Options for regulation of unregistered health practitioners Decision Regulation Impact Statement



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1

VAHLC

Would depend on the code/practicality

1

AMT

Should only apply to owners/operators who have contact with the public

1




Sanctions should apply to business owners only when they are found to have directly influenced the practitioner to break the code of conduct

2

HQCC

Do you have a preferred option for the legislative and administrative arrangements?

As per current NSW arrangements

6

URN, ARC, TOHCC, AACMA, ASAPO, CPSA

It should be a national body – for consistency/one point of contact

7

APA, AOB, AASW, QPCS

The TGA legislation could be expanded to include services

1




Existing State or Territory complaints and disciplinary processes

6

LCANZ, SARRAH, DSCWA

Self-regulation by a national body – this is the best way to govern a profession

1




Amendment to the existing National Law or supplementary legislation

2

ATMS, AHyA

As per current national registration

4

VAHLC, ANZCP

Should be nationally consistent, robust and adequately funded

1

ANZATA

Anyone practising as an Arts Therapist should be required to join ANZATA

1

NIB

National registration for therapists who have or can get a Medicare provider number

1

NIB

A peak health care complaints agency structure in each State or Territory

2

NIB, AMTA

Administrative arrangements need to be in cooperation with Professional Associations

3

RAoA, SPA, RA

As close as possible to national registration, as the public is not aware of the difference

1




A centralised administrative body and legislation to ensure that statutory powers are clear

2

SPA

Should be administered nationally through DOHA

1

ASA

Nationally uniform but state based administration/legislation with mutual recognition

6

AOPA, AMA, ACQ, NHAA, CCWA, HSC

The UK HPC code of conduct is a good model

1

ASTA

Professional organizations should be responsible for setting standards and investigation of complaints should be done by an independent third party

1

AAAPP

A national complaints commissioner

1

AIMS

Self-regulation by professions with a strong national body and government agency for all others

2

DAA, IBPA

Where feasible, could be included within the scope of existing consumer law

1

AURA

What do you think should be included in a national statutory code of conduct?

A relevant tertiary qualification/required level of training

2

ANZATA

Minimum training requirements, ethical practice standards, complaints management process, practice standards

4

AIMS, AURA

As with the NSW code

24

URN, ATMS, ARC, NFR, ARONAH, DSCWA, ASA, AHA, CPWA, STAA, AOB, AHyA, ACQ, DAA, RA, ASAPO, NHAA, HQCC, CCWA

Issues relating to health prevention strategies, including vaccination

1




Ethics, expected behaviour, patient privacy and confidentiality

1




Duty of care, infection control, CPD, ‘good character’ requirement

1




Whatever is in a professional association’s code of conduct

1




An updated list of modalities it refers to

1

RAA

A version should be available for practitioners to display

2

RAA, CPWA

A specified code of practice and required education and training needed

1

MRPBV

Provisions for evidence from traumatised/affected third parties to be taken into consideration

2

AFMA

Obligations on the practitioner and obligations in respect of patients' rights

1




Should capture employers' responsibility for their directly supervised practitioners

1

PA

Should include membership of a professional association

2

NFR, AIMBI

Advertising guidelines e.g. what can and can't be claimed

1

APA

Protection of title

2

AHA, AFMA

As per the UK HPC code of conduct

1

ASTA

Provision for health insurers to reserve the right to audit and access a health practitioner's records

1

BUPA

A requirement that practitioners keep records in English

1

BUPA

As per the NSW code with the addition of IPL/laser services

1

CPSA

A combination of various other professional codes of conduct e.g. APS, AMA, ADA

1

SASH

Do you have any comments on the NSW Code of Conduct for Unregistered Health Practitioners?

It’s good/effective

22

MSC, VAHLC, RAoA, ANTA, TOHCC, PA, ANZCP, DSCWA, AOPA, AMA, DAA, AMTA, ASAPO, CMA, SASH, HSC

Our organisation has adopted the NSW Code of Conduct for its members

1

AACHP

It is ineffective against false and misleading claims

1




You should not need more than one instance of professional misconduct for it to be considered a breach of the code

1

ESSA

Name should be changed from ‘unregistered’ to ‘self-regulating’ or other term

4

ANZATA, RA, AURA

Complementary therapy should be differentiated from alternative therapy

1

ARC

It is very broad and pitched at a lower standard than many professional codes

1

AMT

It is not sufficient for speech pathology

1




Should not be considered a substitute for registration

5

ARONAH, AASW, BUPA

Has limited capacity for active monitoring and feedback

1

PA

It has been largely ineffective to date

1

BUPA

Some elements are not relevant for counselling/psychotherapy

1

PACFA

Content has not been validated against the mitigation of potential risks

1

ANZSRS

Medical laboratory scientists should be added to the list

1

AIMS

Code should be amended to specifically refer to the supply of cosmetic contact lenses

1

AHPRA

What do you think are the strengths and weaknesses of the NSW Code?

