HomeIndustrial hubWA nurses and midwivesDiscipline, dismissal and registration
Health Services Act 2016 (WA) Part 11 · Health Practitioner Regulation National Law

Disciplined or dismissed as a WA nurse or midwife? The clock starts at the decision.

In WA Health, a disciplinary decision goes to the WAIRC within 28 days of the decision, not of the last day at work. In private hospitals and aged care it is 21 days in the Fair Work Commission. Registration action runs separately.

28 daysto refer a WA Health disciplinary decision to the WAIRC, from the decision
30 daysfor WA Health to tell you in writing the outcome of a disciplinary matter
21 daysfor a Fair Work unfair dismissal claim (private hospitals, aged care)
A nurse sits in a locker room reading a letter, worried

Time limit 28 days after the day the decision or finding is made, to refer a WA Health disciplinary decision to the WAIRC (IR Act s 29(1)(j), (2)(c); HSA s 171). In a private hospital or aged care, 21 days after the dismissal took effect (FW Act s 394(2)(a)).

Key time limits

StepTime limitSource
WA Health: refer a disciplinary decision, a suspension on partial or no pay, or a performance demotion or termination to the WAIRC28 days after the day the decision or finding is madeIR Act s 29(1)(j), s 29(2)(c); HSA s 171
WA Health: the employer tells you the outcome of a disciplinary matterWithin 30 days of the findingHSA s 167(1), (3)
WA system unfair dismissal claim that is not about disciplinary action (for example incapacity)28 days after the employment endsIR Act s 29(1)(c), s 29(2)(a)
A referral to the WAIRC that is lateAccepted only if it "would be unfair not to do so"IR Act s 29(3)
WA Health: tell your employer you have been charged with or convicted of a serious offence7 daysHSA s 145(1)
WA Health: tell your employer of a National Law misconduct finding against you, with a copy7 days after you receive notice of itHSA s 145(2)–(3)
Fair Work unfair dismissal (private hospitals, aged care)21 days after the dismissal took effectFW Act s 394(2)(a)
Fair Work general protections dismissal dispute21 days after the dismissal took effectFW Act s 366(1)(a)
Federal unlawful termination (also open to WA Health staff)21 days after the termination took effectFW Act s 774(1)(a)
Nursing and Midwifery Board immediate actionThe Board's notice must say how to appeal and the period for doing itNational Law s 158(2)(d)–(e)
Damaging action claim (WA system)6 yearsIR Act s 82A
Equal opportunity complaint12 months, or later on good causeEqual Opportunity Act 1984 s 83(4)–(5)
WA Health: refer a disciplinary decision, a suspension on partial or no pay, or a performance demotion or termination to the WAIRCTime limit: 28 days after the day the decision or finding is made
WA Health: the employer tells you the outcome of a disciplinary matterTime limit: Within 30 days of the finding
Source
HSA s 167(1), (3)
WA system unfair dismissal claim that is not about disciplinary action (for example incapacity)Time limit: 28 days after the employment ends
Source
IR Act s 29(1)(c), s 29(2)(a)
A referral to the WAIRC that is lateTime limit: Accepted only if it "would be unfair not to do so"
Source
IR Act s 29(3)
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WA Health: tell your employer you have been charged with or convicted of a serious offenceTime limit: 7 days
Source
HSA s 145(1)
WA Health: tell your employer of a National Law misconduct finding against you, with a copyTime limit: 7 days after you receive notice of it
Source
HSA s 145(2)–(3)
Fair Work unfair dismissal (private hospitals, aged care)Time limit: 21 days after the dismissal took effect
Fair Work general protections dismissal disputeTime limit: 21 days after the dismissal took effect
Federal unlawful termination (also open to WA Health staff)Time limit: 21 days after the termination took effect
Nursing and Midwifery Board immediate actionTime limit: The Board's notice must say how to appeal and the period for doing it
Damaging action claim (WA system)Time limit: 6 years
Equal opportunity complaintTime limit: 12 months, or later on good cause
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The WA Health clock is the one that catches people. The 28 days for a s 171 referral run from "the day on which the decision or finding is made" (IR Act s 29(2)(c)), not from the day the employment ends. The employer has up to 30 days after a finding to notify you in writing (HSA s 167(3)). A referral made after the 28 days needs the Commission to accept it as unfair not to (s 29(3)).

The short version

Which rules apply turns on who employs you.

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If you work for WA Health, discipline runs under Part 11 of the Health Services Act, not under the public service rules. The employer decides whether there was a breach of discipline and what to do about it. Since 31 January 2025 you can refer certain of those decisions to the Western Australian Industrial Relations Commission (WAIRC) yourself, within 28 days of the decision. The Public Service Appeal Board, which used to hear these appeals, no longer exists.

If you work for a private hospital or an aged care provider, discipline follows your enterprise agreement's clause and your employer's policies, and the main check on a dismissal is a Fair Work Commission (FWC) claim within 21 days.

Either way, a registered nurse or midwife can face a separate process under the National Law, run by the Nursing and Midwifery Board and the State Administrative Tribunal. The two processes can run at the same time, on the same facts, with different tests. The routes and limits are set out below, with a table of options by employer at the end.

Which system you are in

The employer decides the system, not the job.

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(a) A WA health service provider is a body corporate (HSA s 32(2)) and "an agent of the State" (s 33). The FWC has held that a WA health service provider does not trade and is not a constitutional corporation (Nancy Mathew [2022] FWC 320 at [22]). WA Health nurses are therefore in the WA system.

(b) Private hospital operators and aged care providers that are constitutional corporations (trading or financial corporations) are national system employers (FW Act s 14(1)), so their nurses are under the FW Act. A private operator contracted to run a public hospital is a "contracted health entity" inside the WA health system (HSA s 19(1)(c)), but its nurses are employed by the operator, not by WA Health. Joondalup Health Campus (Ramsay) and St John of God Midland Public Hospital are examples.

The overview page has the full chooser: WA nurses and midwives.

WA Health: the discipline process under the Health Services Act

References in this part are to the Health Services Act 2016 (HSA) unless stated.

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Which code applies

For nurses and midwives employed by a health service provider (an "employee" under the HSA is a person employed in a health service provider: s 6):

(a) Part 11 of the HSA "applies to all employees" (s 154(1)), and it prevails over any inconsistent industrial instrument (s 157(3)) and contract (s 157(4));

(b) nurses are not public service officers, because Part 3 of the Public Sector Management Act 1994 (WA) does not apply to health service provider employees (s 104(3)). The Public Service Appeal Board applied that to a Level 2 registered nurse in Rachel Way v Chief Executive, East Metropolitan Health Service [2021] WAIRC 00543 at [28]–[30];

(c) the agreement says the same: "The disciplinary provisions of the Health Services Act 2016 (WA) will apply to employees under this Agreement" (WAH042 cl 73(6)(a)), and "An employee will have the right to representation at any stage of a disciplinary procedure, which may include Federation representation" (cl 73(6)(b)).

The procedure is filled in by WA Health's Discipline Policy MP 0127/20, a mandatory policy under the Integrity Policy Framework. A policy framework binds the health service providers it applies to (s 27).

1What counts as a breach of disciplineFive kinds of conduct are a breach of discipline, among them disobeying a lawful order, misconduct and being negligent or careless in your functions. That last one reaches clinical errors as well as conduct.s 161

An employee commits a breach of discipline if the employee (s 161):

(a) disobeys or disregards a lawful order;

(b) contravenes the HSA or the Public Sector Management Act 1994 (WA) as it applies to the employee, any public sector standard or code of ethics, or a policy framework;

(c) commits an act of misconduct;

(d) "is negligent or careless in the performance of the employee's functions"; or

(e) commits an act of victimisation under s 15 of the Public Interest Disclosure Act 2003 (WA).

Paragraph (d) reaches clinical errors as well as conduct. That is one reason the same incident can also lead to a notification under the National Law (see "When the employer and the regulator both act" below).

2The employer's first decisionWhen the employer learns of a possible breach, it may deal with it as a disciplinary matter, take improvement action, or take no action. It can switch to improvement action or no further action at any stage.s 162, s 163

When the employing authority becomes aware that you may have committed a breach, it may (s 162):

(a) deal with the matter as a disciplinary matter;

(b) take improvement action; or

(c) take no action.

"Improvement action" means counselling, training and development, a warning that conduct is unacceptable or performance is not satisfactory, or similar action (s 6). Even after starting a disciplinary matter, the employer can switch to improvement action or no further action at any stage (s 163(2)).

A disciplinary matter must proceed "with as little formality and technicality" as the circumstances permit, the employer is not bound by the rules of evidence, and it may set its own procedure within the Act and regulations (s 163(1)).

3Suspension and altered dutiesOnce it treats the matter as disciplinary, the employer may suspend you on full, partial or no pay, or alter your duties. Pay withheld is restored unless disciplinary action is taken. You cannot refer a full-pay suspension yourself.s 164

Once the employer has decided to deal with the matter as a disciplinary matter, it may suspend you on full pay, partial pay or without pay, or alter your scope of practice or duties (s 164(1)). The suspension lasts until a decision on the breach, unless it is lifted or varied earlier (s 164(2)–(3)).

Pay withheld during a suspension is forfeited only if disciplinary action is taken for the breach (s 164(4)). Otherwise you are entitled to have it restored (s 164(5)).

Two limits on challenging a suspension:

(a) a suspension on full pay cannot be referred to the WAIRC by the employee. Only a suspension on partial pay or without pay is an industrial matter under s 171 (Kenneth Lee v South Metropolitan Health Service [2025] WAIRC 00767 at [29]–[30]; Quai-de Azam Edoo v South Metropolitan Health Services [2026] WAIRC 00231 at [91]);

(b) a dispute about a full-pay suspension pending an investigation "could potentially be referred" to the Commission, but "only by an 'organisation'" under s 29(1)(a)(ii) of the IR Act, such as the union (Edoo [2026] WAIRC 00231 at [64]–[65], [97]). The same decision said orders amending or revoking the suspension "as sought by the applicant" would not "by any means, be assured" ([98]), and that it is "not unusual or unlawful" to stand an employee down on full pay during an investigation ([95]). On appeal the Full Bench described the union route as "an alternative basis" for referral and dismissed the appeal on other grounds (Quai-De Azam Edoo v South Metropolitan Health Service [2026] WAIRC 00825 at [16]–[17], [20]).

