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Credentialing and Defining Scope of Practice

Credentialing and defining the scope of clinical practice at Ballarat Health Services

Information Documents:

Application Forms:

Policies and procedures for credentialing and defining the scope of clinical practice are set by the Department of Health and Human Services to ensure competency and to facilitate the highest standard of performance of medical professionals practising within its facilities.


Credentialing is the formal process of assessing a health care professional's qualifications, training, experience and clinical competence in relation to their role within BHS.

Credentials which senior medical practitioners may offer as evidence of qualifications, training, experience and clinical competence include:

  • certified evidence of university degrees;
  • fellowships of professional colleges or associations;
  • certificates of service or completion of specific courses;
  • validated competence;
  • confidential professional referee reports and;
  • professional indemnity history and current status;
  • current medical registration; and,
  • participation in and compliance with continuing medical education program of the relevant medical college.

Defining the scope of clinical practice

The scope of clinical practice represents the range and scope of clinical responsibility that a health care practitioner may exercise in the facility.

The BHS Guidelines for Defining Clinical Discipline Specific Credentialing and Scope of Practice define the scope of clinical practice relevant to each clinical discipline within BHS and specify the credentials required to support applications for each scope of practice. Practitioners should consult the guidelines when applying for credentialing and scope of practice definition.

Scope of practice definition involves review by professional peers who assess whether the appointee has the relevant credentials to be able to meet the clinical service needs associated with the appointment.

Each clinical discipline has a defined scope of core clinical practice as defined in the BHS Guidelines. Senior medical staff may also apply for additional advanced scope of practice which requires specific credentialing as specified in the guidelines.

Core scope of practice: the routine expectations of clinical service that are a normal part of training for a member of the relevant unit, and in keeping with the practitioner's qualifications and training are considered to be usual practice or agreed usual clinical privileges.

Advanced scope of practice: specific clinical areas of expertise, usually requiring additional training or specialised expertise, such as procedures or treatments that may be performed by only a few members of the relevant unit, are considered to be advanced scope of practice or agreed special clinical privileges. This usually requires individual procedures or categories of treatments/procedures to be specified as included in the individual practitioner's advanced scope of practice.

For further information please contact the Credentialling Officer via email or phone 03 5320 8663.