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Advisory AS22/03: Advice on not applicable actions for BreastScreen Australia Services

To clarify not applicable actions for BreastScreen Australia (BSA) Services implementing the National Safety and Quality Health Service (NSQHS) Standards.

Advisory details

ItemDetails
Advisory numberAS 22/03
Version number1.0
Publication dateAugust 2022
Replaces-
Compliance with this advisoryIt is mandatory for approved accrediting agencies to implement this Advisory
Information in this advisory applies to
  • All approved accrediting agencies
  • All Breast Screen Australia Services
Key relationshipAll NSQHS Standards
AttachmentSummary tables of not applicable actions
Notes 
Responsible officerDirector, National Standards
Phone: 1800 304 056
Email: AdviceCentre@safetyandquality.gov.au
To be reviewedDecember 2027

 

Purpose

To clarify not applicable actions for BreastScreen Australia (BSA) Services implementing the National Safety and Quality Health Service (NSQHS) Standards.
 

Issue

There are actions in the NSQHS Standards that do not apply to BreastScreen Australia (BSA) Services, because of the scope of services they provide and the context in which they operate. The Australian Commission on Safety and Quality in Health Care (the Commission) has issued this advisory to ensure the consistent application of not applicable status to actions from the NSQHS Standards across BSA Services.

BSA Services have worked with the Commission to identify and provide evidence of actions that are not applicable. The evidence supplied demonstrates that the actions identified as not applicable present little or no risk of patient harm. 

BSA Services should confirm the not applicable actions with their accrediting agency well in advance of their assessment. 
 

Requirements

The actions that have been agreed as not applicable for BSA Services are listed at Attachment 1.

Accrediting agencies are required to refer to the Attachment 1 prior to assessing BSA services.

Where additional not applicable actions are sought, or there are differences in opinion between the BSA service and its accrediting agency that cannot be resolved, application can be made by either the accrediting agency or the BSA Service to the Commission for resolution.
 

Attachment: Summary tables of not applicable actions

ActionApplicability to BSA Services
1.01No exclusion
1.02No exclusion
1.03No exclusion
1.04No exclusion
1.05No exclusion
1.06No exclusion
1.07No exclusion
1.08No exclusion
1.09No exclusion
1.10No exclusion
1.11No exclusion
1.12No exclusion
1.13No exclusion
1.14No exclusion
1.15No exclusion
1.16No exclusion
1.17No exclusion
1.18Not applicable when evidence is provided that the My Health Records system is not in use.
1.19No exclusion
1.20No exclusion
1.21No exclusion
1.22No exclusion
1.23No exclusion
1.24No exclusion
1.25No exclusion
1.26No exclusion
1.27No exclusion
1.28No exclusion
1.29No exclusion
1.30No exclusion
1.31No exclusion
1.32Not applicable
 1.33No exclusion
ActionApplicability to BSA Services
2.01No exclusion
2.02No exclusion
2.03No exclusion
2.04No exclusion
2.05No exclusion
2.06No exclusion
2.07No exclusion
2.08No exclusion
2.09No exclusion
2.10No exclusion
2.11No exclusion
2.12No exclusion
2.13No exclusion
2.14No exclusion
ActionApplicability to BSA Services
3.01
  • No exclusions: a,b,d
  • c. Not applicable when evidence is provided that antimicrobials are not administered or prescribed
3.02
  • No exclusions: a,b,c,e,f,g
  • d. Not applicable when evidence is provided that antimicrobials are not administered or prescribed
3.03
  • No exclusion: a,b,c,g
  • d. Not applicable when evidence is provided that antimicrobials are not administered or prescribed
  • e. Not applicable when evidence is provided that antimicrobials are not administered or prescribed
  • f. Not applicable when evidence is provided that antimicrobials are not administered or prescribed
3.04
  • Not applicable when evidence is provided that antimicrobials are not administered or prescribed
3.05
  • a. Not applicable when evidence is provided that a health service organisation does not administer or prescribe antibiotics
  • b. Where it is not possible to measure infection outcomes in this setting, measurement of infection control processes (i.e. process measures) should be collected.
3.06
  • No exclusion 
3.07
  • No exclusion
3.08
  • No exclusion a,b,e,f,g,h,i
  • c. Not applicable
  • d. Not applicable 
3.09No exclusion
3.10No exclusion
3.11 Not applicable when evidence is provided that Aseptic technique is not performed
3.12Not applicable when evidence is provided that invasive devices are not in use
3.13 No exclusion
3.14No exclusion
3.15No exclusion
3.16No exclusion
3.17
  • a. Not applicable if single-use items only are in use, includes all levels of reusable clinical equipment and instrumentation
  • b. Not applicable if single-use items only are in use for critical and semi-critical equipment, instruments and devices
3.18Not applicable 
3.19Not applicable 
ActionApplicability to BSA Services
4.01No exclusion
4.02No exclusion
4.03No exclusion
4.04No exclusion
4.05No exclusion
4.06Not Applicable
4.07No exclusion
4.08No exclusion
4.09No exclusion
4.10No exclusion
4.11No exclusion
4.12Not Applicable
4.13No exclusion
4.14No exclusion
4.15No exclusion
ActionApplicability to BSA Services
5.01No exclusion
5.02No exclusion
5.03No exclusion
5.04No exclusion
5.05No exclusion
5.06No exclusion
5.07No exclusion
5.08No exclusion
5.09Not applicable  
5.10No exclusion
5.11No exclusion
5.12No exclusion

5.13

 

No exclusion

 

5.15Not applicable
5.16Not applicable 
5.17Not applicable 
5.18Not applicable 
5.19Not applicable 
5.20Not applicable 
5.21Not applicable 
5.22Not applicable 
5.23Not applicable
5.24Not applicable when evidence is provided by the BSA service that they have had no incidents of falls over the preceding 12 months
5.25No exclusion
5.26No exclusion
5.27Not applicable 
5.28Not applicable 
5.29No exclusion
5.30No exclusion
5.31No exclusion
5.32Not Applicable
5.33No exclusion
5.34No exclusion
5.35Not Applicable
5.36Not Applicable
ActionApplicability to BSA Services
6.01No exclusion
6.02No exclusion
6.03No exclusion
6.04No exclusion
6.05No exclusion
6.06No exclusion
6.07No exclusion
6.08No exclusion
6.09No exclusion
6.10No exclusion
6.11No exclusion
ActionApplicability to BSA Services
7.01Not applicable
7.02Not applicable 
7.03Not applicable 
7.04Not applicable 
7.05Not applicable 
7.06 
7.07Not applicable 
7.08Not applicable 
7.09Not applicable 
7.10Not applicable 
ActionApplicability to BSA Services 
8.01No exclusion
8.02No exclusion
8.03Not Applicable 
8.04Not Applicable 
8.05Not Applicable 
8.06Not Applicable 
8.07Not Applicable 
8.08Not Applicable 
8.09Not Applicable 
8.10Not Applicable 
8.11Not Applicable 
8.12Not Applicable 
8.13Not Applicable

Last updated: 13 March 2026