Practice Connect #52

Welcome to Practice Connect, a fortnightly update for practice managers, nurses and practice administration staff on relevant issues, upcoming events and education.

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New RACGP Standards for after-hours and medical deputising services

The latest set of RACGP Standards, tailored specifically for services providing care in the after-hours period, was recently released. The Standards for after-hours and medical deputising services (5th edition) utilises the modular structure established in the Standards for general practices (5th edition), but exchanges the General Practice module for the After-hours and medical deputising services (AHS) module. 

Additionally, there have been modifications made within the Core and Quality Improvement modules to ensure all indicators are relevant to the requirements of the AHS setting.

To be accredited against these Standards, a service must meet the RACGP definition of an after-hours or medical deputising service.

The transitional period for these Standards runs from August 2018 to February 2019, during which time services can choose whether to be assessed against the Standards for general practices (4th edition, noting service-specific indicators) or the new Standards for after-hours and medical deputising services. From March 2019, all services seeking accreditation will be assessed against the new Standards.

To access the new AHS Standards, please click here.


Immunisation Update

Measles alert for general practitioners and emergency departments

Eleven cases of measles have been confirmed in WA residents over the last month, including six in the past week who became infected in the Perth metropolitan area. Cases have visited many locations in Perth while infectious and more cases are expected over coming days and weeks.

For more information, please visit here

Two recent meningococcal W cases

There have been two recent cases of meningococcal @ infection in children aged under five years who had not received their free paediatric meningococcal ACWY vaccination.

Providers are reminded that the paediatric meningococcal ACWY vaccine catch-up program is finishing at the end of 2018. Please note the following:

  • Remember to catch up all children aged from 1 to 4 years who have not yet received their MenACWY vaccination.
  • Only 47% of children in this age group have received a meningococcal ACWY vaccine so far, meaning over 73,000 children in the community remain unprotected.
  • As an additional measure, the Department of Health will be sending out reminders to all parents of Western Australian children aged between 1 to 4years who have not yet received a free catch-up vaccine, to ensure their children are protected.
  • The reminders will consist of an email, followed by an SMS text message one month later, and finally a letter to the home address after a further month. The reminders will be sent only to those without a dose of MenACWY vaccine recorded on the Australian Immunisation Register.

Stan Perron Immunisation Service at Perth Children’s Hospital

The delivery of vaccines recommended on the Western Australian immunisation schedule to children attending Perth Children’s Hospital (PCH), is an integral component of the strategy to reduce the burden of vaccine preventable diseases within the community. An opportunity for immunisation is available to all children and their families to attend the comprehensive Stan Perron Immunisation Centre led by the Infectious Diseases Department at PCH. 

For more information on the Immunisation Centre, and Specialist Immunisation Clinic, please visit here.

Australian Immunisation Register education modules now available

The AIR has released some free online education modules to assist immunisation providers to better understand the AIR database and its features.
Topics covered:
  • registering and requesting access to the AIR site
  • accessing the AIR for the first time
  • submitting information to the AIR
  • overseas immunisations
  • immunisation medical exemptions
To access the modules, please visit here.

Practice Management Software advice following the National Immunisation Program Schedule changes

The National Immunisation Program (NIP) Immunisation Schedule changed on 1 July 2018.

It is important that immunisation providers upgrade their practice management software to the latest version once it is released. Where there are delays in the software release, providers must use the advice from the software provider to ensure all immunisation encounters are recorded accurately and transmitted to the Australian Immunisation Register (AIR).  Dose numbers accepted by AIR are detailed below.
AIR requires timely and accurate information as this is used for a range of purposes, including assessing eligibility for family payments, entry to child care and school and assessing coverage.

For further information, please visit here.

WA Vaccine Wastage Quarterly Report

The state-wide Quarterly Vaccine Wastage Report provides summary data from the WA Health Vaccine Wastage Database.

To view the report, please visit here.


HealthPathways update

The HealthPathways WA team recently published their 422nd pathway. The most recently published pathways are:

HealthPathways events can be found in the Education and training section of this newsletter.


My Health Record update

Protecting your practice and policy obligations

Are you clear on your obligations as a General Practice when it comes to privacy and security when connected to the My Health Record system?

All healthcare providers in Australia have professional and legal obligations to protect their patients' health information. Establishing and maintaining information security practices for patients’ My Health Record is an essential professional and legal requirement when using digital health systems in the delivery of healthcare services.

