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Reforms to medicine in aged care proposed

The state government has introduced new legislation into parliament that seeks to restrict who can administer certain medications in aged care facilities.

The Drugs, Poisons and Controlled Substances Amendment Bill 2025, would see only registered nurses or other authorised health professionals administer specific medicines and drugs of dependence.

Poised to come into effect on July 1 2026 if successfully passed, the state government believes it would reduce the risk of medicine-related issues in residential aged care.

This includes drugs such as local anaesthetics, antibiotics, strong medicines with strict legislative controls including opioid analgesics.

Pethidine, morphine, oxycodone and benzodiazepines will be among the controlled substances and some medications used in clinical trials will be subject to the legislation.

The bill was drafted following the Royal Commission into Aged Care Quality and Safety and with consultation Australian Nursing and Midwifery Federation, unions and other peak bodies.

The bill will allow for exceptions in emergencies or other unexpected situations where delayed medication could put a resident at risk; nor will it impact patient’s self administered medications or voluntary dying schemes.

Health minister Mary-Anne Thomas said the change would bring age care in line with other health sectors.

“These reforms will ensure that medication in aged care is handled with the same care and clinical oversight you would expect in any hospital or health service across the state,” she said.

The reform will be reviewed after five years to ensure it is working as intended and that providers continue to have the support they need.

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