SCHEDULE 2
Clinical Placement Agreement
This Schedule 2 Clinical Placement Agreement is to be considered in conjunction with the Deed of Agreement
between the Minister for Health and Ageing and Flinders University dated 24th April 2012.
The terms and conditions are intended to apply to all Programs. Any additional terms and conditions applying
to particular Programs should be included as necessary.
This Schedule will be completed and be signed annually by an authorised Host Coordinator
(for the SA Health organisation), and the Program Director (for the Education Provider).
Item
Number
Issue
Details
1.
Name of Education
Provider
[provide details]
2.
Name of the Program to
which this agreement
applies
[provide details]
3.
Name of Host
Organisation and
Specific Placement
Venues/Client groups
within the organisation
[provide details]
4.
Student cohort
identifier, student
numbers and dates of
placements within each
venue in the Host
Organisation
[provide details]
5.
Placement configuration
[provide details]
6.
Supervision/Clinical
facilitation requirements
(including qualifications
or other requirements of
Clinical
Supervisors/Facilitators
required to meet
education provider
accreditation standards)
[provide details]
Schedule 2
Faculty of Health Sciences
Page 1 of 6
ITEM 7
SUPERVISION/CLINICAL FACILITATION FEE (CLAUSE 1.1.22)
[Details of any Supervision/Clinical Facilitation Fees agreed between the
Education Provider and the Minister for Health and Ageing (including formula,
salary level and amount) are to be recorded here - if relevant.]
ITEM 8
NOMINATION, APPROVAL AND PLACEMENT OF STUDENTS
8.1.
Unless otherwise agreed by the parties, the Education Provider must, annually, notify the
authorised SA Health Host Coordinator of the following:
8.1.1
the number of Students it wishes to have accommodated for proposed
Placements;
8.1.2
the speciality/specific learning type of the proposed Placements;
8.1.3
the period of time anticipated for the proposed Placements;
8.1.4
whether the proposed Placements are intended to be full or part-time;
8.1.5
the objectives of the Placements; and
8.1.6
whether a Clinical Supervisor/Clinical Facilitator will be required to supervise a
Student during a specified Placement.
8.2.
The Host Coordinator must notify the Education Provider of the number of Students who
may participate in a specified Placement/s as soon as practicable after receiving from
the Education Provider the details required under Clause 4 of the Deed.
8.3.
On or before a Student’s commencement on Placement, the Host must provide the
Student with an appropriate orientation and information on confidentiality, OH&S and
other policies and procedures the Host expects the Student to abide by while on
Placement. The Education Provider will ensure that the Student is aware of the need to
undertake this orientation, and will use its best endeavours to ensure that the Student
undertakes the orientation with the Host and is provided with guidelines on
confidentiality, OH&S and such other matters as considered appropriate by the Host (on
or before a Student’s commencement on Placement).
8.4.
The Education Provider must ensure that each proposed Student is aware that the Host
requires a national criminal record check to be undertaken in respect of each proposed
Student prior to commencing a Placement as a prerequisite of the Host’s acceptance of
the Student on a Placement.
8.5.
The Education Provider must ensure a national criminal record check has been obtained
by each of its Students prior to commencing Placement.
8.6.
The Education Provider must notify the authorised person for the Host if a student’s
national criminal record check indicates a criminal record.
8.7.
The Host is under no obligation to accommodate a Student on Placement prior to the
Education Provider providing the Host with satisfactory written evidence of Students
having no criminal record.
Schedule 2
Faculty of Health Sciences
Page 2 of 6
8.8.
The Host may in its absolute discretion accommodate a Student on Placement who has
a criminal record. This decision will be made by an authorised person with delegated
authority for the Host.
8.9.
The Education Provider must:
8.9.1 advise each Student about the risk of contracting infections during the Placement
and the necessity for him or her to be protected against such risks (and advise
Students to follow relevant policies of the Host); and
8.9.2 ensure that each proposed Student is aware that the Host requires all Students to
be immunised against such infections and diseases as may be notified to the
Education Provider by the Host from time to time prior to commencing a
Placement as a prerequisite of the Host’s acceptance of the Student on a
Placement.
8.9.3 The Host is under no obligation to accommodate a Student on Placement prior to
the Education Provider providing the Host with satisfactory written evidence of
Students having required immunisation.
8.9.4 The Host may in its absolute discretion accommodate a Student on Placement
who has not had the required immunisation. This decision will be made by an
authorised person with delegated authority for the specific SA Health Region or
State Facilities.
ITEM 9
MANUALS (CLAUSE 1.1.11)
This item will be completed according to Education Provider documents.
ITEM 10
ROLE AND OBLIGATIONS OF THE HOST
10.1
The Host will use its reasonable endeavours to enable Students to meet the Placement
Objectives.
10.2
The Host will nominate (having regard to the views of the Education Provider), such Host
Staff, which may include the Host Supervisor/Clinical Facilitator, as it considers appropriate
to undertake supervisory or other Placement responsibilities with respect to Students.
10.3
For the purposes of this Deed, Employees of the Host are not Education Provider Staff nor
agents of the Education Provider, nor do they have any legal obligations in connection with
the standard of education and training to be delivered to Students.
ITEM 11
ROLE AND OBLIGATIONS OF THE EDUCATION PROVIDER
11.1
In addition to its obligations under the Deed, the Education Provider is responsible for:
11.1.1
Schedule 2
Liaising with the Host regarding the placement and evaluation of Students and the
Program requirements;
Faculty of Health Sciences
Page 3 of 6
11.2
Schedule 2
11.1.2
the administration of the Program, the Clinical Education Placement and Students,
including procedures for nominating those Students whose names will be
submitted to the Host for purposes of proposed Placements;
11.1.3
the orderly and appropriate conduct and behaviour of Students (to the extent
feasible) while they are on premises of the Host or having contact with Clients and
such other premises or areas as the Host notifies to the Education Provider;
11.1.4
subject to the Host’s obligation in respect of a Placement, as set out in this
Agreement, any teaching and evaluation required in the Program;
11.1.5
ensuring Students are aware of, and using its best endeavours to ensure Students
comply with any restrictions on their communications or any treatment or dealings
with Clients as specified in this Agreement or as notified by the Host to the
Education Provider from time to time;
11.1.6
ensuring Students and, where relevant, Education Provider Staff comply with all
matters relevant to them during Placements and set out in the Manual or provided
for in any rules of the Host; and
11.1.7
ensuring the suitability/fitness to practice (whether as to character, experience or
as to any other relevant quality or qualification) of each Student that it proposes
undertake a Placement.
In the event that Education Provider Staff are involved in a Placement by virtue of their
contact with Clients, the Education Provider must:

