SCM2231 Employment Related Medical Services Prequalification Scheme
6
Suppliers on this scheme
20-Mar-2025
Last updated
Managed | Public Service Commission |
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Type |
Whole of government
Recommended |
Scheme category | Healthcare |
Scheme ID | SCM2231 |
Scheme owner | Francine Cutler medicalservices@premiersdepartment.nsw.gov.au |
04-Apr-2016 12:00 AM
04-Apr-2016 9:00 AM
17-Oct-2026 11:59 PM
28-Feb-2019 5:00 PM
Description
A panel of service providers for employment related medical assessments and other medical services.
Scope
This is a full prequalification process which will enable Applicants, once prequalified, to be engaged by Agencies under the Scheme with no value limit. As part of the prequalification process Applicants are required to provide business details, information about services, capability statements, fees/ service rates, and any information about their business service delivery philosophy. Applicants must use the templates provided where applicable. Information provided as part of this Application will inform the capability assessment process to determine membership to the Scheme.
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Schedule 1_Standard Form of Agreement (Agency Agreement) October 2021Schedule-1_Standard-Form-of-Agreement-Agency-Agreement-October-2021.docx (VND.OPENXMLFORMATS-OFFICEDOCUMENT.WORDPROCESSINGML.DOCUMENT, 87 kb)
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Schedule 2_Description of Service requirementsTAB-A-Schedule-2_Description-of-Service-requirements.pdf (PDF, 103 kb)
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Schedule 3_Service levels and key performance reporting October 2021 PDF.pdfSchedule-3_Service-levels-and-key-performance-reporting-October-2021-PDF.pdf (PDF, 215 kb)
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Schedule 4_Form 01_Agency Referral for Medical Services October 2021Form-01_Agency-Referral-for-Medical-Services-October-2021.docx (VND.OPENXMLFORMATS-OFFICEDOCUMENT.WORDPROCESSINGML.DOCUMENT, 679 kb)
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Schedule 4_Form 02_Employee Acknowledgement October 2021Form-02_Employee-Acknowledgement-October-2021.docx (VND.OPENXMLFORMATS-OFFICEDOCUMENT.WORDPROCESSINGML.DOCUMENT, 34 kb)
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Schedule 4_Form 03_Privacy and Consent to Release Medical Information October 2021Form-03_Privacy-and-Consent-to-Release-Medical-Information-October-2021.doc (MSWORD, 46 kb)
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Schedule 4_Form 04_Request for Review of Medical Assessment October 2021Form-04_Request-for-Review-of-Medical-Assessment-October-2021.docx (VND.OPENXMLFORMATS-OFFICEDOCUMENT.WORDPROCESSINGML.DOCUMENT, 56 kb)
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Schedule 4_Standard forms and templates October 2021Schedule-4_Standard-forms-and-templates-October-2021-PDF.pdf (PDF, 596 kb)
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Schedule 5_Agency report on Service Provider performance October 2021Schedule-5_Agency-report-on-Service-Provider-performance-October-2021.docx (VND.OPENXMLFORMATS-OFFICEDOCUMENT.WORDPROCESSINGML.DOCUMENT, 31 kb)
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Schedule 6_Referee Report template for Applicants October 2021Schedule-6_Referee-Report-template-for-Applicants-October-2021.docx (VND.OPENXMLFORMATS-OFFICEDOCUMENT.WORDPROCESSINGML.DOCUMENT, 36 kb)
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Schedule 7_Service Provider six-monthly reporting template October 2021Schedule-7_Service-Provider-six-montly-reporting-template-October-2021.xlsx (VND.OPENXMLFORMATS-OFFICEDOCUMENT.SPREADSHEETML.SHEET, 22 kb)
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Information Sheet Medical AssessmentTAB-A-Information-Sheet_Employee-Information_Medical-Assessments.docx (VND.OPENXMLFORMATS-OFFICEDOCUMENT.WORDPROCESSINGML.DOCUMENT, 73 kb)
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Guide for ApplicantsGuideline_Medical-Assessments-for-the-Public-Sector-2021-PDF.pdf (PDF, 272 kb)
Instructions
Applicants should allow adequate time to review the requirements, gather the necessary information and plan responses to questions.
Complete the online application, ensuring required documents are attached (e.g. company profile information, copies of insurance policies, referee reports, fee schedule), and submit the completed application by the closing date and time.
Scheme Requirements
SCM2231 Scheme specific questions
Medical assessments
Please describe: What systems, processes (including timeframes and triage processes) and practices are in place to manage and provide employer referrals for medical assessments. Indicate if the systems and processes are different for non-work related health conditions. How your organisation will determine the most appropriate medical assessor for the referral, including medical specialists, where necessary. Describe any governance arrangements to ensure fairness and objectivity.
Response type:
Text area
Administrative support to the Review Panel
Please describe systems, processes and mechanisms your business will apply to provide this service.
Response type:
Text area
Pre-employment and periodic health assessments
Please describe systems, processes (including timeframes and triage processes) and practices your business applies to an agency referral for pre-employment medical and periodic health assessment. Describe any governance arrangements to ensure fairness and objectivity.
