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Page 1: australian nursing and midwifery council annual report 2008–09 · 2014. 3. 26. · and international nursing and midwifery regulatory authorities. Vision High quality nursing and

australian nursing and midwifery council

annual report 2008–09

Page 2: australian nursing and midwifery council annual report 2008–09 · 2014. 3. 26. · and international nursing and midwifery regulatory authorities. Vision High quality nursing and

published by the australian nursing and

midwifery council inc. october 2009

copies of this report are available free

of charge from the anmc’s website

at www.anmc.org.au or by phoning

+61 2 6257 7960 or by emailing

[email protected]

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iii Annual Report 2008–09

1 from the chairperson and the ceo

2 about the anmc

2 ANMC Core activities

2 anmc strategic plan 2008–2009

2 Vision

2 Mission

2 Values

3 Strategic objectives

4 highlights of the year

5 standards and assessment

5 ANMC Research and Policy Initiatives

5 Completed Projects

7 Current projects

8 Position Statements and Guidelines

8 Submissions and Responses

10 international section

10 Assessing Authority

10 2008–2009 Assessments

12 Registration Standards Committee (RSC)

12 RSC Project

12 Department of Immigration and Citizenship (DIAC)

13 leadership and influence

13 International

15 National

18 Organisational Collaborations

20 performance and capability

20 Membership of the Council

20 Directors and Deputies for 2008–09

23 Committees of Council

25 Financials

45 ANMC Organisational Chart

46 Staff of the ANMC at 30 June 2009

Contents

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iv Australian Nursing and Midwifery Council www.anmc.org.au

“We acknowledge the support of the ANMC Directors, the dedication and leadership of the ANMC staff, our collegial relationships with other nursing and midwifery organisations and the participation of individual nurses, midwives and consumers. The outcomes detailed in this report could not have been achieved without the passion, commitment and assistance of these people.”

mary chiarella

chairperson Karen cook

chief executive officer

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1 Annual Report 2008–09

From the Chairperson and the Ceo

It is with pleasure that we present the 17th annual report of the Australian Nursing and Midwifery Council (ANMC).

The primary focus of the ANMC during the past year has been on preparation for the implementation of the National Registration and Accreditation Scheme for the Health Professions. This work has included further development of the Professional Practice Framework, development of National Standards and Criteria for the Accreditation of Nursing and Midwifery Courses leading to Registration, Enrolment, Endorsement and Authorisation in Australia, submissions and responses to consultation papers and participation in forums, committees and working groups. The ANMC is supportive of and committed to the implementation of national regulation and has worked actively with the Nursing and Midwifery Regulatory Authorities (NMRAs), our colleagues in the peak nursing and midwifery organisations and other health professions to influence the architecture of the Scheme. We have worked together cohesively and coherently at the national level and have been able to provide a strong voice in the debate on national regulation and accreditation due to the commitment and collegiality of our fellow national professional nursing and midwifery organisations.

However, the future of some of the work currently done by the ANMC (and the state and territory NMRAs) is unclear under the new Scheme. This includes grants and scholarships and international work. The increasing globalisation of the nursing and midwifery workforce and its associated issues highlight the need for Australia to maintain a strong presence in the international arena.

An example of this (and a particular highlight of the year) was the 7th meeting of the Nursing and Midwifery Regulatory Authorities from the Western Pacific and South East Asian Region (WP/SEAR) in Singapore. The ANMC has been instrumental in organising the WP/SEAR meetings since their inception in 1996 and is proud to be able to provide the secretariat for the meetings which offer a much valued opportunity for regulators around the region to meet, collaborate and develop. The Core Competency Standards for Registered Nurses developed through the meetings are being implemented in many countries around the region and the mentoring program is gaining momentum. Work such as this may not have an immediately apparent measurable benefit to the Australian community but is a key platform of the ANMC’s commitment to social responsibility and development of the professions. The ANMC sincerely hopes the incoming Nursing and Midwifery Board of Australia will be able to continue this vital work.

In closing we acknowledge the support of the ANMC Directors, the dedication and leadership of the ANMC staff, our collegial relationships with other nursing and midwifery organisations and the participation of individual nurses, midwives and consumers. The outcomes detailed in this report could not have been achieved without the passion, commitment and assistance of these people. We thank them for all of their hard work and support throughout the year. We look forward to continuing our work in the coming year.

Mary Chiarella Karen CookChairperson Chief Executive Officer

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Australian Nursing and Midwifery Council www.anmc.org.au2

The Australian Nursing and Midwifery Council (ANMC) is a peak body established in 1992 to facilitate a national approach to nursing and midwifery regulation. The ANMC works with state and territory Nursing and Midwifery Regulatory Authorities in evolving standards for statutory nursing and midwifery regulation. These standards are flexible, effective and responsive to the health care requirements of the Australian population.

anmC Core activities:

Identify matters which impact on or >are relevant to statutory nursing and midwifery regulation;Establish, review and promote a national >standards framework for nursing and midwifery practice in Australia;Undertake assessments of internationally >qualified nurses and midwives consistent with the registration and/or enrolment requirements of the Australian Nursing and Midwifery Regulatory Authorities;Initiate and participate in relevant projects >on regulation that aid the future growth and development of the nursing and midwifery professions;Ensure nursing and midwifery standards >reflect the contemporary needs of the Australian community;Develop and be guided by a strategic >view of statutory nursing and midwifery regulation in the national and international contexts; andFoster cooperation, consult with and >provide advice to government bodies, professional and other organisations, and international nursing and midwifery regulatory authorities.

Vision

High quality nursing and midwifery practice achieved through a nationally consistent approach to regulation, which meets and responds to the needs of the Australian community and is recognised internationally for its high standards and professionalism.

mission

The ANMC seeks to safeguard the healthcare interests of the community by formulating and promoting high standards of nursing and midwifery practice through:

The shared voice of nursing and midwifery >regulatory authorities;Development and review of professional >practice standards;Policy development and advice; and >National and international collaboration, >influence and support.

Values

Commitment to > quality healthcare and safe nursing and midwifery practice;Accountability > to the community for professional standards through relationships with the nursing and midwifery regulatory authorities;Respect > for diversity in the nursing and midwifery professions and the community;Leadership > in health and professional regulatory environments;Integrity > and transparency in all professional and business practices;Informed and > unified decision making; andSocial and environmental > responsibility.

about the anmC anmC strategiC plan 2008–2009

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3

anmC strategiC plan 2008–2009

strategic objectiVes

Key result areas

Regulatory Standards

Develop a framework for national >registration/licensure; Transition to a national scheme for >the accreditation of nursing and midwifery courses; Establish a professional practice framework >which is both contemporary and future focused and meets the needs of the Australian community;Develop a national approach to >the management of breaches of professional standards; Develop quality assurance mechanisms >to support the National Registration and Accreditation Scheme; andWork to ensure that the regulatory standards >are implemented by the Nursing and Midwifery Board of Australia.

Leadership and Influence

Demonstrate the role of the ANMC as >the national peak body for Nursing and Midwifery Regulation;Work in partnership with the nursing and >midwifery regulatory authorities and other relevant stakeholders to influence the implementation of national regulation of nursing and midwifery; Influence relevant federal government >agencies on nursing and midwifery regulatory issues;Develop and maintain relationships >with the Australian Peak Nursing and Midwifery Forum, Australian Health Professionals Councils Forum, other nursing and midwifery organisations and other relevant stakeholders;Work closely with consumer organisations >on the development of the Professional Practice Framework and communicate that Framework to the community; andContribute to and support international >regulatory initiatives.

Capability and Performance

Adhere to legislated compliance >requirements;Maintain and continuously improve effective >business systems and processes;Promote an organisational culture >characterised by respect for diverse views, innovation and safety; Provide excellence in customer service; and >Comply with leading contemporary >practices for governance and organisational management.

Annual Report 2008–09

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Chapter start

August 2008 Launch of the Codes of Ethics and Professional Conduct for Nurses and Midwives in Australia at Parliament House, Canberra

Professional visit from members of the Thailand Nursing Council

Australian Peak Nursing and Midwifery Forum (APNMF) workshop on national regulation

September 2008 Annual meeting with the Nursing Council of New Zealand

Annual meeting with the Midwifery Council of New Zealand

October 2008 South Pacific Nurses Forum, Fiji

7th meeting of the Nursing and Midwifery Regulatory Authorities from the Western Pacific and South East Asian Region, Singapore

Professional visit from representatives of the Samoan Nursing and Midwifery Council

November 2008 Attendance at the annual International Council of Nurses (ICN) Credentialing Forum in Sydney

Recommendations 1–5 of project to develop National Standards for the Assessment of Internationally Qualified Nurses and Midwives for Registration and Migration endorsed

Guideline The Responsibilities of Nurses and Midwives in the Event of a Declared National Emergency endorsed

February 2009 National Continuing Competence Framework for Nurses and Midwives endorsed

Annual visit from Chair and CEO of the Nursing Council of New Zealand

March 2009 Annual Professional Conduct Forum, Victoria

April 2009 Implementation of the National Decision Making Framework in ACT, NSW and NT

May 2009 National Standards and Criteria for the Accreditation of Nursing and Midwifery Courses leading to Registration, Enrolment, Endorsement and Authorisation in Australia endorsed

Memorandum of Cooperation signed with The College of Nursing

June 2009 Attendance at the International Council of Nurses 24th Quadrennial Congress, Durban, South Africa

highlights oF the Year

4 Australian Nursing and Midwifery Council www.anmc.org.au

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5 Annual Report 2008–09

standards and assessment

anmc research and policy initiatiVes

As the peak national organisation established for the purpose of facilitating a national approach to nursing and midwifery regulation in Australia, the ANMC leads, and is responsible for, establishing and supporting research initiatives consistent with this agenda. National research projects are planned and monitored by the Research and Policy Committee of the ANMC.

In keeping with the mission, vision and values of the ANMC, the work of the Research and Policy Committee focuses on ensuring that the professional practice standards for nurses and midwives continue to evolve using the best available research and evidence as well as responding to the health care requirements of the Australian public. In the 2008/2009 year the staff of the Research and Policy department has worked to ensure the successful completion of several major projects and the commencement of others.

The following outlines the status of the various research initiatives undertaken or completed over the last twelve months.

completed projects

review of the Code of ethics for nurses, the

Code of professional Conduct for nurses and

development of a Code of ethics for midwives

and a Code of professional Conduct for midwives

The Codes were launched on 11 August 2008 at Parliament House, Canberra by Senator the Hon Jan McLucas, Parliamentary Secretary to the Minister for Health and Ageing and the inaugural Commonwealth Chief Nurse and Midwifery Officer, Ms Rosemary Bryant, FRCNA.

