Ahpra notification · All 15 National Boards
Ensuring Teamwork and Collaboration for Health Practitioners facing an Ahpra notification, complaint or allegation
The allegation concerns how you worked with the team — a colleague, a handover, an escalation, a delegation or a decision taken alone.
- Escalation — a concern raised once and left, or not raised at all
- Impairment — practising while alcohol, drugs or your health affected you
- Handover — a handover or a result that missed what the next person needed
- Unprofessional — a remark, contempt or bullying towards a colleague
- Boundaries — a boundaries breach with a patient or a colleague
- Delegation — a task delegated, or done, outside scope
- Conflict — a disagreement with a colleague that reached patients
- Any other — concern about how you work with colleagues
Facing a concern like these about how you work with the team — from your employer, Ahpra, your National Board, a panel or a tribunal?
Help with an Ahpra notification, complaint or allegation starts here. This CPD course helps you remediate — and demonstrate the remediation, with a dated certificate for your written response, your portfolio or a Board, panel or tribunal direction.
Immediate access · certificate on completion · twelve months' access
- 2 CPD hours
- Self-paced
- Every registered profession
- CPD certificate
- Bulk buy: any 5 for A$850 · any 10 for A$1,400
At a glance
- Who it is for
- Any registered practitioner facing an Ahpra notification, complaint or allegation, a National Board or employer investigation, a panel or a tribunal hearing about how they work with the team — escalation, handover, conduct towards colleagues, delegation, conflict, or their own part in a team failure
- Also covers
- ISBAR, closed-loop communication, human factors, psychological safety
- Regulators covered
- Ahpra and all fifteen National Boards, plus the NSW Councils, the HCCC and the OHO
- Length
- 9 sections, 72 lessons, 2 CPD hours
- Format
- Self-paced, online, immediate access, twelve months from purchase
- Certificate
- Issued by Healthcare Ethics Courses on completion, dated, with the course title and 2 CPD hours
- Price
- A$200 · any 5 for A$850 · any 10 for A$1,400
Certificate issued by Healthcare Ethics CoursesRemediation courses for regulatory processes.
Who this course is for
Facing an allegation of unprofessional conduct in the team
A remark in front of others, a junior corrected with contempt, a refusal to collaborate, a concern dismissed, a dispute that reached patients. The course lists bullying, harassment, intimidation, belittling colleagues, refusing to collaborate and ignoring concerns raised by team members as unacceptable behaviour, and clause 5.3 of the shared Code of conduct covers bullying and harassment; this course is how you show the behaviour seen, and changed.
Dealing with an Ahpra notification or complaint
A colleague, a patient, your employer or a mandatory notifier has told Ahpra, and you have been asked for a written response, perhaps after an incident review or a workplace investigation. In 2024/25 Ahpra received 13,327 notifications across the 16 professions and recorded 1,542 mandatory notifications. Your response is where your own part first appears; the course gives it a structure: each remediation activity linked to a specific issue, what has changed, and how patient safety has improved.
You did not escalate, or escalated only once
A deteriorating patient raised with a senior who did not act, and not raised again; a concern held back because of the hierarchy. The course requires you to continue escalating if the first response is inadequate and to document concerns and actions taken, and says regulators look for practitioners who act decisively and do not let hierarchy delay escalation. Raising it once is where the obligation begins, not where it ends.
You are named in an incident where the error was someone else’s
Your part may be what you handed over, what you left out, what you noticed and did not raise, or how you responded when a colleague raised something with you. The course’s insight section asks you to acknowledge your contribution to a team failure without deflecting blame, and says errors in team settings are rarely the fault of one individual.
Under investigation, or under immediate action
Ahpra is investigating, or your Board has suspended your registration or imposed conditions while it does. An investigator reads the handover note, the escalation record and the incident review beside your account and what the rest of the team describes, and reads for your part in it — with dated, targeted remediation alongside.
Facing a panel or a tribunal hearing
A panel of your own profession has been convened, or your Board has referred you to the tribunal in your state or territory. A panel weighs whether the account of your part is the same in the room, and a tribunal weighs insight, remediation and conduct since the events. Remediation completed before the hearing, dated and documented, is weighed every time.
The concerns this course speaks to
Escalating, and escalating again
A deteriorating patient not escalated in time, a concern raised once and left, a senior’s silence taken as an answer, nothing written down. Clause 7.1 of the shared code asks for reasonable steps where patient safety may be compromised, and the course requires escalation to continue if the first response is inadequate; clinical care was 38.6% of the matters raised about doctors in 2024/25. The course gives escalation and recognising deterioration a lesson of its own, and asks the record to provide evidence of escalation.
