Gender-based undervaluation – priority awards review

 

 

Gender-based undervaluation – priority awards review

In April 2025, the Fair Work Commission (FWC) released a provisional decision outlining proposed changes to the Health Professionals and Support Services (HPSS) Award as part of a broader initiative to address gender-based undervaluation of work in key sectors, including health and community services.

The proposed changes are currently under review and have not yet been finalised. They aim to update the classification structure and associated minimum wage rates to more accurately reflect the value, complexity, and qualifications required for professional roles covered by the award, including physiotherapists. The FWC has indicated several intended outcomes through its provisional recommendations:

  • Modernised Classification Structure: A more streamlined and simplified classification model that clearly reflects entry-level qualifications
  • Revised Pay Rates: Increased minimum hourly rates at key classification levels to better reflect work value and provide alignment with other benchmark figures, such as those used in the Aged Care Work Value case.
  • Recognition of Senior Roles: Introduction of higher classification levels to acknowledge the contributions of senior clinicians, team leaders, and specialists with additional qualifications.
  • Improved Clarity and Consistency: A structure that is easier for both employers and employees to understand and apply, reducing ambiguity in role classification and progression.

The APA has submitted a position statement on the matter. The position statement supports the principle of gender pay equality and appropriate increases to physiotherapist wages. Though, importantly, the statement calls for a holistic review of the funding mechanisms available for physiotherapy and for the FWC to consider a staged transition to any final decision, to ensure the viability of physiotherapy practices and limit the potential impact on patient access to care.

Provisional outcomes and comparison table

This resource summarises the key provisional outcomes and a table (page 3) comparing the current minimum rates with those suggested in the FWC’s provisional view.

Please note: This information is provided for awareness only. The proposed figures are not yet final and should not be used for employment decisions at this stage.

FAQs – Proposed award changes and what they mean for you 

The FWC has proposed changes that may lead to increased minimum pay rates in the Health Professionals and Support Services Award. However, these changes are still under review and have not been finalised. For now, we recommend:  

  • staying informed through official updates from your employer or the APA
  • being patient as the process takes time and no immediate action is required on your part
  • speaking to your HR representative or employer if you have specific concerns or questions.

The provisional view of the FWC is to standardise the award at entry to the workforce at the minimum acceptable education required, which, for physiotherapy, has been set by the APC at Bachelor level (AQF7). 

While the proposed changes to the award do provide additional, higher-level classifications (to recognise the skill set of specialists with postgraduate qualifications, health professionals in supervisory or management roles, and those working in senior clinical or service management roles) it is not yet clear if this pay point is accessible at entry level for those entering the workforce with a post-graduate degree. 

While the aim of an award is to set a minimum, this does not preclude an individual negotiating their own arrangements based on market forces.

It’s important to note that the initial decision issued by the FWC is provisional, and nothing is confirmed at this stage. The FWC have sought ongoing consultation, and the APA is actively engaged in that process. 

As these changes are still in the proposal stage, we encourage employers to stay informed but to not make any immediate decisions until further details are confirmed. While we understand the desire to stay ahead of potential developments, it is important to approach this matter with caution and informed planning. 

Employers may wish to consider undertaking a preliminary review of their employment arrangements to assess potential areas of impact. The information available in the provisional view indicates that any change is likely to affect all types of employment arrangements. The proposed minimum rate increases do not target or exempt any particular category. Whether an employee is paid a salary, hourly rate, or a retainer with a bonus/commission structure, employers will need to ensure that the new minimum rates are met in each individual pay period.

No, not immediately.  These are proposed changes only and the specifics as they relate to different employment structures is not yet clear.  

However, proposed changes may necessitate contract wording updates in the future, particularly for agreements and policies related to bonuses or pay structures. 

Some detail on the proposed changes to classifications is included in Table 1 – Provisional comparison table which outlines the provisional changes and how they may impact existing classification levels. 

In regard to the action required as staff advance through levels of classification, the proposed decision does not currently provide any specific detail on how progression through pay points or levels would work under a revised structure, or whether the existing progression model will change at all. For now, it’s reasonable to continue applying the same level of preparedness you would under the current award provisions. 

Under the existing award, employers are required to track experience gained over time. For full-time employees, this generally involves conducting a review once they’ve met the necessary timeframe for progression. For part-time or casual employees, it means monitoring the number of hours worked until they meet the required threshold. 

Any annual reviews conducted now should already be outlining any applicable level increases, and those changes would typically be documented through updated employment contracts or letters of variation.

Based on the information currently available, it appears that the proposed changes would only apply to health professional employees, such as physiotherapists. While the FWC’s provisional decision does mention a reclassification of roles like dental assistants and pathology assistants, these changes are unlikely to be relevant to APA members.

Of course, ongoing developments should continue to be monitored through the consultation process in case of any change.

The FWC has not published a definitive timeline beyond the next hearing scheduled for 20 May 2025, which the APA will attend following the submission of our formal response. 

While no rollout details have been provided, the APA has strongly advocated for a staged implementation to ensure changes are introduced in a coordinated, pragmatic way—supporting the viability of private practices and minimising impacts on patients.

We will keep members informed of all milestone dates as they become available.

While this is provided as an example only, it is worth noting that the final decision to address gender-based undervaluation in the Pharmacy Industry Award 2020 adopted a staged approach, with increases to minimum wage rates implemented over a three-year period. The APA has advocated for a similarly staged approach. However, this example should be referenced with caution, as the final decision-making process may differ for the HPSS award.

Each practice will be affected differently depending on how staff are currently classified and remunerated. As the Commission’s recommendations are still provisional, we urge members not to act prematurely.

In time, we recommend seeking advice tailored to your circumstances from a qualified HR advisor or employment lawyer.

Premium Principal members of the APA Business Group are reminded they have access to HR in Practice, a dedicated advisory service for practice-specific HR support. If you’re not currently using this service and would like to learn more, please contact the APA. 

This is a concern the APA shares with our members. The FWC has a specific mandate to ensure that minimum award rates reflect the value of work, promote gender equity, and provide fair and equitable wages - particularly where undervaluation has been identified. It does not have oversight of broader funding mechanisms, such as Medicare, private health insurance rebates, or mechanisms including DVA and NDIS, which are set by separate government bodies.

This disconnect between rising employment costs and static or constrained funding sources creates real pressure for private practices and community providers - many of whom operate as small businesses. The APA continues to advocate strongly for funding reform across all relevant channels to ensure that the physiotherapy profession remains viable, sustainable, and accessible for patients.

While we support the principles behind fair and equitable pay, we also recognise the importance of how these changes are implemented. That’s why the APA is now engaging directly with the Commission - to ensure the impact on physiotherapy is clearly understood, and to advocate for a practical and phased approach that considers the realities of service delivery, funding limitations, and patient access.    

Our preliminary understanding is that private hospitals may need to review the details of any enterprise bargaining agreements once the FWC’s final decision is issued, to ensure compliance with any updated minimum award conditions.

The impact on public hospitals and state-based systems will depend on jurisdiction-specific arrangements and any applicable state awards. 

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If you wish to access this service, please call 1300 306 622 (9.00 am to 5.00 pm, Monday to Friday AEST) or email us