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Policies and Procedures

Code of conduct

  • As staff of the Royal Children’s Hospital (RCH), we value Unity, Respect, Integrity and Excellence. The Code of Conduct sets out the way we conduct ourselves at RCH and is based on four values and our Compact, all of which inform and guide our behaviours. RCH policies and procedures, including the Code of Conduct are integral to the RCH achieving its vision of being a ‘GREAT children's hospital, leading the way’.

    Our values underpin everything we do at RCH, and our Compact describes and commits us to the way we work together. At all times, we behave in a way that upholds these principles both as individuals and as representatives of the RCH.

    This procedure applies to all RCH Board members, managers and employees, prospective employees, contractors, honorary employees, students, volunteers and affiliates. Our campus partners and contractors acknowledge and observe the Code.

    Whilst the RCH Code of Conduct specifies the behaviours expected of employees and volunteers, it should be read in conjunction with any professional code of conduct that is relevant to the profession of the individual. Each employee or volunteer of RCH is also required to comply and abide by the Code of Conduct as published by the Public Sector Standards Commission. This can be found on the Victorian Public Sector Commission website.


    We work as a team and in partnership with our communities:

    • We work together to create a safety culture through our commitment to the physical and psychological wellbeing of one another and our patients and families.
    • We take responsibility for fulfilling the tasks assigned to us by applying all our knowledge, skills and experience.
    • We are highly customer service focused, including being helpful and responsive to our internal teams working together to deliver ‘Great Care’.
    • We share the workload within our teams, including stretching ourselves to achieve our goals.
    • We actively contribute our ideas and initiatives, listen to others’ views, consult and collaborate with one another in support and acceptance of final decisions once they are made.
    • We work with our campus partners to improve services for our patients and their families and to provide opportunities for our staff.


    We respect the rights of all and treat people the way they wish to be treated:

    • We respect and value each other's professionalism and contribution, working with each other collaboratively to achieve the best outcomes for all.
    • We are committed to diversity, inclusion, fairness and equal employment opportunities.
    • We accept people’s cultures and beliefs and allow them to enjoy their identity, language and history.
    • We do not tolerate bullying or harassment or violence and intimidation (either verbal or physical) or unlawful discrimination.
    • We are polite and respectful in all of our written and verbal communications including on social media.
    • We respect our staff’s right to freedom of choice and expression, consistent with this Code.


    We believe that how we work is as important as the work we do:

    • We are honest, ethical and open in our dealings with each other, our patients and their families.
    • We provide accurate, honest and complete information while ensuring we respect our privacy and confidentiality obligations.
    • We do not knowingly make false statements, or mislead directly or by omission, in all communications.
    • We respect confidentiality and do not misuse information which we learn about the RCH, our staff, patients and families during our employment. We maintain this confidentiality even after we have left the RCH.
    • We work within professional and legal boundaries and maintain therapeutic professional relationships with our patients and their families.
    • We use the resources, services and facilities provided to us by the RCH only for the purpose and in accordance with the terms on which they have been provided. This includes physical, financial and intellectual property.
    • We perform our work impartially and refuse all offers that could be reasonably perceived as undermining the integrity and impartiality of the RCH or ourselves.
    • We observe the highest standards of integrity in financial matters and comply with the requirements of relevant financial management legislation and RCH policies and procedures. 
    • We report any possible fraudulent behaviour or observed misconduct.


    We are committed to achieving our goals and improving outcomes:

    • We share our knowledge and expertise generously to support excellence across the RCH.
    • We strive to achieve the highest quality in our work.
    • We aim to continuously improve all aspects of our service and evaluate our results.
    • We uphold the principles of patient-focused and family-centred care in everything we do.
    • We ensure our patients and their families are actively involved in decisions regarding their care and treatment.
    • We acknowledge our role in the broader community and involve ourselves in activities that make a contribution.
    • We consider the impact of our decisions on our patients, families, colleagues and the community.

    Our Compact

    Our Compact is a commitment from every one of us that it’s not just what we do that matters, it is how we do it. By defining appropriate behaviour, acknowledging our personal responsibility to behave in that way, and by asking others to hold us accountable for our actions, our Compact contributes to a more respectful work environment.

    The Pledges in our Compact are:

    • We do better work caring for children and families when we also care for each other
    • I actively promote and celebrate our diverse team
    • I bring a positive attitude to work – I share, I laugh, I enjoy other’s company
    • I take responsibility for my behaviour and its impact on others
    • I am curious and seek out ways to constantly learn and improve
    • I celebrate the good stuff, the small stuff, the big stuff – it all matters
    • I speak up when things aren’t right
    • I value the many different roles it takes to deliver great patient care
    • I actively listen to others, because I want to make the best decision

    Our responsibilities under the Code of Conduct:

    We adhere to all the terms and conditions of our employment contract and RCH policies and procedures. Each of us as an RCH employee and volunteer has a responsibility to abide by applicable legislation, the Code of Conduct and RCH Policies and Procedures and to ensure that others who report to us or who we are working with also comply. The most relevant of these policies and procedures to our employment contracts are:


    Breaches of this Code of Conduct, or of RCH policies and procedures, should be reported to your manager, team leader, or to a People and Culture representative as soon as practicable. This includes behaviour that violates any law or regulation or represents corrupt conduct, mismanagement of public resources or is a danger to public health or safety. If you are unsure whether an action is a breach of legislation, the Code of Conduct or an RCH Policy or Procedure you should raise the matter with your manager or with a People and Culture representative. 

    The RCH takes breaches of this Code of Conduct and other RCH policies and procedures seriously. Employees who breach this Code of Conduct may face disciplinary action up to and including termination of employment. Contractors and volunteers may also face disciplinary action, including termination or cessation of their engagement if they breach the Code. Serious breaches of this Code that amount to potential criminal conduct may also be referred to the police.