4The investigation and your chance to respondThe Discipline Policy sets minimum procedural fairness: allegations in writing in enough detail, a reasonable chance to respond before a finding, and the outcome in writing. You may be represented at any stage, including by the union.MP 0127/20; cl 73(6)(b)

The Discipline Policy sets minimum requirements of procedural fairness. Among them (MP 0127/20, section 3):

(a) investigators and decision makers must act fairly and without bias, and have no vested or direct personal interest in the outcome;

(b) allegations must be put in writing, "in sufficient detail to enable a respondent to know what is alleged and have a reasonable opportunity to present their case in response, prior to the making of a finding";

(c) you must be told of the proposed disciplinary action and given a reasonable opportunity to respond, and your response must be considered before the action is finalised;

(d) decisions must be "based on logically probative evidence and the balance of probabilities";

(e) you must be given the final outcome in writing.

You are entitled to representation at any stage, which may be by the union (WAH042 cl 73(6)(b)).

The Department CEO may direct a special disciplinary inquiry into a suspected breach (s 165(1)). The employer must then accept the inquiry's finding, though it may depart from the recommended action (s 166).

5The finding and what can happenIf a breach is found, the action can range from a reprimand or a fine of up to 5 days’ pay to a transfer, a reduction in pay or classification, or dismissal. You must be told in writing within 30 days of the finding.s 6, s 163, s 167

If the employer finds a breach, it must decide to take disciplinary action (with or without improvement action), improvement action alone, or no further action (s 163(3)(b)). "Disciplinary action" is one or more of (s 6):

Disciplinary actionNote
A reprimand
A fineUp to your pay for the last 5 days you were at work before the finding. Paid to the Treasurer and recoverable as a debt (s 169)
A transfer to another health service providerWith that provider's consent
A transfer to another office in your health service provider
A reduction in pay
A reduction in classification
An alteration of your scope of practice or duties
Dismissal
A reprimandNote:
A fineNote: Up to your pay for the last 5 days you were at work before the finding. Paid to the Treasurer and recoverable as a debt (s 169)
A transfer to another health service providerNote: With that provider's consent
A transfer to another office in your health service providerNote:
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A reduction in payNote:
A reduction in classificationNote:
An alteration of your scope of practice or dutiesNote:
DismissalNote:

For minor misconduct, where your performance and conduct are otherwise satisfactory, the employer may hold a counselling meeting as improvement action "in lieu of issuing a reprimand", and the written record of it "will not in itself constitute a reprimand" (WAH042 cl 73(7)).

You must be told in writing, within 30 days of the finding, whether a breach was found and what action was taken (s 167(1), (3)). If the action was dismissal, or the employer thinks the breach could result in a serious risk to patient safety, it must also notify the Department CEO (s 167(2)), who may pass that on to other health service providers (s 167(4)). If you also work for another health service provider and were dismissed by disciplinary action, that provider may then end your employment there, but not earlier than 30 days after it receives the notice (s 168(1)–(2); Health Services (General) Regulations 2019 r 12).

6Resigning does not always end itIn prescribed circumstances a former employee can still be dealt with. If you no longer work for the State, only a reprimand or a fine is available. A resignation is not affected by action taken afterwards.s 155; rr 10–11

A former employee can be taken to be an employee for Part 11 in prescribed circumstances (s 155(1)). Under the regulations:

(a) if you now work for another health service provider or a public authority (other than a local government), your former employer may still deal with a suspected breach after consulting your current employer, and any of the disciplinary actions in s 6 can follow (r 10);

(b) if you no longer work for the State, your former employer may still deal with it where it considers that appropriate having regard to public interest considerations, but the only disciplinary actions available are a reprimand and a fine (r 11).

A resignation, and the rights that come with it, are not affected by disciplinary action taken afterwards (s 155(3)).

7Substandard performanceSubstandard performance is a separate process. If you do not admit it, the employer must investigate first. Only a reduction in classification or a termination can be referred to the WAIRC; a withheld increment cannot.s 158, s 159, s 171

Performance is dealt with separately from discipline. The Discipline Policy says it does not apply to unsatisfactory and substandard performance, which is governed by another WA Health policy (MP 0041/16) (MP 0127/20, section 1).

Under the Act:

(a) performance is substandard "if and only if" you do not attain or sustain a standard a person may reasonably be expected to attain or sustain in your functions, judged against your selection criteria, job specification, duty statement and written work standards (s 158);

(b) if you do not admit that your performance is substandard, the employer must hold an investigation before it forms that opinion (s 159(2));

(c) the employer may then withhold an increment for a period, reduce your classification, or terminate your employment (s 159(1)).

Only a reduction in classification or a termination can be referred to the WAIRC under s 171 (s 171(1)(c) refers to s 159(1)(b) and (c), not (a)). A withheld increment is not on the list.

8Criminal charges and registration actionYou must report a serious charge or a National Law misconduct finding within 7 days, and the employer must report suspected professional misconduct to the Board. Registration action has its own limits, but an ordinary disciplinary process can run at the same time.ss 145–152

Part 10 of the HSA runs alongside Part 11:

(a) you must report in writing a charge, conviction or finding of guilt for a serious offence within 7 days (s 145(1)), and a misconduct finding under the National Law (including unsatisfactory professional performance or unprofessional conduct) within 7 days of receiving notice of it, with a copy (s 145(2)–(3));

(b) your employer must report to the Nursing and Midwifery Board, and to the Department CEO, conduct it suspects on reasonable grounds may be professional misconduct or unsatisfactory professional performance (s 146(1)), despite any duty of confidentiality (s 146(5));

(c) your employer may suspend you while your registration is suspended, or while conditions on it are inconsistent with the inherent requirements of the job or cannot be accommodated (s 147), or if you are charged with a serious offence (s 148), on full, partial or no pay (s 149(1));

(d) in those registration cases the employer may take disciplinary or improvement action under s 150(1), but not until your National Law appeal rights have lapsed or been exhausted, and not if your appeal succeeds (s 150(2)). After a conviction for a serious offence it may act straight away (s 150(3)). Either way it must first invite your submission (s 150(4));

(e) the protection of patients "must be the paramount consideration" in deciding whether to take disciplinary action under s 150 (s 151), and the Commission must have regard to that (s 153(2)).

Part 10 does not limit the employer's power to act under Part 11 (s 152(2)). So the wait in s 150(2) applies to action taken because of the registration outcome. It does not stop the employer running an ordinary Part 11 disciplinary process about the same conduct at the same time.

WA Health: taking a decision to the WAIRC

The Public Service Arbitrator and Appeal Board are gone

The Public Service Arbitrator and the Public Service Appeal Board were abolished on 31 January 2025, when Part IIA of the IR Act was deleted by the Industrial Relations Legislation Amendment Act 2024 (WA) s 57 (IR Act Part IIA note; s 118). Matters already before them on that day continue under the old Part (ss 124–125).

The same amending Act deleted the HSA's old appeal provisions, ss 172 and 173, and inserted s 171, from 31 January 2025 (No. 43 of 2024 s 141). Two older provisions still refer to the deleted s 172: HSA s 153(1) and Health Services (General) Regulations r 13. They are out of date. The live route is HSA s 171 with IR Act s 29(1)(j) and s 29(2)(c). Older advice that sends you to the Public Service Appeal Board is out of date.

What can be referred

Each of these is an "industrial matter" that can go to the WAIRC (s 171(1)):

DecisionHSA provision
Suspension on partial pay or without pay (pending a disciplinary decision, while registration is suspended or conditioned, or after a serious charge)s 171(1)(a), referring to ss 147, 148 and 164(1)(a)
A decision to take disciplinary action, including dismissals 171(1)(b), referring to ss 150(1), 163(3)(b) and 166(b)
A reduction in classification or termination for substandard performances 171(1)(c), referring to s 159(1)(b)–(c)
A special disciplinary inquiry's finding of a breachs 171(1)(d)
Termination of other employment after a dismissal elsewhere in WA Healths 171(1)(e), referring to s 168(1)
Findings and suspensions in a "lawful redeployment" cases 171(1)(f)
Suspension on partial pay or without pay (pending a disciplinary decision, while registration is suspended or conditioned, or after a serious charge)HSA provision: s 171(1)(a), referring to ss 147, 148 and 164(1)(a)
A decision to take disciplinary action, including dismissalHSA provision: s 171(1)(b), referring to ss 150(1), 163(3)(b) and 166(b)
A reduction in classification or termination for substandard performanceHSA provision: s 171(1)(c), referring to s 159(1)(b)–(c)
A special disciplinary inquiry's finding of a breachHSA provision: s 171(1)(d)
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Termination of other employment after a dismissal elsewhere in WA HealthHSA provision: s 171(1)(e), referring to s 168(1)
Findings and suspensions in a "lawful redeployment" caseHSA provision: s 171(1)(f)

The Commission's jurisdiction over these matters is in IR Act s 36AA(2)(c).

What is not on the list cannot be referred by you under s 29(1)(j). The published decisions so far:

(a) a suspension on full pay (Kenneth Lee v South Metropolitan Health Service [2025] WAIRC 00767 at [29]–[30]);

(b) a transfer that was not made in relation to a breach of discipline, such as one made under a transfer clause in an industrial agreement (Gail McKenzie v The Board of the East Metropolitan Health Service [2026] WAIRC 00865 at [31], [34], [36]).

Improvement action and a withheld increment are also absent from the s 171 list.

Who refers, and when

(a) You can refer the decision yourself (IR Act s 29(1)(j)), and so can a union in which you are eligible to be enrolled (s 29(1)(a)(ii)).

(b) The referral must be made "no later than 28 days after the day on which the decision or finding is made" (s 29(2)(c)).

(c) The Commission may accept a late referral if it considers it "would be unfair not to do so" (s 29(3)).

(d) An individual's right to refer is "far more restricted" than an organisation's (Quai-De Azam Edoo v South Metropolitan Health Service [2026] WAIRC 00825 at [12]).

How the Commission decides

(a) If you dispute that you committed the breach, the referral proceeds as a fresh (de novo) hearing, and procedural defects in the employer's process can be cured by that hearing (Richard Deturt v CEO, East Metropolitan Health Service [2026] WAIRC 00158 at [6]). In a dismissal, the Commission asks whether you engaged in the conduct, whether it was a breach of discipline, and whether dismissal was harsh, oppressive or unfair ([4]).

