The harbour state

Welcome to New South Wales

New South Wales Guide · Chapter 1 of 9

New South Wales is Australia’s front door: the harbour city of Sydney, the largest economy and healthcare job market in the country, and behind it a state of surf coasts, wine valleys, world-heritage mountains and the outback. More clinicians start their Australian lives here than anywhere else.

The state that has one of everything

Sydney is the picture most people carry of Australia — the harbour, the bridge, the beaches — and it holds around five and a half million of the state’s eight and a half million people. It is a true world city with the salaries, dining, culture and housing costs to match.

The part fewer people picture is everything else. An hour north, the Hunter Valley runs from surf beaches at Newcastle through horse and wine country. An hour south, Wollongong and the Illawarra sit between an escarpment and the Pacific. The coast runs seven hundred kilometres in each direction — the subtropical Northern Rivers one way, the quiet oyster towns of the South Coast the other. Inland: the Blue Mountains, the Riverina’s canola plains, and eventually the red dirt of the far west. In winter, the Snowy Mountains are actual snowfields.

For a clinician the state offers the widest choice in Australia — the biggest tertiary concentration in the southern hemisphere in Sydney, strong regional centres with incentives, and rural medicine as remote as you want it. The cost is Sydney’s housing, which asks more of a clinical salary than any other Australian city.

Who wrote this
  • Ethicare is a healthcare recruitment company. This guide is free to read, asks nothing of you, and does not give visa advice.
  • NSW is where most of our Australian conversations start, and where the gap between the postcard and the budget is widest. Where we think it’s the wrong answer, we say so.

The state, in nine numbers

~8.5M
People — roughly one Australian in three lives in New South Wales.
~5.5M
In Greater Sydney, from the harbour to the Blue Mountains foothills.
220+
Public hospitals across the state’s fifteen local health districts — the largest public system in the country.
2,100 km
Of Pacific coastline, from the subtropical Tweed to the cool southern beaches.
~500,000
People in Greater Newcastle and the Hunter — the state’s second city, an easy two hours north.
~300,000
In Wollongong and the Illawarra, under an hour south of Sydney by road or rail.
4 seasons
Warm humid summers, mild autumns, frosty inland winters — and snow in the Snowies.
UTC+10/11
AEST, with daylight saving. Morning in Sydney is evening in London — workable for calls home.
1st
Where most international flights land. Sydney is Australia’s main gateway, which makes the trip home one leg shorter.

Six things you only learn once you’re here

There are several Sydneys
The eastern beaches, the leafy north, the inner west and the vast growing west are different cities with different price tags. Most of the clinical work is west of the postcard — Where clinicians live is clear about it.
Hiring is local, not state-wide
Registration is national, but jobs live in individual health districts. Where you apply is where you’ll live — decide the place first.
Regional means incentives
The further from Sydney, the harder the recruiting — and the more employers offer. The Hunter, Illawarra and regional cities are where value and lifestyle meet.
Tolls are a line in the budget
Sydney’s motorways are tolled, and a western-suburbs commute can cost serious money each week. Locals plan around it; so should your suburb choice.
Summer is humid, houses aren’t built for winter
Air conditioning is universal; insulation and heating often aren’t. July indoors in Sydney surprises people from colder countries.
The state is enormous
Broken Hill is closer to Adelaide than to Sydney. "Moving to NSW" tells us almost nothing until you’ve chosen your hundred kilometres of it.
A note on Country
  • New South Wales sits on the lands of many Aboriginal nations — Gadigal, Dharug, Awabakal, Wiradjuri, Bundjalung and dozens more. Acknowledgement of Country opens meetings, and health services work in partnership with Aboriginal community-controlled organisations across the state.
  • You are not expected to arrive across all of it. You are expected to listen and learn — and the cultural induction your service provides is worth taking seriously.

How to read this guide

Nine chapters, all of them about New South Wales specifically. Anything true of Australia generally — Medicare, visas, Ahpra registration, tax, superannuation, schools — lives once in Moving to Australia.

If you read nothing else, read Why New South Wales for the full case — and what we’d ask you to weigh, and Cost of living, because Sydney’s housing is the one number that decides most plans.

Download this guide as a PDF →