repatriation. d. Bo double countin" of entitlements (he entitlement to relocation and repatriation travel $ill only be available to the e/tent that you or members of your immediate family do not have relocation or repatriation entitlement from any other contract $ith the health board or any other source. e. lternative methods of travel )ou may use alternative methods of transport! such as your o$n vehicle! for relocatin" to and repatriatin" from the community. Ef you use your o$n vehicle you may claim the follo$in" allo$ances instead of airfares. Reimbursement is based on: Hehicle use: 4_ _ _ per 0ilometre inclusive of fuel! oil! vehicle maintenance! insurance and all costs associated $ith runnin" the vehicle. (he rate depends on vehicle en"ine capacity (see (able 3# ccommodation 4_ _ _ _ per ni"ht on presentation of receipts. Ef you use your o$n vehicle! these allo$ances (vehicle and accommodation# $ill be paid to a ma/imum that is the e'uivalent to the cost of the economy airfares that $ould have been provided other$ise.

Ef you use another form of transport! such as a coach! then you may claim the cost of the tic0et and the accommodation to a ma/imum that is e'uivalent to the costs of the economy airfares that $ould have been provided other$ise. En addition! if usin" alternative methods to relocate or repatriate you must travel by the most practical direct route from your nearest capital city to the community. En claimin" for the costs arisin" from alternative methods of transport you must provide the _ _ _ _ _ _ %ealth &ervice $ith satisfactory evidence of costs claimed. ,6. Personal Effects (ransport: Relocation nd Repatriation a. Relocation (he health board $ill provide or pay for reasonable e/penses! to a ma/imum of 4_ _ _ incurred in the transport of your personal effects from your nominated place of recruitment to allo$ you to start your employment $ith the health board. Ef employed from inside the _ _ _ _ _ _ _ 5and (rustFCommunity there is no entitlement to relocation cost. (hree 'uotes $ill be re'uired to be presented to the health service! and approval provided throu"h the issuin" of a purchase order enablin" the health service to pay the supplier directly on presentation of their invoice. b. Repatriation (he health board $ill provide or pay for reasonable e/penses! to a ma/imum of 4_ _ _ incurred in the transport of your personal effects from the community to your place of recruitment. (he same conditions as outlined in ,8b $ill apply. c. Gualifications of entitlement for personal effects transportation Ef after t$elve (,-# months continuous service! the health board terminates your position $ithout notice for misconduct! or for reasons that summary dismissal $ould apply! then the health board $ill pay or provide for repatriation transport for your personal effects to a ma/imum of 4_ _. (he same conditions as outlined in ,8b $ill apply. Ef the employee decides to terminate hisFher contract $ithin t$elve (,-# months of hisFher startin" date there $ould be no entitlement to repatriation e/penses. d. Bo double countin" of entitlements (he entitlement to relocation and repatriation of personal effects $ill only be available to the e/tent that you or members of your immediate family do not have relocation or repatriation entitlement from any other contract $ith the %ealth +oard or any other source. e. Definition of personal effects En this clause @personal effectsA means your household "oods! personal possessions! one car. dditional vehicles! boats! trailers and caravans etc are not included.

f. Ensurance )ou shall be responsible for insurance and the cost of insurin" the transport of your personal effects on relocation or repatriation. ,8. ccommodation! Dtilities nd &ervices a. Entitlement (he health board shall provide you $ith suitable accommodation accordin" to its accommodation policy! availability and the terms of its tenancy a"reement $ith you. b. Char"es for accommodation. (he char"es for your accommodation shall be: Rent 4 _ _ per fortni"ht. c. Other utilities and services En the event any other char"es are levied in the community for utilities or other services (such as electricity! "as! and telephone#! you shall be responsible for the payment of those char"es. ,<. nnual 5eave a. Entitlement )our entitlement to annual leave is _ _ _ _ _ $or0in" days after ,- months full> time e'uivalent completed service. Payment for your period of leave is at your ordinary rate plus a loadin" of ,<.6:. )ou $ill be paid for your annual leave and leave loadin" before you "o on annual leave. b. (ime of ta0in" annual leave )ou must re'uest annual leave si/ $ee0s before the date and have your re'uest approved by the health board before you "o on leave. Where possible! the health board $ill try to "rant annual leave for the time re'uested. %o$ever! the health board at its discretion and accordin" to its operational re'uirements $ill "rant all annual leave. nnual leave must be ta0en $ithin ,- months of it fallin" due. Ef the %ealth +oard re'uires you to ta0e leave at any time it $ill "ive you 8 $ee0s notice of that re'uirement. t least 3 $ee0s of your annual entitlement must be spent outside the community. c. Public holidays s observed in the B(. nnual leave is e/clusive of public holidays. d. Rest and recreation Every three months there is one $ee01s rest and recreation provided. (his is paid as standard $ee0ly pay $ith no on call or overtime loadin". (his $ee0 must be ta0en a$ay from the community. Ef employment ceases $ithin the first three (2# months tenure there $ill be no entitlement to payment for this $ee0.

e. Payment on termination On the termination of your employment! your accrued and pro rata holiday leave! plus leave loadin" $ill be paid out. (his is provided you have at least one month1s service and terminate in accordance $ith this contract or have been terminated by the health board. ,=. nnual leave airfares a. (he health board $ill pay for one economy class airfare to the nearest capital city for you after ,- months continuous service for the purpose of ta0in" annual leave. Ef you $ish to "o to a different destination the health board $ill contribute the value of an economy class airfare to the nearest capital city to the cost of your travel. (his can be ta0en as an airfare or paid out as the e'uivalent. (his airfare must be ta0en in con*unction $ith annual leave. b. Bo double countin" (his entitlement to annual leave airfare $ill only be available to the e/tent that you and members of your immediate family do not have any annual leave travel assistance entitlement from any other contract $ith the health board or any other source. Payment on termination: Ef your contract is terminated at a time $hen you have an accrued but unta0en annual leave entitlement then an airfare entitlement proportional to the percenta"e of annual leave accrued $ill be paid out. )ou shall not be entitled to any annual leave airfare at the termination of this contract if you are entitled to repatriation travel. ,9. &ic0 5eave a. Entitlement )ou have an entitlement up to ,? paid days sic0 leave per year. %o$ever up to five days of this entitlement may be ta0en by you to enable you to be responsible for the care and support of a member of your family. &ic0 leave entitlements shall not be paid out if not ta0en. (he health board may a"ree! at its absolute discretion! to e/tend either paid or unpaid leave for any incapacity to attend for $or0 due to illness that e/ceeds your sic0 leave entitlement. b. Botification of absence )ou are re'uired to advise the health board as soon as possible if you are not able to attend $or0 for reason of $hich you are claimin" sic0 leave. c. Proof of reasons for absence )ou may be re'uired at any time to produce a medical certificate! or other proof! detailin" the nature of your illness and inability to attend $or0 because of that illness or to enable you to be responsible for the care and support of a member of your family $ho is "enuinely ill. -?. +ereavement 5eave )ou have an entitlement to _ _ days paid leave to attend the funeral of your spouse! parents! "rand parents! siblin"s and children. (his includes people $ith $hom you

have an in>la$! de>facto or step relationship. dditional leave may be "ranted! at the health board1s absolute discretion! on a paid or unpaid basis by a"reement $ith the health board. -,. Iury 5eave Ef you are re'uired to attend *ury service the health board $ill "rant you leave to perform that service. (he health board $ill pay you the difference bet$een any monies you receive for *ury service and your ordinary salary. )ou are re'uired to provide proof of your *ury service and any payments made to you for that service. --. Parental 5eave a. (ypes of parental leave (here are three types of parental leave to $hich you may be entitled. ll of these are currently provided for in the Industrial Relations Act 1988 (Commonwealth) or a relevant a$ard. Entitlements to parental leave under the ct are reduced by any entitlement "ranted by an a$ard so there is no double countin" of entitlements. (he three types of leave are: ,. Jaternity 5eave: a female employee $ho becomes pre"nant is entitled to a ma/imum of 6- $ee0s leave to allo$ her to "ive birth and care for the child. -. Paternity 5eave: a male employee $ho has a spouse $ho "ives birth to a live child is entitled to: a. &hort Paternity 5eave: one $ee0 of leave be"innin" on the date the child is born. b. 5on" Paternity 5eave: ma/imum of an additional 6, $ee0s leave to be the primary care "iver to the child. B+ there is no overlap. (he intent in providin" paternity and maternity leave is that apart from one $ee0 of short paternity leave! you and your spouse do not ta0e the periods of maternity and paternity leave at the same time. En addition! the total entitlement for you and your spouse cannot e/ceed 6- $ee0s of parental leave. Parental leave can be ta0en in con*unction $ith annual leave or lon" service leave. %o$ever! this normally reduces the amount of parental leave by the same amount of other leave. "ain the intent is that the total time absent from $or0 by you and your spouse is no more than 6- $ee0s. 2. doption 5eave: you may be entitled to a period of unpaid leave if you adopt a child under the a"e of five. There is no overlap of a,option leave- (he entitlement is: i. &hort doption 5eave: up to three $ee0s leave to allo$ you or your spouse to care for the child.

