District of Workforce Shortage
The District of Workforce Shortage (DWS) classification is a health workforce classification for specialist medical practitioners. Read about locations classified DWS and learn how to find them.
The DWS was updated on 21 July 2022. The Health locator tool and web information reflects the 2022 update. The newly elected Australian Government is committed to finalising the current review of the DWS methodology. Consideration of the review outcomes will be finalised in coming months.
About DWS classification
A DWS is an area where people have poor access to specialist medical practitioners. This is measured by assessing the full-time specialist-equivalent level for an area.
DWS classification process
We use population and Medicare billing data to get a ratio of specialists to population in each geographical area in Australia.
An area is classified as DWS if:
- its ratio of specialists to population is less than the national average
- it has an Australian Statistical Geography Standard - Remoteness Area classification of RA 3 to RA 5 (i.e. rural to remote areas).
How we use the DWS classification
Overseas trained graduate specialists subject to section 19AB of Australia’s Health Insurance Act 1973 may need to work in a location classified DWS to access Medicare.
All other specialities are determined as DWS if the location is classified as Remoteness Area (RA) 3 or greater, or if the SA3 reports an FSE per 100,000 lower than the 3 per 100,000 for that speciality. In July 2022, there were 8 specialities in this category:
- diagnostic radiology
- general surgery
- obstetrics and gynaecology
- medical oncology
Under the Bonded Medical Places scheme, specialists can work in:
- locations classified Modified Monash Model MM 2 to 7
- locations other than inner metropolitan areas of major capital cities
- a location that is inner metropolitan if that location is DWS for their specialty.
Updating the DWS classification
We update the DWS every year. The most recent update to the DWS took effect on 21 July 2022.
The DWS classification of an area can change when there has been a significant shift in access to health care since the previous annual update. This might be due to changes in the workforce, or in the size or makeup of the population.
Changes in DWS status
If an area loses DWS, this means that there is measurably more services access than there was previously.
Doctors who hold an existing exemption under section 19AB of the Health Insurance Act 1973 can continue to practise at their location provided they continue to meet the conditions of their exemption. In addition, doctors already in employment negotiations with a practice prior to a status change will still be eligible for an exemption if they provide documentary evidence of this with their application.
Practices unable to employ restricted medical practitioners can still employ Australian trained doctors or doctors not subject to s19AB.
Read about more about section 19AB.
Learn how we assess DWS areas
We use a different method to calculate DWS classifications for specialists to that for the DPA.
How DWS differs from other classifications
DWS shows the number of specialists compared to the population of an area.
The DPA classification is for GPs. DPA is based on gender and age demographics, and the socio-economic status of patients living in an area.
Find areas classified as DWS
To find areas classified as DWS, search the Health Workforce Locator. You can search the locator by specialty.