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Australian Health Review Australian Health Review Society
Journal of the Australian Healthcare & Hospitals Association
RESEARCH ARTICLE

Reflections on 15 years of National Health Practitioner Regulation in Australia

Martin Fletcher https://orcid.org/0000-0003-0205-3483 A B *
+ Author Affiliations
- Author Affiliations

A School of Health and Biomedical Science, College of Science, Engineering and Health RMIT University, Bundoora, Vic, Australia.

B Victorian Institute of Teaching, Melbourne, Vic, Australia.

* Correspondence to: martin.fletcher@rmit.edu.au

Australian Health Review 49, AH25131 https://doi.org/10.1071/AH25131
Submitted: 21 June 2025  Accepted: 8 July 2025  Published: 28 July 2025

© 2025 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of AHHA.

Abstract

National regulation of health practitioners in Australia is 15 years old. Raising the bar on public safety, national mobility and responding to future workforce needs were drivers of transformational reform. As the national regulatory scheme has progressively matured, its benefits and progress have been substantial, although at times debated. These benefits include a substantial growth in the registered health workforce, national mobility underpinned by national standards and an on-line register which provides greater transparency about the registration status of health practitioners. Regulation can never stand still as the health system in which it works is ever changing. The rapid increase in entrepreneurial models of health care, as well as the acceleration of telehealth, social media and augmented intelligence technologies, create new challenges for accountability, transparency, equity and patient safety. While there are undoubtedly opportunities for further reform, the national, multi-professional set of regulatory arrangements provide a strong foundation from which to build and address new challenges and workforce needs.

Keywords: accreditation, health practitioners, multi-professional, patient safety, reform, regulation, workforce.

References

Morauta L. Implementing a COAG reform using the national law model: Australia’s National Registration and Accreditation Scheme for Health Practitioners. Aust J Public Adm 2011; 70(1): 75-83.
| Crossref | Google Scholar |

Australian Health Ministers Advisory Council. Review of the National Registration and Accreditation Scheme for Health Professions. Final Report: December 2014. Available at https://www.ahpra.gov.au/About-Ahpra/Ministerial-Directives-and-Communiques/National-Scheme-reports-and-reviews.aspx

Australian Health Practitioner Regulation Agency. Annual Report 2009-10. Melbourne: Ahpra; 2010.

Productivity Commission. Australia’s health workforce. Canberra: Commonwealth of Australia; 2005.

Finance and Public Administration Committee. The administration of health practitioner registration by the Australian Health Practitioner Regulation Agency (Ahpra). Canberra: The Senate; June 2011.

Australian Health Practitioner Regulation Agency. A unique and substantial achievement: ten years of national health practitioner regulation in Australia. Melbourne: Ahpra; 2020.

Australian Health Practitioner Regulation Agency. Annual report 2023–24. Melbourne: Ahpra; 2024.

Health Practitioner Regulation National Law Act 2009.

Biggar S, van der Gaag A, Maher P, Evans J, Bondu L, Kar Ray M, et al. ‘Virtually daily grief’—understanding distress in health practitioners involved in a regulatory complaints process: a qualitative study in Australia. Int J Qual Health Care 2023; 35(4): mzad076.
| Crossref | Google Scholar | PubMed |

10  Australian Health Practitioner Regulation Agency. Ahpra and the Medical Board welcome Ministers’ support for cosmetic surgery reform. Melbourne: AHPRA; September 2022. Available at www.ahpra.gov.au/News/2022-09-02-support-for-cosmetic-reform.aspx [accessed 15 June 2025].

11  Australian Health Practitioner Regulation Agency. Annual report. Melbourne: Ahpra; 2019.

12  World Health Organization. Health practitioner regulation: design, reform and implementation guidance. Geneva: WHO; 2024.

13  UK Government. Regulating healthcare professionals, protecting the public: consultation response - executive summary. London: UK Government; 2023. Available at https://www.gov.uk/government/consultations/regulating-healthcare-professionals-protecting-the-public/outcome/regulating-healthcare-professionals-protecting-the-public-consultation-response-executive-summary [accessed 15 June 2025].

14  Australian Health Practitioner Regulation Agency. National Law changes. Landmark public protection reform bill passes parliament. Melbourne: Ahpra; 2022. Available at https://www.ahpra.gov.au/News/2022-10-13-landmark-public-protection-reform-bill-passes-parliament.aspx [accessed 20 June 2025].

15  Australian Health Practitioner Regulation Agency. Community Advisory Council. Melbourne: AHPRA; 2021. Available at www.ahpra.gov.au/About-Ahpra/Our-engagement-activities/Advisory-groups/Community-Advisory-Council/ [accessed 15 June 2022].

