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(1) The University of Newcastle ( (2) This Framework documents the requirements and responsibilities for the development, review, amendment, and rescission of University policy documents. (4) This document should be read and understood by: (5) In the context of this document the following definitions apply: (6) (7) Each policy document must be assigned to a Policy Owner, who is responsible for ensuring: (8) New policy documents must only be developed where the (9) Policy documents must be kept up to date and current throughout the policy effectiveness period. This can be achieved through major amendments, minor amendments, editorial amendments, or a policy review. (10) (11) Where multiple types of policy documents address the same subject matter, the policy documents must be established and preserved within a clear and coherent hierarchy to ensure clarity of authority, support effective implementation, and promote consistent interpretation and application. (13) The Policy Library is the Council approved platform for publication of approved policy documents. (14) Documents, other than those listed in Table 1, are not permitted to be published as policy documents in the Policy Library. (15) Policy documents that are published outside of the Policy Library are not considered authorised (16) To determine if a document constitutes a “policy document”, Legal and Governance Services will defer to the definition of “policy document” within the Government Information Public Access Act. (17) This section outlines the key stages of the policy lifecycle, including the development, approval, publication and implementation and review of policy documents. (18) The preparation stage forms part of the ongoing policy lifecycle and contributes to currency and effectiveness. (19) The Policy and Delegations Officer must be contacted when considering the development of a new policy document and before drafting the document. (20) The Policy and Delegations Officer: (21) The Policy and Delegations Officer will: (22) Policy reviews are a critical stage of the policy lifecycle and ensure policy documents remain current, effective, and aligned with the (23) Initiation of a policy document review must commence on or before the scheduled policy document review date. Where this does not occur, the Policy Owner or their nominee must provide justification of delay to the Policy and Delegations Officer for reporting to the General Counsel and Chief Governance Officer. (24) Consultation between the Policy Owner, or their nominated Policy Reviewer and the Policy and Delegations Officer must occur to determine and agree on the policy (25) Approval and publication of an updated version of the policy document indicates completion of the policy document review. (26) The Policy Owner is responsible for: (27) An associated document review is required for (28) The associated document review should occur prior to consultation and drafting and involves the Policy Owner or their nominee identifying any relevant or associated legislation and (29) Where the policy document may deal with or address highly contentious or litigious issues, the Legal and Governance Services must be consulted to determine best practice policy inclusions based on legal precedent. (30) For Post Implementation Reviews, the associated document review will be undertaken by the Policy and Delegations Officer. (31) A Policy Risk and Opportunity Assessment is required for: (32) The assessment is aimed at identifying the critical issues that the policy document may deal with, and to allow a better understanding of the subject to inform its content. This assessment must be informed by relevant key stakeholders. (Please also see Risk Management Framework). (33) Completion of the assessment is the responsibility of the nominated Policy Reviewer in consultation with relevant key stakeholders. (Please also see Policy Consultation Guideline). (35) Legal and Governance Services (Legal) must be consulted where the subject matter relates to legislation, where a Rule is being developed or reviewed, or where any legal (36) The Policy Risk and Opportunity Assessment tool may be used. (37) Please see the Policy Consultation Guideline for further information on consultation. (38) The Policy and Delegations Officer will work with the Policy Owner or their nominee to establish a stakeholder reference group for the purposes of consultation. (39) New policy documents, major reviews and major amendments must be informed by broad consultation. (40) The consultation undertaken for a policy document review is dependent on the type of review (see Table 4). The consultation must be directed at confirming the purpose of the review type are met. (41) In the event the proposed changes do not meet the review type and purpose, the review type will be changed by the Policy and Delegations Officer and the consultation requirements for the revised review type must be undertaken. (42) Where broad consultation is undertaken, this must be undertaken via the Policy Library bulletin board, but may be supported by other mechanisms such as focus