Casual Conversion · MA000027

Casual Conversion Under the Health Professionals Award

1 Jul 2026 Updated 1 Jul 2026 By Fitz HR 5 min read Reviewed against FWO Pay Guide MA000027

Private practices lean heavily on casuals for reception, support and after-hours cover. Under the Health Professionals Award MA000027, casual conversion has been employee-initiated since 26 February 2025.

Since 26 February 2025, casual conversion under MA000027 is employee-initiated: a casual can give written notice requesting permanent employment after 6 months (12 months in a small business), if they no longer meet the casual definition. The employer must respond in writing within 21 days. On conversion the employee loses the 25% loading but gains paid leave and notice entitlements.

Rates current as at 2026-07-01 (Annual Wage Review), sourced from the Fair Work Ombudsman Pay Guide MA000027. Next review 2027-07-01.

Casual Conversion — Health

Who initiates: the employee (since 26 Feb 2025)
Eligibility: 6 months (12 months for small business)
Employer response: in writing within 21 days
On conversion: lose 25% loading, gain paid leave & notice

Who Can Request Casual Conversion

Since 26 February 2025, casual conversion under all modern awards — including the Health Professionals and Support Services Award MA000027 — is employee-initiated. The old employer-offer model is gone. A casual employee can give written notice asking to convert to permanent employment when:

How an Employer Must Respond

Once an employee gives written notice, the employer must respond in writing within 21 days, either accepting the conversion or refusing it on one of the permitted grounds (for example, that the employee still genuinely meets the casual definition, or that accepting would require a significant change to the role). A refusal must set out the reasons.

Employers must also continue to provide the Casual Employment Information Statement to every casual at commencement and again at the relevant 6- or 12-month milestone. Reception and support roles that settle into a regular weekly pattern are the most likely to meet the test.

What Changes on Conversion

On conversion, the employee moves to permanent full-time or part-time employment and loses the 25% casual loading — but gains paid annual leave, personal/carer's leave, notice of termination and (where applicable) redundancy entitlements. Their base classification rate under the Health Professionals and Support Services Award does not change; only the loading and leave treatment do.

Common Mistakes That Trigger Audits

Waiting for the employer to offer. Conversion is employee-initiated, but the duty to respond and to provide the Information Statement remains.
Missing the 21-day written response. A separate contravention.
Not providing the Casual Employment Information Statement. Required at commencement and at the 6- or 12-month milestone.

Frequently Asked Questions

Who initiates casual conversion in a health practice?
The employee, since 26 February 2025. The employer-offer model no longer applies.
When can a health casual request conversion?
After 6 months (12 months for a small business), if they no longer meet the casual definition.
How long does the employer have to respond?
21 days, in writing — accepting or refusing on valid grounds with reasons.
What changes on conversion?
The employee loses the 25% casual loading and gains paid leave, notice and (where applicable) redundancy entitlements.

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Casual Conversion Under the Health Professionals Award — FAQ

Who initiates casual conversion in a health practice? The employee, since 26 February 2025. The employer-offer model no longer applies.

When can a health casual request conversion? After 6 months (12 months for a small business), if they no longer meet the casual definition.

How long does the employer have to respond? 21 days, in writing — accepting or refusing on valid grounds with reasons.

What changes on conversion? The employee loses the 25% casual loading and gains paid leave, notice and (where applicable) redundancy entitlements.