Nursing and midwifery advanced and extended scope of practice

Nurse Practitioner

The nurse practitioner’s role extends beyond the usual scope of nursing practice. To become a nurse practitioner, a nurse must have:

  • the relevant qualifications
  • demonstrated a high level of competence in their area of advanced/ extended practice
  • Nursing and Midwifery Board of Australia (NMBA) nurse practitioner endorsement.

Nurse practitioner positions may be within acute care, aged care, primary health care and/or community settings within a specific scope of practice.

The following information relates to the processes for nurse \practitioner roles including the requirements for implementation, credentialling and prescribing.

Further related information is available at:


Midwifery Prescribing

SA Health values the contribution of midwives in improving the outcomes for women and their babies. A process has been developed to enable public sector midwives who are endorsed by the NMBA for scheduled medicines, and who work in roles where prescribing medicine to women in their care has been included. The process aligns with the credentialling requirements outlined in the Governance Framework for Advanced Scope of Practice Roles and Extended Scope of Practice Roles in SA Health (PDF 1MB).

What is the process for the inclusion of prescribing in midwifery roles?

The following information has been developed to outline the processes for the inclusion of prescribing in midwifery roles, including the requirement for the midwife to be credentialed to prescribe within their scope of practice.

Privately practising midwives access to public sector maternity services

Private midwifery care in public maternity hospitals, within SA Health, is able to be provided by privately practising midwives (PPMs) who have an access Agreement with a public maternity service.

In October 2014, the Clinical Privileging, Admitting and Practice Rights (CPAPR) for Privately Practising Eligible Midwives ( PPEM) in South Australia Policy Directive was released.

This document provides a mechanism by which women are able to have a planned private midwifery model of care in a public maternity service within SA Health hospitals. Following an evaluation and review this policy is now titled the Privately Practising Midwives Access to Public Sector Maternity Services Policy Directive (PDF 669KB).

What has changed?

In line with the changes to the Nursing and Midwifery Board of Australia (NMBA) Registration Standard for Endorsement for Scheduled Medicines for Midwives the term Eligible Midwife will no longer apply after January 2017.

In anticipation of this change, all reference to this term and the related requirements have been removed from the revised policy.

In addition there are now two options for collaborative arrangements for PPMs when applying for an access Agreement including:

  • Option 1: An Agreement with a written collaborative arrangement of the type specified in clauses 5 (1) (c) and 6 of the Determination 2010;
  • Option 2: An Agreement without a written collaborative arrangement where the PPM is in an arrangement with the Local Health Network that satisfies clauses 5(1) (e) and 8 of the Determination 2010.

How do I apply for an Agreement?

The Policy Directive outlines the governance framework and application process for a PPM seeking an access Agreement at an SA Health Local Health Network with maternity services.

In addition to the Policy Directive, SA Health provides the necessary documents required to assist with the application process as follows:

Further information

Further related information is available at:

Advanced Skills Enrolled Nurse

Advanced Skills Enrolled Nurses (ASEN) have additional skills, knowledge and qualifications in nursing. Guiding principles have been developed to help to establish consistent processes when planning and implementing these roles across SA Health: