Title: Nursing/Midwifery (South Australian Public Sector) Enterprise Agreement 2022

Author: Chief Executive, Attorney-General's Department

sahealth.sa.gov.au

About

The Nursing/Midwifery (South Australian Public Sector) Enterprise Agreement 2022 is an official document for nurses and midwives working in the public sector of South Australia. Approved by the Industrial Relations Commission, it sets forth the terms and conditions of employment for these healthcare professionals.

The agreement covers a range of essential topics including salaries, work hours, allowances, leave entitlements, and staffing levels, making it a crucial resource for understanding workplace rights and obligations.

The agreement also outlines specific provisions for different aspects of nursing and midwifery practice. This includes detailed arrangements for staffing, workload management, professional development opportunities, and career progression pathways. It serves as both a guide and a standard for the employment conditions within the South Australian public health sector, ensuring fair and equitable treatment for nursing and midwifery staff.

Author

The author of this agreement is the Chief Executive of the Attorney-General's Department. This entity plays a critical role in the administration of justice and legal affairs, including the oversight and management of industrial relations within the public sector in South Australia.

Key Takeaways

  1. Comprehensive Employment Terms
    The agreement details crucial employment terms, offering clarity on work conditions, rights, and obligations.
  2. Salary and Allowance Information
    It provides in-depth information on salary structures and various allowances relevant to nursing and midwifery roles.
  3. Leave Entitlements and Work Hours
    Outlines specific leave entitlements and work hour regulations, key to managing work-life balance.
  4. Staffing and Workload Provisions
    Includes essential guidelines on staffing levels and workload management, ensuring safe and effective care delivery.
  5. Professional Development Pathways
    Highlights opportunities and provisions for professional development and career advancement within the nursing and midwifery fields.

Salary and Pay for Nurses in SA

In South Australia, nurses' pay rates in 2024 vary by classification and experience. Entry-level Assistant in Nursing/Midwifery positions start at $57,373. Enrolled Nurses begin at $62,128 for those not authorised in medication administration and $64,503 for diploma or certificate holders. Advanced Skills Enrolled Nurses have a starting salary of $72,651.

Classifications / Titles Increment 2024
($) per annum
2025
($) per annum
Assistant in Nursing/Midwifery 1st increment $57,373 $59,094
2nd increment $59,072 $60,844
Enrolled Nurse (Certificate)
- not authorised in
medication administration
1st increment $62,128 $63,992
2nd increment $63,146 $65,040
3rd increment $64,503 $66,438
4th increment $65,860 $67,836
5th increment $67,219 $69,236
6th increment $68,576 $70,633
7th increment $69,935 $72,033
Enrolled Nurse (Diploma) or
Enrolled Nurse (Certificate)
1st increment $64,503 $66,438
2nd increment $66,100 $68,083
3rd increment $67,609 $69,637
4th increment $68,916 $70,983
5th increment $70,611 $72,729
6th increment $72,651 $74,831
Advanced Skills Enrolled Nurse 1st increment $72,651 $74,831
2nd increment $74,009 $76,229
Registered Nurse/Midwife (Level 1) 1st increment $72,651 $74,831
2nd increment $74,927 $77,175
3rd increment $78,131 $80,475
4th increment $81,474 $83,918
5th increment $84,870 $87,416
6th increment $88,283 $90,931
7th increment $91,700 $94,451
8th increment $95,114 $97,967
9th increment $99,129 $102,103
Clinical Nurse/Midwife (Level 2) 1st increment $84,870 $87,416
2nd increment $88,283 $90,931
3rd increment $91,700 $94,451
4th increment $95,114 $97,967
5th increment $99,129 $102,103
6th increment $100,343 $103,353
7th increment $102,655 $105,735
8th increment $104,966 $108,115
9th increment $107,279 $110,497
Associate Nurse/Midwife
Unit Manager (Level 2)
1st increment $100,343 $103,353
2nd increment $102,655 $105,735
3rd increment $104,966 $108,115
4th increment $107,279 $110,497
Nurse/Midwife Unit Manager;
Nurse/Midwife Consultant;
Nurse/Midwife Educator;
Nurse/Midwife Manager (Level 3)
1st increment $121,537 $125,183
2nd increment $124,252 $127,980
3rd increment $126,970 $130,779
Adv. Nurse/Midwife Unit Manager;
Adv. Nurse/Midwife Consultant;
Adv. Nurse/Midwife Educator;
Adv. Nurse/Midwife Manager;
Nurse Practitioner (Level 4)
1st increment $128,327 $132,177
2nd increment $131,122 $135,674
3rd increment $133,758 $137,771
Nursing/Midwifery Director (Level 5) 5.1 $139,868 $144,064
5.2 $156,163 $160,848
5.3 $164,311 $169,240
Director of Nursing/Midwifery (Level 6) 6.1 $139,868 $144,064
6.2 $148,016 $152,456
6.3 $156,163 $160,848
6.4 $164,311 $169,240
6.5 $172,459 $177,633
6.6 $187,397 $193,019
6.7 $205,049 $211,200

Source: APPENDIX 6 — CLASSIFICATION AND SALARIES

For Registered Nurses/Midwives at Level 1, the starting pay is $72,651, increasing with experience and increments. Clinical Nurses/Midwives at Level 2 start at $84,870.

Higher-level roles such as Nurse/Midwife Unit Manager (Level 3) and Nurse Practitioner (Level 4) have starting salaries of $121,537 and $128,327, respectively. The top pay scales include Nursing/Midwifery Directors (Level 5) and Directors of Nursing/Midwifery (Level 6), with starting salaries at $139,868, progressing to higher increments based on experience and responsibilities.