Impairment — fatigue, burnout and your own health in the team
Exhaustion that showed as an abrupt tone, burnout that made you hard to approach, alcohol, drugs or a condition behind your conduct. Impairment is one of the four grounds for a mandatory notification under the National Law, health impairment was 10.5% of the matters raised about nurses in 2024/25, and clause 9.1 of the shared code asks you not to rely on your own assessment of the risk. The course names fatigue and stress among the human factors acting on a team, and seeking support early as a professional responsibility.
Handover, and the information that did not travel
A patient handed over without the result pending, the plan, the risk or the one thing the next person needed to watch; an abnormal result not passed on; an instruction given without read-back. Clause 5.4 of the shared code requires sufficient, timely information to enable continuing safe care, and communication was 17.3% of the matters raised about doctors in 2024/25. The course teaches ISBAR, read-back and closed-loop communication, and two of its five case studies are a handover and a result that did not travel.
Respect, undermining and bullying
A colleague humiliated, a junior silenced, a concern dismissed, a refusal to collaborate, a pattern a team describes as bullying. The course lists each as unacceptable behaviour, and clauses 5.1 and 5.3 of the shared code read conduct towards colleagues as conduct, with no patient harmed; a manner that stops a junior escalating is also a patient-safety failure. The course treats psychological safety as a patient-safety matter, and conflict managed with respectful language and senior support as the professional standard.
Professional and ethical boundaries within the team
A boundaries breach with a patient or a colleague: a relationship with a colleague that affected judgement, a supervisor and a junior, remarks or messages to a student, the colleague covered for, the task taken over without a word. Clause 4.9 of the shared code reaches colleagues as well as patients, and Ahpra recorded 1,991 boundary-violation notifications in 2024/25. The course asks for clear roles — who is responsible, for what tasks and by when — and clear boundaries for acceptable team behaviour.
Roles, scope and delegation
A task done outside your scope or delegated to someone outside theirs, a junior left without supervision, responsibility lost between two practitioners who each thought the other had it. Clause 5.4 of the shared code keeps you responsible for the decision to delegate, and clause 1.1 asks you to work within the limits of your competence; one of the course’s case studies is a delegation error from unclear roles. The course teaches clarifying who is responsible at the start of each shift, and delegation matched to training.
Conflict that reached patients
A disagreement about a care plan that was not resolved, a dispute carried on in front of a patient, emotion that became conduct. The course expects conflict managed professionally — constructive resolution, respectful language, patient safety before interpersonal tension, senior support or mediation when needed — and clause 4.1 of the shared code asks for courtesy and respect towards patients, whatever the disagreement. One of its case studies is a team conflict that affected care, and conflict management is a lesson of its own.
Probity, the account of your part, and any other concern
An incident report that placed the error elsewhere, an account of a handover the record does not support. A teamwork matter becomes a probity matter when the account is not true: a tribunal called a doctor’s denials to his employer, the Board and the tribunal a significant breach of candour and honesty. Any teamwork allegation is measured against your own Board’s code; the course shows how to present remediation to Ahpra, each activity linked to a specific issue.
Facing an Ahpra notification, complaint or allegation? This course helps you remediate — and demonstrate it.
Buy this course — A$200.00What the course covers
Nine sections and 72 lessons, with a reflective quiz closing each of the first eight and a post-course assessment at the end.
Overview and relevance to Australian practice
Why teamwork is a core patient-safety requirement, how breakdowns lead to incidents and notifications, and how communication and collaboration are assessed by Ahpra and the National Boards.
Core concepts and definitions
Ten lessons: multidisciplinary practice, effective team communication, roles and scope, human factors, situational awareness, and psychological safety.
Regulatory expectations in Australia
What regulators expect on communication, handover, delegation and supervision, escalation, conflict, and documenting concerns and actions taken.
Ethical and professional challenges
Ten lessons: hierarchy and speaking up, communication under pressure, unclear roles, conflict, psychological safety, delegation without supervision, fatigue and burnout, cultural differences, errors without blame, and advocating for safe systems.
Case studies in the Australian context
Five case studies, each with the challenges, the insight and the remediation: a failure to escalate under hierarchical pressure, an incomplete handover, a conflict in front of a patient, a delegation error from unclear roles, and an abnormal result not passed on.
Insight, reflection and professional growth
Ten lessons: the five elements of insight in a team, reflection prompts, learning from feedback and from near misses, emotional intelligence, speaking up, active listening, CPD, resilience and long-term growth.
