--- title: "NSQHS Action 1.20 explained: mandatory training in hospitals" description: "What NSQHS Action 1.20 asks of a hospital's mandatory training program, in the Commission's own words, and what that means for the training register." canonical: https://peopletechrevolution.com/learn/standards/nsqhs-action-1-20 --- [Learn](https://peopletechrevolution.com/learn) / Standards # NSQHS Action 1.20, explained for the people who have to meet it Every hospital in Australia is assessed against the same set of national standards. One line in them decides what a mandatory training program has to look like, and this page is about that line. What the standards are ## The rulebook every Australian hospital is assessed against The National Safety and Quality Health Service Standards are set by the Australian Commission on Safety and Quality in Health Care, and a hospital keeps its accreditation by meeting every one of them. A resus bay, waiting on the wearer's call. ### Many standards, one assessor An assessment lands with short notice, and a team walks the wards with the standards in hand. They range from clinical governance to communicating for safety, and each one is broken into numbered actions a hospital must show it meets. The first standard, Clinical Governance, is the one that covers how a hospital trains its own workforce. Action 1.20 sits inside it, and it is the line a Director of Clinical Services reads when the training program is being planned. What Action 1.20 says ## In the Commission's own words Quoted from the Clinical Governance Standard on the Commission's own site, and linked below. A nurse works through it in the corridor. ### Four things a training system must do Action 1.20 states that the health service organisation uses its training systems to assess the competency and training needs of its workforce, implement a mandatory training program to meet its requirements arising from these standards, provide access to training to meet its safety and quality training needs, and monitor the workforce's participation in training. Two of those four are about the program itself. The other two are about knowing who needs what, and knowing who actually took part. That second pair is where a training register earns its keep. The session an assessor asks about, run on the ward it is about. What it means in practice ## Two columns that have to agree A training register is only evidence if it answers the assessor's two questions in one place. Who sat the session, and what the session asked them to do. When practice is a scenario staff actually run rather than a module they click through, both columns come from the same record, and the mandatory program stops being a list of completions and starts being something an assessor can inspect. That is the shape PTR builds to. The practice sits inside the mandatory program a hospital already runs, the cohort is recorded as it goes, and the evaluation is reported in the hospital's own name, which is [how it happened at Mater Education](https://peopletechrevolution.com/work/case-studies/mater-speaking-with-good-judgement) and what the [healthcare page](https://peopletechrevolution.com/work/industries/healthcare-medical) is built around. [For Directors of Clinical Services](https://peopletechrevolution.com/work/industries/healthcare-medical/directors-of-clinical-services)[Action 5.34, on aggression](https://peopletechrevolution.com/learn/standards/nsqhs-action-5-34) ## Source The standard this page quotes, on the Commission's own site. ### [Clinical Governance Standard, Action 1.20](https://www.safetyandquality.gov.au/standards/nsqhs-standards/clinical-governance-standard) Australian Commission on Safety and Quality in Health Care, National Safety and Quality Health Service Standards The health service organisation uses its training systems to assess the competency and training needs of its workforce, implement a mandatory training program to meet its requirements arising from these standards, provide access to training to meet its safety and quality training needs, and monitor the workforce's participation in training.