ii. 5on" adoption 5eave: a ma/imum of 6- $ee0s leave to be the primary carer for the child. (his period of leave is reduced by any period of adoption leave ta0en by your spouse. (he intent is that the total amount of adoption leave ta0en by you or your spouse is no more than 6- $ee0s. nnual and lon" service leave may be ta0en in place of or in con*unction $ith adoption leave but the period of adoption leave available is reduced by the amount of other leave ta0en. part from the period of short adoption leave! you and your spouse do not ta0e adoption leave at the same time. b. Gualifyin" period En all types of parental leave you must have at least ,- months continuous service $ith the %ealth +oard! to the date of birth or adoption! before you can claim parental leave. c. Proof of claim (he %ealth +oard may re'uire you to supply proof relatin" to the e/istence of a pre"nancy! the birth of a live child! adoption of a child! the amount of any parental leave to be or actually ta0en by your spouse! the time and amount of any other leave to be ta0en by you and your spouse durin" the 6- $ee0s follo$in" the birth or adoption of your child. d. Payment for parental leave ll parental leave is unpaid. e. Other conditions of parental leave (he conditions for parental leave are determined by the relevant sections of the Industrial Relations Act 1988 (Commonwealth) or by the relevant provisions of any applicable a$ard. -2. Other 5eave )ou may re'uest leave for purposes other than those that have been detailed else$here in this contract. Re'uests of this type $ill be considered on their merits by the health hoard. bsolute discretion rests $ith the health board to "rant or not to "rant other leave and! if "ranted! to allo$ paid or unpaid leave. -3. Public %olidays a. Public %olidays are "enerally not $or0ed )ou $ill normally not be re'uired to $or0 on the public holidays "enerally observed in the B(. b. dditional public holidays $ill be observed if they are "aKetted by the B( ;ovt. and apply to _ _ _ _ _ _ _ community. ny of the holidays observed in the B( may be observed on a different day than $hich they fall if it is declared in the B( ;ovt. ;aKette! or a"reed bet$een the health board and a ma*ority of its employees. -6. Code Of Conduct &taff are e/pected to conform to the staff code of conduct. .ailure to do so may result in dismissal.

-8. Occupational %ealth L &afety +oth employee and the health board have le"al obli"ations about health and safety in the $or0place. (he health board $ill act to observe its obli"ations $hile you are e/pected to do the same. &pecifically this means ta0in" due care of your and other health service employees1 health and safety at $or0M $or0in" accordin" to any and all health service health and safety practices and proceduresM usin" any and all protective e'uipment $hich is re'uired or supplied for the purpose it is intended or directedM report any maintenance re'uirements! haKards! accidents! in*uries or incidents to the health serviceM and ta0e $hatever corrective action is needed by $ay of maintenance and eliminatin" haKards. 5istin" these obli"ations here is not meant to limit or e/clude any other health and safety obli"ations that e/ist. -<. (rainin" )ou are re'uired to attend or underta0e any trainin" that the health board directs. )ou are also re'uired to perform any trainin" activity for other employees that you are competent to perform that the health board may direct. -=. Confidentiality )ou are not to "ive information or documents relatin" to your employment and to the business of the health service to anyone unless authorised to do so by the health service. (his applies to clinical information! and any information about individuals! families! staff or the community that you 0no$ due to your position as an employee in the health service. -9. Permits to enter and remain on bori"inal 5and a. )ou must personally ma0e the necessary arran"ements to obtain and retain! for the duration of your employment $ith the health board! a valid permit from the relevant bori"inal 5and Council or other authority to reside in the community. (his re'uirement also applies to members of your immediate family $ho reside $ith you in the community. b. En the event that your permit to enter and remain upon bori"inal land formin" part of _ _ _ _ _ _ _ community is not "ranted! or upon bein" "ranted durin" the currency of your employment is revo0ed! both you and the health service are e/cused absolutely from the due performance of this contract and no entitlements $ill arise under clauses ,?!,,!,-!,3!,6 or any other clause. c. ny visitors you have in the community must obtain and retain a valid permit for the duration of their stay. )ou are responsible for ensurin" that your visitors observe the re'uirements of the health board and the community in respect of the conduct that is re'uired of them. 2?. Possession or consumption of lcohol and Elle"al Bon>Prescription Dru"s )ou are not to possess or consume alcohol andFor ille"al non>prescription dru"s in the communityFhealth service or $hilst on duty. (he possession or consumption of any alcoholic bevera"es andFor ille"al non>prescription dru"s is prohibited in the communityFhealth service or in any health service vehicle or $hilst on duty.