Remediation and preventing recurrence
Ten lessons: contributing factors, a targeted remediation plan, structured tools such as ISBAR and read-back, interpersonal conflict, system improvements such as standardised handover templates, clear escalation protocols and scheduled debriefings, delegation, psychological safety, monitoring change, and the evidence Ahpra expects.
Applying principles to daily practice
Ten daily practices: ISBAR and closed-loop communication every time, roles clarified at the start of each shift, situational awareness, speaking up, active listening, conflict addressed early, delegation and supervision, debriefs, colleague wellbeing and continuous improvement.
Conclusion and assessment
Key takeaways, then the post-course assessment. Your certificate is issued on completion and carries the date.
Show every lesson title
- Section 01 · Overview and Relevance to Australian Healthcare Practice
- Why Teamwork and Collaboration Matter; The Australian Regulatory Context; How Poor Teamwork Leads to Patient Harm; The Evolving Nature of Multidisciplinary Collaboration; The Impact of Teamwork on Patients and Practitioners.
- Section 02 · Core Concepts and Definitions
- What Is Teamwork in Healthcare?; Collaboration Across Multidisciplinary Teams; Communication: The Foundation of Safe Teamwork; Understanding Roles, Responsibilities, and Scope of Practice; Shared Decision-Making and Collective Responsibility; Human Factors in Team Performance; Situational Awareness: Understanding the Whole Situation; Structured Communication Tools (ISBAR, Closed-Loop, etc.); Team Culture and Psychological Safety; Conflict Management and Professional Communication.
- Section 03 · Regulatory Expectations in Australia
- Ahpra’s Focus on Teamwork as a Patient Safety Issue; National Boards’ Professional Standards on Collaboration; Regulatory Expectations for Handover and Information Sharing; Delegation and Supervision Requirements; Escalation Responsibilities and Recognising Deterioration; Managing Conflict and Professional Behaviour in Teams; Documentation Standards Supporting Team Communication; Mandatory CPD Requirements Relating to Teamwork and Communication; Accountability and Shared Responsibility in Teams; When Teamwork Failures Trigger Regulatory Action.
- Section 04 · Ethical and Professional Challenges in Teamwork and Collaboration
- Navigating Hierarchy and Power Dynamics in Healthcare Teams; Communication Breakdowns During High-Pressure Situations; Role Confusion and Overlapping Responsibilities; Managing Conflict Professionally and Constructively; Lack of Psychological Safety and Its Effects on Escalation; Delegation Without Adequate Supervision; Team Fatigue, Burnout, and Emotional Distress; Cultural Differences and Interprofessional Misunderstandings; Handling Errors and Near-Misses Without Blame; Ethical Duty to Advocate for Safe Systems and Processes.
- Section 05 · Case Studies in the Australian Context
- Case Study 1: Failure to Escalate Due to Hierarchical Pressure; Case Study 2: Incomplete Handover Leading to Diagnostic Delay; Case Study 3: Conflict Between Team Members Affecting Patient Care; Case Study 4: Delegation Error Due to Unclear Roles; Case Study 5: Delay in Processing Abnormal Results Due to Team Communication Gap.
- Section 06 · Insight, Reflection, and Professional Growth
- Understanding Insight in the Context of Teamwork and Collaboration; Strengthening Reflective Practice Through Team Interactions; Learning From Feedback About Team Behaviour; Using Mistakes and Near-Misses as Learning Tools; Developing Emotional Intelligence for Better Team Dynamics; Building Confidence to Speak Up Safely; Enhancing Collaboration Through Active Listening; Using CPD to Strengthen Teamwork Skills; Building Resilience and Managing Stress to Support Team Functioning; Sustaining Long-Term Growth in Team-Based Practice.
- Section 07 · Remediation, Improvement, and Preventing Recurrence
- Understanding the Purpose of Teamwork-Related Remediation; Identifying Contributing Factors to Team-Based Failures; Designing a Targeted Remediation Plan for Teamwork; Improving Communication Skills Through Structured Tools; Addressing Personality Clashes and Interpersonal Difficulties; Implementing System Improvements to Support Teamwork; Strengthening Delegation and Supervision Practices; Developing Psychological Safety Within Teams; Monitoring Progress and Evaluating Change Over Time; Demonstrating Remediation to Ahpra When Required.
- Section 08 · Applying Principles to Daily Practice
- Using Structured Communication Tools Consistently; Clarifying Roles and Responsibilities at the Start of Each Shift; Maintaining Situational Awareness Throughout the Day; Creating a Culture of Speaking Up; Practising Active Listening in All Interactions; Addressing Conflict Early and Professionally; Strengthening Delegation and Supervision Routine; Prioritising Team Debriefs and Reflective Discussions; Supporting Colleague Wellbeing to Enhance Team Functioning; Embedding Continuous Team-Based Improvement.
- Section 09 · Conclusion and Key Takeaways
- Conclusion; Key Takeaways.
How to respond to an Ahpra notification, complaint or allegation
Ahpra, your National Board, your employer, a panel and a tribunal read a teamwork response for the same four things, in order: your part, the system around it, the effect on the team and the patients, and what has changed. Ahpra says it needs to understand how you responded to the event — accepting accountability, declaring what happened, actively reflecting and updating your knowledge and skills, and being able to say how you would respond in similar circumstances in future. The course covers each of them.
A response that names its own part is read as insight; one that describes the team is read as avoidance.
- Your partWhat you did, in the first person: the handover and what it left out, the concern raised and when, the remark, the task delegated — neither taking on the whole team’s failure nor placing your own elsewhere.The course’s insight section: your contribution acknowledged without deflecting blame.
- The systemWorkload, fatigue, the handover tool, the hierarchy, the culture — described as the conditions of your part, not as its reason.The course names the human factors acting on a team, and the root-cause questions that find them.
- The team and the patientsThe effect on colleagues and patients in their terms — the junior who stopped asking, the next shift that did not know — and the clause named from your own Board’s code: 5.4, 3.2, 7.1 or 5.1 in the shared code.Five Australian case studies show the effect on patients and on the team.
- The changeISBAR adopted, an escalation pathway that names the next call, read-back on verbal instructions, debriefing built into the routine, feedback from colleagues gathered through someone else — each dated.This course is the dated item you attach — and it names the other evidence.
Team-based care shares responsibility without removing your own accountability.
Take advice from your indemnity insurer or defence organisation, your union or professional association, or a lawyer before you respond to anyone.
Facing an Ahpra notification, complaint or allegation? This course helps you remediate — and demonstrate it.
Buy this course — A$200.00How this course helps with an Ahpra notification
The Board reads for your part before it reads for the outcome
Raising a concern once is not the obligation: the course requires you to continue escalating if the first response is inadequate and to document concerns and actions taken, and says regulators look for practitioners who act decisively when a patient is deteriorating and do not let hierarchy delay escalation — so “I told the registrar and nothing happened” is the first half of an answer. Where the error was someone else’s, the response identifies the part that was yours, however small, and answers that first; the system comes after it, as context. Practitioners who show insight, take responsibility and engage in remediation are treated differently from those who deflect blame or repeat the behaviour.
Reflection has a structure, and the Board can tell when it is absent
The course names five elements of insight in a team — awareness of your own communication patterns, understanding your effect on others, recognition of team dynamics, acceptance of responsibility without deflecting blame, and willingness to improve — and reflection prompts that ask how your behaviour contributed, what you could have communicated more clearly and who you did not listen to. The reactions to feedback it warns against are feeling criticised, becoming defensive, blaming the culture and minimising the concern. A statement such as “the system failed” will not satisfy a Board; a supervisor’s report of a handover now given in a structured way will.
Remediation that stands up
The course asks for a remediation plan that addresses both behaviour and systems, and the system half produces its own evidence — a standardised handover template, ISBAR, clear escalation protocols, read-back for critical information, scheduled debriefings — while the behaviour half shows in supervisor reports and team feedback; the Board, a panel and a tribunal all weigh it the same way. Counts: a reflective statement that names your own part and cites your Board’s code by clause; CPD targeted to the lapse, this course’s dated certificate among it; a handover or escalation audit, repeated after an interval; supervision or mentoring with written reports; feedback from patients and colleagues gathered on purpose. Counts for little: an apology followed by “but”, a character reference in place of an account, CPD hours on another subject, a reflection written by someone else, a promise where evidence should be. For the stages from the first letter to a tribunal, see the Ahpra investigation process, explained.
Read the primary sources
Who wrote it
In short
Ensuring Teamwork and Collaboration is a self-paced remediation course of 2 hours for practitioners registered with any of Australia's fifteen National Boards facing an Ahpra notification, complaint or allegation. It is written for an allegation about your own teamworking: that you did not escalate or escalated only once, that your handover left out what mattered, that you were dismissive when a colleague raised something, that your manner made it hard for others to speak up, or that you worked around people rather than with them. It covers escalation, handover, roles and delegation, conflict, psychological safety, five Australian case studies, insight and remediation. It is not accredited by Ahpra or any National Board, and no course determines the outcome of a notification.