(b) In a public service case on the parallel route, the Commission held that the employer must prove the misconduct, and that where serious misconduct is alleged the higher Briginshaw standard applies (Elli Gougoulis v Office of the Auditor General [2026] WAIRC 00831 at [64]–[65]).

(c) If the employer failed to follow the relevant policy framework or the rules of procedural fairness, the Commission may decide the matter on its merits, or quash the decision, send it back and direct the employer to restart its process at a stated stage (IR Act s 36AG(1)–(2)). In Gougoulis [2026] WAIRC 00831 the Commission quashed a dismissal and ordered reinstatement, "even if only to remain under suspension with pay" while other allegations were dealt with ([220]–[223]).

(d) If the Commission finds a dismissal under s 171 was harsh, oppressive or unfair, its orders are those in s 23A (IR Act s 23(3)(h), s 23(4)): reinstatement, re-employment, lost pay, or, only if reinstatement or re-employment would be impracticable, compensation of no more than 6 months' remuneration (s 23A(3)–(8)).

(e) In a case about action taken under s 150 (registration or a criminal conviction), the Commission must have regard to the paramount protection of patients (HSA s 153(2), s 151).

An unsettled point: s 23(3)(d) of the IR Act

Section 23(3)(d) of the IR Act says the Commission must not regulate suspension, discipline, dismissal, termination or reinstatement of an employee "if there is provision, however expressed, by or under any other Act for or in relation to a matter of that kind and there is provision, however expressed, by or under that other Act for an appeal in a matter of that kind" (s 23(3)(d)).

What the sources say:

(a) the HSA's own appeal provisions (ss 172–173) were deleted from 31 January 2025, and s 171 now makes the listed decisions industrial matters for the Commission (No. 43 of 2024 s 141);

(b) IR Act s 23(4) expressly contemplates the Commission determining that a dismissal dealt with under HSA s 171 was harsh, oppressive or unfair;

(c) in Lee [2025] WAIRC 00767, after finding that the employee had no standing to refer a full-pay suspension ([33]), the Commission said s 23(3)(d) created "a further difficulty", and that the Commission "cannot regulate the suspension from duty in employment of an employee in circumstances where a provision of another Act, here the HS Act, already does so and provides for an appeal in a matter of that kind" ([34]–[35]);

(d) in a police case, the Commission held that orders restricting an employer's decisions to commence disciplinary action would "regulate" discipline and were barred by s 23(3)(d) (Western Australia Police Union of Workers v Commissioner of Police, Western Australia Police Force [2026] WAIRC 00789 at [53], [58], [60]). Police officers have their own Act.

We found no published decision on how s 23(3)(d) applies to a WA Health disciplinary dismissal brought as an ordinary unfair dismissal claim under s 29(1)(c) rather than under s 171. Where a dismissal was disciplinary action, the route the IR Act names is s 29(1)(j), and its 28 days run from the decision.

WA system unfair dismissal: terminations that are not disciplinary

A termination that is not disciplinary action under Part 11, such as a dismissal for incapacity, is an ordinary unfair dismissal claim:

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(a) you refer it under IR Act s 29(1)(c), within 28 days after your employment ends (s 29(2)(a)). In Matthew Tran v East Metropolitan Health Service [2026] WAIRC 00174 (under appeal, FBA 9 of 2026) a WA Health patient care assistant dismissed as unfit for the inherent requirements of the role brought the claim this way ([1], [7]);

(b) the test is whether the employer exercised its legal right to dismiss so harshly or oppressively as to amount to an abuse of that right (the Undercliffe test: Tran [2026] WAIRC 00174 at [8], [45]);

(c) the Commission must have regard to whether you were on an agreed probation of less than 3 months (s 23A(2)(a));

(d) the remedies are reinstatement, re-employment or compensation capped at 6 months' remuneration (s 23A);

(e) the Commission must not determine an unfair dismissal claim if you have lodged an application with the FWC for relief about the same termination, unless that application is withdrawn or dismissed for want of jurisdiction (IR Act s 29AA(1)–(2)).

If you were injured at work, for 12 months from when you first became incapacitated your employer must keep your position (or a suitable one) available, must not dismiss you solely or mainly because of the incapacity, and must give 28 days' notice in the approved form before dismissing you for any reason (Workers Compensation and Injury Management Act 2023 s 166, s 168). A lawful dismissal ends the duty to provide the position (s 166(3)).

Federal routes that still reach WA Health nurses

FWC unfair dismissal claims are available only against a national system employer (FW Act s 380, s 14(1)), and the FWC has held that a WA health service provider is not one (Nancy Mathew [2022] FWC 320 at [22], a stop-bullying case). General protections claims are understood to have the same limit, though Mathew [2022] FWC 320 did not decide it. One federal route has reached WA Health staff:

(a) unlawful termination for a prohibited reason, such as temporary absence for illness or injury, union membership or activity, a complaint against the employer about breaches of laws, a protected attribute such as age or disability, or absence on parental leave (FW Act s 772(1));

(b) the application goes to the FWC within 21 days after the termination took effect (s 773, s 774(1)(a)), and later only in exceptional circumstances (s 774(2)). An unlawful termination application against North Metropolitan Health Service was dealt with by the FWC, and dismissed as out of time: the limit is applied strictly (Kimberly-Louise Jones v Government of Western Australia North Metropolitan Health Service [2019] FWC 6033 at [1], [22], [29]–[30]).

Lodging in the FWC can stop the WAIRC deciding an unfair dismissal claim (IR Act s 29AA). See our WA unfair dismissal page.

Private hospitals and aged care: the Fair Work system

The agreement's discipline clause

Private hospital agreements set out a discipline ladder, but the clauses differ.

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(a) St John of God RNs and midwives (AE530159). Where the employer seeks to discipline a caregiver for a "misdemeanour", it may counsel, issue formal written warnings, or, depending on seriousness, issue a first and final warning; for a further misdemeanour it may issue a counselling letter or further warning, or "may consider termination of employment taking into account the nature of the previous warning(s)"; and the procedure does not limit the right to summarily dismiss for serious misconduct (cl 56(1)–(3)). The clause does not mention a support person, a right to respond, or warnings lapsing.

(b) Ramsay WA RNs and midwives (AE529165). The employer must manage the matter "in a timely, objective and fair manner" in line with its grievance procedures and natural justice; you have the right to details of any complaint and a right of reply before any decision; you may have a support person at any disciplinary meeting; the usual ladder is a verbal warning or counselling, then first, second and third and final formal warnings, unless the conduct calls for a final warning or termination; a warning lapses if no further warning is issued within 12 months; and summary dismissal for serious misconduct remains (cl 11.2–11.6).

Whatever the clause says, the FW Act sets the fairness test for a dismissal (below). Your agreement's dispute procedure (for example AE530159 cl 52) is the route for a dispute about how the clause was applied.

Unfair dismissal in the FWC

(a) You are protected from unfair dismissal if you have completed the minimum employment period (6 months, or 12 months with a small business employer) and are covered by a modern award or an enterprise agreement, or earn less than the high income threshold (FW Act s 382, s 383).

(b) The application must be made within 21 days after the dismissal took effect (s 394(2)(a)), and later only in exceptional circumstances (s 394(3)).

(c) The FWC must consider, among other things, whether there was a valid reason related to your capacity or conduct, whether you were told of it and given an opportunity to respond, any unreasonable refusal to let you have a support person, and, for unsatisfactory performance, whether you were warned first (s 387).

General protections

(a) An employer must not take adverse action, including dismissal, because you have or exercise a workplace right (s 340(1)). A workplace right includes being able to make a complaint or inquiry in relation to your employment (s 341(1)(c)). A nurse dismissed after raising patient safety or staffing concerns with her employer may be able to use this route.

(b) Adverse action because of a protected attribute such as disability or age is also prohibited (s 351).

(c) If you allege the employer acted for a prohibited reason, it is presumed that it did unless the employer proves otherwise (s 361(1)).

(d) A dismissal dispute goes to the FWC, by you or by your union, within 21 days after the dismissal took effect (s 365, s 366(1)). There is no minimum employment period.

See our pages on unfair dismissal and general protections.

Aged care: a second set of rules

If you work for a registered aged care provider:

(a) every aged care worker of a registered provider must comply with the Aged Care Code of Conduct (Aged Care Act 2024 (Cth) s 173);

(b) the Aged Care Quality and Safety Commissioner may make a banning order prohibiting or restricting your work in funded aged care, for example if the Commissioner reasonably believes you did not comply with the Code or that there is a severe risk to the safety, health or wellbeing of people receiving care (s 498(1)–(2)). Before making one, the Commissioner generally has to give you notice and a chance to comment (s 498 note, referring to s 499);

(c) if you make a disclosure that qualifies for protection, you are not subject to any civil, criminal or administrative liability, "including disciplinary action", for making it (s 548(1)).

Registration: the National Law, the Board and the tribunal

Since 15 May 2024 WA has applied the national Health Practitioner Regulation National Law, with WA changes (Health Practitioner Regulation National Law Application Act 2024). Notifications go to the Australian Health Practitioner Regulation Agency (Ahpra) and the Nursing and Midwifery Board of Australia. In WA the responsible tribunal is the State Administrative Tribunal (SAT) (Application Act s 19). References below are to the Health Practitioner Regulation National Law (Western Australia).

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Mandatory notifications

"Notifiable conduct" is (s 140):

(a) practising while intoxicated by alcohol or drugs;

(b) sexual misconduct in connection with practice;

(c) placing the public at risk of substantial harm because of an impairment; or

(d) placing the public at risk of harm by practising in a way that is "a significant departure from accepted professional standards".

Who must notify:

(a) a registered health practitioner who forms a reasonable belief, in the course of practising, that another practitioner has engaged in notifiable conduct must notify Ahpra (s 141(1)–(2)). In WA a practitioner who forms that belief while providing health services to you, as your treating practitioner, is not forming it in the course of practising, so has no duty to notify on that basis (s 141(4)(ca));

(b) an employer that reasonably believes a practitioner it employs has engaged in notifiable conduct must notify Ahpra (s 142(1)). The Act's example is an employer restricting a practitioner's clinical privileges because of a significant departure from accepted standards;

(c) for WA Health staff, the employer must also report suspected professional misconduct or unsatisfactory professional performance to the Board and the Department CEO (HSA s 146(1)).