As a key feature of the development of the Codes was the effectiveness of the partnership between the stakeholders, representatives from each of these organisations also spoke at the launch. The speakers were Adjunct Associate Professor Moira Laverty, ANMC, and Chair of the Codes Project Management Committee, Ms Ged Kearney, Federal Secretary, Australian Nursing Federation, Dr Stephanie Fox‑Young FRCNA, President, Royal College of Nursing Australia and Professor Pat Brodie, President, Australian College of Midwives.

The launch was well attended by nurses and midwives and received good media coverage.

“In keeping with the mission, vision and values of the ANMC, the work of the Research and Policy Committee focuses on ensuring that the professional practice standards for nurses and midwives continue to evolve using the best available research and evidence”

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Australian Nursing and Midwifery Council www.anmc.org.au

development of a national Framework for the

demonstration of Continuing Competence for

nurses and midwives

The project to develop a National Continuing Competence Framework for nurses and midwives commenced in August 2007. The Framework was endorsed at the ANMC February 2009 Board meeting. The ANMC Continuing Competence Framework is a structure that assists nurses and midwives to systematically evaluate their practice against the relevant ANMC competency standards in order to identify practice development and learning needs and to demonstrate their continued competence to practise.

Whilst the legislation in some states and territories prevents the Framework currently being adopted in those jurisdictions it is hoped that the Framework will be adopted with the commencement of national regulation in 2010.

project to develop standards and Criteria for

the accreditation of nursing and midwifery

Courses leading to registration, enrolment,

endorsement and authorisation in australia

This project commenced in the second half of 2007. The original project plan, to develop generic accreditation standards and criteria, was extended to include profession specific standards and criteria which captured the different requirements of courses for Registered Nurses, Enrolled Nurses, Midwives and Nurse Practitioners.

The project to develop Standards and Criteria for the Accreditation of Nursing and Midwifery Courses Leading to Registration, Enrolment, Endorsement and Authorisation in Australia has now been completed.

In addition the national framework for the accreditation of nursing and midwifery courses leading to registration, enrolment, endorsement and authorisation in Australia has also been amended to accommodate the new Standards and Criteria. The ANMC Board has endorsed all of the profession specific standards and criteria as well as associated amendments to the accreditation framework.

implementation of the national Framework for

decision making by nurses and midwives about

scopes of practice (national dmF).

In 2007, the ANMC completed a project to develop a National Decision Making Framework (DMF). In 2008 the ANMC received funding from the Commonwealth Department of Health and Ageing to implement the National DMF in those states and territories which did not currently have a decision making framework in place, namely the ACT, NT and NSW.

A team of consultants undertook the development of educational resources to support the implementation of the DMF. In March 2009 the consultants, along with ANMC staff, conducted a series of forums and ‘train the trainer’ workshops in the ACT, NT and NSW to promote the implementation of the Framework. Details of the forums and workshops were promoted through the ANMC website, the NMRAs, the Chief Nurses and numerous local and other networks.

senator jan mclucas launching

the codes of ethics and codes of

professional conduct for nurses

and midwives at parliament house

6

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7 Annual Report 2008–09

current projects

Up to date details on the progress of all ANMC projects can be found on the ANMC website.

development of anmC national guidelines on

boundaries of professional practice for nurses

and midwives

This project has been developed in two stages. The first involved a full review and update of an existing document: Guidelines for Registered and Enrolled Nurses Regarding the Boundaries of Professional Practice, which was developed in 1999 for the Nurses and Midwives Board of NSW.

The second stage centres on the relationship between the Codes of Professional Conduct for Nurses and Midwives and the issue of professional boundaries. The guidelines on professional boundaries are being harmonised to ensure consistency between the Codes and the new ANMC professional boundaries guidelines. It is anticipated that this project will be completed in late 2009.

implementation of the anmC professional

practice Framework

National ANMC standards such as the Codes of Ethics and Professional Conduct and the Competency Standards have been the backbone of nursing and midwifery professional practice for many years. In recent years the project work undertaken by the RAP Committee has expanded the range and depth of these standards in the interest of protecting the public by ensuring the competence of nurses and midwives.

This comprehensive range of standards is termed the Professional Practice Framework (PPF). The components of the PPF form a matrix that support nurses and midwives in providing safe, quality care in an increasingly complex and challenging health environment. The key components are:

The Codes of Ethics and Professional Conduct >for Nurses and Midwives in Australia;Competency Standards for the Enrolled >Nurse, Registered Nurse, Midwife and Nurse Practitioner;The National Framework for Continuing >Competence for Nurses and Midwives; The National Decision Making Framework for >Nurses and Midwives; andGuidelines on Professional Boundaries for >Nurses and Midwives.

As these standards form the basis of nurses’ and midwives’ regulatory responsibilities it is essential that they are understood and applied in their practice. To facilitate awareness and understanding of the standards, the ANMC has obtained funding from the Commonwealth Department of Health and Ageing to implement the Professional Practice Framework across the eight jurisdictions.

Using a similar model to that used for the implementation of the Decision Making Framework educational materials will be developed and workshops presented across the country using a ‘train the trainer’ model. The project will take place across the 2009–10 financial year.

project to develop standards and criteria for the

accreditation of return to practice courses for

nurses and midwives.

The ANMC is undertaking a project to develop accreditation standards and criteria for return to practice courses for nurses and midwives.

The development of these accreditation standards and criteria will complement the work already completed in the development of national standards and criteria for the accreditation of nursing and midwifery courses leading to registration, enrolment, endorsement and authorisation in Australia. It is anticipated the project will be completed in time for the commencement of the National Registration and Accreditation Scheme in July 2010.

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project to develop national processes for

re‑entry to the nursing and midwifery

professions and project to develop national

standards for self declaration of competence

to practice.

The ANMC has partnered with the Australian and New Zealand Council of Chief Nurses (ANZCCN) in undertaking these two projects. ANMC and ANZCCN will jointly manage the projects and the ANMC will provide the regulatory expertise for the projects.

The impetus for these projects originated in Recommendation 4 of the Our Duty of Care report of the National Review of Nursing and Nursing Education (2002), and was identified in the brief provided to the National Nursing and Nursing Education Taskforce (N3ET). The projects are anticipated to be completed in late 2009.

position statements and guidelines

ANMC position statements and guidelines are developed in consultation with the Nursing and Midwifery Regulatory Authorities in each state and territory and other nursing and midwifery organisations. They are updated on an ongoing basis and are subject to a thorough consultation and review process before being submitted for endorsement to the ANMC Board.

ANMC position statements provide the nursing and midwifery professions with a national regulatory perspective which may assist the development of nursing, midwifery and health care policy.

ANMC guidelines are part of the Professional Practice Framework which provide assistance to nurses and midwives in relation to their practice obligations.

During the year the ANMC updated and endorsed the following position statements:

The Responsibilities of Nurses and Midwives >in the Event of a Declared National Emergency

submissions and responses

As part of its work in evolving standards for nursing and midwifery regulation the ANMC seeks opportunities to provide authoritative analysis on issues of significance. During 2008/2009 the following submissions were made:

Towards a National Primary Health >Care Strategy;Interprofessional Health Education >in Australia;Health Education and Training. Clinical >placements across Australia: Capturing data and understanding demand and capacity;Clinical training—governance and >organisation;A Healthier Future for All Australians Interim >Report December 2008;Strengthening the AQF: A proposal >consultation paper May 2009;Setting and Monitoring Academic Standards >for Australian Higher Education;

from left professor pat brodie, adjunct associate professor moira laverty, ms rosemary bryant,

senator an mclucas, dr stephanie fox‑young and ms ged Kearney at the codes launch

8 Australian Nursing and Midwifery Council www.anmc.org.au

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9 Annual Report 2008–09

Consultation on the RN Scope of Practice >under the Health Practitioners Competence Assurance Act (2003) (New Zealand Nursing Council);Senate Community Affairs Committee >Inquiry into ‘Health Workforce Australia Bill 2009’; Senate Community Affairs Committee >Inquiry into ‘Health Legislation Amendment (Midwives and Nurse Practitioners) Bill 2009 and two related Bills [Provisions]’; Department of Foreign Affairs and Trade >(DFAT): “Advice on the status of mutual recognition of professional qualifications between India and Australia”; andDepartment of Foreign Affairs and Trade >(DFAT): “Potential impact of a free trade agreement between Australia and the Republic of Korea”.

national registration and accreditation scheme

Submission to consultation paper ‘Proposed >Registration Arrangements’; andSubmission to consultation paper ‘Proposed >Arrangements for Handling Complaints and Dealing with Performance, Health and Conduct matters’.

Jointly as member of the australian peak

nursing and midwifery Forum

Submission to consultation paper ‘Issues >Supplementary to the Intergovernmental Agreement on a National Registration and Accreditation Scheme for the Health Professions to be included in the first bill’;Submission to matters raised in the >Intergovernmental Agreement (IGA) where there is a commitment to consult before Ministers make a decision—size and composition of National Board, accreditation functions;Submission to consultation paper ‘Proposed >Arrangements for Accreditation’;Submission to consultation paper for >‘Proposed Arrangements for Information Sharing and Privacy’;

Submission to the consultation paper ‘Other >matters for inclusion in Bill B’;Submission to consultation paper ‘Proposed >arrangements for specialists within the National Registration and Accreditation Scheme for the Health Professions’;Senate Community Affairs Committee >‘Inquiry into National Registration and Accreditation Scheme for Doctors and Other Health Workers’; andSubmission responding to the exposure draft >of Health practitioner regulation national Law 2009 (Bill B).

Many of these submissions were in response to policy consultation papers and draft legislation for the National Registration and Accreditation Scheme or were related to health workforce matters. Submissions were made individually by the ANMC and as a member of the Australian Peak Nursing and Midwifery Forum (APNMF). Those submissions relating to the National Registration and Accreditation Scheme can be accessed through the National Health Workforce Taskforce website http://www.nhwt.gov.au/natreg.asp

ANMC has made written submission to the Senate Community Affairs Committee inquiries into the ‘National Registration and Accreditation Scheme for Doctors and Other Health Workers’, ‘Health Workforce Australia Bill’ and the ‘Health Legislation Amendment (Midwives and Nurse Practitioners) Bill 2009 and two related Bills [Provisions]’ and has presented evidence to the Senate Committee both individually and jointly as a member of APNMF.