What the code says about working with other practitioners
Working with other practitioners has a section of its own in the code. Section 5 of the shared Code of conduct that twelve National Boards use covers respect for colleagues (5.1), teamwork and collaboration (5.2), discrimination, bullying and harassment (5.3), and delegation, referral and handover (5.4), and the duties run beyond it: 3.2 asks for relevant and timely information to reach colleagues, and 7.1 for reasonable steps where patient safety may be compromised — the clause a failure to escalate engages first. Conduct between colleagues sits inside the code rather than beside it, which is why a team conflict can become a professional matter with no patient harmed; Good medical practice, the NMBA codes and the Psychology Board’s code say the same for their professions under their own numbering.
Two things are Australian. The first is the National Law: a team failure can reach the Board from an incident review, an employer or a colleague as well as from a patient, the National Law requires a practitioner to notify Ahpra in four situations, and where several practitioners are notified on the same facts each faces a separate process; in New South Wales and Queensland it is your profession’s Council of NSW and the HCCC, or the Office of the Health Ombudsman, that hold the file first. The second is accountability: Australian practice is team-based, and clause 5.2 says that working in a team does not alter your personal accountability for the care you provide. In a written response, name your part first, then the system, then what has changed. The Board reads for the first sentence.
What these words mean
The four terms that matter most here, and the other words on this page.
- Notification
- Ahpra’s word for a complaint or a concern about a registered practitioner, from a patient, a colleague, an employer or a mandatory notifier. Every notification is assessed for risk to the public; you are told of it and asked for a written response, and that response is read at every later stage. In 2024/25 Ahpra received 13,327 notifications across the 16 registered professions.
- Immediate action
- The step a National Board may take at any stage under section 156 of the National Law where it believes a practitioner poses a serious risk: suspending registration or imposing conditions while the matter continues. A protective step, not a finding, and reviewable.
- Escalation
- Raising a concern to someone with the authority or expertise to act on it. The course is explicit that regulators look for evidence that practitioners act decisively when a patient is deteriorating, do not allow hierarchy to delay escalation, and communicate the need clearly.
- The four National Law grounds
- Fitness to practise is the phrase practitioners use for the whole process. The National Law names four grounds on which a Board acts: impairment (a health matter, not a conduct finding), unsatisfactory professional performance (knowledge, skill, judgement or care below the standard of a peer), unprofessional conduct (conduct below what peers and the public reasonably expect) and professional misconduct (substantially below that standard, found only by a tribunal). Which one your letter uses tells you how the matter is being treated.
Continuing to escalate, ISBAR, closed-loop communication, human factors, psychological safety, insight, remediation and the other terms the course uses
- Continuing to escalate
- The part practitioners often miss. The course does not stop at raising a concern once: it requires you to continue escalating if the initial response is inadequate. Telling someone senior and being ignored is the beginning of the obligation, not the end of it.
- ISBAR
- A structured handover format — identify, situation, background, assessment, recommendation. The value is that it forces the recommendation to be said out loud rather than implied, which is where informal handovers can fail.
- Closed-loop communication
- Repeating back an instruction so the sender confirms it was heard correctly. Alongside read-back, it is what turns an instruction given into an instruction received.
- Human factors
- Psychological, environmental and organisational influences on how teams work: fatigue and stress, heavy workload and multitasking, poor team culture, distracting environments, inexperienced team members, and hierarchical barriers that discourage escalation.
- Psychological safety
- A team climate where raising a concern does not carry a personal cost. It is not a soft measure: where it is absent, escalation is delayed, and delayed escalation is what the regulator sees.
- Insight
- In the course, recognising how your communication, behaviour and interactions affect colleagues and patient outcomes, and acknowledging your contribution to a team failure without deflecting blame. In a written response, say what your part was before describing the rest of the chain.
- Remediation
- Concrete change, evidenced. The course asks for a plan that addresses both behaviour and systems: structured tools such as ISBAR and read-back, clear escalation protocols, scheduled debriefings, supervision or mentoring, and evidence linked to each issue.
The clauses a teamwork allegation engages
Read off the shared Code of conduct, which twelve National Boards use; if you are a doctor, a nurse, a midwife or a psychologist, your own code covers the same ground under different numbers. Handover, communication and risk are three separate clauses, and one failed shift can engage all three; the record of the escalation is the fourth. The rest are below.