A person who notifies in good faith is protected from civil, criminal and administrative liability (s 237, noted under s 141 and s 142).

Immediate action

The Board may suspend your registration, impose conditions, accept an undertaking or accept a surrender (s 155) if it reasonably believes (s 156(1)):

(a) that because of your health, conduct or performance you pose "a serious risk to persons" and immediate action is necessary to protect public health or safety; or

(b) that the action "is otherwise in the public interest". The Act's example is a practitioner charged with a serious criminal offence unrelated to practice.

Before suspending or imposing conditions, the Board must give you notice and invite a submission, which may be written or verbal, and must have regard to it (s 157). Its decision notice must state the reasons, the further action proposed, that you may appeal a suspension or conditions, and how and within what period to appeal (s 158(2)). The action takes effect on notice and lasts until it is set aside on appeal or revoked (s 159).

Outcomes and appeals

(a) The Board may itself caution you, accept an undertaking or impose conditions, such as further training or supervised practice (s 178).

(b) It must refer the matter to SAT if it reasonably believes you have behaved in a way that constitutes professional misconduct, or if a panel requires it (s 193(1)).

(c) SAT may find unsatisfactory professional performance, unprofessional conduct, professional misconduct or impairment (s 196(1)), and may caution or reprimand, impose conditions, fine up to $30,000, or suspend or cancel registration (s 196(2)).

(d) You may appeal to SAT against Board decisions including the imposition of conditions, a suspension, and a panel's conditions or reprimand (s 199(1)).

Medicines authority

Separately, the Department of Health's CEO may impose conditions on, suspend or cancel a nurse's authority to handle medicines where, in connection with a poison, the nurse has acted "carelessly, incompetently or improperly" or contravened the medicines laws (Medicines and Poisons Act 2014 s 28(1), s 29(1)), after written notice and a reasonable opportunity to respond (s 29(4)). The decision can be reviewed by SAT (s 33).

When the employer and the regulator both act

One allegation, for example a medication error or missing drugs, can run in several places at once:

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ProcessWho decidesWhat it decidesSource
Employer discipline (WA Health)The employing authority, then the WAIRC on referralWhether there was a breach of discipline and what action to takeHSA Part 11, s 171
Employer discipline (private hospital or aged care)The employer, then the FWC on a dismissal claimWhether there was a valid reason and a fair processYour agreement; FW Act s 387
RegistrationThe Nursing and Midwifery Board, then SATWhether your practice or conduct meets professional standards, and what action protects the publicNational Law Part 8
Medicines authorityThe Department of Health's CEO, then SATWhether your authority to handle medicines should be limitedMedicines and Poisons Act ss 28–29, 33
Aged careThe Aged Care Quality and Safety CommissionerWhether you should be banned or restricted from aged care workAged Care Act s 498
CriminalPolice and the courtsWhether an offence was committed
Employer discipline (WA Health)Who decides: The employing authority, then the WAIRC on referral
What it decides
Whether there was a breach of discipline and what action to take
Source
HSA Part 11, s 171
Employer discipline (private hospital or aged care)Who decides: The employer, then the FWC on a dismissal claim
What it decides
Whether there was a valid reason and a fair process
Source
Your agreement; FW Act s 387
RegistrationWho decides: The Nursing and Midwifery Board, then SAT
What it decides
Whether your practice or conduct meets professional standards, and what action protects the public
Source
National Law Part 8
Medicines authorityWho decides: The Department of Health's CEO, then SAT
What it decides
Whether your authority to handle medicines should be limited
Source
Medicines and Poisons Act ss 28–29, 33
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Aged careWho decides: The Aged Care Quality and Safety Commissioner
What it decides
Whether you should be banned or restricted from aged care work
Source
Aged Care Act s 498
CriminalWho decides: Police and the courts
What it decides
Whether an offence was committed
Source

How they connect for WA Health staff:

(a) you must tell your employer within 7 days of a charge or a National Law misconduct finding (HSA s 145);

(b) your employer must report suspected professional misconduct to the Board (s 146) and, separately, must notify notifiable conduct under the National Law (s 142);

(c) if the Board suspends or conditions your registration, your employer may suspend you (HSA s 147) and may take disciplinary action on that basis only once your National Law appeal rights have run out (s 150(2));

(d) none of that stops the employer's own Part 11 process about the same conduct running at the same time (s 152(2)).

Each process has its own test. A WA Health employer decides on "the balance of probabilities" (Discipline Policy, section 3). The WAIRC has applied the Briginshaw standard to serious misconduct (Elli Gougoulis v Office of the Auditor General [2026] WAIRC 00831 at [65]). SAT decides by the National Law's own categories of unsatisfactory professional performance, unprofessional conduct and professional misconduct (National Law s 5, s 196). Because the tests and forums differ, a member in this position may want advice before responding to any of them.

A stress claim arising from a disciplinary process faces a hurdle: a psychological injury is not compensable if it results wholly or predominantly from administrative action, including suspension and disciplinary action, unless that action was "unreasonable and harsh on the part of the employer", or from the expectation of such action (WCIM Act s 7).

Other routes

Damaging action (WA system)

A WA system employer must not take damaging action against you because you are able to make an employment-related inquiry or complaint, to the employer or anyone else (IR Act s 97A(1)). Once you prove the damaging action, the employer must prove it did not act because of the inquiry or complaint (s 97A(2)). The Industrial Magistrates Court can order reinstatement after a dismissal and compensation (s 97B(2)). The claim must be made within 6 years (s 82A). See our damaging action page.

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Discrimination

The Equal Opportunity Act 1984 (WA) applies in both systems, because the FW Act does not exclude State equal opportunity laws (FW Act s 27(1A)(d)). It covers, among other grounds, sex, sexual harassment, impairment, age and family responsibility (EO Act ss 11, 24, 35A, 66A, 66V). An impairment exception applies where the person would be unable to carry out work reasonably required (s 66Q). A complaint goes to the Commissioner for Equal Opportunity within 12 months, or later on good cause (s 83(4)–(5)), and a union can lodge it for you (s 83(1)(c)). If the State Administrative Tribunal finds a complaint substantiated, compensation is capped at $40,000 (s 127(b)(i)). The federal discrimination Acts also apply. See our discrimination page.

Bullying and sexual harassment (WA system)

A worker who reasonably believes they have been bullied at work can apply to the WAIRC for a stop bullying order (IR Act s 51BJ), and the Commission must start dealing with it within 14 days (s 51BK(1)). A person sexually harassed in connection with work can apply for a stop sexual harassment order, refer the matter to the Commission, or both (s 51BT(1)); the Commission may dismiss a proceeding started more than 24 months after the last alleged incident (s 51BU). See bullying and sexual harassment (WA).

Enforcing the agreement

If a WA system employer does not give you an entitlement under your agreement, you, the union or an industrial inspector can apply to the Industrial Magistrates Court (IR Act s 83), within 6 years (s 82A). A WA Health dispute about the agreement goes through its dispute procedure, which ends with a referral to the WAIRC (WAH042 cl 73(1)–(2)).

Workers' compensation

Injury and illness at work are covered on our workload, safety and injury page.

