Award register

MA000027CurrentHealth and community services

Health Professionals and Support Services Award

This award can cover classified employees of health, medical and dental services and certain classified health professionals employed elsewhere. From 1 October 2026, health professional classifications use a new structure based on qualifications, experience, roles and duties, with translation and retained minimum protections for existing employees. Other common risks include weak coverage analysis, undocumented part-time patterns, missed overtime and incorrect allowances.

Consolidated through
1 October 2026
Source checked
30 September 2026
Official source
Current award

01Who this award covers

The Health Professionals and Support Services Award has both industry and occupational coverage. It can cover an employer in the health industry and employees who fit a Schedule A classification. It can also cover an employer engaging a health professional employee in a Schedule A classification. Coverage must be checked against the employer's activities, the employee's actual work, the classification definitions, the exclusions and any competing award.

Businesses and work usually covered

  • Employers delivering health care, medical services or dental services, and employees who fit the classifications in Schedule A
  • Employers engaging a health professional employee in a Schedule A classification, including employers outside the health industry
  • On-hire employers supplying employees in covered classifications to the health industry, subject to the award's exclusions
  • On-hire employers supplying classified health professional employees where another modern award does not contain a classification more appropriate to the work
  • Group training employers and their apprentices or trainees working in the health industry in the circumstances specified by the award

When another award or arrangement may apply

  • Medical Practitioners are expressly excluded.
  • Employees excluded from award coverage by the Fair Work Act are not covered.
  • Employees covered by a modern enterprise award or enterprise instrument are excluded, together with their employers in relation to those employees.
  • Employees covered by a State reference public sector modern award or State reference public sector transitional award are excluded, together with their employers in relation to those employees.

02Roles and classifications

The award contains classification levels that connect an employee's duties, skills and responsibility to a minimum rate. Common role descriptions include:

  • General and administrative services employees whose duties fit Schedule A, including general clerks, receptionists and hospital orderlies
  • Food services employees whose duties fit Schedule A, including food and domestic services assistants, diet cooks and food monitors
  • Technical and clinical support employees whose duties fit Schedule A, including laboratory assistants, CSSD attendants, instrument technicians and medical imaging support roles
  • Employees who meet one of the health professional classifications in Schedule A
  • On-hire employees and group training apprentices or trainees where the specific coverage provisions apply

A familiar job title is only a starting point. Match the employee's real duties against the classification definitions and keep a written record of the level selected.

03Rules employers need to check

Complete the coverage test first

cl Clauses 4.1 and 4.2, Clauses 4.3 to 4.5, Clause 4.6, Clause 4.7

Coverage is not determined by the workplace name or the employee's title. Check the employer, the work, the classification and competing instruments.

  • Identify whether coverage arises because the employer is in the health industry or because the employee is a classified health professional.
  • For industry coverage, confirm that the employer's business or activity involves delivering health care, medical services or dental services and that the employee fits Schedule A.
  • Apply the separate rules for on-hire employees and group training apprentices or trainees where relevant.
  • Check every exclusion before applying the award.
  • If the employer is covered by more than one award, use the classification most appropriate to the employee's work and normal work environment.

Apply the new health professional classification structure

cl 12.1, 12.2, 17.1, Schedule A.2, Schedule B, Schedule J.4

The 1 October 2026 structure separates Level 1 classification by qualification and experience from senior health professional classification by role and duties. Existing employees also need the Schedule J.4 translation check.

  • Classify support services employees under the structure and definitions in Schedule A.1.
  • Give the employee written notice of the classification at commencement and of every later change.
  • For a Level 1 health professional from 1 October 2026, identify the applicable AQF level under Schedule B and the employee's years of experience in the profession.
  • For health professional Levels 2, 3 and 4, classify by the role and duties in Schedule A.2 rather than carrying forward an old pay-point label.
  • Translate any health professional who was classified under the award on 30 September 2026 using Schedule J.4 and compare the translated minimum with the retained minimum rate protection.
  • Keep using the applicable support services progression rules for covered support services classifications.

Document the employment category

cl Clause 8.1, Clause 9.1, Clauses 10.1 to 10.3, Clauses 11.1 to 11.5

Employment category affects hours, records, minimum engagement, loading and overtime treatment. Document the arrangement before work begins.

  • Tell each employee at engagement whether they are full-time, part-time or casual.
  • A full-time employee works 38 ordinary hours per week or an average of 38 hours over a fortnight or 4-week period.
  • A part-time employee works less than an average of 38 hours per week and has reasonably predictable hours.
  • Before a part-time employee starts, record the regular pattern of weekly hours, working days and daily start and finish times in a written agreement.
  • Record each agreed variation to the part-time pattern in writing and apply the relevant casual minimum engagement where the employee is casual.

Build compliant rosters and breaks

cl 13.1, 13.2, 15.1, 15.2

Rosters must reflect the correct span of hours, daily limit and break entitlements for the type of workplace involved and the hours actually worked.