To read more, please visit here.

Some helpful links for GPs


Help us plan the perfect nurse network for you in WA

APNA and WA Primary Health Alliance are planning to establish a local Nurse Network near you.

The network welcomes primary health care nurses to meet regularly, build relationships, create local professional development opportunities and share their knowledge and experience.

To help us plan the network, we'd love to hear your thoughts and ideas.

Please take a few minutes of your day and complete the short survey by visiting here.


Royal Perth Hospital GP notify now operational

GP notification is operational again from 21 August 2018 and notifications of new admissions, discharges and deaths are being sent.

The issue over recent weeks largely affected fax notifications. Only notifications triggered in the week prior to the restart could be faxed. Please check the date of the admission, discharge or death in the first paragraph to see if the notification was delayed. Older notifications were not be able to be resent.

Please note that the faxing of discharge summaries to GPs has continued, although some were delayed due to a critical issue in the fax-server that sends the discharge and emergency summaries for WA public hospitals. Secure electronic transmission has continued as usual. Transmission of discharge summaries by secure electronic messaging is preferred to fax. Please refer to Discharge Summaries, clicking here, if you would like to change to secure messaging for inpatient discharge summaries. (Secure messaging is not available for GP Notify).

Many thanks to those GPs and practices who have responded to the request to re-register for GP Notify. RPH has received a huge response and these are being processed as quickly as possible. Notifications will not start until the registration is processed and the system is fixed. If you are still to respond, please ensure that you include all relevant details as we have had a number of incomplete responses. GPs and practice staff can phone the GP Notify Coordinator on 9224 2810, fax 9224 2860 or email

Please accept our apologies for any inconvenience.


Have your say on WA Sexual Health and Blood-borne Virus Strategies 2019-2023

The Sexual Health and Blood-borne Virus Program (SHBBVP) is undertaking consultation to inform the development of the WA Sexual Health and Blood-borne Virus (BBV) Strategies 2019 – 2023 and invites you to provide feedback.

Health professionals, community agencies, government departments and community members in WA are invited to participate in on-line and/or face-to-face consultations to inform the actions and priorities for the period of the strategies.

An online consultation survey is open until 5.00pm on 31 October, 2018, and it is recommended you allocate 30 minutes to complete the survey. To access the survey, and further information, please visit here.

For information on the face-to-face consultations, please email (metropolitan consultations) or (regional consultations).


Do you or your practice provide any kind of care to patients in their last 12 months of life?

Professor Angus Cook, of the School of Population and Global Health at The University of Western Australia, is conducting ten-minute online surveys with GPs across Western Australian to explore any kind of care they provide to their patients in the last twelve months of life.

All participants receive a $65 reimbursement for taking part in this project.

If you are interested in finding out more about this study, or being sent the online survey link, please contact Professor Cook at, or phone (08) 9648 7805.

Education and training

Visit our Webinars & Workshops page at for more events in your area.

These events are often in high demand, so we recommend registering as soon as possible so you don’t miss out!


A paradigm shift in COPD management – 29 August

In Australia, COPD is the second leading cause of avoidable hospital admissions and remains the fifth leading cause of death. This meeting will give you an opportunity to understand the latest management options and new advances in pharmacological strategies for moderate to severe COPD patients.

Date:               Wednesday, 29 August 2018   
Time:               6.30pm – 9.00pm
Venue:            Rydges Kalgoorlie, 21 Davidson Street, Kalgoorlie 6430
Cost:                Free
Register:       To register, please click here


Mental Health: Understanding Personality Disorders Seminar – 30 to 31 August

The aim of this program is to provide nurses with up-to-date education about mental illness that relates to more complex and challenging conditions, such as personality disorders, including early identification and assessment, signs and symptoms, diagnosis and ongoing management.

Date:               Thursday, 30 August – Friday, 31 August 2018    
Time:               9.00am – 4.15pm (registration from 8.30am)
Venue:            Holiday Inn Perth City Centre, 778 – 788 Hay Street
Cost:                $398 for one day, $520 for both days
Register:       To register, please click here


Strengthen Your Legs Forum – 5 September

The Stay On Your Feet Strengthen Your Legs Forum will provide attendees with current evidence of the benefits of strength training for older adults, barriers and enablers to older adults to engaging in strength training, identifying older adults at risk of falls in everyday practice, evidence-based strength and balance exercise programs, and practical application for the delivery of strength and balance exercise programs for older adults including referral pathways, implementation, challenges and key learnings. Presented by guest speaker Dr Elissa Burton.

