Thank you for your interest in being a consumer representative. Please read through these guidance notes before completing your application. Please ensure that you:
complete the attached CHF Consumer Representatives Nomination Form enclose a CV and enclose a letter of endorsement from a CHF member organisation or consumer network to which you belong. Information in support of your application Please ensure that the information you provide is relevant to the committee or the issues you have expressed an interest in and that it makes your experience as a consumer representative clear. Do not include sensitive information that you would be uncomfortable with CHF passing on to the requesting body or Minister.
The nomination form asks for certain information for CHF to consider when making a decision. Guidance on the sort of information to provide for each question number is provided below:
Your interest in the area. Whether you are a consumer in the areas that form the committee or working party’s terms of reference, or of the issues that you have expressed an interest in. What experiences you have had that will help you in your role as a consumer representative and / or are relevant to the work of the committee. This includes membership of groups / committees and any previous consumer representative experience. Consumer or community organisation(s) you belong to or work with that could support you as a consumer representative – for example, to give you information, talk to you about difficulties, put you in touch with other consumers. Formal qualifications or training are not expected for consumer representation. However CHF is interested in knowing what other skills or perspectives other than consumer experience you will bring to the committee, and whether you will face any conflict of interest (for example, a professional interest in the issue or a relevant work history). Disclosure of information The information you provide in your nomination form and in any attached CV or other documents may be made available to the CHF Secretariat or Board. Staff and Board members are bound by CHF’s Privacy Policy.
Conflict of Interest Consumer Representatives should declare any conflict of interest, or a potential or perceived conflict of interest, when nominating to be a Consumer Representative. If a conflict of interest was not declared, or arises, Consumer Representatives must notify CHF. Remember that conflict of interest can be interpreted more broadly than simply a financial interest – for example, you might sit on one committee which has contracted work from your new committee or you might stand to benefit from a treatment under discussion.
Confidentiality Consumer Representatives may be required to sign a confidentiality agreement with their committee or undertake to keep some aspects of their work confidential. Confidentiality Deeds can have legal implications. Consumer Representatives must adhere to any confidentiality agreement they make and should ensure that they understand the requirements and implications of any agreement that they sign.
Unsuccessful nominees If you are unsuccessful, you will be advised and your nomination will be kept on the expressions of interest file for that committee.
Successful nominees If you are successful, your nomination form and CV will be kept on the confidential file related to the committee you have been selected for. In addition, your name and contact details will be forwarded to the requesting body, with a brief statement in support of your nomination based on information provided in your nomination form and CV. In some cases, your CV will also be sent to the requesting body. If you apply for a Ministerial committee and your name is recommended to the Minister, your CV will also be sent on. CHF has no control over what happens to your information after it is passed on. CHF recommends that you think carefully about the information you provide in support of your nomination so that you do not provide sensitive personal health information you do not wish to be disclosed to the requesting body or to the Minister.
A small amount of detail, including your name and CHF member organisation or endorsing consumer network, will be passed on to unsuccessful nominees. These will also be published in the next edition of health UPdate, CHF’s member newsletter. This builds awareness among CHF’s members and consumer representatives about our program of work and makes clear the organisation to which you are accountable and which has a role in supporting you (your CHF member organization or endorsing consumer network). health UPdate is also available through CHF’s website. CHF also keeps a list of committees on its website. In the public area, this shows the committee name, organising body and your name. In the Members’ Area it will also show your nominating organisation.
If you would like any assistance in preparing your nomination, please do not hesitate to contact the CHF Secretariat on (02) 6273 5444 or info@chf.org.au .
Committee Name Please select the committee you are applying for in this search box, by starting to type their name then selecting the relevant committee from the drop down list. Use the most specific words from the committee you are looking for; for example, if you were looking for the committee 'The Australian Commission on Safety and Quality in Health Care (ACSQHC) - My Health Record in Emergency Departments Oversight Committee' you would find it fastest by typing 'record emergency'.