groups, zoom sessions, surveys, benchmarking, feedback tools, and individual or team submissions). (43) Benchmarking may be used to inform policy development, reviews or amendments. Consultation with the benchmarked institution must occur to inform the effectiveness of the elements being adopted where benchmarking is used to inform drafting. (44) When using other organisation’s policies to inform a policy document, copyright law must be adhered to. Please see the (45) A Policy Owner may opt to use the Policy Library bulletin board for policy document feedback as a consultation mechanism for any policy document regardless of the review type or proposed amendment types. In these circumstances, the Policy Owner or their nominee should consult with the Policy and Delegations Officer to facilitate this. (46) Where the scope of a policy document indicates the document applies to (47) The General Counsel and Chief Governance Officer is responsible for determining if a policy should apply to (48) Policy authors are responsible for maintaining effective version control of all draft policy documents. (49) The Policy Style Guide provides supporting information to assist Policy Authors and Policy Reviewers when drafting, and should be adhered to as far as reasonably possible. (50) Policy Document templates are available to use and can be found here. (51) Policy Authors and Policy Reviewers must continue to consult with key stakeholders during the drafting phase to arrive at a final draft document that is fit for purpose. (52) The Policy Owner must endorse a final draft before it can proceed to the Policy and Delegations Officer for Quality Review. (53) The Preliminary Quality Review is conducted by the Policy and Delegations Officer, and must be completed for: (54) Policy documents submitted for approval without a Quality Review where it is required may be rejected from committee meeting agendas by Secretariat. (55) A Final Quality Review may be conducted after the feedback period (see clause 57-65), and is required for: (56) Table 2 outlines the purpose of Quality Reviews. (57) The Preliminary Quality Review may result in recommendations: (58) Recommendations made by the Policy and Delegations Officer that speak to the foundations of the document that remain unresolved following quality review but prior to approval will be reported to the relevant (59) A Policy Document Feedback period must be established for: (60) The Feedback Period involves the revised policy document being placed on the bulletin board for a feedback period of no less than 2 weeks. This period may be extended by the Policy and Delegations Officer without notice in the event no views have been recorded during this 2 week period. (61) Policy documents must not be posted on the Policy Library bulletin board, or any other feedback mechanism, without: (62) Policy Reviewers are responsible for identifying all impacted stakeholders and undertaking timely and effective communication to invite them to provide feedback on the document. (63) Post feedback, the Policy Reviewer is responsible for reviewing all feedback received and drafting any required amendments to the document. (64) Feedback received must be given objective consideration as it may indicate further edits to the draft document are required. (65) The Policy Owner or the Policy Reviewer may exercise discretion in responding to feedback. (66) Once all final edits to the document have been made to address relevant and appropriate feedback, the final draft document must be: (67) Depending on the outcomes of the Preliminary Quality Review and changes made post feedback, the document may be subject to a Final Quality Review by the Policy and Delegations Officer. (68) New versions of documents, including initial versions must be approved in accordance with the (69) The Policy and Delegations Officer can provide support and assistance in identifying the appropriate approval pathway and approval authority for major reviews and new policy documents. (70) Approval, except for administrative and editorial amendments, must be sought using one of the following cover sheets: (71) The completed cover sheet must be provided to policy@newcastle.edu.au in the first instance, who will facilitate approval. (72) To seek approval for a new policy document or major review of an existing policy document, the following must be undertaken by the Policy Owner, or the Policy Reviewer: (73) The Committee – Policy Cover Sheet must include, at a minimum: (74) Draft resolutions provided on the cover paper for submission for approval must also be considerate of any related matter that may require approval to give effect to the policy. For example, where approval of a new policy document will result in the rescission or amendment of another policy, approval should be sought for the rescission or amendment at the same time. (75) Where the publication of a new or revised policy will create a conflict with any delegation of authority, the request for approval for any change in delegation must be submitted with the paper to approve the policy. (76) Approval to rescind a policy document must be provided by an