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10

international seCtion

assessing authority

The ANMC as the gazetted assessing authority for the Department of Immigration and Citizenship (DIAC) assesses internationally qualified nurses and midwives who apply for permanent migration under the General Skilled Migration Program. As enrolled nurses are not on the DIAC Skilled Occupation List (SOL) they are not eligible to be assessed by the ANMC for permanent migration.

The ANMC assesses nurses and midwives under two categories:

Nurses / midwives who have registration in >Australia or New Zealand—ModifiedNurses / midwives who have registration >outside Australia or New Zealand—Full

In comparison to previous years, assessments exceeded estimated projections, notably in June 2009. The dramatic increase is attributed to the requirement as of 1 July 2009 that all internationally qualified nurses and midwives provide an English language proficiency test.

As the assessing authority the ANMC works closely with both domestic and international migration agents. As agents play an integral role in the preparation of their client’s applications it is vital that they have a good understanding of the ANMC’s assessment process.

In order that this can happen the ANMC International Section Manager and Professional Officer are regularly asked to present at state Migration Agents Conferences. Such events provide time for agents to clarify any misconceptions about the assessment process and allows for the ANMC to meet with many of the agents themselves. Migration agents are used by approximately 60% of applicants.

2008–2009 assessments

in 2008–2009 anmC received 3400 applications

Average Age 33

Female 87%

Male 13%

number of applications for assessment received

Full Assessments 620

Modified Assessments 2780

Total 3400

assessment Categories

Registered Nurse 3214

Registered Midwife 78

Registered Mental Health Nurse 99

Registered Disability Nurse 9

outcomes of assessment for migration purposes

Application assessed as suitable to apply for migration 2932

Application assessed as unsuitable to apply for migration 66

Applications required to complete competency assessments 60

Incomplete assessments 342

Country of origin

Countries represented in applications 57

Nurses/midwives with current Australian/New Zealand registration at time of application for migration

Australia 2577

New Zealand 38

Australian Nursing and Midwifery Council www.anmc.org.au

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11 Annual Report 2008–09

140

120

100

80

60

40

20

0

July August September October November December January February March April May June

2004/5 numbers2002/3 numbers 2003/4 numbers 2005/6 numbers

2007/8 numbers2006/7 numbers 2008/9 numbers

Number of assessments

table 3: Full assessment comparison

1000

900

800

700

500

600

400

300

200

100

0

July August September October November December January February March April May June

2004/5 numbers2002/3 numbers 2003/4 numbers 2005/6 numbers

2007/8 numbers2006/7 numbers 2008/9 numbers

Number of assessments

table 4: modified assessment comparison

Australia 73.9%

UK 10.4%

Other 10.0%

South Africa 1.2%Ireland 1.2%

New Zealand 1.1%

Phillippines 0.9%USA 0.7%India 0.3%Kenya 0.2%

table 1: percentage of assessments by country of registration

table 2: percentage of assessments by country of initial registration

Australia 25.8%

UK 20.8%

Other 8.4%

South Africa 2.8%

Phillippines 6.2%

Ireland 1.3%USA 1.0%

India 30.0%

New Zealand 1.4%Zimbabwe 2.3%

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registration standards Committee (rsC)

The ANMC Registration Standards Committee acts as the body responsible for the promotion of consistency of standards for the recognition of internationally qualified nurses and midwives between the eight states and territories. The Committee comprises a representative from each of the eight state and territory Nursing and Midwifery Regulatory Authorities, two ANMC Board directors, the ANMC Chief Executive Officer and the International Section Manager.

The NMRAs and ANMC through the Registration Standards Committee have endeavoured to advance consistent registration standards pertaining to registration and migration of internationally qualified nurses and midwives.

rsC project

development of national standards for the

assessment of internationally Qualified nurses

and midwives for registration and migration.

The completion of the RSC project led to the development of six new national standards for the assessment of internationally qualified nurses and midwives.

At the ANMC Board meeting in November 2008, five out of the six new standards were approved by the ANMC for implementation by January 2010.

The RSC agreed to a gradual and consistent approach for implementation of the five standards with an agreed date of 1 July 2009 for the introduction of Standard 2. Standard 1, and Standards 3–5 will be implemented by all the NMRAs on 1 January 2010.

Standard 2 stipulates the requirement for all internationally qualified nurses and midwives to provide evidence of an English Proficiency Test with an increase of the level to 7 for each of

the bands in the International English Language Testing System (IELTS) and a B level in all four bands of the Overseas English Test (OET). Standard 2 further requires that the Test result be in one sitting only. A copy of the report is available on the ANMC website.

department of immigration and

Citizenship (diaC)

The ANMC and the NMRAs both assess internationally qualified nurses and midwives for registration and migration. In assessing international nurses and midwives both assessing bodies work closely with DIAC and issues such as English Language Standards and Visas. To enhance the working relationship, the RSC invites DIAC representatives to each meeting to discuss matters of concern.

A recent problem of how to legally transfer information between DIAC, ANMC and the NMRAs has led to the introduction of a Memorandum of Understanding (MOU) between DIAC, ANMC and the NRMAs. The MOU should be finalised by the end of September 2009.

In June 2009, DIAC invited the ANMC to be an exhibitor at the 23rd Australia Needs Skills Expo in London. DIAC invited over 4000 people to attend the Expo with 300 being registered nurses and midwives.

The Expo provided an excellent opportunity to explain the incoming 1 July, 2010 changes with the National Registration and Accreditation Scheme. A number of nurses and midwives were confused with the role of the ANMC and saw the organisation as a registering body similar to the UK Nursing and Midwifery Council.

anmc international section staff members. from left

pam warburton, administration officer, mark braybrook,

professional officer and judy conroy, international

section manager.

12 Australian Nursing and Midwifery Council www.anmc.org.au

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13 Annual Report 2008–09

leadership and inFluenCe

international

As a national organisation the ANMC operates in a global environment. It is vital that the ANMC engages in international forums so that its work can be informed by developments and issues in other countries. This is particularly important in light of the current reform agenda for the regulation of health professionals in Australia. At the same time the ANMC has a social responsibility, within the region, to assist those countries who are developing systems of regulation and who look to the ANMC for assistance and support. During 2008–2009 the ANMC participated in a number of international forums.

international Council of nurses meetings

The International Council of Nurses (ICN) is a federation of 129 national nursing associations representing nurses worldwide. ICN is an international association for nurses and works to ensure quality care for all and sound health policies globally.

Regulation is one of the pillars of the ICNs work.

iCn Credentialing Forum

Ms Karen Cook, CEO of the ANMC, attended the ninth ICN Credentialing Forum held in Sydney in November 2008. The ICN Credentialing Forum is held annually and aims to:

Serve as a vehicle for countries with dynamic >credentialing programs to communicate, consult, and collaborate with one another on trends, problems, solutions, etc;

Promote and enable nursing’s role at the >forefront of healthcare and professional credentialing and quality assurance; and Advise ICN on developments and needs in >the field of regulation, credentialing, and quality assurance.

iCn 24th Quadrennial Congress

The ICN 24th Quadrennial Congress, the first in Africa, showcased the key role nursing plays in leading the way to healthier nations. The CEO and Chair attended.

south pacific nurses Forum

Ms Karen Cook, CEO of the ANMC, attended the 2008 South Pacific Nurses Forum held in Suva, Fiji. The South Pacific Nurses Forum was formed in 1982. Members of the Forum are the national nurses associations in each country. The Forum provides an opportunity for nurses across the South Pacific to meet; to share their interests, achievements and concerns, to develop support networks, to update their clinical knowledge and to make recommendations for united action over the next two years.

The objectives of the Forum were:

To assist each other in promoting and >improving health services for the public;To assist each other to ensure the >establishment and maintenance of the optimum standards of professional nursing practice in the South Pacific supported by appropriate nursing education and research;

“As a national organisation the ANMC operates in a global environment. It is vital that the ANMC engages in international forums so that its work can be informed by developments and issues in other countries.”

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14 Australian Nursing and Midwifery Council www.anmc.org.au

To encourage the establishment of national >nurses’ associations in those South Pacific countries where none exist, and to assist and advise nurses in the countries concerned in establishing such associations;To assist each other in improving the >professional, social and economic position of nurses; To further the development of nurses and >nursing internationally;To effect closer links between nurses in the >South Pacific as a means of providing mutual problem solving, help and support and facilitating personal contacts between nurses in the various countries; andTo promote cooperation and coordinated >activities between nurses in the South Pacific for the exchange of knowledge and the sharing of ideas. These activities are to include the organisation of conferences and seminars in the South Pacific.

The theme for the 2008 Forum was “Sustainability of the Workforce”.

Western pacific and south east asian

regions (Wp/sear)

The 7th biennial meeting of the nursing and midwifery regulatory authorities from the Western Pacific and South East Asian Regions (WP/SEAR) was held in Singapore on 30–31 October 2008. The meeting was hosted by the Singapore Nursing Board in conjunction with the Australian Nursing & Midwifery Council, which provided secretariat support for the meeting. The event was also generously supported by the Australian development agency, AusAID, as well as the Australian Nursing and Midwifery Regulatory Authorities. 70 delegates attended from over 20 countries within the regions.

The purpose of WP/SEAR is to provide a forum for the continued development of collaborative and productive relationships and networking between regulatory authorities in the region in order to deliver their mandate of protecting the public. Recognising the importance of these

relationships and the significance to health care systems of patient care and regulation, five key topics were examined under the meeting’s theme of ‘Supporting and Managing Change’; international meetings within the region and their outcomes; ensuring competence through education; shared experiences from mentors and mentees; updates on nursing regulation in member countries and managing a changing regulatory environment.

Outcomes from International Meetings

Delegates provided feedback from recent international nursing and midwifery meetings. Attendance at these meetings strengthens international collaboration among nursing and midwifery authorities.

Ensuring Competence through Education

Better health outcomes are achieved when they are delivered by capable and competent nurses and midwives who continue to be trained, educated and supported through a regulatory framework.

Mentoring: Shared experiences from mentors

and mentees

Mentoring between boards of countries with different levels of regulatory experience facilitates learning, builds relationships and is a vital tool in protecting the public. Delegates shared their experiences of their mentee relationships.

Nursing & Midwifery Regulation

Regulation of nurses and midwives continues to be the major focus of the WP/SEAR meeting as it ensures competent and safe nursing and midwifery care providing protection of the public. The WP/SEAR meeting continues to serve as an information sharing resource for regulatory authorities. Delegates were updated on regulation in member countries and discussed issues surrounding managing a changing regulatory environment.

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15 Annual Report 2008–09

The 8th WP/SEAR Nursing and Midwifery Regulators meeting will be held in Thailand from 5–7 May 2010.