16  Australian Health Practitioner Regulation Agency. Joint statement: Aboriginal and Torres Strait Islander health and cultural safety at heart of National Law changes. Melbourne: AHPRA; October 2022. Available at www.ahpra.gov.au/About-Ahpra/Ministerial-Directives-and-Communiques/National-Law-amendments/Joint-statement.aspx [accessed 15 June 2025].

17  Commonwealth of Australia. Unleashing the potential of our health workforce – scope of practice review final report. Canberra: Commonwealth of Australia; November 2024.

18  Department of Health and Aged Care. Regulating for results: consultation paper 2 – consultation outcomes and reform directions. Canberra: Australian Government; May 2024.

19  Australian Health Practitioner Regulation Agency. Health workforce boosted in another challenging year. Melbourne: AHPRA; 22 Nov 2022. Available at http://www.ahpra.gov.au/News/2022-11-22-Annual-report.aspx [accessed 15 June 2025].

20  Australian Health Practitioner Regulation Agency. Fast track pathway to specialist registration opens 21 October. Melbourne: AHPRA; 14 Oct 2024. Available at http://www.ahpra.gov.au/News/2024-10-14-Fast-track-pathway.aspx [accessed 15 June 2025].

21  Austin Z. Regulation of wicked problems: opportunities, responsibilities, and threats. J Med Regul 2023; 109(3): 6-11.
| Crossref | Google Scholar |

22  Paterson R. Independent review of the use of chaperones to protect patients in Australia. Melbourne: Australian Health Practitioner Regulation Agency; 2017. Available at https://www.ahpra.gov.au/News/2017-04-11-chaperone-report.aspx [accessed 15 June 2025].

23  Commonwealth of Australia. Independent review of Australia’s regulatory settings relating to overseas health practitioners. Canberra: Commonwealth of Australia; 2023.

24  National Health Practitioner Ombudsman and Privacy Commissioner. Investigation into delay and procedural safeguards for practitioners who are subject to immediate action. Melbourne: NHPPC; June 2024.

25  Biggar S, Fletcher M, Van Der Gaag A, Austin Z. Finding space for kindness: public protection and health professional regulation. Int J Qual Health Care 2022; 34(3): mzac057.
| Crossref | Google Scholar | PubMed |

26  Pickett T, Robson S. Mandatory reporting: still a barrier to treatment for mental health. InSight+. 5 May 2025. Available at insightplus.mja.com.au/2025/17/mandatory-reporting-still-a-barrier-to-treatment-for-mental-health/ [accessed 15 June 2025].

27  Brown A, Duggan A, Kirkland A, McCausland R. Independent review of the regulation of medical practitioners who perform cosmetic surgery: Final report. Melbourne: Australian Health Practitioner Regulation Agency; August 2022.

28  Australian Health Practitioner Regulation Agency. COVID-19 updates. Melbourne: Ahpra; 2025. Available at www.ahpra.gov.au/Resources/COVID-19.aspx [accessed 15 June 2025; updated August 2024].

29  Federation of State Medical Boards. Navigating the Responsible and Ethical Incorporation of Artificial Intelligence into Clinical Practice Adopted by FSMB House of Delegates, April 2024. Available at https://www.fsmb.org/siteassets/advocacy/policies/incorporation-of-ai-into-practice.pdf [accessed 19 June 2025].

30  Australian Health Practitioner Regulation Agency. Regulators come together as one million Australians turn to medicinal cannabis treatments. Melbourne: Ahpra; 20 Feb 2024. Available at https://www.ahpra.gov.au/News/2024-02-20-medical-cannabis-treatment.aspx [accessed 15 June 2025].

31  Australian Health Practitioner Regulation Agency. Research, strategy and policy. Melbourne: Ahpra; 2020. Available at www.ahpra.gov.au/Publications/Annual-reports/Annual-Report-2020/Research-strategy.aspx [accessed 15 June 2025].

32  van der Gaag A. The making of a multi-professional regulator. London: HCPC; 2015. Available at www.hcpc-uk.org/resources/reports/2015/the-making-of-a-multi-professional-regulator---the-hcpc-2001-2015/ [accessed 15 June 2025].

33  van der Gaag A, Jago R, Gallagher A, Stathis K, Webster M, Austin Z, et al. Artificial intelligence in health professions regulation: an exploratory qualitative study of nurse regulators in three jurisdictions. J Nurs Regul 2023; 14(2): 10-17.
| Crossref | Google Scholar |

34  Professional Standards Authority for Health and Social Care. Reviewing right-touch regulation: discussion paper. London: PSA; March 2025.

35  Institute of Regulation. Rapporteur report: annual conference of the Institute of Regulation 2025. London: Institute of Regulation; 2025.