Call for Nominations
Nomination for election as a Director of the Board of
Healthy North Coast Ltd trading as North Coast Primary Health Network
Nominations open on 21 October 2015 and must reach Healthy North Coast Ltd trading as North Coast
Primary Health Network (NCPHN) no later than 5:00pm AEST on Monday 9 November 2015.
Prospective candidates should include with their nomination form a completed Application Form explaining
the Candidate’s suitability/qualifications to be an Elected Director. The Application Form must be received
no later than 5:00pm AEST on Monday 9 November 2015.
Candidates will be sent an acknowledgement of their nomination by email.
Please note that in line with the NCPHN Constitution:
 A person must not be nominated for election as a Director unless he or she is an Eligible Candidate
(Clause 10.15.4)
 Elected Board positions will be determined by a ‘first past the post’ voting system such that Board
positions are filled by Candidates with the highest number of votes in descending order (Clause
8.6.2)
 An Eligible Candidate will cease to be an Eligible Candidate if his or her election would otherwise
result in a majority of the Directors practising in any one profession (Clause 10.1.2)
Candidates are advised that the term of office for new Directors is three years.
Results of nominations will be sent to Members by 13 November 2015.
I, the undersigned
on behalf of
nominate
(insert name of authorised representative)
(member organisation)
(insert full name of nominee)
for the position of DIRECTOR on the North Coast Primary Health Network Ltd Board
Title:.....................................................
Signed...................................................
Date:.......................................................
Candidate’s consent
I,
(insert full name of nominee)
am willing to be nominated for the position of DIRECTOR of North Coast Primary Health Network Ltd.
Attached is my application addressing the selection criteria.
Signed:............................................................
Date: ..................................................
2
Application Form for election as a Director of the Board of
Healthy North Coast Ltd trading as North Coast Primary Health Network
Healthy North Coast Ltd trading as North Coast Primary Health Network (NCPHN) is governed by a skillsbased Board consisting of Directors having appropriate competencies, skills and experience in light of the
skills matrix (below), and in particular having expertise in areas including knowledge of health care
provisions and its relationship to local communities, business management and accounting and legal issues;
and where a majority of the Directors are not practising in any one profession.
A person cannot be elected as a Director unless he or she is an Eligible Candidate in accordance with the
NCPHN Constitution.
Applications open on 21 October 2015 and must reach NCPHN no later than 5:00pm AEST on Monday 9
November 2015.
Candidates must respond to all selection criteria below.
Name:
Street Address:
Town:
Phone (business hours):
Email:
1. Briefly outline details of your specialist skills and professional qualifications
2. Do you have an understanding of the Primary Health Network Programme and a commitment to
Primary Health Care? Please briefly outline how you demonstrate these.
3. Directorship Experience and Qualifications - please detail your directorship experience.
4. Please indicate your main specialist skill:
□
□
Clinical
Legal
5. Additional Experience (Indicate all that apply)
□
□
Finance
Administration
3
o
o
o
o
o
o
o
o
o
Clinical
Legal
Finance
Administration & Governance
Policy Development
Local Hospital District
Successful grant applications
Indigenous health
Community development
o
o
o
o
o
o
o
o
Strategic Planning
Workforce training
Research
Community Health Sector
Human resource management
Community Engagement
Information Technology
Other
Legal and
Accountability
Finance and
Administration
Corporate
Governance
SKILLS AND EXPERIENCE
Clinical
In addition, please provide a short written response describing your experience in each of the areas
indicated on the skills matrix.
Strategy and business planning
Policy development
Financially literate, e.g. analyse key financial statements,
critically assess financial viability and performance
Specialist finance and audit skills
Experience in the area of risk management
Senior management experience in a complex health or Social
Service Organisation
Experience with the health needs of disadvantaged
communities
Experience working with a variety of stakeholders across
multiple disciplines
Leadership
Detailed knowledge of the strategic vision of the Medicare
Local
Participation in the leadership of organisations of state-wide
or national significance
Gravitas and access to stakeholders
High level reputation and networks with the local community
Knowledge experience and networks in the health sector
Relationship with Local Health District(s)
Experience in research and evaluation
6. Provide a brief synopsis of your experience relating to these areas
7. Outline knowledge and experience of the health sector, and how this would be relevant to your role
as a Director of NCPHN.
4
8. It is important to NCPHN that we have strong relationships with local organisations. Please list
relevant organisations that you have an active relationship with – and detail the nature of the
engagement.
9. What additional information would you like us to consider in support of this application?
10. Please attach a brief resume, relevant to this position.
Please return to companysecretary@ncphn.org.au by no later than
5:00pm AEST on Monday 9 November 2015.
ATTN: Mrs Shaida Ataii, Company Secretary
Office: Suite 6, 85 Tamar Street, Ballina, NSW, 2478; OR
Post: PO Box 957, Ballina, NSW, 2478
For enquiries Phone 02 6618 5400