Resolutions

Following the 7th WP/SEAR meeting the following resolutions were made:

That the members of WP/SEAR approach the 1. South Pacific Chief Nursing and Midwifery Officers Alliance and the South Pacific Nurses Forum with a view to coordinating the three meetings in such a way that each group retains its unique identity and is able to meet independently and also meet together to discuss issues of mutual concern. That the mentoring program developed by 2. ANMC be maintained and expanded. That the WP/SEAR meeting establish 3. formal communication with the International Confederation of Midwives Regulation Committee.

In addition to the biennial meeting, ongoing WP/SEAR work during the year has included updating the profiles of WP/SEAR member countries on the ANMC website, further developing the mentoring program and uptake of the WP/SEAR Common Competencies for the Registered Nurse.

national

representation

The ANMC is committed to fostering cooperation, consulting with, and providing advice to government bodies, professional and other organisations, and international nursing and midwifery regulatory authorities. As a demonstration of this commitment, ANMC has provided representatives for many committees and working groups and attended meetings and forums. These have included:

National Health Workforce Forum >Australian Government, Department >of Health and Ageing—Aged Care Workforce CommitteeAustralian Government, Department of >Health and Ageing—Office of the Chief Nurse and Midwifery Officer—Nursing and Midwifery Stakeholder Reference Group Charles Darwin University, Australian Nurse >Practitioner Association, NT Department of Health and Community Services—Quality Use of Medicines for Nurse Practitioner Program—Project Guidance GroupQueensland University—Reforming >Healthcare: nurse practitioners and workforce design—Collaborating organisation, project advisory groupNational registration and accreditation— >Registration reference group, professions reference group, consultation forumsAustralian and New Zealand Council of Chief >Nurses—bi‑annual roundtable meetingCoalition of National Nursing Organisations >(CoNNO) meetingsDepartment of Veteran Affairs—Community >Nursing Industry Advisory Council Council of Ambulance Authorities— >Education SubcommitteeCommunity Services and Health Industry >Skills Council Industry Reference Group for the Articulation Models between Vocational Education & Training and Higher Education Sectors in the Area of Mental Health Project. Professions Australia forums on >accreditation and ethicsNational Health and Hospitals >Reform Commission forum.

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presentations

The ANMC constantly seeks opportunities to engage with the professions. This assists the organisation to disseminate information on the work of the ANMC and provides individual nurses and midwives with an opportunity to speak with ANMC representatives about nursing and midwifery issues as well as provide valuable feedback on the work of the organisation. During 2008–2009 staff of the ANMC gave the following presentations:

general

August 2008

Coalition of National Nursing Organisations, >Research Symposium, Melbourne, Karen Cook—“Getting recognition and policy action from nursing research”University of Canberra, Critical Care Nursing >Course, Canberra, Karen Cook—“Advanced Nursing Practice and Regulation”Australian Nursing Federation (Vic Branch), >Midwifery Conference on Codes, Melbourne, Karen Cook—“Development of Codes of Ethics and Professional Conduct for Midwives”

September 2008

Congress of Aboriginal and Torres Strait >Islander Nurses, Annual Conference, Adelaide, Rowena Robinson—“The Development of a National Framework for the Demonstration of Continuing Competence by Nurses and Midwives” Breathing New Life into Maternity Care, >Collaborative Conference, Gold Coast, Christine Ashley—“Quality Assurance and

Continuing Competence for Midwives”Royal College > of Nursing, Australia, Annual Conference, Perth, Christine Ashley—“Demonstrating Competence—sorting out the issues”

October 2008

National Enrolled Nurses Association, >Annual Conference, Perth, Rowena Robinson—“Codes of Ethics and Professional Conduct—assisting nurses to practice in a complex environment”Australian Nursing Federation Conference, >Melbourne, Christine Ashley—Decision Making FrameworkBi‑ennial meeting of the Nursing and >Midwifery Regulatory Authorities of the Western Pacific/South East Asian regions, Singapore, Karen Cook—“Regulation of Nursing and Midwifery in Australia”, Christine Ashley—“Implementing Common Competencies”

November 2008

National Clinical Coordinators meeting, >Adelaide, Dr. Denise Ryan—“A National Approach to Course Accreditation”Women’s Hospital Australasia Conference, >Sydney, Christine Ashley—“Quality Assurance and Continuing Competence for Midwives”Australian Rural Nurses and Midwives, >Annual Conference, Adelaide, Alyson Smith—“The Nursing And Midwifery Professional Practice Framework—a System for Fostering Safety and Quality in Health Care”

delegates at the 7th western pacific and south east asian regions regulators meeting held in singapore, october 2008

16 Australian Nursing and Midwifery Council www.anmc.org.au

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17 Annual Report 2008–09

March 2009

Professions Australia Ethics Forum, >Melbourne, Karen Cook—“Development and review of the Codes of Ethics and Professional Conduct for Nurses and Midwives”

May 2009

4 > th International Congress on Innovations in Nursing, Perth, Dr. Denise Ryan—“A consistent approach: Developing the ANMC National Standards and Criteria for the Accreditation of Nursing and Midwifery courses in Australia”Australian Nursing Federation Conference, >Melbourne, Dianna Kidgell—Professional Practice FrameworkNursing Leadership Conference, The College >of Nursing, Melbourne, Dianna Kidgell—Professional Practice WorkshopScope of Practice conference, Townsville, >Karen Cook—Future Directions, Professional Practice Standards, Credentialing

June 2009

Rural General Practice Nurse Network, >Emerald, Queensland, Dianna Kidgell—Decision Making FrameworkInternational Council of Nurses— >34th Quadrennial Congress, Durban, South Africa, Karen Cook—“Challenges in Regulation in the Western Pacific and South East Asian Regions”

national registration and accreditation scheme

The ANMC has also been very active in promoting the proposed National Registration and Accreditation Scheme.

August 2008

The College of Nursing, Professional Event, >Sydney—Karen Cook

September 2008

Royal College > of Nursing, Australia, Annual Conference, Perth—Karen Cook, Keynote speaker

Congress of Aboriginal and Torres Strait >Islander Nurses, Annual Conference, Adelaide—Karen Cook, Keynote speaker

November 2008

Catholic Health Australia Workforce Forum, >Sydney—Karen CookRoyal Prince Alfred Hospital, Nursing and >Midwifery Clinical Practice Forum, Sydney—Karen Cook

February 2009

The College of Nursing, Professional Event, >Melbourne—Karen Cook

March 2009

The Australian Nurse Teachers Society >Educational Seminar, Sydney—Karen Cook7 > th Annual Nurses and Midwives Caring for Children and Families Seminar, St George Hospital, Sydney—Karen CookRoyal College > of Nursing, Australia, Hunter Valley Chapter AGM, Newcastle—Karen Cook

April 2009

Royal College > of Nursing, Australia, National Advisory Committee, Canberra—Karen CookRedesigning the Healthcare Workforce >Conference, Sydney—Karen Cook

May 2009

The College of Nursing, Professional Event, >Adelaide—Karen CookScope of Practice Conference, Townsville— >Karen CookSouth Eastern Sydney Illawarra Health, Fifth >Annual Nursing and Midwifery Seminar, Nursing and Midwifery—Innovation and Leadership, Sydney—Karen CookNursing and Midwifery Board of the NT, >Darwin—Dianna Kidgell

June 2009

Rural General Practice Nurse Network, >Emerald Queensland—Dianna Kidgell

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18 Australian Nursing and Midwifery Council www.anmc.org.au

organisational collaborations

The ANMC continues to establish consultative mechanisms with key stakeholders to assist in the achievement of the purpose and objects of the Council. Mechanisms for this include participation in Steering Committees, Reference Groups, Working Groups and Memorandums of Cooperation and Understanding.

nursing Council of new Zealand

The CEO of ANMC, Ms Karen Cook, attended a scheduled meeting of the Nursing Council of New Zealand in September 2008 and in February 2009 the Chair of the Nursing Council of New Zealand, Ms Margaret Southwick and the CEO, Ms Carolyn Reed attended a scheduled meeting of the ANMC. Discussion included the project to develop guidelines on Professional Boundaries and the implementation of national regulation in Australia. The work completed under the auspices of the MOU facilitates the movement of nurses between the two countries under the Trans Tasman Mutual Recognition Act.

midwifery Council of new Zealand

The CEO of ANMC, Ms Karen Cook, attended a scheduled meeting of the Midwifery Council of New Zealand in September 2008. Discussions included the development of the New Zealand Code of Professional Conduct and the development of national standards for the accreditation of midwifery courses and the implementation of national regulation in Australia. The work completed under the auspices of the MOU facilitates the movement of midwives between the two countries under the Trans Tasman Mutual Recognition Act.

Congress of aboriginal and torres strait islander

nurses (Catsin)

The ANMC and CATSIN signed an MOC in early 2006. As part of the scope of activities for 2008–2009 Dr Sally Goold, Executive Director of CATSIN, attended the ANMC Professional Reference Group meetings and provided valuable feedback to the ANMC on their projects. Ms Karen Cook, CEO of the ANMC presented a paper on the implementation of national regulation at the annual CATSIN conference in Adelaide in September 2008. Ms Rowena Robinson, Research and Policy Officer, presented a paper at the conference on the National Continuing Competence Framework.

royal College of nursing, Australia (rCna)

The ANMC and the RCNA continue to work closely together on issues of mutual interest. The RCNA provided valuable input into the project to develop National Standards for the Accreditation of Courses leading to Registration, Enrolment, Endorsement and Authorisation in Australia. The CEO of the ANMC, Karen Cook, presented on the implementation of national regulation at the annual RCNA conference in Perth in September 2008 and the CEO of the RCNA, Debra Cerasa, has attended the ANMC PRG meetings.

from left Karen cook ceo, anmc, greg rickard principal

nurse advisor nt and tracey osmond, executive officer,

the college of nursing at the congress of aboriginal

and torres strait islander nurses (catsin) conference

september 2008

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australian College of midwives

During 2008–2009 the ACM and the ANMC have been actively engaged in a range of activities. The ACM provided invaluable input into the steering committee and the profession specific working groups to develop National Standards for the Accreditation of Courses leading to Registration, Enrolment, Endorsement and Authorisation in Australia.

the College of nursing

In May 2009 the ANMC and The College of Nursing signed a Memorandum of Cooperation. The purpose of the MOC is for collaborative activity and support where mutual interests are identified and where each organisation considers that it is strengthened in its purpose by such activity.

australian peak nursing and midwifery

Forum (apnmF)

The APNMF works together on issues of national importance to nursing and midwifery and provides leadership for nurses and midwives at a national and international level. The members of the APNMF are the ANMC, RCNA, Australian Nursing Federation (ANF), CATSIN, Council of Deans of Nursing and Midwifery (CDNM), CoNNO and ACM. The major focus of APNMF efforts throughout the year was joint lobbying and submissions to the Council of Australian Governments on the proposed National Registration and Accreditation Scheme. The APNMF continues to take joint action in this area.

health professions Councils Forum

The Forum is a coalition of the Councils of the regulated health professions comprising:

Australian Dental Council; >Australian Medical Council ; >Australian Nursing and Midwifery Council; >Australian Pharmacy Council ; >Australian Physiotherapy Council; >Australian Psychology Accreditation Council; >Council on Chiropractic Education >Australasia;Optometry Council of Australia and >New Zealand;Australian Osteopathic Council; and >Australian and New Zealand Podiatry >Accreditation Council.