authorised (77) Where the rescission of a policy document will require associated changes in other policy documents or delegation schedules, the details of these should be outlined in the Committee – Policy Cover Sheet requesting approval of rescission, and the changes required should be detailed in an appendix. (78) The drafted Committee – Policy Cover Sheet seeking approval to rescind a policy document must be provided to the Policy and Delegations Officer for review. (79) The policy document will not be rescinded from the Policy Library until such time as: (80) The review cycle for a policy document commences from the date of publication of the most recent approved version. (81) The next policy review date must be determined in consultation with the Policy and Delegations Officer. The Policy Owner or their nominee may seek to align the review date with associated documents (such as overarching documents, contracts, or agreements) or with operational work plans. In all circumstances, review cycles must align with the requirements for the relevant review type and policy risk level. (82) Completion of a major review replaces all other review requirements and resets the review cycle from the date of publication of the approved policy document. (83) New policy documents will be assigned a 12-month review date to enable a Post Implementation Review to be conducted by the Policy and Delegations Officer. The subsequent review cycle will be confirmed in consultation with the Policy Owner or their nominee upon completion of the Post Implementation Review. (84) If approval for the policy and any related matter cannot be achieved at the same time (i.e. needs to be approved by different (85) An Implementation must be documented for: (86) The Implementation Plan should identify what actions are required, and by whom, to successfully implement and comply with the policy. This may include, but is not limited to: (87) The Policy and Delegations Officer will publish approved policy documents upon receipt of the confirmation of approval from the relevant (88) Publication of draft policy documents without confirmation of approval may be delayed until such evidence can be sourced or provided. (89) The University Secretary may authorise publication of a policy document without confirmation where: (90) The effective date of the policy document will be the date of publication, or a later date. Backdating of policy documents is prohibited. (91) The policy review date will be established as per the approval. (92) Implementation is a critical stage of the policy lifecycle, ensuring that approved policy documents are operationalised and embedded within the (93) Once published, the Policy and Delegations Officer: (94) The Policy Owner is responsible for ensuring that the revised or new policy document is effectively operationalised. (95) Please also see Table 4 (Post Implementation Review). (96) This section outlines the ongoing maintenance stage of the policy lifecycle, ensuring policy documents remain current, accurate and effective following publication. (97) The Policy Owner is responsible for ensuring the content of a published policy document remains current and up to date to ensure its continued integrity and validity. This includes, but is not limited to: (98) Whilst undertaking projects to improve systems and processes Policy Owners must ensure that concurrent efforts are undertaken to maintain the currency of related policy documents. (99) The Issues Register supports the ongoing maintenance stage of the policy lifecycle. (100) Policy Owners are responsible for maintaining a Policy Issues Register for each policy document that they are assigned to, to record any issues identified with the policy. The Policy Issues Register must be reviewed to inform any future policy review or amendments. (101) Review types are based on the level of (102) Table 3 explains the policy (103) The policy (104) The following types of review may be undertaken for approved policy documents: (105) Policy amendments form part of the ongoing policy lifecycle and ensure policy documents remain current between scheduled reviews. (106) All proposed amendments to a policy document must be classified as either: (107) Where amendments are proposed within 6 months of the policy document review date, the Policy and Delegations Officer must determine whether the changes should instead be undertaken as a policy review, having regard to the extent, impact, and risk of the changes. (108) All proposed amendments to policy documents are subject to review by the Policy and Delegations Officer prior to being submitted for approval. (109) Where there is uncertainty regarding the classification of an amendment, the Policy and Delegations Officer will determine the appropriate amendment type in consultation with the Senior Compliance Manager. (110) The review cycle is a key mechanism within the policy lifecycle. (111) The completion of a policy review resets the review cycle from the date of publication of the updated document. (112) Where a policy document amendment meets the requirements of a defined review type, the amendment may be recognised as