Your options by employer

Your employerSystemMain instrumentDiscipline rulesRoute to challenge a dismissalTime limitSource
WA Health health service provider: RNs, midwives, enrolled mental health and mothercraft nursesWAWAH042HSA Part 11; Discipline Policy MP 0127/20; WAH042 cl 73(6)–(7)Disciplinary action: WAIRC referral under IR Act s 29(1)(j) and HSA s 171. Other dismissals: WAIRC unfair dismissal, s 29(1)(c). Federal unlawful termination, FW Act s 77228 days from the decision (s 171 matters); 28 days from termination (s 29(1)(c)); 21 days (FWC)WAH042 cl 4(3); HSA ss 154, 171; IR Act s 29; FW Act s 774
WA Health health service provider: other enrolled nurses and assistants in nursingWAThe United Workers Union's agreement, WAH044HSA Part 11As aboveAs aboveWAH042 cl 4(4) (excluded from WAH042); WAH044 (via the pack); HSA s 154(1)
Employed directly by the Department of Health or the Mental Health CommissionWAWAH042 names both as employers (cl 4(3)), with exclusions (cl 4(4)(c))Not confirmed: these are not health service provider employees, so HSA Part 11 may not applyThis guide does not yet cover this group28 daysWAH042 cl 4(3)–(4); HSA s 6 (definition of employee)
Peel Health Campus (part of South Metropolitan Health Service since 13 August 2024)WAWAH042HSA Part 11As for WA HealthAs for WA HealthWA Health release of 13 August 2024 (via the pack); WAH042 cl 4(3)
Mount Lawley Hospital (passed from St John of God to the WA Government on 31 August 2026)Not confirmedNot confirmedNot confirmedThis guide does not yet cover it. Check your employer and instrument21 days if Fair Work; 28 days if WASt John of God Health Care Inc. v Lia Perrella [2026] FWC 4004 at [5] (via the pack)
Department of Justice (prison health)WADEP187Not confirmedThis guide does not yet cover the discipline regime. WAIRC28 daysDEP187 (via the pack)
A WA local government (since 1 January 2023)WALGA111Your employer's policies and the instrumentWAIRC unfair dismissal, IR Act s 29(1)(c)28 days from terminationIR (General) Regulations r 7 and Sch 4 (via the pack); IR Act s 29(2)(a)
A sole trader or partnership (for example some GP practices)WAA state award or agreement, if anyYour employer's policies and the instrumentWAIRC unfair dismissal28 days from terminationFW Act s 14(1), s 30B (via the pack); IR Act s 29(2)(a)
A private hospital company (Ramsay, St John of God, Healthscope, Bethesda and others), including Joondalup Health Campus and St John of God Midland Public HospitalFair WorkThe operator's enterprise agreement (for example AE530159, AE529165)Your agreement's discipline clause and employer policyFWC unfair dismissal (s 394) or general protections (s 365)21 daysFW Act s 14(1), s 366, s 394; AE530159 cl 56; AE529165 cl 11
An aged care providerFair WorkThe provider's agreement, over the Nurses Award 2020 (RNs and ENs) or the Aged Care Award 2010 (residential AINs)Agreement and policy; plus the Aged Care Code of Conduct and banning ordersFWC unfair dismissal or general protections21 daysFW Act s 366, s 394; Aged Care Act ss 173, 498
Silver Chain and other community or private health companiesFair WorkThe employer's agreementAgreement and policyFWC21 daysFW Act s 366, s 394
A GP practice that is a companyFair WorkThe Nurses Award 2020Employer policyFWC21 daysFW Act s 366, s 394
A nursing agencyFair Work if a company, WA if a sole trader or partnershipNot coveredThis guide does not yet cover agency nursesFWC or WAIRC21 or 28 daysFW Act s 394(2)(a); IR Act s 29(2)(a)
WA Health assistant in nursing who is a member of the federal WA Branch onlyWAWAH044HSA Part 11This guide does not yet cover whether the union can act for you in the WAIRC28 daysIR Act s 29(1)(a)(ii), s 29(2)(c)
Student on placementNeither (not an employee)NoneNoneNone in either commissionNone
WA Health health service provider: RNs, midwives, enrolled mental health and mothercraft nursesSystem: WA
Main instrument
WAH042
Discipline rules
HSA Part 11; Discipline Policy MP 0127/20; WAH042 cl 73(6)–(7)
Route to challenge a dismissal
Disciplinary action: WAIRC referral under IR Act s 29(1)(j) and HSA s 171. Other dismissals: WAIRC unfair dismissal, s 29(1)(c). Federal unlawful termination, FW Act s 772
Time limit
28 days from the decision (s 171 matters); 28 days from termination (s 29(1)(c)); 21 days (FWC)
Source
WAH042 cl 4(3); HSA ss 154, 171; IR Act s 29; FW Act s 774
WA Health health service provider: other enrolled nurses and assistants in nursingSystem: WA
Main instrument
The United Workers Union's agreement, WAH044
Discipline rules
HSA Part 11
Route to challenge a dismissal
As above
Time limit
As above
Source
WAH042 cl 4(4) (excluded from WAH042); WAH044 (via the pack); HSA s 154(1)
Employed directly by the Department of Health or the Mental Health CommissionSystem: WA
Main instrument
WAH042 names both as employers (cl 4(3)), with exclusions (cl 4(4)(c))
Discipline rules
Not confirmed: these are not health service provider employees, so HSA Part 11 may not apply
Route to challenge a dismissal
This guide does not yet cover this group
Time limit
28 days
Source
WAH042 cl 4(3)–(4); HSA s 6 (definition of employee)
Peel Health Campus (part of South Metropolitan Health Service since 13 August 2024)System: WA
Main instrument
WAH042
Discipline rules
HSA Part 11
Route to challenge a dismissal
As for WA Health
Time limit
As for WA Health
Source
WA Health release of 13 August 2024 (via the pack); WAH042 cl 4(3)
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Mount Lawley Hospital (passed from St John of God to the WA Government on 31 August 2026)System: Not confirmed
Main instrument
Not confirmed
Discipline rules
Not confirmed
Route to challenge a dismissal
This guide does not yet cover it. Check your employer and instrument
Time limit
21 days if Fair Work; 28 days if WA
Source
St John of God Health Care Inc. v Lia Perrella [2026] FWC 4004 at [5] (via the pack)
Department of Justice (prison health)System: WA
Main instrument
DEP187
Discipline rules
Not confirmed
Route to challenge a dismissal
This guide does not yet cover the discipline regime. WAIRC
Time limit
28 days
Source
DEP187 (via the pack)
A WA local government (since 1 January 2023)System: WA
Main instrument
LGA111
Discipline rules
Your employer's policies and the instrument
Route to challenge a dismissal
WAIRC unfair dismissal, IR Act s 29(1)(c)
Time limit
28 days from termination
Source
IR (General) Regulations r 7 and Sch 4 (via the pack); IR Act s 29(2)(a)
A sole trader or partnership (for example some GP practices)System: WA
Main instrument
A state award or agreement, if any
Discipline rules
Your employer's policies and the instrument
Route to challenge a dismissal
WAIRC unfair dismissal
Time limit
28 days from termination
Source
FW Act s 14(1), s 30B (via the pack); IR Act s 29(2)(a)
A private hospital company (Ramsay, St John of God, Healthscope, Bethesda and others), including Joondalup Health Campus and St John of God Midland Public HospitalSystem: Fair Work
Main instrument
The operator's enterprise agreement (for example AE530159, AE529165)
Discipline rules
Your agreement's discipline clause and employer policy
Route to challenge a dismissal
FWC unfair dismissal (s 394) or general protections (s 365)
Time limit
21 days
Source
FW Act s 14(1), s 366, s 394; AE530159 cl 56; AE529165 cl 11
An aged care providerSystem: Fair Work
Main instrument
The provider's agreement, over the Nurses Award 2020 (RNs and ENs) or the Aged Care Award 2010 (residential AINs)
Discipline rules
Agreement and policy; plus the Aged Care Code of Conduct and banning orders
Route to challenge a dismissal
FWC unfair dismissal or general protections
Time limit
21 days
Source
FW Act s 366, s 394; Aged Care Act ss 173, 498
Silver Chain and other community or private health companiesSystem: Fair Work
Main instrument
The employer's agreement
Discipline rules
Agreement and policy
Route to challenge a dismissal
FWC
Time limit
21 days
Source
FW Act s 366, s 394
A GP practice that is a companySystem: Fair Work
Main instrument
The Nurses Award 2020
Discipline rules
Employer policy
Route to challenge a dismissal
FWC
Time limit
21 days
Source
FW Act s 366, s 394
A nursing agencySystem: Fair Work if a company, WA if a sole trader or partnership
Main instrument
Not covered
Discipline rules
This guide does not yet cover agency nurses
Route to challenge a dismissal
FWC or WAIRC
Time limit
21 or 28 days
Source
FW Act s 394(2)(a); IR Act s 29(2)(a)
WA Health assistant in nursing who is a member of the federal WA Branch onlySystem: WA
Main instrument
WAH044
Discipline rules
HSA Part 11
Route to challenge a dismissal
This guide does not yet cover whether the union can act for you in the WAIRC
Time limit
28 days
Source
IR Act s 29(1)(a)(ii), s 29(2)(c)
Student on placementSystem: Neither (not an employee)
Main instrument
None
Discipline rules
None
Route to challenge a dismissal
None in either commission
Time limit
None
Source

Whatever the employer, a registered nurse or midwife can also face action under the National Law, and the Equal Opportunity Act applies.

For unions and industrial officers

The same research agent can work through your members' agreement, its history in the Commission, and the decisions on it.

Decided cases

What the Commission and the courts decided.

Published decisions, retold in plain English from the decision itself. Each links to the full text. Lawcaptain did not act in these cases.

Application dismissedWestern Australian Industrial Relations Commission · 9 September 2025

A doctor told to stay home on full pay could not refer it himself

A senior registrar on a short fixed-term contract was directed not to attend work, on full pay, and referred a later email repeating that direction to the Commission as a suspension. The Commission found no decision to suspend under the HSA, and held that even if there had been one, "a decision to suspend on full pay is not an industrial matter that may be referred by an individual".

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A senior registrar on a short fixed-term contract was directed not to attend work, on full pay, and referred a later email repeating that direction to the Commission as a suspension ([1]–[2], [10], [13], [15], [36]). The Commission found no decision to suspend under the HSA, and held that even if there had been one, "a decision to suspend on full pay is not an industrial matter that may be referred by an individual" ([29]). Only a suspension on partial pay or without pay can be referred ([30]). With no s 171 matter, there was no standing and no jurisdiction ([33]). The Commission added that s 23(3)(d) of the IR Act was "a further difficulty" ([34]–[35]).

What it means for you

A nurse stood down on full pay pending an investigation cannot take that to the WAIRC under s 171 in her own name.

Application dismissedWestern Australian Industrial Relations Commission · 17 September 2026

A transfer that was not discipline could not be referred

An administrative assistant was temporarily transferred to another hospital under the transfer clause of her industrial agreement, and said it was punishment. It was agreed there had been no finding of a breach of discipline.

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An administrative assistant was temporarily transferred to another hospital under the transfer clause of her industrial agreement, and said it was punishment. It was agreed there had been no finding of a breach of discipline. The Commission held that a transfer is disciplinary action "only" if it is in relation to a breach of discipline ([34]), so this was not a s 171 matter and could not be referred ([36]–[37]).

What it means for you

A move made under an agreement's transfer clause, without a disciplinary finding, is a matter for the agreement's dispute procedure, not a s 171 referral.

Dismissal quashed, reinstatement orderedWestern Australian Industrial Relations Commission · 27 August 2026

A public servant's dismissal quashed on review

A senior officer was summarily dismissed for deleting messages from a work phone she had been told to return. The Commission explained that disciplinary appeals that once went to the Public Service Appeal Board now come to the Commission, which reviews the decision afresh.

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A senior officer was summarily dismissed for deleting messages from a work phone she had been told to return. The Commission explained that disciplinary appeals that once went to the Public Service Appeal Board now come to the Commission, which reviews the decision afresh ([55]–[58]). The employer must prove the misconduct, to the Briginshaw standard where serious misconduct is alleged ([64]–[65]). It had not ([219]). The dismissal was quashed and she was reinstated, "even if only to remain under suspension with pay" while other allegations were finished ([220]–[223]).

What it means for you

On review the employer must prove its case, and the Commission can quash, reinstate and send the process back to an earlier stage.

Not a health case: it was brought under the public service route, which has the same s 36AG powers as the health route.

Application dismissedWestern Australian Industrial Relations Commission · 25 March 2026

An incapacity dismissal is an ordinary unfair dismissal claim

A patient care assistant was dismissed as unfit to fulfil the inherent requirements of his role for the foreseeable future. He brought the claim as an ordinary unfair dismissal under s 29(1)(c).

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A patient care assistant was dismissed as unfit to fulfil the inherent requirements of his role for the foreseeable future ([1]). He brought the claim as an ordinary unfair dismissal under s 29(1)(c) ([7]). The Commission preferred an independent psychiatric report to a general practitioner's certificate ([27]–[28]), and held that dismissing an employee while a workers' compensation matter is under way "is not unfair in and of itself" ([42]).

What it means for you

A WA Health termination that is not disciplinary goes under s 29(1)(c), with the 28 days running from the end of the employment.

An appeal to the Full Bench (FBA 9 of 2026) had not been decided on the published record on 3 November 2026; applications to adduce fresh evidence in it were dismissed (Matthew Tran v East Metropolitan Health Service [2026] WAIRC 00872 at [39]).