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- Choose existing - Other / not in this list Coordination of Health Care Report Advisory Committee. ACSQHC - Australian Atlas of Healthcare Variation Advisory Group ACSQHC - Clinical Care Standard on Delirium ACSQHC - Clinical Care Standard on Hip Fracture ACSQHC - Clinical Communications Advisory Group ACSQHC - General Practice Accreditation Coordinating Committee ACSQHC - Medication Continuity Expert Working Group ACSQHC - Multipurpose Services Project Advisory Committee ACSQHC - My Health Record External Assurance Committee ACSQHC - My Health Record in Emergency Departments Oversight Committees ACSQHC - Osteoarthritis Clinical Care Standards Topic Working Group ACSQHC - Partnering with Consumers Committee ACSQHC - Patient Safety Reporting Steering Committee ACSQHC - PBS Hospital Medication Chart Reference Group ACSQHC - Primary Care Committee ACSQHC - Risk Communication Project Steering Group ACSQHC - Topic Working Group developing a clinical care standard on peripheral venous access ACSQHC & IHPA Joint Working Party on Pricing Safety and Quality in Health Care in Australian Public Hospitals ACSQHC- Topic Working Group developing a clinical care standard on peripheral venous access. Advisory Group for the Employee Awareness Project AHIEC - Australian Health Informatics Education Council Working Committee AHMAC National Oral Health Plan Monitoring Group AHPRA - Medical Board of Australia - National Specialist IMG Committee AHPRA Community Reference Group AIHW - Out of pocket costs of Medicare services Report Advisory Group AIHW - Report Advisory Committee to inform on preparation of two releases on the My Hospital website AIHW Coordination of Health Care Report Advisory Committee Allied Health Working Group AMC - Australian Medical Council AMC Medical School Accreditation Committee AMC Recognition of Medical Specialties Advisory Committee AML Alliance - Clinical Engagement and Cross Section Collaboration Amputee Golf Australia. ANZCA - International Medical Graduate Specialist Interview Panel and Committee ANZCA Faculty of Pain Medicine APHCRI Centre for Research Excellence in the Finance and Economics of Primary Care APS - Expert Working Group - Chronic Disease Self-Management Interdisciplinary Professional Network Project APS - MBS Expert Panel ARCPOH Audiology Australia Australian Breast Device Registry, Governance Committee Australian Centre for Cannabinoid Clinical and Research Excellence (ACRE) Australian Commission on Safety and Quality in Health Care Australian Commission on Safety and Quality in Health Care - Clinical Communications Advisory Group Australian Commission on Safety and Quality in Health Care (ACSQHC) Australian Diabetes Educators Association Australian Dietetics Council Australian General Practice Accreditation Ltd (AGPAL) Board Australian Infectious Diseases Research Centre, The University of Queensland Australian Prescriber Advisory Editorial Panel Australian Psychological Society (APS) Australian Technical Advisory Group on Immunisation BreastScreen Victoria Clinical Communications Advisory Group Clinical Trials: Impact & Quality (CT:IQ) Collaborative Partnership - Employee Awareness Advisory Group Community Engagement Advisory Council of NNSWLHD and NCPHN Consumer appointment Australia Community Pharmacy Authority (ACPA). Consumer representative on the Peak Imaging Coalition Continence Foundation of Australia - Consumer Advisory Committee Coordination of Health Care Report Advisory Committee Coordination of Health Care Report Advisory Committee. Council of the ACHS Department of Health - Expert Working Group - Review of Antenatal Care Guidelines Department of Health (DoH) Dept of Industry - Clinical Trials Advisory Committee Dietitians Association Australia Dietitians Association of Australia DoH - Australian Community Pharmacy Authority (ACPA) DoH - Clinical Quality Registries (CQR) Expert Advisory Group DoH - Codes of Conduct Advisory Group DoH - Diabetes Advisory Group DoH - Diagnostic Imaging Advisory Committee DoH - Drug Utilisation Sub-Committee (DUSC) DoH - EAG for the Post-Market Review of Pharmaceutical Benefits Scheme Medicines Used to Treat Asthma in Children DoH - Expert Advisory Group for the Post-Market Review of Products used for the Treatment of Diabetes DoH - Expert Working Group - Review of Antenatal Care Guidelines DoH - Fifth Community Pharmacy Agreement - Program Reference Group(PRG) DoH - Food Standards Australia New Zealand (FSANZ) Board DoH - Fourth statutory review of the Dental Benefits Act 2008 Review Committee DoH - Health Technology Assessment Consultative Committee DoH - Industry Working Group on Revised Benefit Setting and Review Framework DoH - Medical Services Advisory Committee (MSAC) DoH - Medicare Benefits Schedule Review Taskforce Clinical Committees and Working Groups DoH - National Immunisation Committee