The ten health professions represented are those that are registered in each state and territory and are listed in the Council of Australian Governments (COAG) Intergovernmental Agreement for the National Registration and Accreditation Scheme signed on 26 March 2008.

Forum members contribute individually and collectively to issues of national importance to the regulated health professions.

19 Annual Report 2008–09

signing of the memorandum of cooperation between the anmc

and the college of nursing, may 2009

standing from left Karen cook, ceo, anmc, tracey osmond,

executive officer, the college of nursing. sitting from left leanne

morton, president, the college of nursing, mary chiarella, chair, anmc

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20 Australian Nursing and Midwifery Council www.anmc.org.au

membership of the council

The ANMC consists of the following members;

Each of the Nursing and Midwifery Regulatory Authorities in the States and Territories of Australia, namely:

The Nursing and Midwifery Board of the >Northern Territory;The ACT Nursing and Midwifery Board; >The Nursing Board of Tasmania; >The Nurses Board of South Australia; >The Nurses Board of Western Australia; >The Nurses Board of Victoria; >The Queensland Nursing Council; and >The Nurses and Midwives Board of NSW >

Each of the Members appoints a representative to attend all meetings of the Council and to act on its behalf. The representatives are called Directors. Each Member also nominates a Deputy for the representative. Two community directors appointed by the representatives also sit on the Board of the Council.

directors and deputies for 2008–09

Queensland

Director

Ms Anne Copeland (until February 2009) RN, B App Sc (Nsg); MAdmin; Grad Dip Fin Man, FRCNA, AFACHSE Chairperson, Queensland Nursing Council

Mr Ross MacDonald (from February 2009) RN, MBA, JD, FRCNA Chief Executive Officer, Queensland Nursing Council

Deputy

Ms Catherine Entriken (until February 2009) RN, Stomal Therapy Cert, BScN, Grad Dip Health Admin & Info Sys, MCRNA Acting Chief Executive Officer, Queensland Nursing Council

Ms Anne Copeland (from February 2009) RN, B App Sc (Nsg); MAdmin; Grad Dip Fin Man, FRCNA, AFACHSE Chairperson, Queensland Nursing Council

perFormanCe and CapabilitY

board of the anmc

left: top—greg sam. bottom—robyn collins.

right: from left moira laverty, mary chiarella, ross mcdonald, anita phillips, alyson smith, Karen cook, angela brannelly, robyn staniforth.

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21 Annual Report 2008–09

Victoria

Director

Ms Melodie Heland (until February 2009) RN, Crit Care Cert, B Nursing, Grad Dip of Hlth Admin, M Nurs, Dip CD AICD President, Nurses Board of Victoria

Mr Nigel Fidgeon (from February–June 2009) RN, CCRN, BAppSc (Nursing), MHA, AFACHSE, MAICD, MRCNA Chief Executive Officer, Nurses Board of Victoria

Deputy

Ms Petrina Halloran (until January 2009) RN, BA, Grad Dip Ed Acting CEO, Nurses Board of Victoria

Mr Nigel Fidgeon (from January–February 2009) RN, CCRN, BAppSc (Nursing), MHA, AFACHSE, MAICD, MRCNA Chief Executive Officer, Nurses Board of Victoria

Ms Melodie Heland (from February 2009–June 2009) RN, Crit Care Cert, B Nursing, Grad Dip of Hlth Admin, M Nurs, Dip CD AICD President, Nurses Board of Victoria

Western australia

Director

Ms Louise Horgan (until August 2008) RN, B.App Sc (Nsg) Grad Dip Ed, Msc. Presiding Member, Nurses Board of Western Australia

Adj. Ass. Professor Robyn Collins (from August 2008) RN, RM B AppSc, MRCNA, CD Chief Executive Officer, Nurses Board of Western Australia

Deputy

Adj. Ass. Professor Robyn Collins (until August 2008) RN, RM B AppSc, MRCNA, CD Chief Executive Officer, Nurses Board of Western Australia

Adj Ass Professor Nola Cruickshank (from August 2008 until January 2009) RN BAppSc(Nsg) Grad Dip OH&S MRCNA Presiding Member, Nurses Board of Western Australia

Ms Louise Horgan (from January 2009) RN, B App Sc (Nsg) Grad Dip Ed, MSc. Presiding Member, Nurses Board of Western Australia

south australia

Director

Ms Alyson Smith RN, CCNC, Dip T (Nse Ed), B Ed (Prof Dev), M Health Service Management Chief Executive Officer/Registrar, Nurses Board of South Australia

Deputy

Dr Lynette Cusack RN, RM, Dip App Sc (Nsg Studies), B,Nsg, MHA, PhD Presiding Member, Nurses Board of South Australia

tasmania

Director

Adj. Ass. Professor Moira Laverty (Deputy Chairperson) RN,RPN, B App Sc (Nsg Admin),Grad Dip, Hlth Serv. Mgmt, MBA, FRCNA, AFCHSE Chief Executive Officer, Nursing Board of Tasmania

Deputy

Prof. Denise Fassett B Health Sc, Grad Dip Aged Care, M Nsg, PhD Chairperson, Nursing Board of Tasmania

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new south Wales

Director

Prof. Mary Chiarella (Chairperson) RN, Cert in Anaesthetic Nursing, RM, Dip in Nursing Education (Dist). LLB (Hons), PhD (UNSW) Member, Nurses and Midwives Board of NSW

Deputy

Prof Jill White RN, RM, M Education, B Education, Assoc Dip Nur. Ed. PhD. President, Nurses and Midwives Board of NSW

northern territory

Director

Ms Angela Brannelly RN, BSN Chairperson, Nursing and Midwifery Board of the Northern Territory

Deputy

Mr Steve Cooper Practitioner Member, Nursing and Midwifery Board of the Northern Territory

australian Capital territory

Director

Ms Vanessa Owen (until August 2008)

M.Mid, GDHSM, BHS, DAS, Midwife, RN, FACM (Dist), AFACHSE Member, ACT Nursing and Midwifery Board

Director

Ms Jenny McLoughlin (from August 2008 until June 2009) RN, RM, BSc(Nsg), Master Primary Health Care Member, ACT Nursing and Midwifery Board

Director

Ms Robyn Staniforth (from June 2009) RN, B Bus Chief Executive Officer, ACT Nursing and Midwifery Board

Deputy Director

Ms Carol Mirco (until January 2009) RN, ONC, BHSc, Grad Dip (Nsg),Post Grad Dip Arts (AIS), MAA, FRCNA, FCHSE Chief Executive Officer, ACT Nursing and Midwifery Board

Ms Robyn Staniforth (from January–June 2009) RN, B Bus Chief Executive Officer, ACT Nursing and Midwifery Board

Ms Jenny McLoughlin (from June 2009) RN, RM, BSc(Nsg) Master Primary Health Care Member, ACT Nursing and Midwifery Board

Community directors

Mr Gregory Sam Master of Public Health, BAppSc, BA (Admin)

Ms Anita Phillips BA Dip Soc Studs, MPA

The Directors of the ANMC held eight meetings during the 2008–2009 financial year. The Chairs of the NMRAs joined the Directors for the November 2008 and February 2009 meetings. The CEO of the Nursing Council of New Zealand, Ms Marion Clarke and the Chair of the Nursing Council of New Zealand, Ms Beverly Rayna also attended the February 2008 meeting.

director eligible to attend

attendance

brannelly, angela 8 8

chiarella, mary 8 8

collins, robyn 8 8

fidgeon, nigel 3 3

heland, melodie 4 3

copeland, anne 3 2

laVerty, moira 8 6

owen Vanessa 1 0

phillips, anita 8 7

sam, greg 8 7

smith alyson 8 7

22 Australian Nursing and Midwifery Council www.anmc.org.au

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committees of council

The ANMC has established committees and working groups for specific purposes in accordance with its objects. These committees and working groups assist the ANMC to fulfil its strategic goals and meet its legal obligations. The Chairperson of each committee is appointed by ANMC and is a Director unless otherwise determined by ANMC. Membership is not restricted to ANMC members and each committee has the power to co‑opt other persons with appropriate experience and expertise as determined by ANMC. Committees and working groups report to ANMC through the Committee Chairperson

research and policy committee

purpose

The Research and Policy committee contributes to the achievement of the ANMC strategic goals through implementing research and policy initiatives as approved by Council. The Research and Policy Committee advises Council on research and/or policy requirements necessary to strategically progress issues with regard to statutory nursing and midwifery regulation and matters relating to the development and management of national projects.

Chairperson

Adj Associate Professor Moira Laverty, ANMC Director

Members (during 2008–2009)

Adj Associate Professor Robyn Collins, ANMC Director

Ms Anita Phillips, ANMC Community Director

Ms Carolyn Reed, Chief Executive Officer, Nursing Council of New Zealand

Ms Karen Cook, Chief Executive Officer, ANMC

Ms Louise Horgan, ANMC Director

Ms Vanessa Owen, ANMC Director

Ms Marion Clarke, Chief Executive Officer, Nursing Council of New Zealand

corporate goVernance committee

purpose

The Corporate Governance Committee oversees the corporate governance framework of the organisation to ensure the business affairs of the organisation are conducted in accordance with relevant legislation and policy. The Committee also reports on financial and audit activities to the Board and oversees the risk management activities of the organisation.

Chairperson

Ms Anne Copeland, (until April 2009), ANMC Deputy Director

Mr Greg Sam, (from April 2009), ANMC Community Director

Members (during 2008–2009)

Prof Mary Chiarella, Chairperson ANMC

Mr Nigel Fidgeon, ANMC Director

Mr Greg Sam, ANMC Community Director

registration standards committee

purpose

The Registrations Standards Committee has been a long standing committee of the ANMC. The purpose of the Registration Standards Committee is to advise the Nursing and Midwifery Regulatory Authorities (NMRAs) on regulatory issues and to advance standards for the assessment of internationally qualified nurses and midwives.