Unfairly dismissed; two reinstatedWestern Australian Industrial Relations Commission · 29 November 2012

Three community midwives dismissed after a home birth: the process was "hopelessly flawed", and two were reinstated

After a home birth in which a baby died, three community midwives were investigated and summarily dismissed. The Commission found the disciplinary process "hopelessly flawed and inept". Two midwives were ordered reinstated. The third, whose own lapse was found to be misconduct, was awarded compensation instead.

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The case arose from a home birth on 30 April 2010 under the Department of Health's Community Midwifery Program. The baby had breathing problems and later died ([3], [8]). In February 2010 a consultant obstetrician had advised that a home birth was too risky for this mother and asked to be told the birth plan ([4]-[6]). After each midwife gave a statement to the sentinel event investigation into the death, each was told she may have committed misconduct and would be investigated ([9]). They were suspended between May and October 2010 ([11]) and dismissed without notice on 21 October, 9 November and 2 December 2010 ([12], [18], [23], [28]).

The Commission found that the process "was hopelessly flawed and inept", that the midwives "were not given a fair go all round", and that the employer could not rely on its outcome ([395]). Among the failings it listed:

(a) the investigator and the decision-maker both took part in deciding the midwives' conduct during the investigation, "a serious and fundamental breach of the Guidelines" ([398]-[400]), and human resources advisers went beyond giving advice ([401]);

(b) the midwives were not asked for an explanation before the investigation began, the investigator had no written direction, and no investigation report was written ([404]-[406]); no minutes were kept of key meetings ([407]);

(c) the allegations changed during the investigation, one rested on a false premise, and the midwives were dismissed on allegations never put to them ([408]-[409]);

(d) the employer relied on material it was not open to it to use, and the sentinel event investigation overlapped with the disciplinary one in a way that denied the midwives a proper assessment of their conduct ([410], [418]);

(e) the mother and the student midwife who attended the birth were not interviewed, and documents given to them were incomplete; one midwife received only extracts of the client notes she was asked to explain ([411]-[412], [414]);

(f) the midwives' workload, the investigator's conflicts of interest and gaps in the program's policies were not taken into account ([416], [421]-[422]).

Reinstatement is the primary remedy, and the employer bears the onus of showing it is impracticable ([423]). Two midwives, with exemplary histories, had made "one-off lapses of judgement"; they were reinstated from the dates of dismissal, with lost remuneration less earnings, accrued entitlements restored and service continuous for all purposes, subject to a first and final warning for 12 months ([430]-[431]). The Ahpra restrictions on one of them were "not onerous" and were no impediment to her return ([430]).

The primary midwife was treated differently. Despite reminders, she had not made sure a birth plan was in place after the obstetrician's advice, which the Commission found was misconduct making reinstatement inappropriate ([432]). In further reasons it held that re-employment in any capacity was inappropriate (Michelle Benn v The Minister for Health [2013] WAIRC 00071 at [8]), and awarded eight weeks' wages, $13,948.64 gross plus superannuation, as roughly the time a proper investigation should have taken ([11]), and $3,000 for injury, because the harm went beyond the distress usual on a dismissal ([12]-[13]). A without-prejudice workers' compensation settlement was not set off against that award ([14]).

In the decision's words: "the process adopted by the respondent when investigating the allegations against the applicants and deciding that the applicants be terminated was hopelessly flawed and inept" ([395]).

What it means for you

A disciplinary process can be so unfair that the employer cannot rely on its findings, even where some conduct needed answering ([393], [395]). Conduct still shapes the remedy: here it decided who was reinstated and who was compensated instead ([430], [432]). Conditions on registration did not, on their own, rule out reinstatement ([430]). A midwife or nurse asked for a statement for a sentinel event review, and then told she is under investigation, may want to ask how that statement will be used ([418]). These dismissals were decided under the Department's former misconduct guidelines; discipline of WA Health staff now runs under Part 11 of the Health Services Act 2016 (WA).

Outcome: Won by the midwives, in part. All three were unfairly dismissed. Two were reinstated with back pay and continuous service, subject to a 12-month first and final warning. The third was not reinstated and was awarded eight weeks' wages ($13,948.64 gross plus superannuation) and $3,000 for injury. Also: further reasons Benn [2013] WAIRC 00071.

Unfairly dismissedWestern Australian Industrial Relations Commission · 12 August 2011

A nurse of 23 years dismissed over one meal-expense claim: the investigation she was promised never happened

An audit of salary-packaged meal claims led to allegations against 253 WA Health employees. A mental health nurse with 23 years' service was dismissed because one claim included seven receipts that other staff had also claimed. The Commission found the claim was a mistake, and the investigation the employer had promised was never done.

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The nurse had worked for the employer for about 23 years, first as a ward clerk, then from 2005 as a Level 1 registered nurse at Graylands Hospital ([7]). She was dismissed on 28 April 2010 with five weeks' pay in lieu of notice, for misconduct in claiming meal expenses ([2]). An audit of the salary packaging scheme had led to allegations against 253 employees ([11]). Her claim of 13 July 2008 included seven restaurant receipts that seven other people had also claimed ([14]-[15]).

In January 2010 the employer told her it would investigate further, and that the investigation might include interviewing her and others ([21]). She was never interviewed ([23]). All the employer did was examine her claims history ([81]).

The Commission found that the claim was "neither a positive nor intentional wrongdoing" but a mistake, and that it did not strike at the root of the contract ([75]). Her 382 receipts between August 2007 and February 2009 averaged $53.64, against an average of $466 for the seven in question, which supported that view ([76]). The single act did not amount to misconduct under the employer's own guidelines ([85]).

The process also fell short. The investigation "was not as thorough as was realistic", and no one was interviewed before the dismissal ([83]). Her opportunity to respond "remained wanting" ([84]). A later investigation, with an interview seven months after the dismissal at the union's request, was "inconsequential" to procedural fairness ([86]). The employer gave insufficient regard to her 23 years without disciplinary action ([88]). She had also repaid the tax owed as soon as she learned of the problem ([74]).

The Commission concluded that she was unfairly dismissed ([93]). The employer bears the onus of showing that reinstatement is impracticable, so the matter was listed for submissions on remedy ([95]-[97]).

In the decision's words: "the thorough investigation promised to the applicant was never undertaken" ([87]).

What it means for you

If an employer tells a nurse it will investigate, including by interviewing her, and then dismisses without doing so, that can make the dismissal unfair ([81]-[83], [87]). An investigation held after the dismissal does not cure it ([86]). Length of clean service, her expressed remorse and repayment all counted for the nurse here ([74]-[75], [88]).

Outcome: Won by the nurse: unfairly dismissed. The matter was listed for further submissions on remedy.

Unfair dismissal finding upheldWAIRC Full Bench · 14 July 2000

A remote-area nurse dismissed at the end of probation: "probation is not a licence" for unfair treatment

A registered nurse on a one-year contract in Kununurra was dismissed at about the end of her three-month probation, on the ground that she lacked cultural sensitivity. Her appraisals were favourable and no one had warned her. The Full Bench upheld the finding that the dismissal was unfair.

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The nurse started on or about 12 January 1998 as Public Health Programmes Co-ordinator in Kununurra, on a one-year contract with an initial three-month probation ([9], [11]). Her employment ended on or about 28 April 1998 ([11]). The termination letter said she lacked "a clear understanding of Aboriginal cultural sensitivities" and the bi-cultural communication skills the role required ([25]).

The employer relied on two incidents in her first weeks ([26]). In one, a junior staff member assaulted her; the Commissioner found no fault on her part ([28]-[29]). The other, a disagreement over a vehicle, was resolved and did not affect her work ([32]-[34]). Her written appraisals were very favourable ([24]). The union brought her claim under s 44 of the Industrial Relations Act 1979 (WA), and the Commissioner found the dismissal harsh, oppressive and unfair, held reinstatement impracticable and ordered $22,210 compensation ([2]-[3]).

On appeal, the Full Bench held that in Western Australia a probationary employee may claim unfair dismissal ([47]), and that because the appointment was for a year, ending it needed a dismissal ([48]). Probation is "a time for teaching, training and counselling", and a probationer can expect to be counselled, trained and warned before being let go (49, (d)(ii)). A contractual right to judge the employee "cannot act as a cloak for unfairness" ([71]), and "an unfair evaluation leading to a dismissal renders the dismissal unfair" ([77]).

There was no warning, counselling or training after the first weeks ([88]). She was not told of the recommendation to dismiss her or given a chance to answer it, which alone was unfairness it was open to find ([89]-[91]). The compensation was capped at the six-month statutory maximum ([96]), and the appeal was dismissed ([99]).

In the decision's words: "probation is not a licence for harsh, oppressive, capricious, arbitrary or unfair treatment of a probationer" ([49]).

What it means for you

In 2000 the Full Bench held that a nurse in the WA system dismissed during or at the end of probation can still claim unfair dismissal ([47]). The Act now also requires the Commission to have regard to whether the employee was on an agreed probation and had been employed on that basis for less than 3 months (IR Act s 23A(2)(a)). An employer that has concerns is expected to raise them, train and warn, and to let the nurse answer before it decides ([49], [88]-[91]). A member in this position may want to keep her appraisals and any record of what she was told about her performance.

Outcome: Won by the nurse and her union: the employer's appeal was dismissed, leaving the finding of unfair dismissal and the order for $22,210 compensation in place.

No jurisdiction; appeal dismissedWestern Australian Industrial Relations Commission · 20 April 2026

Stood down on full pay during an investigation: only the union can take it to the Commission (not a nurse case)

A WA Health program manager was told not to come to work, on full pay, while allegations about his behaviour were investigated. He asked the Commission to let him return. The Commission held that an individual cannot refer a full-pay stand-down, though a union could.

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On 23 May 2025 the health service directed the employee not to attend work while it investigated allegations of inappropriate behaviour ([1]). The letter said he would be paid, and that the direction was not a finding under s 162 of the Health Services Act 2016 (WA) or disciplinary action or a suspension under s 164 ([7]); it was not disputed that he was suspended on pay ([8]). He filed a referral seeking to vary the direction so he could return to work when the person he believed had complained was absent, or work from home ([3], [11]-[12]).