5.4 — Delegation, referral and handover
The central clause. It requires sufficient, timely information about the patient and the treatment needed to enable continuing safe care when care is delegated, referred or handed over, and it keeps you responsible for the decision to delegate. A handover that happened but omitted what mattered fails it even where the conversation was courteous; the course teaches ISBAR, read-back and closed-loop communication as the habits that show it was met.
For this course: ISBAR, read-back and closed-loop communication are the course’s handover lessons, and a structured format adopted across the shift is the remediation it names for a handover that left out what mattered.
3.2 — Effective communication
Communicate relevant and timely information about the patient to colleagues within the bounds of privacy requirements, and do not refer to people in a non-professional manner. Both halves matter in a team: what is passed on, and how colleagues are spoken about — in front of patients, in a message and in the record. A result not phoned through and a colleague belittled in a group chat engage the same clause.
For this course: the course asks for urgent information passed to colleagues promptly, and for conflict never to be conducted, or a colleague criticised, in front of patients.
7.1 — Risk management
Take part in the monitoring of adverse events and near misses and in quality improvement, and take reasonable steps to address a risk to patient safety. Failing to escalate is a failure under this clause before it is anything else, and so is escalating once and stopping: the course requires continuing to escalate when the first response is inadequate, through structured escalation pathways.
For this course: the course requires escalation that continues when the first response is inadequate, and names clear escalation protocols, accessible to all staff, among the system improvements.
8.3 — Health records
Records that are accurate and made at the time or as soon as possible afterwards. The course is specific that concerns raised and actions taken are documented: in a teamwork matter the escalation record can be the only evidence that it happened, because the conversation leaves no trace. A record added later is dated as an addition, and an account the record does not support becomes a probity matter.
For this course: concerns raised and actions taken, written at the time, are the course’s documentation lesson, and the escalation record is the evidence it teaches you to make.
Also engaged: 8.1 — reporting obligations: where a colleague’s conduct or health puts patients at risk, the report does not wait for the team to resolve it · 4.5 — adverse events and open disclosure: in a team event the disclosure belongs to the practitioners involved, not only the organisation · 4.1 — partnership: a disagreement between colleagues managed away from the patient · 4.6 — complaints: the response that names your own part before it describes the team · 4.9 — professional boundaries: with patients and with colleagues alike · 4.10 — working with multiple patients: team capacity is part of the judgement about whether care can be provided safely.
What happens after a teamwork notification reaches Ahpra
The same stages as any notification, set by the National Law, whichever Board registers you — and at every one the reader asks the same thing: what was your part, what does the record of it show, and what has changed? Where several practitioners are notified on the same facts, each file is its own.
Assessment: what was your part, what does the record show, and what has changed?
Ahpra and the Board assess every notification for risk to the public, tell you about it and ask for your written response. The first reading asks what your part was and what the record shows; a response that names your part, describes the system and shows a structured handover, an escalation pathway and read-back already in place can end a matter here, with no further action or advice.
Immediate action, where the risk is current
At any stage, where the Board believes a practitioner poses a serious risk, it may suspend registration or impose conditions while the matter continues (section 156). A protective step, not a finding, and reviewable — and the response to it is read like any other. On a teamwork matter the conditions can be supervision, mentoring or a requirement to practise only in a setting with support — the same instruments a remediation portfolio holds, which is why a response that shows them already in place is read as the risk controlled.
Investigation: does your account hold against the record and what the team describes?
Where more is needed, Ahpra investigates (section 160): some information is gathered through a case discussion at which you may be represented, some under compulsory powers. The investigator reads the handover note, the escalation record, the incident review and the accounts of the rest of the team beside yours; an account the record does not support becomes a probity question of its own.
Health or performance assessment: was there something beneath it?
Where the concern is about health or about performance rather than conduct, the Board may require a health assessment or a performance assessment (sections 169 and 170) instead of an investigation. Impairment is a health matter under the National Law, dealt with under its own route with support, and a condition declared early, with a plan behind it, is read as insight. Fatigue, burnout or a condition behind conduct in the team makes a teamwork matter a health matter as well; the course asks practitioners to recognise the signs of burnout and seek support early, and says patient safety depends on the wellbeing of the team.
A panel: does the practitioner understand their own part in what happened?
The Board may refer a matter to a performance and professional standards panel or a health panel (sections 181 and 182), which meets you and can caution, impose conditions or refer the matter on — it cannot cancel registration. On a teamwork matter it asks whether you can see your own part in a chain of events you did not control, and what you would do differently.
The tribunal: what should follow?