that review type, having regard to the policy’s (113) The determination of whether the requirements of a review type have been met through policy amendment must be confirmed by the Policy and Delegations Officer and the next review date approved by the authorised (114) All requests for policy amendments must be sent to policy@newcastle.edu.au, including details of any consultation required and undertaken. (115) Requests made by (116) Where the proposed amendments do not align with the amendment type proposed (and subsequent consultation and approval pathways), the Policy and Delegations Officer may advise the Policy Owner of alternate consultation or approval requirements. (117) Published minor amendments: (118) Details of amendments will be recorded in the policy document status and details page in the policy library. (119) Editorial amendments will not produce an updated version of the document in the policy library. All other types of amendments must produce a new version of the document. (120) Quality scans support the maintenance stage of the policy lifecycle. (121) The Policy and Delegations Officer may undertake periodic quality scans of published policy documents to identify minor issues, including formatting inconsistencies, broken links, outdated references, grammar or readability concerns, or administrative inaccuracies. (122) Where issues identified through a quality scan meet the definition of an editorial or administrative amendment, the Policy and Delegations Officer may initiate amendments in accordance with this Framework and must seek endorsement from the Policy Owner or their nominee prior to seeking approval. (123) Quality scans are not a substitute for policy review and do not assess the effectiveness or fitness for purpose of a policy document. (124) Feedback on published policy documents can be submitted at any time by accessing the relevant policy document in the Policy Library and then selecting the “feedback” option. (125) Feedback submitted will be emailed to the Policy and Delegations Officer, who will forward the feedback the Policy Owner for consideration. (126) A Policy Owner may seek approval from the General Counsel and Chief Governance Officer to defer a review, under exceptional circumstances. A policy review deferral may only occur once within a 5 year period post a major or minor review, and may only defer the review date for 12 months. Exceptional circumstances include: (127) Once a policy review deferral has been approved the Policy and Delegations Officer will amend the policy document review date, in accordance with the approval. (128) In the event the Policy Owner and Policy and Delegations Officer fail to reach consensus on the type of policy review that must be conducted, the General Counsel and Chief Governance Officer will determine the review type. (129) All policy reviews not completed 6 months after the policy document review date, will be reported regularly to the Executive Leadership Team by the Policy and Delegations Officer until such time as the review is completed. (130) Waiving of consultation requirements may be approved by: (131) Any such approval must be provided to the Policy and Delegations Officer. (132) Examples of when a policy document may be required (133) Policy Risk and Opportunity Assessment Tool (134) Policy Consultation Guide (135) Policy Consultation Appendix Template (136) Policy Document Checklist (137) Policy Document Quality Review (138) Policy Template (139) Procedure Template (140) Policy Style Guide (141) Issues Register Template (142) Policy Document Lifecycle Requirements (143) Implementation Plan Template (144) Flow Chart – New Policy Document (145) Flow Chart – Policy ReviewsPolicy Framework
Section 1 - About this Document
Introduction
Purpose
Scope
Audience
Definitions
Top of Page
Section 2 - Policy Governance
Policy Governance Principles
Types of Policy Documents
Table 1 – Types of Policy Documents
Type
Purpose
Rule
A Council approved document, made in accordance with Section 29 of the University of Newcastle Act, that has the same force and effect as a by-law. Other than legislation, this is the highest level of policy document and has the highest level of authority.
Policy
A document that conveys the
Framework
A document that addresses how a wide-reaching activity is undertaken at an enterprise or organisational level.
Procedure
A document that establishes a logical sequence of actions to achieve a desired output, or series of outputs. Procedures that are specific to a single business unit to provide instruction on how to undertake administrative tasks are not required to be held in the Policy Library and are therefore not considered a policy document in the context of this Framework.
Manual
Provides a group of policies and/or related procedures. A manual must clearly identify policy content as separate to procedure content.
Guideline
Provides supporting information that a reader may choose to comply with. The content is aimed at helping the reader make a decision or guide their action.
Schedule
Provides information to support a policy, procedure, or Manual.
Code
Establishes expectations of behaviour.