Date:               Wednesday, 5 September 2018    
Time:               5.30pm – 7.30pm (registration from 5.30pm)
Venue:            Western Australian Centre for Rural Health, 167 Fitzgerald St, Geraldton
Cost:                $25
Register:       To register, please click here


Secondary Prevention of Heart Disease Telehealth Education Program – 6 September

This session, for Country WA health professionals, is supported through a collaboration between the WA Country Health Service (WACHS) Chronic Conditions Program, Training Centre in Subacute Care WA (TRACS WA), Heart Foundation WA (HFWA) and the Australian Cardiovascular Health & Rehabilitation Association of WA (ACRA-WA). For more information, please click here.

Date:              Thursday, 6 September, 2018    
Time:              12.30pm – 1.30pm
Venue:           Video conference only
Cost:                Free
Register:       To register, please click here


EMHS GP Update: Pain, Perioperative and Referral Pressure Points – 8 September

Presented by East Metropolitan Health Service in partnership with WA Primary Health Alliance and HealthPathways WA

Date:               Saturday 8 September 2018
Time:              Registration from 8.00am; Presentations from 8.30am to 3.30pm
Venue:           Royal Perth Hospital, Bruce Hunt Lecture Theatre, 197 Wellington St, Perth WA 6000
Catering:      Morning tea and lunch will be provided
Register:       To register, please click here

Registrations are essential.

This event has 40 Category 1 QI&CPD points.

Program topics include:

  • Working together to ensure our patients are fit for surgery- Anaesthetics and Haematology
  • Doc, it hurts when I move! - Orthopaedic workshops including examination techniques, diagnostics and optimising non-surgical treatment.
  • Taking the pain out of pain management.
  • Referral pressure points- workshops on Urology and Plastics.
  • GPs, Hospital clinicians and WAPHA- panel discussion on how can we work better together to improve care for our patients.


Immunisation Education Sessions – 4 to 18 September 

The Immunisation Education Sessions will be presented by Metropolitan Communicable Disease Control and WA Primary Health Alliance (WAPHA). Also included in these sessions are updates from Diabetes WA and WA Cervical Cancer Prevention Program. For more information, please click here.

Date Time Location
Tuesday, 4 September 2018
(Registrations closes 28 Aug)
12.00pm – 2.30pm Currambine Community Centre,64 Delamere Ave, Currambine 6028
Wednesday, 5 September 2018
(Registration closes 29 Aug)
12.00pm – 2.30pm WAPHA, Rooms 6&7, 2-5, 7 Tanunda Dr, Rivervale 6103
Thursday, 6 September 2018
(Registration closes 30 Aug)
12.00pm – 2.30pm Fyre Park Pavillion, Clifton St, Kelmscott 6111
Tuesday, 11 September 2018
(Registration closes 4 Sept 2018)
12.00pm – 2.30pm Stirling Community Centres – North Beach (Charles Riley), 7A Kitchener St, North Beach 6020
Wednesday, 12 September 2018
(Registration closes 5 Sept 2018)
12.00pm – 2.30pm Winthrop, Piney Lakes Enviro Centre, Leach Hwy & Murdoch Dr, Winthrop 6155
Thursday, 13 September 2018
(Registration closes 6 Sept 2018)
12.00pm – 2.30pm Secret Harbour Surf Lifesaving Club, Secret Harbour Blvd, Secret Harbour 6173
Tuesday, 18 September 2018
(Registration closes 11 Sept 2018)
12.00pm – 2.30pm St John of God Midland Public Hospital Retreat Room, 1 Clayton St, Midland 6056

Please note that these sessions do not replace the yearly immunisation update, you can complete this via this link.

Cost: Free. Certificate of attendance will be provided.

Register: To register please click here. Sign-in takes place 15 minutes prior to the start time of the presentations listed above.


WA Suicide Prevention Network Spring Forum – 10 September

The Spring Forum will be held on World Suicide Prevention Day this year, with the topic of focus Available suicide prevention programs to reduce hospitalisation. The aim of the forum is to generate practical solutions to suicide prevention problems that members can take away and implement. A report will be made available to network members after the forum.