A dispute about the terms of a suspension on pay may be an industrial matter ([59]-[61]), but it "may only be referred by an 'organisation'", that is, a union in which the employee is a member or eligible to be one ([64]-[65]). He could not use the public service referral route, because Part 3 of the Public Sector Management Act 1994 (WA) does not apply to Health Services Act employees ([78]). Nor could he use the Health Services Act route: s 171 makes a suspension referrable only if it is on partial pay or without pay, so a suspension on full pay is not one an individual can refer ([89]-[91]). No disciplinary action had been taken ([93]-[96]).

The Commissioner added that even a union referral would not make an order lifting the suspension "by any means, be assured" ([98]). The Commission would be reluctant to set aside a full-pay stand-down during an investigation ([99]), but would expect the investigation to be "conducted and completed in a timely manner" ([100]). The claim was dismissed ([101]-[102]).

On appeal, the Full Bench said an individual's right of referral is "far more restricted" than a union's (Quai-De Azam Edoo v South Metropolitan Health Service [2026] WAIRC 00825 at [12]). The Commissioner's remark about a union referral was simply "identifying an alternative basis" for the grievance, not an error ([20]). No ground challenged the finding of no jurisdiction, so the appeal was dismissed ([17], [22]).

In the decision's words: "While this might present a pathway to refer a dispute to the Commission about the effect of the employer direction and the way the investigation is being conducted, I do not consider orders resulting in an amendment to or the revocation of the suspension, as sought by the applicant, would by any means, be assured." ([98]).

What it means for you

A nurse or midwife employed by a WA health service provider who is stood down on full pay while allegations are investigated cannot refer that to the Commission herself; the union can, on her behalf ([64]-[65]; Edoo [2026] WAIRC 00825 at [12], [16]). The Commission signalled it would be slow to lift a full-pay stand-down, but expects the investigation to be done promptly ([99]-[100]). A suspension on partial pay or without pay, and a decision to take disciplinary action, can be referred by the employee herself within 28 days, or later if the Commission considers it unfair not to accept it (Health Services Act s 171(1); IR Act s 29(1)(j), s 29(2)(c), s 29(3)).

Outcome: Lost by the employee: his referral was dismissed for want of jurisdiction, and his appeal was dismissed. Also: appeal Edoo [2026] WAIRC 00825.

Dismissal upheldWestern Australian Industrial Relations Commission · 18 March 2026

A disciplinary dismissal referred under the new route: heard afresh, and upheld (not a nurse case)

A WA Health handyman emailed serious, unparticularised allegations about managers to 14 colleagues, copying in WorkSafe, the Public Sector Commission, the Health Minister and the Leader of the Opposition. He was dismissed for a breach of discipline. The Commission heard the matter afresh and upheld the dismissal.

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On 4 February 2025 the employee sent an email to 14 health service staff, copied to the Director General, WorkSafe, the Public Sector Commission, the then Health Minister and the then Leader of the Opposition ([7]). The health service put seven allegations to him; it found one substantiated, that the email breached principles 1 and 3 of the WA Health Code of Conduct ([8]-[11]). It dismissed him on 20 June 2025 with four weeks' pay in lieu of notice ([12]-[14]).

He referred the decision under s 29(1)(j) of the Industrial Relations Act 1979 (WA), read with s 171(1)(b) of the Health Services Act 2016 (WA) ([5]). Because he disputed the breach, the referral proceeded as a hearing afresh, and a fresh hearing can cure defects in the employer's process ([6]). The Commission asked three questions: did he do it, was it a breach of discipline, and was dismissal harsh, oppressive or unfair ([4]).

The email was "full of bare assertions of serious wrongdoing" ([37]), sent to a wide audience including members of Parliament and people who were the subject of the assertions ([36]). It breached principles 1 and 3 of the Code, and would have been a breach even without an earlier written direction ([38]-[39]). The process was "orthodox and fair" ([45]), the finding was a valid reason ([46]), and his lack of insight, after earlier warnings in 2023, made dismissal "a fair and proportionate response" ([47]-[49]). The dismissal was not an abuse of the right to dismiss ([50]), and the referral was dismissed ([51]).

In the decision's words: "It is a breach of discipline to make serious, bare allegations, to an email 'audience', in a way that does not allow the person/s the subject of the serious allegations to properly consider and respond to those serious allegations." ([38]).

What it means for you

Since 31 January 2025 an employee of a WA health service provider, including a nurse or midwife, can refer a decision to take disciplinary action to the Commission herself ([5]). Where the breach is disputed, the Commission decides the facts again for itself ([4], [6]). Raising concerns through the proper channels, rather than a broadcast email, matters: the email itself was the breach here ([35]-[39]).

Outcome: Lost by the employee: the dismissal was found not harsh, oppressive or unfair, and the referral was dismissed.

Dismissal not unfairFair Work Commission · 20 October 2017

A theatre nurse challenged a supervisor's work allocation in front of colleagues, after a warning: dismissal upheld

A registered nurse in a private hospital's theatres was unhappy that a colleague got the clinical nurse job he had applied for. After counselling and a written warning about how he dealt with colleagues, he swore at the new clinical nurse and, later the same day, repeatedly challenged the clinical nurse's work allocation in front of colleagues. The Commission held the dismissal was fair.

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The nurse had worked for St John of God from 2010, full time from 13 October 2014, and was covered by the St John of God Health Care – ANMF – Registered Nurses' and Midwives' Agreement 2016 ([2]-[4]). In 2016 a colleague was appointed clinical nurse, a position the nurse had also applied for; he lodged a grievance about the recruitment, which was found to have no substantial deficiencies ([5]-[8]).

The employer's values required staff to address issues respectfully, and those expectations had been spelt out to him in a warning and a later letter ([118]). On 3 February 2017 he swore at the clinical nurse ([85]) and, later that day, repeatedly raised the work allocation in front of colleagues, without respect and with hostility; the clinical nurse reported feeling threatened, and a colleague was shaken ([98], [122], [149]). There was no evidence that the clinical nurse had provoked him ([119]). Given the counselling, the warning and the clear expectations, the conduct was a valid reason for dismissal ([123]).

He was told the reasons and given a chance to respond, and a union representative was with him at the meeting ([126]-[128], [130]). His claim that management had targeted him was rejected: the investigation was not affected by bias ([142]-[145]). The dismissal was not disproportionate to his "repeated non-compliance" with the employer's process for resolving problems at work and its values ([147]), and he showed an inability to modify his approach ([148]-[149]). The application was dismissed ([150]).

In the decision's words: "There was an inability of the Applicant to appreciate that [the clinical nurse]'s frustration was likely the result of the Applicant's repeated confrontational challenge to [the clinical nurse]'s authority to allocate work, in front of others." ([149]).

What it means for you

For a nurse in a private hospital, conduct towards a colleague after counselling and a warning was, taken together, a valid reason for dismissal ([123]). The employer's process asked staff to raise a problem privately, then with a manager, then formally ([11]); repeated public confrontation contrary to that process and to the employer's values was held to justify dismissal ([147]-[149]). The unfair dismissal application must be made within 21 days after the dismissal took effect (FW Act s 394(2)(a)).

Outcome: Lost by the nurse: the dismissal was not harsh, unjust or unreasonable, and the application was dismissed.

Leave to proceed refusedFederal Circuit and Family Court of Australia · 5 October 2026

A clinical nurse dismissed for not following the COVID-19 vaccination direction: no arguable disability discrimination case

A clinical nurse at a WA Health service was dismissed in 2022 after not complying with the employer's COVID-19 vaccination direction. She claimed in the federal court that being unvaccinated was a disability and that she had been discriminated against. The Court refused leave: she had no reasonably arguable case.

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The nurse had worked for the health service since 2006, latterly as a part-time clinical nurse ([10]). Under the Chief Health Officer's directions of September 2021, health care workers could not enter tier one health care facilities unless vaccinated, and on 21 September 2021 the health service directed its staff to be vaccinated unless an exemption applied ([7]-[8]). She was not vaccinated and gave no exemption ([1], [13]). After a disciplinary process in which she was invited to respond, her employment ended on 15 February 2022 ([16]-[19]).

She complained to the Australian Human Rights Commission that being unvaccinated was a disability, and the complaint was terminated ([20]-[21]). She then needed the Court's leave to bring the claim under the Disability Discrimination Act 1992 (Cth) ([3], [32]).

The Court refused leave on three steps. First, there was no reasonably arguable case that she had a disability: no evidence linked vaccination status to having the virus, so people who are not vaccinated are not "imputed" to have COVID-19 ([51], [69]). Second, the reason for the dismissal was her failure to comply with a lawful direction, not any claimed disability ([86], [88]), and no disciplinary action was taken until she failed to comply with it ([92]). Third, the work-from-home adjustments she proposed were not arguably reasonable, because most of her duties required her to attend the workplace ([104]). The inherent requirements defence did not need deciding ([108]). It was not in the interests of justice to grant leave ([110]); costs were left open ([111]).

In the decision's words: "That the direction [the nurse] failed to comply with was a direction to be vaccinated, and that it is because she is unvaccinated that she claims to have the Covid disability, does not mean that action was taken because of the claimed Covid disability rather than because she failed to comply with a lawful direction issued by EMHS." ([88]).

What it means for you

A WA Health nurse's federal disability discrimination claim failed at the leave stage: she needed a reasonably arguable disability and a causal link between it and her dismissal ([34], [51], [86]). Where the employer's reason was a failure to follow a lawful direction, that link was missing ([88], [92]). A member considering a discrimination claim may want advice early, because where the Human Rights Commission terminates a complaint as lacking in substance, the Court's leave is needed to bring it ([21], [32]).

Outcome: Lost by the nurse: leave to bring a disability discrimination claim was refused and the application dismissed.

Out of timeFair Work Commission · 30 August 2019

A WA Health dismissal under the federal unlawful termination route: 21 days is strict (not a nurse case)

A WA Health employee facing a disciplinary dismissal was told that if she did not respond by 1 May 2019 her dismissal would take effect that day. She did not respond, and filed a federal unlawful termination claim on 3 June. The Commission held she was out of time.

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The employee applied under s 773 of the Fair Work Act 2009 (Cth), the unlawful termination route, against the North Metropolitan Health Service ([1]). The application must be made within 21 days after the termination took effect, unless the Commission allows more time for "exceptional circumstances" (s 774, set out at [2]). The health service objected only on time ([5]); the Commission dealt with the claim on that basis, without any objection that the Act did not reach a WA health service.