Related: Nurse Salary Australia: Official Pay Rates

Qualification Allowances

In South Australia, nurses are entitled to a Qualification Allowance as part of their remuneration package. The system acknowledges the value of continuous professional development in nursing, and is available to both Registered Nurses/Midwives and Enrolled Nurses.

Nurse Type Qualification Annual Rate (from Jan 2024) Annual Rate (from Jan 2025)
Registered Nurse/Midwife Hospital or Graduate Certificate $3,469.60 $3,573.70
Registered Nurse/Midwife Graduate Diploma $4,460.80 $4,594.60
Registered Nurse/Midwife Second Degree, Masters, PhD $5,452.10 $5,615.70
Enrolled Nurse Post-enrolment courses (≥6 months) $2,542.80 $2,619.10

Related: Qualification Allowances Rates for Nurse

The allowance structure is tiered across four levels, each corresponding to different types of qualifications, from hospital certificates to PhDs. Enrolled Nurses with post-enrolment courses of varying durations are also eligible for an allowance. The rates are paid annually and increase progressively, reflecting the complexity and depth of the qualification. Part-time employees receive these allowances on a pro-rata basis.

Clinical Nurse

In South Australia, the "Clinical Nurse" at Nurse/Midwife Level 2 parallels the role of a Clinical Nurse Specialist found in other Australian states. This classification includes nurses who have advanced their skills to proficient levels. They are adept at managing complex nursing scenarios and providing mentorship to less experienced colleagues.

Responsibilities extend to direct patient care, overseeing care plans, and contributing to health service systems, with a strong focus on person-centred clinical care. Beyond clinical duties, Clinical Nurses are also involved in education and research.

Related: What Is a Clinical Nurse Specialist in Australia?

Nurse Consultant Roles

The Nursing/Midwifery (South Australian Public Sector) Enterprise Agreement 2022 outlines the roles and responsibilities of Nurse Consultants at Level 3 and Advanced Nurse Consultants at Level 4, as follows:

  • Nurse/Midwife Consultant (Level 3): These professionals provide clinical nursing or midwifery expertise for specific individual patients, groups, or patient populations. They may work in various clinical settings, undertaking roles such as providing direct expert nursing or midwifery care, clinical leadership, coordinating and leading projects or programs, and contributing to clinical expertise to improve patient or service outcomes. They are responsible for their nursing or midwifery practice outcomes, professional advice given, and ensuring consistency with practice and policy.
  • Advanced Nurse/Midwife Consultant (Level 4): At this level, clinicians work beyond the usual extent of nursing or midwifery practice. They are autonomous clinical decision-makers, working independently and collaboratively within the healthcare system. Their roles include providing direct expert care, managing statewide portfolios or projects, and contributing to the development, implementation, and evaluation of relevant departmental and government policies. They assess health status, initiate diagnostic tests, manage patient care directly or by delegation, and contribute to clinical protocol and standards development.

Both levels require at least three years of post-registration experience. These roles integrate direct patient care, education, research, leadership, and management, reflecting a high level of expertise and autonomy in decision-making within their area of practice.

Related: What Is a Clinical Nurse Consultant in Australia?

Nurse/Midwife Educator Role

The Enterprise Agreement provides detailed descriptions of the roles and responsibilities of Nurse/Midwife Educators at Level 3 and Advanced Nurse/Midwife Educators at Level 4.

Nurse/Midwife Educators at Level 3 use their clinical knowledge and experience to develop and deliver educational programs. They align clinical practices with policy and coordinate projects to improve educational outcomes. These roles usually require at least three years of post-registration experience and a relevant postgraduate qualification.

Advanced Nurse/Midwife Educators at Level 4 extend their roles to leading and advising on education services. They manage education programs, participate in academic research, and develop curriculums. Their work includes leading specific education projects or portfolios and providing mentorship. These positions also typically require a minimum of three years post-registration experience and relevant postgraduate qualifications.

Related: Clinical Nurse Educator Role in Australia | Graduate Certificate Nursing (Education)

Nurse Unit Manager

In South Australia, a Nurse/Midwife Unit Manager (NUM) at Level 3 is defined as a registered nurse or midwife with at least 3 years of post-registration experience. Their responsibilities include:

  • Direct/Indirect Patient/Client Care. Provide leadership and coordinate patient/client care in a ward/unit/service/program to ensure quality and efficiency.
  • Support of Health Service Systems. Implement and oversee local risk management processes, adapt practices based on service needs and manage local resources within administrative guidelines.
  • Education. Develop a learning environment, coach the team for individual and performance development.
  • Research. Utilise metrics and research to improve practice and service delivery.
  • Professional Leadership. Lead the nursing/midwifery team and multi-disciplinary teams, drive changes in care models, and participate in extended workgroups for patient outcomes.

NUM Level 3 candidates must have 3 years post-registration experience, and be pursuing or holding a relevant postgraduate qualification. They also need to demonstrate leadership in care coordination, decision-making, team development, and resource management.

Related: How to Become a Nurse Unit Manager (NUM) in Australia

Perioperative Staffing Requirements

The document specifies perioperative staffing requirements for the South Australian public sector. It mandates the need for one anaesthetic nurse per operating room, particularly in settings where anaesthesia or sedation is administered.

Related: Role of an Anaesthetic Nurse in Australia