Date:              Monday, 10 September, 2018 
Time:              9.00am – 1.00pm
Venue:           Office of Multicultural Interests, 140 William St, Perth 6000    
Cost:               Free
Register:      To register, please email


STEP UP Exacerbation Prevention in COPD – 11 September

This dinner meeting in Geraldton is a component of the STEP UP Active Learning Module (ALM), an educational program that provides an update on strategies to reduce the risk of exacerbation in patients with moderate to severe COPD.

Date:              Tuesday, 11 September, 2018 
Time:              6.45pm – 9.00pm (registration from 6.30pm)
Venue:           The Broadwater Resort, 296 Chapman Rd, Geraldton 6530    
Register:       To register, please email or call 0499 550 671 for information

This event is allocated 3 Category 2 RACGP QI&CPD points.


PCWA Quarterly Palliative Care Forum – 11 September

With the opening of the new Perth Children’s Hospital, now is a good time to highlight the WA Paediatric Palliative Care Service, as well as allied services offering holistic and compassionate care to children and their families who live in Western Australia with a life-limiting condition. 

Date:              Tuesday, 11 September, 2018 
Time:              2.30pm – 4.30pm
Venue:           Cancer Council WA Seminar Room, Milroy Lodge, 15 Bedbrook Place, Shenton Park    
Cost:               PCWA individual members free, non-members $40
Register:      To register, please click here (RSVP by 7 September)


AAPM Practice Managers’ Networking Events in September

Join your local AAPM WA networking host for networking with like-minded practice managers. People involved in practice management and non-members of AAPM are welcome to attend.

Pre-registration is essential for all networking events, and registration can be completed using the links in the below table.

AAPM members receive 2 CPD points.

Session Date Time Location Registration link
Perth Metro Speed Discussions Wednesday, 12 September 2018
5.45pm – 7.30pm Dome CafĂ©, 293 Albany Highway, Victoria Park 6100
Mandurah and surroundings areas networking Tuesday, 18 September, 2018 6.30pm – 8.30pm Sandy Cove Tavern, 146 S Yunderup Rd, South Yunderup 6208
Freo Friends Networking Tuesday, 25 September, 2018
5.45pm – 7.30pm Black Swan Health, Suites 105-108, First Floor, Wesley Central, Fremantle 6160



Clinical Deterioration: Identify, Assess, Prevent Seminar – 13 to 14 September

There is a significant potential for patients across any clinical setting to rapidly become unwell. Recent system changes have been rolled out to encourage better management of clinical deterioration. However, your ability to recognise and respond to changes in a patient’s condition early is a high priority if acute illness is to be averted. Attend this two-day seminar to gain knowledge that will help you to feel more confident that your essential assessment skills and early nursing management can detect early cues and prevent poor patient outcome. Learn about the power of assessment when your patient is deteriorating, how to recognise sepsis early, warning signs of acute kidney injury and many more.

Date:              Thursday, 13 September – Friday, 14 September 2018  
Time:              9.00am – 4.00pm (registration from 8.30am)
Venue:           Holiday Inn Perth City Centre, 778-788 Hay Street
Cost:               $398 for one day, $520 for both days
Register:       To register, please click here


Women’s Health Strategy & Programs 2018 – 13 September, 15 October & 7 November

The Women’s Health Strategy & Programs provides training to improve the health and safety of families in WA Health. Please refer to the table below for upcoming sessions in 2018.

Session Date Time Location
Perinatal Anxiety Disorders Thursday, 13 September 2018
9.00am – 4.00pm Special Dining Room, KEMH, Subiaco WA 6008
The Uses and Misuses of the Edinburgh Postnatal Depression Scale Monday, 15 October, 2018 9.00am – 1.30pm Special Dining Room, KEMH, Subiaco WA 6008
The Perinatal Anxiety Screening Scale Wednesday, 7 November, 2018
9.00am – 1.30pm Special Dining Room, KEMH, Subiaco WA 6008

For more information, please click here. From this page, you can also register by scrolling to the bottom of the page to find Bookings and download a Registration form.