The Committee is comprised of a representative from each of the NMRAs of Australia and New Zealand and is chaired by one of the two ANMC Board Directors who are mandatory members.

23 Annual Report 2008–09

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24 Australian Nursing and Midwifery Council www.anmc.org.au

Chairperson

Ms Alyson Smith, ANMC Director

Members (during 2008–2009)

Ms Angela Brannelly, ANMC Director, Nursing and Midwifery Board of Northern Territory

Ms Marie Hill, Nurses and Midwives Board of Western Australia

Ms Mary Miller, Nurses and Midwives Board of Western Australia

Ms Heather Gillett, Nurses and Midwives Board of Western Australia

Ms Kathryn Terry, Nursing Board of Tasmania

Ms Kerry Whitehead, Nursing and Midwifery Board of South Australia

Ms Anna Kettle, Nurses and Midwives Board of New South Wales

Ms Maureen Giddins Blues, Nurses and Midwives Board of New South Wales

Ms June Hodge, Nurses Board of Victoria

Ms Andrea McCance, Nursing Council of New Zealand

Ms Carol Mirco, ACT Nursing and Midwifery Board

Ms Robyn Staniforth, ACT Nursing and Midwifery Board

Ms Jenny Short, Queensland Nursing Council

Ms Bernadette Thompson, Queensland Nursing Council

professional reference group

purpose

The Professional Reference Group was established in 1997 to provide a forum for cooperation, collaboration and consultation between the ANMC, stakeholders and professional bodies. Members of the PRG are national nursing and midwifery organisations. The Chair of the PRG is the current Chair of the ANMC. The PRG provides opportunity for discussion on topical issues relevant to the ANMC position and policies, presentations on

new initiatives, concepts and future directions, cooperative and collaborative partnerships on tasks, ventures and missions and effective discussion on matters of importance in the nursing and midwifery professions.

Membership

The membership of the PRG is fluid as different groups are involved in different discussions.

Chairperson

Prof Mary Chiarella, Chair ANMC

Members ex officio:

Directors ANMC >Chief Executive Officer ANMC >

The PRG met on two occasions during the year in August 2008 and February 2009.

In attendance at the August 2008 meeting were representatives of:

Australian College of Mental Health Nurses; >Australian College of Midwives; >Council of Deans of Nursing and Midwifery; >Australian Nursing Federation; >ANZ Council of Chief Nurses; >Royal College > of Nursing, Australia;The College of Nursing; and >Congress of Aboriginal and Torres Strait >Islander Nurses.

Attending the February 2009 meeting were representatives of:

Royal College > of Nursing, Australia;Australian Nursing Federation; >Council of Deans of Nursing and Midwifery; >Australian Council of Mental Health Nurses; >Australian College of Midwives; >ANZ Council of Chief Nurses; >The College of Nursing; and >Congress Aboriginal and Torres Strait >Islander Nurses.

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25 Annual Report 2008–09

director’s report

The Directors of the Australian Nursing and Midwifery Council Incorporated submit their financial report for the financial year ended 30 June 2009.

directors

The names of Directors and Deputy Directors throughout the year and at the date of this report are:

DirectorsMs Angela Brannelly

Prof. Mary Chiarella (Chairperson)

Adj. Associate Prof. Robyn Collins (From August 2008)

Ms Anne Copeland (From July 2008 until February 2009)

Mr Nigel Fidgeon (From February 2009 until June 2009)

Ms Melodie Heland (Until February 2009)

Ms Louise Horgan (Until August 2008)

Adj. Associate Prof. Moira Laverty (Deputy Chairperson from July 2008)

Mr Ross MacDonald (From February 2009)

Ms Jennifer McLoughlin (From August 2008 until June 2009)

Ms Anne Morrison (Until July 2008)

Ms Vanessa Owen (Until August 2008)

Ms Alyson Smith

Ms Robyn Staniforth (From June 2009)

Ms Anita Phillips (Community Director)

Mr Greg Sam (Community Director)

Deputy Directors Adj. Associate Prof. Robyn Collins (Until August 2008)

Mr Steve Cooper

Ms Anne Copeland (From February 2009)

Ms Nola Cruickshank (From August 2008 until January 2009)

Dr Lynette Cusack

Ms Catherine Entriken (From July 2008 until February 2009)

Prof. Denise Fassett

Mr Nigel Fidgeon (From January 2009 until February 2009)

Ms Petrina Halloran (Until January 2009)

Ms Melodie Heland (From February 2009 until June 2009)

Ms Louise Horgan (From January 2009)

Ms Jennifer McLoughlin (From June 2009)

Ms Carol Mirco (Until February 2009)

Ms Robyn Staniforth (From February 2009

until June 2009)

Prof. Jill White

principal activities

The principal activities of the Council during the financial year were:

the development of standards for the statutory regulation of nursing and midwifery; and >the assessment of the qualifications of overseas nurses and midwives. >

significant Changes

No significant change in the nature of these activities occurred during the year.

operating result

The surplus for the year amounted to $171,596 (2008: deficit of $88,428).

Signed in accordance with a resolution of the Directors.

Prof. Mary Chiarella Adj. Ass. Prof. Moira LavertyChairperson 18 September 2009

Deputy Chairperson

FinanCials

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note 2009

$

2008

$

Revenues 2 2,080,113 1,614,135

Less: Expenses

Communications and marketing 72,719 65,073Compliance costs (including accounting and legal fees) 46,309 34,146Conferences 50,206 56,526Council and committee 159,185 116,698Depreciation 46,491 38,292Employee benefits 868,018 802,697Grants returnable 84,757 24,385Operating lease 99,801 95,049Other property expenses 24,399 19,771Projects 188,687 335,084Loss on disposal of assets 5,654 –Recruitment expenses 25,911 11,936WP/SEAR expenses 89,886 903Other expenses 146,494 102,003

Total Expenses 1,908,517 1,702,563

Surplus/(deficit) for the year 3 171,596 (88,428)

australian nursing and midwifery council incorporated

income statement for the year ended 30 June 2009

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note 2009

$

2008

$

Current Assets

Cash and cash equivalents 4 296,511 61,359Trade and other receivables 5 11,879 27,780Inventories 6 816 731Other assets 7 73,111 78,249Investments 8 875,038 811,874

Total Current Assets 1,257,355 979,993

Non‑Current Assets

Plant and equipment 9 98,365 125,007

Total Non‑Current Assets 98,365 125,007

Total Assets 1,355,720 1,105,000

Current Liabilities

Trade and other payables 10 206,652 303,073Provisions 11 48,773 33,476Other liabilities 12 220,357 61,045

Total Current Liabilities 475,782 397,594

Non‑Current Liabilities

Provisions 11 5,073 4,137

Total Non‑Current Liabilities 5,073 4,137

Total Liabilities 480,855 401,731

Net Assets 874,865 703,269

Equity

Retained Surplus 874,865 703,269

Total Equity 874,865 703,269

australian nursing and midwifery council incorporated

balance sheet as at 30 June 2009

Annual Report 2008–09 27

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2009

$

2008

$

Retained Surplus

Balance at the beginning of the year 703,269 791,697Surplus/(deficit) for the year 171,596 (88,428)

Balance at the end of the year 874,865 703,269

Cash flow statement for the year ended 30 June 2009

note 2009

$

2008

$

Cash flows from operating activities

Receipts from fees, sales, grants and other 2,236,479 1,682,744Payments to suppliers and employees (1,984,339) (1,509,551)Interest received 71,679 48,786

Net cash provided by/(used in) operating activities 14 (a) 323,819 221,979

Cash flows from investing activities

Proceeds from sale of fixed assets 400 –Fixed assets purchased (25,903) (79,601)Payments for investments (63,164) (100,711)

Net cash provided by/(used in) investing activities (88,667) (180,312)

Net increase/(decrease) in cash held 235,152 41,667

Cash at the beginning of the financial year 61,359 19,692

Cash at the end of the financial year 14(b) 296,511 61,359

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statement of changes in equity for the year ended 30 June 2009

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29 Annual Report 2008–09

The financial report is a general purpose financial report that has been prepared in accordance with Australian Accounting Standards (including the Australian Accounting Interpretations), other authoritative pronouncements of the Australian Accounting Standards Board and the requirements of the Associations Incorporation Act (1991).

The financial report covers the Australian Nursing and Midwifery Council Incorporated (the Council) as an individual entity. The Council is incorporated in the Australian Capital Territory under the Associations Incorporation Act (1991).

The financial report of the Council complies with all Australian equivalents to International Financial Reporting Standards (AIFRS) in their entirety.

A number of Australian Accounting Standards have been issued or amended prior to the date of this report but are only applicable to future reporting periods and accordingly have not been applied in preparing this financial report. The Directors are of the opinion that when the relevant Accounting Standards are first applied, there will be no material impact on the accounting policies of the Council and no material impact on the income statement or balance sheet of the Council. Application of the standards will have a minor impact on the disclosures presently made in the financial report.

The following is a summary of the material accounting policies adopted by the Council in the preparation of the financial report. The accounting policies have been consistently applied, unless otherwise stated.

basis of preparation

Reporting Basis and Conventions

The financial report has been prepared on an accruals basis and is based on historical costs modified by the revaluation of selected non‑current assets, and financial assets and financial liabilities for which the fair value basis of accounting has been applied.

accounting policies

a Income Tax The Council is a tax exempt body under relevant provisions of the Income Tax Assessment

Act, 1997.

b Inventory Inventories are measured at the lower of cost and net realisable value. Costs are assigned on a

specific identification basis and include direct costs and appropriate overheads, if any. Costs are assigned on the basis of weighted average costs.

c Plant and Equipment Each class of plant and equipment is carried at cost less, any accumulated depreciation and

impairment losses.

The carrying amount of plant and equipment is reviewed at each balance sheet date to ensure it is not in excess of the recoverable amount from these assets. The recoverable amount is assessed on the basis of the expected net cash flows that will be received from the assets’ employment and

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note 1 summary of significant accounting policies

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subsequent disposal. The expected net cash flows have been discounted to their present values in determining recoverable amounts.

An asset’s carrying amount is written down immediately to its recoverable amount if the asset’s carrying amount is greater than its estimated recoverable amount.