  • For a full-time employee, ordinary hours average 38 per week over a fortnight or 4-week period, with no more than 10 ordinary hours in one day excluding meal breaks.
  • The general day-work span is 6.00 am to 6.00 pm, Monday to Friday.
  • Private medical, dental, pathology, physiotherapy, chiropractic and osteopathic practices have the alternative spans stated in clause 13.2(b). Private medical imaging practices have separate rules in clauses 13.2(c) and 13.2(d).
  • An employee working more than 5 hours is entitled to an unpaid meal break of 30 to 60 minutes. An employee working no more than 6 hours may elect to forgo it with the employer's consent.
  • Provide a paid 10-minute tea break in each 4 hours worked. By agreement, applicable tea breaks may be combined into one paid 20-minute break.

Respect the right to disconnect

cl 13A.1, 13A.2, 13A.3

Out-of-hours contact must be managed consistently with the statutory right to disconnect, including the specific on-call contact provision in clause 13A.4.

  • Recognise the employee's statutory right to refuse work-related contact outside working hours unless the refusal would be unreasonable.
  • Do not directly or indirectly prevent an employee from exercising the right to disconnect.
  • Use the dispute pathway in section 333N of the Fair Work Act if a disagreement arises about whether a refusal is unreasonable or about the operation of section 333M.
  • Clause 13A.4 permits contact with an employee who receives the on-call allowance in clause 23.2(d) where the contact is to notify the employee that they must attend or perform work.

Separate overtime and penalty payments

cl Clauses 25.1 to 25.4, Clause 26.1, Clause 26.3

Classify every worked hour before payroll as ordinary time, overtime, weekend work or shiftwork and apply the non-cumulative rules.

  • For a full-time employee, check overtime when work exceeds ordinary hours or 10 hours in a shift.
  • For a part-time employee, also check work beyond ordinary hours unless the agreed pattern was varied under clause 10.3, work beyond 10 hours in a shift and work beyond the applicable average-hours limit.
  • For a casual employee, check work beyond 10 hours in a shift, 38 hours in a week or 76 hours in a fortnight.
  • Use the separate overtime provisions for permanent and casual employees. Casual overtime already accounts for the casual loading.
  • Do not add clause 26 penalties or loadings to overtime where the award says the overtime payment substitutes for them. Apply weekend and shiftwork provisions only to the hours that meet their conditions.

Protect the rest period after overtime

cl 25.4

Overtime can affect both pay and the following shift. The required rest period must be checked before the employee resumes work.

  • Provide an employee who works overtime with 10 consecutive hours off duty between finishing work on one day and starting on the next, without loss of pay for ordinary hours.
  • If the employer instructs the employee to resume work without the required rest, apply the special payment rule until the employee is released from duty.
  • Review the next roster whenever overtime creates a risk that the rest period will be shortened.

Identify and record allowances

cl 23.1, 23.2

Allowance entitlement depends on the work required and the conditions encountered. Capture those facts during each pay period.

  • Check whether the employee was required to be on-call or to perform occasional interpreting duties.
  • Check whether the employee handled qualifying nauseous linen or performed work that was unusually dirty or offensive for the classification.
  • Where work continues for more than 2 hours in temperatures exceeding 46 degrees Celsius, provide 20 minutes of paid rest after every 2 hours worked.
  • The employer is responsible for determining the temperature for the heat provision.

Apply the additional annual leave rules

cl 27.1, 27.2, 27.3

Annual leave payroll requires the NES entitlement and the award's loading and shiftworker provisions to be considered together.

  • Use the NES for the basic annual leave entitlement and then apply the award's additional rules.
  • For the additional-leave rule, a shiftworker is an employee regularly rostered to work Sundays and public holidays.
  • Apply the award's annual leave loading for a non-shiftworker.
  • For a shiftworker, compare the ordinary annual leave loading with the weekend and shift penalties the employee would have received and apply the higher outcome.

04Pay rates, penalties and allowances

The safest way to check a current rate is to start with the employee's classification, employment type and working pattern, then use Fair Work's current pay guide or Pay and Conditions Tool. Rates can change after an Annual Wage Review or an award variation.

05Common workplace examples

A health professional was already employed before 1 October 2026

Use Schedule J.4 to translate the employee from the classification held on 30 September 2026. The new classification depends on the applicable qualification and experience rules for previous Levels 1 and 2, or the role and duties rules for previous Levels 3 and 4. The employee must receive the higher of the minimum for the translated classification and the retained minimum rate specified by Schedule J.4.

A receptionist in a private physiotherapy practice

The practice may be covered if its business or activity involves delivering health care, medical services or dental services within clause 4.2. That still does not settle coverage. Apply clause 4.1, compare the receptionist's actual duties with Schedule A, check the clause 4.6 exclusions, and use clause 4.7 if another award may provide the more appropriate classification.

A part-time receptionist stays beyond the agreed finish time

Check the employee's written regular pattern and whether a variation was agreed and recorded under clause 10.3. If the extra time was not covered by a valid variation, work beyond the employee's ordinary hours may be overtime. Also check the 10-hour shift limit and the applicable average-hours rule before payroll is finalised.