Mandurah and surrounding areas networking – 18 September

The WA Rural Networking Group is a group designed to provide an opportunity to connect like-minded Practice managers from all disciplines to learn from each other by sharing ideas, sharing experiences, giving perspectives and brainstorming any current issues. Our meetings are casual and held in a relaxed atmosphere where you can purchase refreshments and/or a meal and network with other practice managers.

Date:               Tuesday, 18 September 2018   
Time:               6.30pm – 8.30pm
Venue:            Sandy Cove Tavern, 146 S Yunderup Rd, South Yunderup WA 6208
Cost:                Free (food and beverage at own cost)
Register:        To register, please click here


HIV PrEP Update for GPs and Practice Nurses – 18 September and 10 October

This training will provide GPs, nurses and health professionals working in primary care an update on strategies available for the prevention of HIV transmission, focusing on prevention particularly pre-exposure prophylaxis (PrEP). This program will also include an STI update and WA AIDS Council session covering a health consumers perspective around PrEP.

Date:               Tuesday, 18 September, 2018   
Time:               6.30pm – 9.30pm (registration from 6.15pm)
Venue:            Karratha International Hotel, Cnr Hillview & Millstream Rds, Karratha 6714
Cost:                Free (this course will also be delivered via webinar)
Register:       To register, please click here

Date:               Wednesday, 10 October, 2018   
Time:               6.15pm – 9.30pm (registration from 6.15pm)
Venue:            Fraser Suites Perth, 10 Adelaide Terrace, East Perth WA 6004
Cost:                Free
Register:       To register, please click here


Black Dog Institute Perinatal in Practice – 6 October (Northam) & 24 November (Albany)

Learn about the current understanding of perinatal mood disorders and its management, using lecture, case studies and interactive exercises. Thanks to the generosity of CBH Group, Black Dog Institute is offering significantly reduced-cost workshops in regional areas across Western Australia.

Date:               Saturday, 6 October 2018   
Time:               9.00am – 5.00pm
Venue:            Northam Recreation Centre, 44 Peel Terrace, Northam WA 6401
Cost:                $50.00
Register:        To register, please click here

Date:               Saturday, 24 November 2018   
Time:               9.00am – 5.00pm
Venue:            Masters Builders, 30 Graham St, Albany WA 6330
Cost:                $50.00
Register:        To register, please click here

These sessions are suitable for Allied Health providers, Nurses, Midwives, Counsellors, GP Registrars, GPs and Psychologists.

These sessions have 40 Category 1 RACGP QI&CPD points, 6 hours CPD for Australian Association of Social Workers, and are a CPD Recognised Activity for the Australian College of Midwives.


Cracks in the Ice: In the Frontline – 17 October (webinar)

The next Cracks in the Ice webinar will focus on supporting frontline workers with key information and resources about crystal methamphetamine. The webinar will be presented by Allan Trifonoff and Roger Nicholas from the National Centre for Education and Training on Addiction (NCETA).

Date:                Wednesday, 17 October, 2018
Time:               9.00am – 10.00am (WST) (12.00pm – 1.00pm AEDT)
Venue:            Online
Cost:                Free
Register:        To register, please click here


BreastScreen WA’s Pink Ribbon Breakfast – 22 October

BreastScreen WA (BSWA) is holding the annual Pink Ribbon breakfast with keynote speakers Professor Christobel Saunders AO, MBBS, FRCS, FRACS, FAAHMS, and Kathleen Mazella OAM.

Date:                Monday, 22 October, 2018
Time:               Breakfast from 7.30am – 9.00am (registration from 7.00am)
Venue:            Fraser’s Function Centre, Kings Park
Cost:                $40.00 (inc GST)
RSVP:              by Tuesday, 16 October, 2018
Register:        To register, please click here

For further information, please email BreastScreen WA or phone (08) 9323 6707.


Alcohol Screening and Brief Interventions Project Findings – 24 October

If you are a GP interested in expanding your professional knowledge on alcohol screening and brief interventions, please consider attending the Fiona Stanley Hospital (FSH) Grand Round to hear presentations on the Alcohol Screening and Brief Intervention Project, which was carried out with the WAPHA funding in 2017-208 at Fiona Stanley and Rockingham General Hospitals. The presentation will cover burden of alcohol in Australia and project overview, patient and staff attitudes, research evaluation results, clinical impact and operational feasibility and future directions.