Subsequent costs are included in the asset’s carrying amount or recognised as a separate asset, as appropriate, only when it is probable that future economic benefits associated with the item will flow to the Council and the cost of the item can be measured reliably. All other costs (eg. repairs and maintenance) are charged to the income statement during the financial period in which they are incurred.

Gains and losses on disposals are determined by comparing proceeds with the carrying amount. These gains and losses are included in the income statement.

d Depreciation The depreciable amount of all fixed assets is depreciated on a straight‑line basis over their useful

lives commencing from the time the asset is held ready for use. Leasehold improvements are depreciated over the shorter of either the unexpired period of the lease or the estimated useful lives of the improvements.

e Leases Leases of fixed assets where substantially all the risks and benefits incidental to the ownership

of the asset, but not the legal ownership, are transferred to the Council are classified as finance leases.

Finance leases are capitalised by recording an asset and a liability at the lower of the amounts equal to the fair value of the leased property or the present value of the minimum lease payments, including any guaranteed residual values. Lease payments are allocated between the reduction of the lease liability and the lease interest expense for the period.

Leased assets are depreciated over their estimated useful lives where it is likely that the Council will obtain ownership of the asset or otherwise over the term of the lease.

Lease payments for operating leases, where substantially all the risks and benefits remain with the lessor, are charged as expenses in the periods in which they are incurred.

Lease incentives under operating leases are recognised as a liability and amortised on a straight‑line basis over the life of the lease term.

f Investments Investments are measured on the cost basis and include cash on deposit with original maturities

of greater than three months.

g Financial Instruments

Recognition Financial instruments are initially measured at cost on trade date, which includes transaction

costs, when the related contractual rights or obligations exist. Subsequent to initial recognition these instruments are measured as set out below.

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note 1 summary of significant accounting policies (cont’d)

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31 Annual Report 2008–09

Financial assets at fair value through profit and loss A financial asset is classified in this category if acquired principally for the purpose of selling in

the short term or if so designated by management. Gains and losses arising from changes in the fair value of these assets are included in the income statement in the period in which they arise.

Loans and receivables Loans and receivables are financial assets with fixed or determinable payments and are stated at

amortised cost using the effective interest rate method.

Held‑to‑maturity investments These investments have fixed maturities, and it is the intention to hold these investments to

maturity. Any held‑to‑maturity investments held are stated at amortised cost using the effective interest rate method.

Available‑for‑sale financial assets Available‑for‑sale financial assets include any financial assets not included in the above

categories. Available‑for‑sale financial assets are reflected at fair value. Unrealised gains and losses arising from changes in fair value are taken directly to equity.

Financial liabilities Financial liabilities are recognised at amortised cost, comprising original debt less principal

payments and amortisation.

Impairment At each reporting date, an assessment is made whether there is objective evidence that a

financial instrument has been impaired. In the case of available‑for‑sale financial instruments, a prolonged decline in the value of the instrument is considered to determine whether an impairment has arisen. Impairment losses are recognised in the income statement.

h Impairment of Assets At each reporting date, the carrying values of tangible and intangible assets are reviewed to

determine whether there is any indication that those assets have been impaired. If such an indication exists, the recoverable amount of the asset, being the higher of the asset’s fair value less costs to sell and value in use, is compared to the asset’s carrying value. Any excess of the asset’s carrying value over its recoverable amount is expensed to the income statement.

Where it is not possible to estimate the recoverable amount of an individual asset, the recoverable amount of the cash generating unit to which the asset belongs is estimated.

i Employee Benefits Provision is made for the liability for employee benefits arising from services rendered by

employees to balance date. The benefits expected to be settled within one year to employees for their entitlements have been measured at the amounts expected to be paid including on‑costs and are disclosed as current liabilities. Employee benefits payable later than one year are measured at the present value of the estimated future cash outflows to be made in respect of those benefits. In calculating the present value of future cash flows in respect of long service leave, the probability of long service leave being taken is based upon historical data.

note 1 summary of significant accounting policies (cont’d)

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j Provisions Provisions are recognised when the Council has a legal or constructive obligation as a result of

past events, for which it is probable that an outflow of economic benefits will result and that the outflow can be reliably measured.

k Cash and Cash Equivalents Cash and cash equivalents include cash on hand, deposits held at‑call with banks, other

short‑term highly liquid investments with original maturities of three months or less, and bank overdrafts. Bank overdrafts are shown within borrowings in current liabilities on the balance sheet.

l Revenue Revenue from the rendering of a service is recognised upon the delivery of the service to

the customers.

Revenue from the sale of goods is recognised upon the delivery of goods to customers.

Interest revenue is recognised on a proportional basis taking into account the interest rates applicable to the financial assets.

Income from grant funding is recognised as the relevant grant funding requirements are satisfied. Grant funding received but not yet recognised as revenue is deferred to the balance sheet as income in advance.

Government grants relating to expense items are recognised as income over the periods necessary to match the grant revenue to the costs they are compensating. Government grants relating to assets are credited to deferred income at fair value and are credited to income over the expected useful life of the asset in a manner that is consistent with the recognition of depreciation and amortisation in respect of the asset.

All revenue is stated net of the amount of goods and services tax (GST).

m Goods and Services Tax (GST) Revenues, expenses and assets are recognised net of the amount of GST, except where the amount

of GST incurred is not recoverable from the Australian Taxation Office. In these circumstances the GST is recognised as part of the cost of acquisition of the asset or as part of an item of the expense. Receivables and payables in the balance sheet are shown inclusive of the GST.

Cash flows are presented in the cash flow statement on a gross basis, except for the GST component of investing and financing activities, which are disclosed as operating cash flows.

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note 1 summary of significant accounting policies (cont’d)

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33 Annual Report 2008–09

n Comparative Figures Comparative figures have been adjusted, where necessary to conform to changes in presentation

for the current financial year.

Critical accounting estimates and Judgments

The Directors evaluate estimates and judgments incorporated into the financial report based on historical knowledge and best available current information. Estimates assume a reasonable expectation of future events and are based on current trends and economic data, obtained both externally and within the Council.

The Directors do not believe that there were any key estimates or key judgements used in the development of the financial report that give rise to a significant risk of material adjustment in the future, apart for any adjustments that might arise out of matters disclosed in notes 20 and 24 of this financial report.

2009

$

2008

$

note 2 reVenue

Operating activities:

Overseas assessments fees received 970,765 809,500Publication sales 2,408 4,277Copyright fees 89,856 1,986Grant income—states bodies contribution 743,974 673,423Grant income—other grants 143,206 64,503WP/SEAR income 66,184 –Other income 6,339 263

2,022,732 1,553,952

Non‑operating activities:

Interest received 57,381 60,183

Total revenue 2,080,113 1,614,135

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note 1 summary of significant accounting policies (cont’d)

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34 Australian Nursing and Midwifery Council www.anmc.org.au

2009

$

2008

$

note 3 surplus/(deficit)

Surplus/(deficit) for the year has been determined after the following expenses:

Depreciation of plant and equipment 46,491 38,292Cost of sales—publications 2 611Superannuation contributions 66,948 63,734Loss on disposal of plant and equipment 5,654 –

Remuneration of auditor:– Audit of financial report including assistance in preparation of financial report—current year accrual

15,000 8,000

– Prior year under accrual 1,400 250– Assistance preparing additional financial statement disclosures 1,500 750– Grant acquittal audits 800 –– Review of internal processes and systems – 5,816– FBT and workers’ compensation 1,175 1,076

19,875 15,892

note 4 cash and cash equiValents

Cash at bank and on hand 296,511 61,359

note 5 trade and other receiVables

Sundry debtors 11,879 27,780

note 6 inVentories

Stock– at cost 816 731

note 7 other assets

Rental bond 22,169 22,169Accrued interest 20,315 34,613GST 10,127 7,518Prepayments 20,500 13,949

73,111 78,249

note 8 inVestments

Term deposits 875,038 811,874

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35 Annual Report 2008–09

2009

$

2008

$

note 9 plant and equipment

Furniture and fittings—at cost 41,231 41,231Less: Accumulated depreciation (36,523) (35,502)

4,708 5,729

Plant and equipment—at cost 238,799 237,980Less: Accumulated depreciation (153,083) (138,168)

85,716 99,812

Software—at cost 77,590 77,237Less: Accumulated depreciation (69,649) (57,771)

7,941 19,466

98,365 125,007

(a) depreciation rates and methods

Class of assets depreciation rates depreciation method

Furniture and fittings 8%–13% Straight linePlant and equipment 7%–33% Straight lineSoftware 27% Straight line

b) movements in carrying amounts

Movement in the carrying amounts for each class of plant and equipment between the beginning and the end of the current financial year:

Furniture and fittings at cost

plant and equipment

at costsoftware

at cost total

$ $ $ $

Balance at 1 July 2007 5,054 52,082 26,562 83,698Additions 2,024 70,033 7,544 79,601Disposals/write offs – – – –

Depreciation expense (1,349) (22,303) (14,640) (38,292)

Balance at 30 June 2008 5,729 99,812 19,466 125,007Additions – 25,550 353 25,903Disposals/write offs – (6,054) – (6,054)

Depreciation expense (1,021) (33,592) (11,878) (46,491)

Carrying amount at 30 June 2009

4,708 85,716 7,941 98,365

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2009

$

2008

$

note 10 trade and other payables

Trade creditors, accruals and other 159,166 268,597Payroll liabilities 46,560 31,999GST payable 926 2,477

206,652 303,073

note 11 proVisions

Current

Employee benefits 48,773 33,476

Non‑current

Employee benefits 5,073 4,137

note 12 other liabilities

Income in advance 135,600 36,660Overpaid/unexpended contributions 84,757 24,385

220,357 61,045

note 13 funding agreement

The 2009 Funding Agreement provides for the return of unexpended funds to the Contributing Parties, if required, at the end of the term of the agreement. An amount of $84,757 has been recognised as repayable to the contributing parties at 30 June 2009. The funding agreement for 2009/10 was signed by the Contributing Parties prior to the beginning of June 2009. On 18 June 2009 the Nurses Board of Victoria gave six (6) months notice of resignation from the Council which takes effect on 18 December 2009.