DoH - National Joint Replacement Registry Consultative Committee DoH - National Oral Health Promotion Plan Committee DoH - National Pathology Accreditation Advisory Council (NPAAC) DoH - Natural Therapy Review Advisory Committee DoH - Nursing and Midwifery Stakeholder Reference Group DoH - Post-Market Review of the Life Saving Drugs Program DoH - Quality Use of Pathology Committee (QUPC) DoH - Review of the Drug and Alcohol Prevention and Treatment Services Sector DoH - Safety Monitoring Committee DoH Quality Use of Pathology Employee Awareness Advisory Group Evaluation of a financial incentive to improve the use of preventive medicines by people with asthma Stakeholder Reference Group Exercise & Sports Science Australia Expert Panel of External Stakeholders to advise the PBAC on Non-medical Prescribing General Practice and PrimaryC(phase 3) Clinical Committee GMiA - Code of Practice Complaints Committee Health Care Consumers' Association ACT Health Data Standards Committee Health Statistics Advisory Group Healthdirect Australia HWA - Advanced Practice in Endoscopy Nursing Project Advisory Group HWA - Aged Care Workforce Reform Project Advisory Group HWA - Allied Health Professionals - Rural and Remote Generalist Project Advisory Group HWA - Emergency Department Project Advisory Group HWA - National Competency Expert Reference Group HWA - Paramedic Project Reference Group HWA - Rural Medical Generalists Pathway Project HWA - Standing Advisory Committee for the NGO and Private Sector HWA - The Oral Health Workforce Plan Project Advisory Group ICHOM IHPA - Evaluation of National Implementation of Activity Based Funding Steering Committee IHPA Stakeholder Advisory Committee Independent Advisory Council on the PCEHR Medicare Benefits Schedule Review Taskforce Clinical Committees and Working Groups -Plastic Reconstructive Surgery Committee Medicines Australia - Clinical Trials Informed Consent Steering Group Medicines Australia - Code of Conduct Appeals Committee Medicines Australia - Code of Conduct Committee Medicines Australia - Code of Conduct Monitoring Committee Medicines Australia - Transparency Working Group Medicines Australia – Code Review Panel MHA - National Mental Health Consumer and Carer Forum (NMHCCF) MInDAR Trial Consumer Reference Group Monash University Monash University, Melbourne, Australia MSAC - Evaluation Sub-Committee (ESC) MSAC - Protocol Advisory Sub-Committee (PASC) MTAA - Code of Practice Committee MTAA - Code of Practice Complaints Committee MTAA - Medical Technology Industry Code of Practice External Review My Health Record External Assurance Committee National Blood Authority Board National Health Performance Authority (NHPA) - Cost per Weighted Separation (CWS) Advisory Committee National Heart Foundation of Australia National LGBTI Health Alliance National Strategic Action Plan on Pain Management (the Action Plan) NEHTA Stakeholder Product Consultation Group (SPCG) NHMRC - Australian Health Ethics Committee (AHEC) NHMRC - Clinical Trials Portal Working Group NHMRC - Council NHMRC - Research Committee (RC) NHMRC - Research Involving Human Embryos Act 2002 NHMRC - Transmissible Spongiform Encephalopathies Advisory Committee (TSEAC) NHMRC -Reviewing Part B of the Ethical Guidelines on the use of Assisted Reproductive Technology in Clinical Practice & Research NHMRC Comunity Observers Working Party (COWC) 2019-2020 NHMRC Council & HTAC & AHEC NHMRC EAG Developing Ethical Guidelines For Eligibility Criteria And Allocation Protocols For Organ Transplantation from Decease NHMRC HTAC NHPA - Child and Maternal Health Report Advisory Committee NHPA - Frequent General Practice Attenders Report Advisory Committee NHPA - Health Care Efficiency Advisory Committee NHPA - Hospital Mortality Advisory Committee NHPA - Potentially Avoidable Hospitalisations Report Advisory Committee NHPA - Primary Healthcare Advisory Committee NPS MedicineWise NPS MedicineWise - Antibiotics Expert Working Group NPS MedicineWise - Anxiety Expert Working Group NPS MedicineWise - Deprescribing Group NPS MedicineWise - Diagnostics Expert Advisory Panel (DEAP) NPS MedicineWise - Low Back Pain Expert Working Group NPS MedicineWise - MedicineInsight Advisory Group NPS MedicineWise - National Medicines Symposium 2018 NPS MedicineWise - National Prescribing Service Board Director NPS MedicineWise - Opioids Expert Working Group NPS MedicineWise - Phone Services Working Group NPS MedicineWise - Prescribing Intervention Expert Advisory Group (PIEAG) NPS MedicineWise - RADAR Editorial Group NPS MedicineWise - Strategic Evaluation Advisory Group NPS MedicineWise Consumer Advisory Group NPS MedicineWise-Anxiety Expert Working Group Oral and Maxillofacial Surgery Clinical Committee Pain Management Clinical Committee Pain Management committee,Ophthalmology clinical Committee Painaustralia - Action Plan Reference Group PCC Primary Care Committee PGA - HMR Research Project Advisory Panel Pharmaceutical Benefits Advisory Committee (PBAC) PHRN - Ethics Privacy and Consumer Engagement Advisory Group Plastic & Reconstructive Surgery Clinical Committee Project Advisory Group for PSA Prostheses Clinical Advisory Group - Specialist Orthopaedic Prostheses Clinical Advisory Group - Cardiac Prostheses Clinical Advisory Group - Cardiothoracic Prostheses Clinical Advisory Group - Ophthalmic Prostheses Clinical Advisory Group - Orthopaedic (Hips) Prostheses Clinical Advisory Group - Orthopaedic (Knees - KPCAG)) Prostheses Clinical Advisory Group - Spinal Prostheses Clinical Advisory Group - Urogenital Prostheses Clinical Advisory Group - Vascular Stents and Grafts Psychiatry Clinical Committee QUT - Project Advisory Committee RACGP - Expert Committee - Quality Care (REC - QC) RACGP - Expert Committee – Standards for General Practices RACGP - National Standing Committee – eHealth RACGP - Shaping a Healthy Australia Working Group RACP RANZCR RANZCR - Peak Imaging Coalition (PIC) Research Advisory Board - Australian Primary Health Care Research Institute - Australian National University Royal Australasian College of Physicians Ethics Committee Royal Australasian College of Surgeons Royal Australian and New Zealand College of Radiologists School of Medicine University of Wollongong Self SHPA Accredited Pharmacist Reference Group Standards Australia IT/14 Health Informatics Committee Steering Committee for The Australian Commission on Safety and Quality in Health Care Steering Committee for the review of the CHF and Medicines Australia Working Together Guide and Manual test org test organisation TGA - Advisory Committee on Biologicals (ACB) TGA - Advisory Committee on Complementary Medicines (ACCM) TGA - Advisory Committee on Medical Devices (ACMD) TGA - Advisory Committee on Medicines Scheduling (ACMS) TGA - Advisory Committee on Prescriptions Medicine (ACPM) TGA - Advisory Committee on Safety of Medicines (ACSOM) TGA - Australian Therapeutic Goods Advisory Council (ATGAC) TGA - Industry Consultative Committee (TICC) TGA - Labelling and Packaging Review External Reference Group TGA - Medical Device Reforms Reference Group TGA - Therapeutic Goods Committee TGA - Working Group Examining Regulatory Requirements for Complementary Medicines TGA -Advisory Committee on the Safety of Medical Devices (ACSMD) The Australian Institute Of Health And Welfare The Australian Institute of Health and Welfare (AIHW) - Report Advisory Committee The Australian Partnership for Preparedness Research on Infectious Disease Emergencies The Commission on Safety and Quality in Health Care The Employee Awareness Advisory Group The George Institute for Global Health The National Health and Medical Research Council (NHMRC) The National Health and Medical Research Council (NHMRC) - Council Community Observers Working Committee (COWC) 2019-2020 The Pharmaceutical Society Of Australia PAG The Royal Australian College of General Practitioners (RACGP) - Shaping a Healthy Australia Working Party The University of South Australia - ReMInDAR Trial Consumer Reference Group Therapeutic Goods Advertising Code Council (TGACC) Therapeutic Goods Advertising Code Council (TGACC) Complaints Resolution Panel University of Melbourne University of Melbourne Dental School University of South Australia - QUM and Pharmacy Research Centre Advisory Committee
Please enter the name of the committee you are nominating for.
Please enter the name of the committee you are nominating for.
1. Why are you nominating for this Committee / Working Party? Why does it interest you?
1. Why are you nominating for this Committee / Working Party? Why does it interest you?
2. What consumer experience and knowledge do you have in the area? For example, are you a consumer in this area or do you have strong links to those who are? .
Note: formal qualifications or training are not expected for consumer representation
2. What consumer experience and knowledge do you have in the area? For example, are you a consumer in this area or do you have strong links to those who are?
Note: formal qualifications or training are not expected for consumer representation.
3. What experience have you had as a consumer representative?
3. What experience have you had as a consumer representative?
4. If nominated, how will you consult with / be accountable to health consumers?
4. If nominated, how will you consult with / be accountable to health consumers?
5. Please provide any other information relevant to your nomination, for example professional qualifications, work history or other experience related to the area or to health consumer issues more generally.
5. Please provide any other information relevant to your nomination, for example professional qualifications, work history or other experience related to the area or to health consumer issues more generally.
Activity Subject *