ny breach of the clause by you or any member of your family or a visitor of yours shall be re"arded as "ross and $ilful misconduct and may result in your summary dismissal. 2,. %ealth &ervice Property ll health board property! includin" documents! shall remain the property of the health service! even thou"h they may be retained in your possession durin" your employment as a conse'uence of your employment duties. )ou must not borro$! lend or possess any health service property unless authorised by the health service to do so. On the termination of your employment! you must immediately return any and all health service property in your possession to the %ealth &ervice. %ouses supplied are fully furnished. When you start $or0 both parties $ill be involved in an inspection of premises $here a contract $ill be dra$n up concernin" house items and their condition. +oth parties $ill si"n this. Dpon final inspection at the time of your repatriation to _ _ _ _ _ _ _! the cost of any dama"e above reasonable $ear and tear $ill be deducted from your final pay out. 2-. Reportin" (he health board may re'uire you to ma0e any $ritten or verbal report re"ardin" the performance of your duties! health service activities or any such matters as it re'uires. (he health board may re'uest that you ma0e these reports as described in your *ob description! on a periodic or ad hoc basis! or as it sees fit. )ou shall comply $ith all re'uests from the health board to ma0e a report and ma0e such reports $ithin the time>frames set by health board. ll reports submitted by you shall contain only truthful and accurate information that is sufficient for the purpose for $hich the reports are re'uested. 22. Bon>%ealth &ervice Wor0 )ou shall not accept or en"a"e in any $or0 for any business! company or or"anisation other than the health board unless you have the $ritten consent of the health board. 23. Jonies O$ed to the %ealth &ervice On the termination of this contract you shall repay to the health board any monies that you o$e. ny debt that you have that remains outstandin" at the time of the termination of this contract may be offset by the health board from any monies that it o$es you! or other$ise recovered by the health board. 26. Employee ;rievance Procedure Employees should follo$ the health service1s "rievance procedures. 28. Professional Endemnity (he practitioner shall be responsible for arran"in" herFhis o$n professional indemnity insurance! and shall produce documentary evidence of such insurance to the satisfaction of the health board.

2<. &pecial Conditions _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _________ We hope that this offer is acceptable and loo0 for$ard to receivin" your reply. )ours sincerely ___________________ PRE&EDEB( ___________________ HECE>PRE&EDEB( __________________ CODBCE55OR

Common &eal Of (he _ _ _ _ _ _ _ %ealth &ervice (he common seal of the _ _ _ _ _ _ _ %ealth +oard affi/ed hereto this_____ day of ____________ -???_____ in our presence pursuant to a resolution of the _ _ _ _ _ _ %ealth &ervice passed on the ______ day of _________ -???____.

Declaration of "reement and cceptance E! _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ have read and understand! a"ree $ith the terms and conditions accept this contract of employment $ith the health service. E $ish to accept this employment and a"ree E $ill retain as confidential any information 0ept by the service or information other$ise obtained $hile carryin" out normal duties $ith the service. E a"ree to promote concepts of community>based primary health care and to be "uided by the health board. E $ill endeavour to perform my duties in a professional! ethical and co>operative manner! and $ill support my fello$ staff members. E am a$are that E cannot ta0e any alcohol or illicit dru"s into the communities and that if E do! my employment $ill be terminated.

______________________ Employee &i"nature _____________________ Witness &i"nature Bame Of Witness______________________

___________________ Date ____________________ Date