Hierarchy of Documents
Policy Library
Section 3 - Policy Lifecycle: Development to Implementation
Preparation
Policy Document Review Preparation
Policy Review Initiation
Policy Document Review Direction and Resourcing
Associated Document Review
Policy Risk and Opportunity Assessment
Consultation
Consultation with Controlled Entities
Drafting
Quality Review
Preliminary Quality Review
Final Quality Review
Table 2 –Quality Review Purpose
Policy Type
Preliminary Quality Review Purpose
Final Quality Review Purpose
New policy – all
Determine if the policy document meets the requirements of this Framework, including the Policy Style Guide.
Determine if the policy document is appropriate to be released for feedback.Determine if the policy document is appropriate to be submitted for approval.
Policy Reviews and Amendments
Confirm the type of review is appropriate.
Ensure the amendments and draft document meet the requirements of this Framework, including the Policy Style Guide.
Confirm the approval pathway.
Confirm the next review cycle.
Policy Document Feedback Period
Approval
Major Reviews and New Policy Documents
Policy Rescission
Review Cycle and Next Review Date
Implementation Plan
Publication
Implementation
Section 4 - Policy Lifecycle: Maintaining Published Policy Documents
Issues Register
Policy Reviews
Types of Policy Document Review
Table 3 – Policy Risk Levels
Risk Level
Explanation
High
A policy document is high
a. it creates or affects rights, entitlements, or compliance obligations for
b. if misapplied, it could result in financial, safety or reputational harm outside the
Medium
A policy document is medium
a. its impact spans multiple teams or processes;
b. there is a moderate likelihood of inconsistent application with consequences of medium or high impact; or
c. the subject matter may be contentious or sensitive.
Low
A policy document is low
a. it is administrative in nature;
b. it operates in a stable and low-change environment; or
c. it has limited external visibility or consequence if misapplied.Table 4 – Policy Document Review Types
Policy Risk Level
Review Type
Review Purpose
Cycle
Consultation Requirements
N/A
Post Implementation Review
A desktop review conducted by the Policy and Delegations Officer to verify the policy document has been operationalised. The review is not designed to assess the document’s effectiveness.
The review is completed 12 months after the initial publication of a new policy document.
The Policy and Delegations Officer, or their nominee, will consult with
High
Major Review
Aimed at improving the policy document and its effectiveness.
A major review of high
Benchmarking – optional.
Medium
A major review of medium
Medium
Minor Review
Aimed at confirming the currency and accuracy of the content, assess the effectiveness of the Policy document and ensure no new
A minor review of medium risk policies must be completed every 3 years unless a major review is undertaken.
Targeted consultation.
Metrics may be used where available and valid to inform the review instead of consultation, where appropriate.
Low
A minor review of low
Medium
No Change Review
Confirms the policy document remains current and fit for purpose, with minimal impact or change required.
A No Change Review can be accompanied by editorial or administrative amendments.A No Change Review of medium
Targeted consultation to confirm currency and fitness for purpose.
Issues Register (if used), operational data or policy owner knowledge may also validate confirmation of fitness for purpose.
Low
A No Change Review of low
Policy Amendments
Table 5 – Policy Amendment Types
Type
Consultation Requirements
Approval Pathway
Editorial
Nil.
Not required.
Email policy@newcastle.edu.au.
Administrative
Nil.
Endorsement by Policy Owner.
Approval by authorised delegate, facilitated by Policy and Delegations Officer.
Email policy@newcastle.edu.au.
Minor
Targeted Consultation
Approval by authorised delegate, via email.
Approval to be forwarded to policy@newcastle.edu.au.
Major
Broad Consultation
Approval by authorised
Policy Amendment Requirements
Amendments and Review Cycle
Policy Amendment Pathway
Quality Scans
Published Policy Document Feedback
Section 5 - Exception Handling
Deferral of Policy Review
Policy Review Type Consensus
Overdue Policy Reviews
Waiving of Consultation Requirements
Section 6 - Associated Information