The public health system in NSW is recognised or established under the Health Services Act 1997.
Local health districts, statutory health corporations, and affiliated health organisations are referred to under the Health Services Act 1997 as Public Health Organisations.
Under the Health Services Act 1997, the Minister’s role includes:
The Minister also has powers and functions under the Health Administration Act 1982. These include:
Under the Health Services Act the Secretary is responsible for governance, oversight and control of the public health system.
Local health districts are established as statutory corporations under the Health Services Act 1997. They are responsible for managing public hospitals and health institutions and for providing health services to defined geographical areas of the State. The primary purposes of a local health district, as set out in section 9 of the Health Services Act 1997, are to:
The Health Services Act provides for the making of By-laws. Section 39 also provides for the Secretary to issue a Model By-Law for all LHDs, which is published in the Government Gazette. Prior to making the By-law, the Secretary seeks the advice of the NSW Medical Services Committee. In adopting the Model By-law, an LHD may seek approval of the Secretary to variations of the Model. These will in turn be generally subject to advice from the Medical Service Committee.
By-laws generally include provisions for process of LHD business, including the establishment and procedure for LHD sub committees and other entities, including the Medical Staff Councils, Medical Staff Executive Councils, Hospital Clinical Councils and the credentialing and appointments committees and sub-committees.