Date:               Wednesday, 24 October 2018   
Time:               12.00pm – 1.00pm (registration from 11.50am)
Venue:            Fiona Stanley Hospital, Education, Lecture Theatre G.1
Cost:                Free
Register:       To register, please click here (RSVP by 28 September 2018)


Decongestive Lymphatic Therapy (DLT) Casley-Smith Method – 8 – 13 November

This is a comprehensive and detailed, hands-on, six-day course. It ill give you the training and skill set you need to be able to treat and manage clients with Lymphoedema, as well as other associated conditions like lipoedema and oedema.

Date:                8 - 13 November, 2018
Time:               8.30am – 5.00pm
Venue:            Australian Institute of Fitness, 177 George St, Perth 6000
Cost:                $1700.00
Register:        To register, and for more information, please click here


Protecting Brains and Bones: What a GP Needs to Know – 10 November

Presented by Osborne Park Hospital in partnership with WA Primary Health Alliance and HealthPathways WA

Date:               Saturday 10 November 2018
Time:               Presentations from 8.30am to 3.30pm (registration from 8.00am)
Venue:             University Club, UWA, Crawley WA 6009, free parking available at Entrance 1, Carpark 3
Catering:       Morning tea and lunch will be provided
Register:       To register, please click here

Registrations are essential. RSVP by Friday 2 November 2018.

This event has 40 Category 1 QI&CPD points.

Education sessions include:

  • Early diagnosis and management of Parkinson’s Disease by Dr Barry Vieira
  • Early diagnosis, differential diagnosis and management of dementia by Dr Brendan Foo
  • Acute stroke and TIA, early diagnosis and management by Dr Kien Chan
  • Diagnosis and management of osteoporosis by Professor Charles Inderjeeth
  • Geriatric residential outreach service summary by Dr Charmaine Chua


The Ehlers-Danlos Society Learning Conference Australia – 10 to 11 December

After years of demand and need The Ehlers-Danlos Society is very excited to bring together in Australia leading world experts to discuss the Ehlers-Danlos syndromes and related disorders, including the recently-described hypermobility spectrum disorders.

Date:               Monday, 10 December – Tuesday, 11 December 2018    
Time:               8.00am – 6.00pm (Day 1), 7.30am – 6.00pm (Day 2)
Venue:            Curtin University Building 410, Kent Street, Bentley Perth WA 6102
Cost:                $150 (Day 1), $350 (Day 2)  
Register:        To register, please click here


Health promotion events in September

Is your practice looking for a health promotion activity for your practice?  Each edition we provide a list of upcoming health promotion activities for the coming months along with resources and contact details.

You can also view all health promotion activities for the year by visiting Practice Assist’s health calendar.

Women’s Health Week: 3 – 7 September

The Jean Hailes Women’s Health Week is a week dedicated to all women across Australia to make good health a priority.

The two biggest barriers for women not maintaining a healthy lifestyle is ‘lack of time’ and ‘health not being a priority’. Women’s Health Week is the time to put ourselves first, for just one week, and start making positive changes that can last a lifetime.

Learn more and get involved by visiting

Prostate Cancer Awareness Month

September is Prostate Cancer Awareness Month and Prostate Cancer Foundation of Australia is asking Australia to get involved and help create awareness and raise the much-needed funds to help in the fight against prostate cancer. Prostate cancer is the most commonly diagnosed cancer in men in Australia with almost 20,000 diagnoses and close to 3,500 deaths each year.

To learn more and get involved, please click here.

Dementia Awareness Month

Dementia Awareness Month is Dementia Australia’s national awareness-raising campaign held every year throughout September. 

Its aim is to encourage all Australians to become more aware of dementia, to get a better understanding of what it is like to live with dementia and how we can support people living with dementia.

This year’s theme is Small actions Big difference.

There are many small actions people can take to create a big difference for people impacted by dementia, their families and carers. 

To get involved in Dementia Awareness Month, please click here.


Practice Assist acknowledges and pays respect to the Traditional Owners and Elders of this country and recognises the significant importance of their cultural heritage, values and beliefs and how these contribute to the positive health and wellbeing of the whole community.

While the Australian Government Department of Health has contributed to the funding of this website, the information on this website does not necessarily reflect the views of the Australian Government and is not advice that is provided, or information that is endorsed, by the Australian Government. The Australian Government is not responsible in negligence or otherwise for any injury, loss or damage however arising from the use of or reliance on the information provided on this website.