The most serious matters go to the tribunal in your state or territory (section 193), which can reprimand, impose conditions, fine up to A$30,000, suspend, cancel registration and disqualify (section 196). In 2024/25, 94.3% of the matters closed after a tribunal referral ended in disciplinary action. The tribunals weigh insight, remediation and conduct since the events in every decision, and their orders — education, mentoring, audits, supervision — are made of the same instruments a remediation portfolio holds.
Who investigates in New South Wales and Queensland
Two states have their own arrangements, and they apply to all sixteen professions alike. New South Wales conduct matters do not go to Ahpra: your profession’s Council of NSW manages standards and conditions and the Health Care Complaints Commission (HCCC) investigates and prosecutes. In Queensland every complaint goes first to the Office of the Health Ombudsman (OHO), which keeps what it keeps and refers the rest to Ahpra and your Board. Ahpra sets both out at reporting concerns in New South Wales or Queensland. Where a team event has put several practitioners of different professions before different Councils or Boards, each file is its own, and the letterhead tells you which body holds yours.
Facing an Ahpra notification, complaint or allegation? This course helps you remediate — and demonstrate it.
Buy this course — A$200.00Whatever your profession: Ahpra and the National Boards regulate 16 professions under the National Law, and the process is the same for all — courses for every registered profession →
Frequently asked questions
What does my Board want in a response to a teamwork notification?
Your own part, first. What you handed over and in what format, what you raised, with whom and when, what you did when the first response was inadequate, and how you received what a colleague raised with you — read against the handover note and the escalation record; the system described as the context for your part, not the reason for it; the effect on the team and the patients; the clause named from your own Board’s code; and what has changed, with dates — ISBAR adopted, an escalation pathway that names the next call, read-back, routine debriefing. Where the record shows nothing, say so with candour rather than filling the gap.
Should I take advice before I respond to Ahpra?
Yes — before you answer, and before you discuss the response with colleagues named in the same matter, because each of you faces a separate process and the accounts are read side by side. Your indemnity insurer or defence organisation is the first call, and a lawyer should read the response before it goes to Ahpra, your National Board, your profession’s Council of NSW or the HCCC, the OHO, your employer, or a panel or tribunal. Nothing on this page is legal advice, and no course determines the outcome of a notification.
Can a teamwork concern be remediated — and will Ahpra or my Board accept this course as part of it?
Yes, and teamwork remediation is unusually observable: ISBAR adopted, an escalation pathway that names the next call, read-back and routine debriefing, each dated. No provider is accredited by Ahpra or any National Board, and no course decides a matter. What the Board, a panel and a tribunal weigh is dated, targeted remediation with reflection that engages the standard — and this course covers escalation, handover, delegation, conflict, five case studies, insight and the evidence Ahpra expects, so the connection is plain on the certificate and in your reflective account. Check the wording of any condition, undertaking or direction with your indemnity insurer or defence organisation, your union or professional association or a lawyer before you rely on it.
What can my Board do about a teamwork concern?
After an assessment or an investigation your Board may take no further action, caution you, accept an undertaking or impose conditions — supervision, mentoring, education (section 178) — require a health or performance assessment (sections 169 and 170), refer you to a panel, or refer the most serious matters to a tribunal (section 193), which can reprimand, impose conditions, fine, suspend, cancel registration and disqualify (section 196). In 2024/25, 94.3% of the matters closed after a tribunal referral ended in disciplinary action. Where several practitioners are involved, each outcome turns on that practitioner’s own part, and the insight shown into it.
Who handles a teamwork notification in New South Wales or Queensland?
Not Ahpra, in either case. In New South Wales your profession’s Council of NSW and the Health Care Complaints Commission manage conduct, health and performance matters between them, and Ahpra does not investigate registered practitioners there. In Queensland every complaint goes first to the Office of the Health Ombudsman, which decides what it keeps and what it refers on to Ahpra and the Board. The letterhead tells you which body has your file, and the same response — the reasoning, the standard, the remediation — is what each of them reads for. Where a team event has put several practitioners of different professions before different Councils or Boards, each file is its own.
I raised the concern and nobody acted. Is that enough?
No. The course requires you to continue escalating if the first response is inadequate, and says regulators look for practitioners who act decisively when a patient is deteriorating and do not let hierarchy delay escalation. Raising a concern once and being ignored is where the obligation begins, not where it ends: if you cannot get a response, go higher, go to another senior, or use the formal pathway — and record what you raised, with whom and when. Clause 7.1 of the shared code asks for reasonable steps where patient safety may be compromised, and the record is what shows you took them.
The clinical error was someone else's. Why am I in this?
Because your part can matter even when the clinical error was someone else’s. The course treats a team incident as a chain of small lapses — a handover, a result, an escalation, a role nobody owned — rather than a single failure, and your part may be what you handed over, what you did not, what you noticed and did not raise, or how a concern was received when someone raised it with you. The response names that part first and answers it, with the system described as the context rather than the reason.
I was junior and the senior clinician disagreed with me.
That is the situation the course and the code address directly. Hierarchical barriers that discourage escalation are named as a human factor that harms patients, and regulators expect practitioners not to let hierarchy delay escalation. Being overruled does not end your obligation: what you can evidence afterwards is that you escalated, escalated again when the response was inadequate — to another senior or through the formal pathway — and documented both. The course’s first case study is a failure to escalate under hierarchical pressure.
Can a poor handover lead to a notification?
It can. Clause 5.4 of the shared code requires sufficient and timely information to enable continuing safe care, and the course names vague or incomplete handover among the causes of missed diagnoses and treatment delays; communication was 17.3% of the matters raised about doctors in 2024/25. A handover that was polite, brief and missing the one thing that mattered still fails the clause. The course teaches ISBAR, read-back and closed-loop communication, and one of its case studies is an incomplete handover that delayed a diagnosis.
Is a team conflict a professional conduct matter?
It can be. Clauses 5.1 and 5.3 of the shared code require respect for colleagues and cover discrimination, bullying and harassment, which places conduct between colleagues inside the code — a team conflict can become a professional matter with no patient harmed. A disagreement conducted in front of a patient engages clause 4.1 as well. The course expects conflict to be managed professionally: constructive resolution, respectful language, patient safety before interpersonal tension, and senior support or mediation when needed.
Should I document that I raised a concern?
Yes, and at the time. The course lists documenting concerns and actions taken among the escalation steps, and clause 8.3 of the shared code requires records made at the time or as soon as possible afterwards. In a teamwork matter the escalation record can be the only evidence that it happened, because the conversation itself leaves no trace. Record what you observed, whom you told, when, what they said and what you did next; a note added later is dated as an addition, never backdated.
How is this different from the Effective Communication course?
They meet at handover and escalation, and the two can be taken together. This course is about your conduct within a team: escalating and escalating again, the handover format, roles and delegation, conflict, psychological safety, and insight into your own part. The Effective Communication course is about communication itself, mostly with patients: verbal and non-verbal communication, listening, empathy, consent and risk, and difficult conversations. If the letter is about the team and what you did in it, start here; if it is about how you spoke or wrote to a patient, start there.
Does this count towards my CPD?
Each National Board sets its own continuing professional development registration standard, and targeted CPD on the subject of a notification is among the remediation the Board and the tribunals recognise. The certificate records the course, the 2 CPD hours and the date, which is what a CPD portfolio needs; how the hours count towards your requirement depends on the standard’s categories, so check them.
How long does it take, and how long do I have access?
The course is 2 CPD hours, self-paced, with twelve months’ access from purchase. The certificate is issued on completion, dated, with the course title and the CPD hours, for a response, a portfolio or your CPD record.
Courses that work alongside this one
A notification can raise more than one issue. These are the courses that pair with this one.
Effective Communication for Healthcare Professionals
A dismissive tone that stops a junior escalating is a patient-safety failure with a communication label on it.
Documentation for Healthcare Professionals
The record of the escalation can be the only evidence that it happened at all.
Duty of Candour for Healthcare Professionals
In a team event the disclosure obligation belongs to the practitioners involved, not only to the organisation.
Dealing with a Complaint or Investigation Professionally
How to answer a complaint by accepting your part and giving system and team pressures as context, not as an excuse.
Ensuring Clinical Competence and Patient Safety
Scope, supervision and knowing when to ask. The other half of working safely alongside other people.
Insight for Fitness to Practise
Understanding your part in a chain of events you did not control is the form of insight this course prepares you to show.
Remediation for Fitness to Practise
SMART goals with a date for each, peer feedback on how you work in the team, and rebuilding trust with colleagues.
Ensuring Teamwork and Collaboration
This course. Escalating and escalating again, handover, roles and delegation, conflict, five Australian case studies, insight in a team, and remediation that addresses behaviour and systems.
See all CPD courses for healthcare professionals in Australia →
Start today, finish at your own pace
Immediate access on purchase. Twelve months' access, a dated certificate on completion, and 2 CPD hours issued by Healthcare Ethics Courses.