provide the Host with reasonable notice in advance of that proposed involvement;

warrant that the Education Provider Staff are suitably qualified for purposes of the
Placement and this Agreement; and

ensure that the Education Provider Staff comply with all reasonable requests of the
Host prior to and during the Placement.
Faculty of Health Sciences
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ITEM 12:
EDUCATION PROVIDER PROGRAM CONTACTS
Name/s:
Phone number:
Address:
Email:
ITEM 13:
HOST SUPERVISOR/PLACEMENT COORDINATOR CONTACTS
Name/s:
Phone number:
Address:
Email:
Schedule 2
Faculty of Health Sciences
Page 5 of 6
ANNUAL AGREEMENT FOR 20__
AGREED by
[INSERT RELEVANT HOST]
................................................................................
Authorised Officer Signature
[Print Name:
]
………………….
Date
................................................................................
Authorised Officer Signature
[Print Name:
]
………………….
Date
in the presence of
(Witness signature)
[Print Name]
[Title]
AGREED by
[INSERT RELEVANT EDUCATION PROVIDER]
................................................................................
Authorised Officer Signature
[Print Name:
]
………………….
Date
................................................................................
Authorised Officer Signature
[Print Name:
]
………………….
Date
in the presence of
(Witness signature)
[Print Name]
[Title]
Schedule 2
Faculty of Health Sciences
Page 6 of 6