Response type:
Text area
Medical certificate validations
Please describe systems, processes and practices your business applies to providing this service. Describe any governance arrangements to ensure fairness and objectivity.
Response type:
Text area
Quality assurance
Please describe how your business ensures quality assurance/review processes across all services nominated for prequalification in your application. Include how your business will ensure there are no conflicts of interest and that privacy and confidentiality and professional and ethical conduct is maintained. Where applicable, please also outline any differentiation in the process between internal and sub-contracted resources.
Response type:
Text area
Privacy and confidentiality
Access to personal and sensitive information will be provided during the course of an engagement. Please describe and outline the systems and processes that will be in place to manage and ensure privacy and confidentiality of such information. Where applicable, please also outline any differentiation in the process between internal and sub-contracted resources.
Response type:
Text area
Record keeping
Records relating to employee and agencies will be generated with each service engagement. Please describe systems and processes of your business in record keeping, retrieval and reporting, in both paper and electronic formats. Where applicable, please also outline any differentiation in the process between internal and sub-contracted resources.
Response type:
Text area
Tier One: Applicant referee reports
Applicants must provide at least three (3) referee reports in the specified template (Schedule 6 of the Scheme Conditions) for each ‘Tier’ of service nominated in the application. Referee reports must refer to completed engagements provided or completed in the last 18 months and within Australia. Applicants should indicate the relevant 'Tier' they are applying for on the form before sending it onto their referees for completion. The applicant must then upload all completed referee reports in a single zip folder. Referee reports will only be considered if they: ·relate to fee-for-service engagements; ·have been completed in the specified template and signed by an authorised representative; and ·relate to services nominated by the applicant and are covered by this Scheme. DFSI/PSC may contact the referee to verify or clarify aspects of a referee report as part of the prequalification process, and agencies may contact referees as part of their procurement process. Please use the attached template to provide your three (3) Referee Reports relating to medical assessments.
Response type:
File upload
Financial solvency
Please upload a recent letter/statement from an independent accountant stating the solvency of the Applicant. The letter/statement must have been prepared within the last twelve (12) months and explicitly state financial solvency of the Applicant. The letter/statement cannot be open to interpretation, so financial statements or annual reports are not acceptable.
Response type:
File upload
Operational readiness and ongoing performance
Will your business be operationally ready to provide Services when the Scheme commences and for the duration of the Scheme period
Response type:
Radio button yes/no
Operational readiness and ongoing performance
If you answered ‘Yes’ to the previous "Operational readiness and ongoing performance" question, please outline how your business will prepare for the start of the Scheme and ongoing performance, including planning, governance, risk management, resourcing, technology, marketing, legal and financial arrangements.
Response type:
Text area
Facilities
Please describe your business’s facilities for service provision under the Scheme. This may include location/s of facilities that comply with disability access and privacy requirements; technology and equipment. Where applicable, please indicate any differentiation in facilities for sub-contracted service delivery.
Response type:
Text area
Work health and safety statutory obligations
Do you comply with all Work health and safety obligations?
Response type:
Radio button yes/no
Fees
Please use the attached fee schedule template for rates and fees that will apply for at least 12 months from the date of acceptance onto the Scheme.
Response type:
File upload Date
Capabilities
Tier One: Employment related medical assessment services (Core)
001 Medical assessments, Administrative support to the review panel, Medical certificate validation, Pre-employment and periodic health assessments
Question 1:
Medical Assessments: How your organisation will determine the most appropriate medical assessor for the referral, including medical specialists, where necessary. Describe any governance arrangements to ensure fairness and objectivity.
Employment related medical assessment services Question 1:
Response type:
Free text
Question 2:
Administrative support to the Review Panel: Please describe systems, processes and mechanisms your business will apply to provide this service.
Employment related medical assessment services Question 2:
Response type:
Free text
Question 3:
Medical certificate validations: Please describe systems, processes and practices your business applies to providing this service. Describe any governance arrangements to ensure fairness and objectivity.
Employment related medical assessment services Question 3:
Response type:
Free text
Tier Two: Other employment related medical services (Optional)
002 Drug and alcohol testing
Question 1:
Identify areas of substantial expertise by nominating the categories in which you are seeking prequalification.
Employment related medical assessment services Question 1:
Response type:
Free text
003 Functional capacity assessment and advice services
Question 1:
Identify areas of substantial expertise by nominating the categories in which you are seeking prequalification.
Employment related medical assessment services Question 1:
Response type:
Free text
004 Health and wellbeing programs
Question 1:
Identify areas of substantial expertise by nominating the categories in which you are seeking prequalification.
Employment related medical assessment services Question 1:
Response type:
Free text
005 Vaccinations
Question 1:
Identify areas of substantial expertise by nominating the categories in which you are seeking prequalification.
Employment related medical assessment services Question 1:
Response type:
Free text
Terms and conditions
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Terms and conditionsMedical-Assessment-Pre-qualification-Scheme-Conditions-2022-Update.pdf (PDF, 428 kb)
View amendments to this scheme
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