Dismissal had been proposed on 21 March 2019 ([9]). On 18 April 2019 the chief executive invited a further response by close of business 1 May 2019, saying that if she did not respond the dismissal would be "effective close of business 1 May 2019" ([11]). She did not respond, taking the view that the letter "needed no response" ([12]-[14]). A conditional notice can take effect if its date is certain and the condition is met ([18]); this one was, so her employment ended at close of business on 1 May 2019 ([19]-[22]). A later letter of 13 May confirming the dismissal "merely confirmed, for the record, what the Applicant already knew" ([16], [23]).

The application, filed on 3 June 2019, was out of time ([22]). No acceptable reason for the delay was given ([24]), she took no other action to dispute the dismissal ([25]), and the merits could not be assessed ([27]). There were no exceptional circumstances, and the application was dismissed ([29]-[30]).

In the decision's words: "From the moment the Applicant decided not to respond to the Chief Executive's letter of 18 April 2019, she knew her employment would be terminated at the close of business 1 May 2019." ([23]).

What it means for you

A WA Health nurse who believes she was dismissed for a prohibited reason, such as trade union membership or activities, temporary absence because of a prescribed illness or injury, or an attribute such as sex, age or disability (FW Act s 772(1)), may have a federal unlawful termination claim even though she is in the WA system, but it must be filed within 21 days (s 774(1); [2]). A letter that says the dismissal takes effect on a date unless the employee responds can start the clock on that date; a later confirming letter does not restart it ([19]-[23]). The WAIRC unfair dismissal route has its own 28-day limit.

Outcome: Lost by the employee: the application was out of time, no further period was allowed, and it was dismissed.

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Worked examples

How it plays out, step by step.

Illustrative example, not a real case

A registered nurse is stood down on full pay

A registered nurse employed by a WA health service provider is told on Monday 9 November 2026 that allegations have been made about her conduct, and that she must not attend work, on full pay, while they are investigated.

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  1. Can she take the stand-down to the Commission herself? Not while she is on full pay. Section 171(1)(a) of the Health Services Act 2016 (WA) makes a suspension referrable only if it is "on partial pay or without pay", and a suspension on full pay is not one an individual can refer (Quai-de Azam Edoo v South Metropolitan Health Services [2026] WAIRC 00231 at [89]-[91]; Kenneth Lee v South Metropolitan Health Service [2025] WAIRC 00767 at [29]-[30]).
  2. Can the union? A union in which she is eligible to be a member can refer an industrial matter about the stand-down and the investigation on her behalf (IR Act s 29(1)(a)(ii); Edoo [2026] WAIRC 00231 at [64]-[65]; Quai-De Azam Edoo v South Metropolitan Health Service [2026] WAIRC 00825 at [12]). In the decided case the Commission said it would be reluctant to lift a full-pay stand-down, but would expect the investigation to be "conducted and completed in a timely manner" (Edoo [2026] WAIRC 00231 at [99]-[100]).
  3. If pay is withheld. If the employer suspends her on partial pay or without pay under s 164(1)(a), that decision is itself referrable by her (HS Act s 171(1)(a)). Pay withheld is forfeited if disciplinary action is then taken, unless the employer directs otherwise; otherwise it must be restored (s 164(4)-(5)).
  4. If disciplinary action is taken. A decision to take disciplinary action under s 150(1), s 163(3)(b) or s 166(b), including dismissal, can be referred by her (HS Act s 171(1)(b); IR Act s 29(1)(j)). The referral must be made "no later than 28 days after the day on which the decision or finding is made" (IR Act s 29(2)(c)); the Commission may accept a late referral if it would be unfair not to (s 29(3)). Where the breach is disputed the Commission hears the matter afresh (Richard Deturt v CEO, East Metropolitan Health Service [2026] WAIRC 00158 at [6]).
  5. Registration runs separately. If her employer reasonably believes the conduct is "notifiable conduct", it must notify Ahpra, whatever the outcome of its own process (see worked example 2).

The dates and day counts are our working, for illustration.

Illustrative example, not a real case

An employer's concern goes to the Nursing and Midwifery Board

A midwife's employer investigates a clinical incident and comes to believe she practised in a way that was a significant departure from accepted professional standards. Alongside its own disciplinary process, this is what the registration law says.

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  1. When the employer must notify. An employer that "reasonably believes" a registered health practitioner has behaved in a way that constitutes notifiable conduct "must notify the National Agency" (Ahpra) (Health Practitioner Regulation National Law (WA) s 142(1)). Notifiable conduct includes practising while intoxicated, sexual misconduct in connection with practice, placing the public at risk of substantial harm because of an impairment, and "placing the public at risk of harm by practising the profession in a way that constitutes a significant departure from accepted professional standards" (s 140(a)-(d)).
  2. Immediate action by the Board. The Nursing and Midwifery Board may take immediate action if it reasonably believes that, because of her health, conduct or performance, she "poses a serious risk to persons" and that immediate action is necessary to protect public health or safety, or that action "is otherwise in the public interest" (s 156(1)(a), (e)). Before suspending her or imposing a condition, the Board must give her notice and invite a submission, and must have regard to what she says (s 156(2), s 157(1)-(3)).
  3. Appeal. A Board decision to suspend her registration, or to impose a condition on it, is an appellable decision, and the appeal goes to the responsible tribunal (s 199(1)(e), (h)). In Western Australia that tribunal is the State Administrative Tribunal (Health Practitioner Regulation National Law Application Act 2024 (WA) s 19).
  4. If the matter goes to the Tribunal. After a hearing, the Tribunal may find unsatisfactory professional performance, unprofessional conduct or professional misconduct, and may caution or reprimand, impose conditions, fine up to $30,000, or suspend or cancel registration (National Law s 196(1)(b), (2)(a)-(e)).
  5. Two processes, two outcomes. The employment case and the registration case are separate. In the community midwives' case, restrictions placed on a midwife's registration did not stop the Commission reinstating her (Corrine Andrew v Director General of Health [2012] WAIRC 01062 at [430]).
Questions

The things people ask.

I work for WA Health and have been dismissed for misconduct. How long do I have?

28 days after "the day on which the decision or finding is made" (IR Act s 29(2)(c)), referred under s 29(1)(j) and HSA s 171(1)(b). That clock runs from the decision, not from the end of your employment. The Commission may accept a late referral only if it would be unfair not to (s 29(3)).

Can I still appeal to the Public Service Appeal Board?

No. It and the Public Service Arbitrator were abolished on 31 January 2025, when Part IIA of the IR Act was deleted. Decisions under HSA Part 11 now go to the WAIRC under HSA s 171.

I have been stood down on full pay while they investigate. Can I challenge it?

Not in your own name under s 171: only a suspension on partial pay or without pay can be referred by the employee (Kenneth Lee v South Metropolitan Health Service [2025] WAIRC 00767 at [29]–[30]). A union can refer a dispute about the suspension and the investigation under IR Act s 29(1)(a)(ii) (Quai-de Azam Edoo v South Metropolitan Health Services [2026] WAIRC 00231 at [64]–[65], [97]), though the Commission has said orders lifting a full-pay suspension would not "by any means, be assured" ([98]).

If I am suspended without pay and later cleared, do I get my pay back?

Yes. Withheld pay is forfeited only if disciplinary action is taken for the breach; otherwise you are entitled to have it restored (HSA s 164(4)–(5)). A suspension on partial pay or without pay can also be referred to the WAIRC within 28 days (s 171(1)(a)).

Can I have a union representative in a WA Health disciplinary process?

Yes. WAH042 gives "the right to representation at any stage of a disciplinary procedure, which may include Federation representation" (cl 73(6)(b)).

What penalties can WA Health impose?

A reprimand, a fine of up to 5 days' pay, a transfer, a reduction in pay or classification, an alteration of your scope of practice or duties, or dismissal (HSA s 6), as well as or instead of improvement action such as counselling or a warning (s 163(3)(b)).

Can WA Health discipline me if I resign?

In some cases. A former employee can still be dealt with for a breach committed while employed. If you now work for another health service provider or a public authority other than a local government, any disciplinary action can follow; if not, only a reprimand or a fine (HSA s 155; Health Services (General) Regulations rr 10–11).

My employer has notified Ahpra. Does the employer have to wait for the Board?

Not for its own process. If the Board suspends or conditions your registration, the employer can take disciplinary action on that basis only after your National Law appeal rights have lapsed or been exhausted (HSA s 150(2)). But Part 10 does not limit the employer's ordinary Part 11 disciplinary process (s 152(2)), so both can run at once.

Does my employer have to report me to Ahpra?

An employer must notify Ahpra if it reasonably believes you have engaged in notifiable conduct: practising while intoxicated, sexual misconduct in connection with practice, practising with an impairment that places the public at risk of substantial harm, or a significant departure from accepted professional standards that places the public at risk of harm (National Law ss 140, 142(1)). A WA Health employer must also report suspected professional misconduct or unsatisfactory professional performance to the Board (HSA s 146(1)).

Can the Board suspend me before anything is proved?

Yes, by immediate action, if it reasonably believes you pose a serious risk to persons and action is necessary to protect public health or safety, or that action is otherwise in the public interest (National Law s 156(1)). It must first give you notice and invite a submission (s 157), and its notice must tell you how and when to appeal (s 158(2)).

I work at a private hospital. How long do I have?

21 days after the dismissal took effect, for both unfair dismissal (FW Act s 394(2)(a)) and a general protections dismissal dispute (s 366(1)(a)). The WA 28 days do not apply to you.

My private hospital agreement's discipline clause says nothing about a support person. Can I bring one?

The FW Act requires the FWC, in an unfair dismissal claim, to consider "any unreasonable refusal by the employer to allow the person to have a support person present to assist at any discussions relating to dismissal" (s 387(d)). Some agreements give the right directly: the Ramsay WA agreement says "Employees have the right to have a support person present at any disciplinary meeting" (AE529165 cl 11.2(c)).

Can I claim workers' compensation for stress caused by a disciplinary process?

Usually not, if the stress results wholly or predominantly from reasonable disciplinary or suspension action. A claim can succeed if that action was "unreasonable and harsh on the part of the employer" (WCIM Act s 7(2)). General information only, not legal advice. Time limits are short: if you have been suspended, charged, notified to the Board or dismissed, get advice from your union or a lawyer straight away.

More for WA nurses and midwives

We use our software to generate this content with AI assistance. General information about the law, not legal advice. Last checked 3 November 2026.