Terms of Reference - Clinical Psychiatry Taskforce

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Background

Mental health needs are increasing across NSW, with more than one in five people experiencing a mental health concern each year. Public mental health services are responding to increasingly complex presentations that require multidisciplinary inter-agency care and coordinated, person-centred support across hospital and community settings. Psychiatrists and Psychiatry Registrars play a crucial role in our public mental health services.

In 2025, four clinician-led working groups were convened to strengthen workforce sustainability. These groups examined:

  • Enhancing desirability of public psychiatrist positions
  • Innovative models for on call/after hours
  • Risk frameworks to support clinical decision-making
  • Models for secondary consultation for psychiatrists

From these Working Groups, two priority streams of work emerged:

  1. Strengthening after-hours and on-call coverage, including demand-responsive rostering and targeted surge capacity
  2. Strengthening delegation and secondary consultation, ensuring psychiatrists' expertise is used where it adds the greatest clinical value

The Clinical Psychiatry Taskforce emerged from these working groups to ensure that the expertise of Psychiatrists and Psychiatry Registrars informs statewide clinical advice on workforce, models of care, emerging clinical issues and opportunities for system improvement.

The Taskforce will comprise Psychiatrists and Psychiatry Registrars employed by NSW Health, including those working as Staff Specialists, Visiting Medical Officers (VMOs), Career Medical Officers (CMOs) etc across a range of settings.

The Taskforce responds to longstanding clinician feedback about the need for clearer communication, better support for managing risk, improved after-hours arrangements and stronger involvement in decision-making.

Goal of the Taskforce

A strengthened psychiatry workforce embedded in system leadership and decision-making, driving improved outcomes, enhanced workforce attraction and retention, and the long-term sustainability and quality of NSW’s public mental health system.

Aims of the Taskforce

Over the next 18 months, the Taskforce’s primary aim is to:

  • Improve Psychiatry Workforce Attraction and Retention

In achieving this aim, the Taskforce will address the following Areas:

  • Enhancing desirability of public psychiatrist positions
  • Innovative models for on-call/after hours
  • Risk frameworks to support clinical decision-making
  • Models for secondary consultation for psychiatrists

Functions of the Taskforce

The Clinical Psychiatry Taskforce will advise upon NSW Health-related projects that pertain to the Aims of this Taskforce and liaise with appropriate partners to inform future strategic initiatives.

The Clinical Psychiatry Taskforce brings together the experience, perspectives and insights of psychiatrists across NSW to inform statewide policy, planning and service improvement.

Members are expected to participate in respectful and constructive discussion where all voices are heard. The Taskforce will take a solutions-focused approach, encouraging members to share ideas, innovations and practical opportunities to address challenges and support meaningful improvement.

Subcommittees

Time limited subcommittee(s) may be established to examine specific issues. Membership of the subcommittee(s) will be determined by the Taskforce and may include drawing on external expertise through established mechanisms.

Membership

The mix of metropolitan, rural, junior and senior clinicians ensures a strong diversity of experience and perspectives.

  • Eligibility: Membership is limited to psychiatrists and psychiatry registrars currently employed within NSW Health services, including those working as Staff Specialists, Visiting Medical Officers (VMOs), Career Medical Officers (CMOs) etc.
  • Employment Status: If a member ceases employment with NSW Health or affiliated network during their time on the Taskforce, they are expected to notify the Co-Chairs. A substitute member may be approached to maintain representation.
  • Membership Selection: Membership will be determined by an oversight Steering Committee, ensuring representation across metropolitan, outer metropolitan, regional and rural settings, as well as a diversity of clinical experience. All interested and eligible psychiatrists and psychiatry registrars, employed by NSW Health, are encouraged to apply. Applicants who are not selected will be retained on file for future opportunities to contribute. Membership of the Taskforce will be published so that colleagues can connect, collaborate and remain informed of Taskforce activities.
  • Review Terms of Reference and Membership: The Terms of Reference will be reviewed after 4 meetings. Membership arrangements will be reviewed at 18 months.
  • Alternates: When a member is unable to attend a Taskforce meeting with sufficient notice (for e.g. a period of extended leave, or other commitment), they will notify the Co-Chairs and their position may be reallocated for the duration of their absence.

Co-Chairs (2)

  1. Deputy Secretary, Health System Strategy and Patient Experience, NSW Ministry of Health
  2. Executive Director, Mental Health Branch, NSW Ministry of Health

Psychiatry Registrar and Psychiatrist Membership

Members will be selected to balance representation across:

  • level of experience (junior, early/mid/senior career psychiatrists)
  • location (metropolitan, outer metropolitan, regional/rural)
  • specialty area and d) other domains as needed.

Ministry of Health – Ex Officio (2)

  1. NSW Chief Psychiatrist, Mental Health Branch, NSW Ministry of Health
  2. Senior Clinical Advisor, Child and Youth Mental Health, Mental Health Branch, NSW Ministry of Health

Secretariat (3)

  1. Principal Policy and Project Officer, Office of the Deputy Secretary, Health System Strategy and Patient Experience, NSW Ministry of Health
  2. Senior Registrar to the Chief Psychiatrist, Mental Health Branch, NSW Ministry of Health
  3. Project Officer to the NSW Chief Psychiatrist, NSW Ministry of Health

Responsibilities

  • Attend 75% of the meetings, either face-to-face or via Teams (videoconference)
  • Inform the Taskforce’s Co-Chairs or Secretariat if unable to attend meetings
  • Review material as requested prior to meetings or due dates
  • Disseminate information/communications to staff members as required
  • Seek and present the views of the staff/group members they represent.

Other participants

The Chair(s) may invite other individuals or groups to present to, or observe, meetings. Where agreed by the Chair(s), members may invite guests to attend meetings to provide advice and support to a specific topic raised. Guests may include accompanying staff and staff may be invited to support the recording of discussion and implementation of session outcomes.

Quorum

The quorum will be a minimum of half the total membership plus one (more than 50%). In the absence of a quorum the meeting may be rescheduled to the earliest suitable date or may continue at the Chair’s discretion with all actions to be ratified at a subsequent committee meeting. Proxies are included in the determination of a quorum.

Secretariat support

Secretariat support will be provided by the NSW Ministry of Health. Responsibilities of the Secretariat include:

  • Preparing the agenda in consultation with the Co-Chairs and coordinating the circulation of papers
  • Preparing a meeting schedule
  • Recording and maintaining meeting proceedings
  • Distributing meeting actions within 14 days of a meeting
  • The Secretariat may be contacted at: moh-nswcpt@health.nsw.gov.au

Frequency of meetings

The Clinical Psychiatry Taskforce will meet every six weeks, or more frequently as required. Meetings will be held at the Ministry of Health, St Leonards, and via Teams (videoconference).

Current as at: Tuesday 16 June 2026
Contact page owner: Mental Health