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2009

$

2008

$

note 14 cash flow statement

(a) reconciliation of cash flows from operations with surplus/(deficit) for the year

Surplus/(deficit) for the year 171,596 (88,428)

Non‑cash flows in surplus/(deficit)

Depreciation 46,491 38,292Loss on disposal of assets 5,654 –

Changes in assets and liabilities:

(Increase)/Decrease in trade and other receivables 15,901 (14,236)(Increase)/Decrease in other assets 5,138 (1,764)(Increase)/Decrease in inventories (85) 842Increase/(Decrease) in trade and other payables (96,421) 231,442Increase/(Decrease) in other liabilities 159,312 61,045Increase/(Decrease) in provisions 16,233 (5,214)

Net cash provided by/(used in) operating activities 323,819 221,979

(b) reconciliation of cash

Cash at the end of the financial year as shown in the cash flow statement is reconciled to the related items in the balance sheet as follows:

Cash at bank and on hand 296,511 61,359

note 15 Key management personnel compensation

Key management personnel is defined by AASB 124 “Related Party Disclosures” as those persons having authority and responsibility for planning, directing and controlling the activities of the Council, directly or indirectly, including any Director of the Council.

The aggregate remuneration paid to key management personnel (including Directors) during the financial year is as follows:

Short‑term benefits

Salary 216,122 237,104Superannuation 17,703 21,340Other benefits—sitting fees and other 26,810 5,330

260,635 263,774

In addition to the above compensation, the Council paid Association Liability Insurance of $5,350 (2008: $5,350), which includes directors’ and officers’ liability insurance.

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note 16 related party disclosures

Other than the compensation of key management personnel (Note 15) and the provision of funding by Contributing Parties, there were no related party transactions during the financial year.

note 17 financial instruments

(a) Terms, Conditions and Accounting Policies

The accounting policies and terms and conditions of each class of financial asset, financial liability and equity instrument at the balance date are consistent with those regularly adopted by businesses in Australia.

(b) Financial Risk Management

The financial instruments consist mainly of deposits with banks, short term investments, and accounts receivable and payable. The Council does not trade or speculate in derivatives.

The main purpose of the financial instruments is to raise funds for normal activities and invest excess funds in an appropriate manner.

(i) Financial risks and risk management

The main risks the Council is exposed to through its financial instruments are liquidity risk, credit risk and interest rate risk.

Liquidity risk

The liquidity risk is managed by monitoring forecast cash flows and ensuring that adequate short term funds are maintained. The Council has adequate working capital to meet its financial liabilities at year end. Trade and other payables are expected to be settled on normal commercial terms. Unspent grant funds are expected to be settled within three months.

Credit risk

The maximum exposure to credit risk at balance date in respect of recognised financial assets, excluding the value of any collateral or other security, is the carrying amount, net of any provisions for impairment of those assets, as disclosed in the balance sheet and notes to the financial statements. This risk is monitored and managed by management reviewing financial assets and ensuring collections are made on a timely basis and that unacceptable concentrations of credit risk are avoided.

The Council does not hold any collateral against financial assets. The Council has no significant credit risk at year end.

Interest rate risk

The Council’s exposure to interest rate risk is managed by the Council reviewing the interest rate profile, current interest rates and the market outlook, and taking action as necessary to ensure that risk levels are maintained at a satisfactory level. The Council’s exposure to interest rate risk and the effective weighted average interest rate for each class of financial assets and financial liabilities is set out below:

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note 17 financial instruments (cont’d)

Weighted average

effective interest rates

non interest bearing

Variable interest rates

Fixed interest rate maturing Within 1 Year

Fixed interest rate maturing Within 1 to 5

Years total

% $ $ $ $ $

2009 2008 2009 2008 2009 2008 2009 2008 2009 2008 2009 2008

Financial Assets

Cash 3.80% 3.60% 200 200 296,311 61,159 – – – – 296,511 61,359

Cash on Deposit

5.09% 7.49% – – – – 875,038 811,874 – – 875,038 811,874

Receivables n/a n/a 11,879 27,780 – – – – – – 11,879 27,780

Total 12,079 27,980 296,311 61,159 875,038 811,874 – – 1,183,428 901,013

Financial Liabilities

Payables n/a n/a 205,726 300,596 – – – – – – 205,726 300,596

Other liabilities

n/a n/a 220,357 61,045 – – – – – – 220,357 61,045

Total 426,083 361,641 – – – – – – 426,083 361,641

The Council’s exposure to cash flow interest rate risk relates to financial assets and liabilities subject to floating interest rates. These risks arise due to the entity holding cash and cash equivalents and short term investments. The entity minimises its exposure by continuously analysing its interest rate exposure and by fixing interest rates on deposits with banks and short term investments, where appropriate. There have been no changes in the market risks, methods and assumptions from the previous period.

The following table details the effect on profit before tax and on equity if interest rates on financial assets and financial liabilities had been 1% higher or lower and all other variables were held constant. Considering the market outlook and the current interest rates, management believes a 1% movement in interest rates is reasonably possible.

2009 interest rate sensitivity 2008 interest rate sensitivity

Carrying amount ‑1% +1% ‑1% +1%

2009 2008 profit equity profit equity profit equity profit equity

Financial Assets

Cash and cash equivalents

296,511 61,359 (2,965) (2,965) 2,965 2,965 (614) (614) 614 614

Investments 875,038 811,874 (8,750) (8,750) 8,750 8,750 (8,119) (8,119) 8,119 8,119

Receivables 11,879 27,780 n/a n/a n/a n/a n/a n/a n/a n/a

Financial Liabilities

Payables 205,726 300,596 n/a n/a n/a n/a n/a n/a n/a n/a

Other liabilities 220,357 61,045 n/a n/a n/a n/a n/a n/a n/a n/a

(c) Net Fair Values

Financial assets and financial liabilities are carried at their net fair value at balance date. The carrying value of financial assets and financial liabilities approximates their net fair value due to their short terms to maturity or market interest rates. No financial assets or financial liabilities are traded on organised markets in standardised form.

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note 18 capital risK management

The Council’s objectives when managing capital are to safeguard its ability to continue as a going concern.

As the Council does not issue shares, it manages its capital through the budgeting and planning process and ensures that adequate funds are maintained to meet its operational and financial objectives. Capital requirements are also considered in determining the level of annual funding from the Contributing Parties.

The Council monitors its capital on the basis of its working capital (current assets less current liabilities) and accumulated funds, as disclosed in the balance sheet.

There have been no changes to this strategy since the previous financial year.

note 19 capital and leasing commitments

(a) operating lease commitments

2009

$

2008

$

Being for rent of office and carpark.Payable:– not later than 1 year 61,481 99,801

– later than 1 year but not later than 5 years – 59,881

61,481 159,682

The property lease is a non‑cancellable lease with a five‑year term commencing 1 February 2005, with rent payable monthly in advance. Contingent rental provisions within the lease agreement require that the minimum lease payments be increased by 5% per annum. An option exists to renew the lease at the end of the five year term for an additional term of five years.

note 20 contingent liabilities

On 13 April 2007, the Council of Australian Governments (COAG) agreed on arrangements for a new system for the registration of health professionals and the accreditation of their training and education programs. An Intergovernmental Agreement (IGA) reflecting the COAG decision and outlining the arrangements for the scheme and transitional matters was finalised on 26 March 2008. According to the IGA the scheme is to be implemented on 1 July 2010. It is likely that the Australian Nursing and Midwifery Council will be wound up as part of the new arrangements subsequent to 1 July 2010.

Should the decision be made to wind up the Council, certain assets may not be realised at the values currently recorded in the financial statements and additional liabilities may arise to settle contractual and other obligations with suppliers and employees. The Council is uncertain of transitional arrangements that may be made as part of the IGA, however the Council has estimated that the additional costs to settle its obligations at the time of winding up are unlikely to exceed $650,000.

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note 21 eVents after the balance sheet date

This financial report was authorised for issue by the Directors on the date of signing the attached Statement by the Directors. The Directors have the right to amend the report after it is issued.

There are no other events after the balance sheet date that require amendment of, or further disclosure in, the financial report.

note 22 segment reporting

The Council operates in the health care segment by developing standards for the statutory regulation of nursing and midwifery and assessing the qualifications of international nurses and midwives.

note 23 economic dependency

The continuing provision of services by the Australian Nursing and Midwifery Council is dependent upon funding from Contributing Parties in accordance with relevant funding agreements.

note 24 going concern

As disclosed in Note 20, it is likely that the Australian Nursing and Midwifery Council will be wound up subsequent to 1 July 2010, as part of the new arrangements for the national registration and accreditation of health professionals. Should this occur, the Council may not realise its assets and extinguish its liabilities in the normal course of business. The Directors are satisfied that the accounting policies described in Note 1 are appropriate until such time as the new scheme is implemented. The timing of winding up, if it occurs, is unknown.

note 25 council details

The principal place of business of the Council is:

Australian Nursing and Midwifery Council 20 Challis Street Dickson ACT 2602

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42 Australian Nursing and Midwifery Council www.anmc.org.au

In the opinion of the Directors the financial report:

Presents fairly the financial position of Australian Nursing and Midwifery Council Incorporated as 1. at 30 June 2009 and its performance for the financial year ended on that date in accordance with the Australian Accounting Standards (including the Australian Accounting Interpretations) and other authoritative pronouncements of the Australian Accounting Standards Board.At the date of this statement, there are reasonable grounds to believe that Australian Nursing and 2. Midwifery Council Incorporated will be able to pay its debts as and when they fall due.

This declaration is made in accordance with a resolution of the Directors dated this 18th day of September 2009.

Prof. Mary Chiarella Adj. Ass. Prof. Moira LavertyChairperson Deputy Chairperson

australian nursing and midwifery council incorporated

statement by the directors

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43 Annual Report 2008–09

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44 Australian Nursing and Midwifery Council www.anmc.org.au

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45 Annual Report 2008–09

anmC organisational Chart

ANMC BOARD(Eight representatives, one from each of the

NMRAs and two Community Directors)

Research &Policy (RAP)

RegistrationStandards

(RSC)

CorporateGovernance

(CG)

Research &Policy

Advisor

InternationalSection

Manager

ProfessionalOfficer

AssessmentOfficer

Research &PolicyOfficers

AccountsOfficer

Receptionist

PublicRelationsOfficer

BusinessManager

ChiefExecutive

Officer

ExecutiveAssistant

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staFF oF the anmC at 30 June 2009

Chief Executive Officer Ms Karen Cook

International Section Manager Ms Judy Conroy

Research and Policy Advisor Ms Dianna Kidgell

Research and Policy Officers Dr Denise Ryan Ms Rowena Robinson

Business Manager Ms Kay Posthuma

Office Manager Ms Susan Williams

Professional Officer—International Section Mr Mark Braybrook

Assessment Officer—International Section Ms Pan Warbuton

Executive Assistant Ms Penny Tompsett

Public Relations Officer Ms Mandy Fogarty

Receptionist Ms Pamela Windross

46 Australian Nursing and Midwifery Council www.anmc.org.au