A health professional completes an evening shift on Saturday

First determine whether the hours meet the shiftwork definition. Then determine whether the work falls within the weekend period. The shiftwork penalty does not apply when the award's weekend or public holiday payment applies, so the payments should not be stacked automatically.

An employee is placed on an on-call roster

Confirm that the employer required the employee to be on-call and record the applicable period. Apply the on-call allowance for that period. If the employee is called in, separately assess the worked time under the ordinary-hours, overtime, weekend and shiftwork provisions.

06Recent changes to this award

PR814029

From the first full pay period starting on or after 1 October 2026, PR814029 introduces a new health professional classification and minimum-rate structure. Employers should classify Level 1 employees by the applicable AQF level and professional experience, classify Levels 2 to 4 by role and duties, and apply Schedule J.4 to employees who were already classified on 30 September 2026.

Affected: 2 - Definitions, 17 - Minimum rates for Health Professional employees, Schedule A - Classification Definitions, Schedule B - Common Health Professionals and Standard Minimum Qualifications, Schedule C - Summary of Hourly Rates, Schedule D - Summary of Monetary Allowances, Schedule J - Classification Translation Arrangements

PR799280, PR799308, PR799465

The current consolidated award incorporates these recent variation determinations. Use the consolidated wording when checking any affected clause, schedule, rate or allowance.

Affected: 16 - Minimum rates for Support Services employees, 17 - Minimum rates for Health Professional employees, 20 - National training wage, 23 - Allowances, Schedule C - Summary of Hourly Rates, Schedule D - Summary of Monetary Allowances, Schedule F - Supported Wage System

07What to do next

  1. 01Record whether each coverage assessment relies on the health-industry pathway or the health-professional pathway.
  2. 02For health professionals, record the AQF level, relevant professional experience, actual role and duties, and the resulting classification under the structure applying from 1 October 2026.
  3. 03For every health professional employed on 30 September 2026, complete and retain the Schedule J.4 translation and retained minimum rate comparison.
  4. 04Give each employee written notice of the classification and keep the supporting qualification, experience and role evidence.
  5. 05Keep each part-time pattern and every agreed variation with the employment records.
  6. 06Configure timesheets to identify work outside the relevant span, beyond ordinary hours, beyond 10 hours in a shift, on weekends and during qualifying shiftwork periods.
  7. 07Schedule meal and tea breaks and keep records that allow missed or shortened breaks to be investigated.
  8. 08Review the following shift whenever overtime may interfere with the required 10-hour rest period.
  9. 09Use a pay-period checklist for on-call duties, interpreting, nauseous or offensive work and heat exposure.
  10. 10Check the current official minimum rate and allowance for the classification and pay period without reproducing outdated figures in workplace guidance.

08Common questions

Does this award cover every employee working in a clinic?

Not automatically. Confirm that the business delivers health care, medical services or dental services, then compare the employee's actual work with Schedule A. Check the exclusions and whether another award classification is more appropriate. A clinic setting or job title does not complete the coverage test.

Are doctors covered?

No. Medical Practitioners are expressly excluded by clause 4.6(d). Do not assume that every other clinical worker is covered, because the employee must still meet the applicable coverage and classification requirements.

How should a support services employee be classified?

Use Schedule A. Consider the duties performed, supervision, accountability, discretion, skills, experience and any qualification requirements stated for the level. Indicative roles are useful examples, but the employee must fit the classification definition. Advise the employee of the classification in writing at commencement and whenever it changes.

What changed for health professional classifications on 1 October 2026?

From 1 October 2026, Level 1 health professionals are classified using the applicable Australian Qualifications Framework level and their years of experience in the profession. Levels 2, 3 and 4 are based on the role and duties described in Schedule A. Health professionals who were already classified under the award on 30 September 2026 must also be translated under Schedule J.4, including its retained minimum rate protection.

What is the casual minimum engagement?

The ordinary minimum engagement is 3 hours. A cleaner employed in a private medical practice has a 2-hour minimum engagement. Casual employees also receive the award-prescribed casual loading for ordinary hours and the separate casual overtime rates when overtime is worked.

Can a part-time employee's agreed hours be changed?

The initial regular pattern must be agreed in writing before employment starts and state the weekly hours, working days and daily start and finish times. A later variation must also be agreed and recorded in writing. Without an effective variation, hours beyond the employee's ordinary hours may attract overtime.

What if another workplace instrument applies?

Clause 4.6(b) excludes employees covered by a modern enterprise award or an enterprise instrument within the meaning of the Fair Work (Transitional Provisions and Consequential Amendments) Act 2009, and employers in relation to those employees. Clause 4.6(c) separately addresses specified State reference public sector instruments. Identify the actual instrument and test the precise wording before deciding coverage.

How does the award interact with the NES?

Annual leave is provided by the NES, while clause 27 adds award rules concerning certain shiftworkers and annual leave loading. The NES also provides the pathway for changing casual employment status and the entitlement to request flexible working arrangements.

Official sources and related help

This guide is general information, not legal advice. Modern award coverage and classification depend on the facts. Check the current official award and get advice for your business before relying on this page.

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