Section 11 is open to misinterpretation and requires re-wording/clarification

2

URN, ARC

No mechanism to stop false and misleading claims if “no serious patient care issues”

1




No option for anonymity of complainant

1




Section 5 should be expanded to include all forms of serious illness/chronic pain

2

APMA, HCQ

It fails to address the issue of religious organisations who offer harmful/exploitative counselling/psychological services

2




Only comes into effect ‘after the event’

13

NFR, ARONAH, AHA, ASTA, AASW, QPCS, ANF, AFMA, ASAPO, AAMT

Needs to encourage professions to become self-regulating

1




Consumers need to be made more aware of their choices/ability to complain

3

MSC, ARONAH, ASTA

Addition of probity checking is desirable

5

ATMS, NCC, NFR, ARONAH, HCQ

Replace the word ‘Alternative’ with ‘Complementary’

1

RAA

‘Adequate clinical basis’ needs to be reworded/clarified

5

RAA, AOPA, AMTA, AFMA, CCWA

Does not protect the public from someone who hasn’t done the required amount of training

16

ANZATA, NFR, AHA, AOPA, ASTA, QPCS, DAA, AFMA, NHAA, CMA, HCQ, HSC

Does not cover owner/operators

1

RAoA

It is too broad/generic

6

AMT, ARONAH, AOPA, BUPA, AODA

The specificity of the code to a particular profession could be made clearer by working through professional associations

1




Should include some provision for notifiable conduct

1




Some terms require further definition/specificity e.g. 'suitable period'

1




Strength: it is low cost and all encompassing

2

NFR, ANZSRS

No profession-specific provisions

2

NFR, ARONAH

No working with children check

1

NFR

No provision for student practitioners

1

NFR

Lack of attention to minor offences/only deals with major issues

1

ARONAH

Jurisdictional confusion between criminal and regulatory action

1

ARONAH

Should ensure protection against claims to cure long term disabilities

1

DSCWA

The definition of Health Professional needs to be monitored/expanded

2

AOPA, AOP

All key terms in the Code need to be clearly defined

1

BUPA

It's a minimalistic approach with components of risk management missing

1

ANZSRS

Strength: the language is easy to understand for consumers

1

AIMS

Strength: it is all-encompassing and mentions ethical considerations

1

AIMS

The definition of masseur does not reflect current professional titles used

1

AAMT

No protection of title

1

CMA

Doesn’t cover CPD

1

HCQ

Section 10 (financial exploitation) should be strengthened

1

HCQ

Section 16 (insurance) should be strengthened

1

HCQ

Do you think it provides a good model?

It’s a good starting point

12

URN, RAoA, PA, AOPA, RA, ASAPO, AAMT, CHF, CMA

Yes

17

ATMS, NCC, ANZATA, ARC, ACAA, ARONAH, DSCWA, AIMBI, AACMA, AIMS, AHyA, AMTA, NHAA, AURA, SASH

It doesn’t go far enough as a regulatory framework

2

AMT

It's good but public awareness of the system needs to increase

1




No, as it doesn't address the issue of minimum standards

7

QPCS, ANZSRS

Do you have a preferred option for the mechanism through which prohibition orders should be issued, that is, via an administrative order decided by a Commissioner, or via a tribunal or court hearing?

Tribunal –

17

SARRAH, PA, NFR, ARONAH, DSCWA, AHPRA, PIAC, IBPA, AMTA

- it would provide a more rounded decision

2

ANZATA

- it would allow for natural justice

1




No real preference as long as there are adequate avenues for appeal

3

ASAPO, SASH

System similar to TGACRP for minor breaches that can be elevated for major breaches – cost effective, timely, transparent and anonymous

1




An administrative order process through a commissioner

21

ATMS, NCC, HCCC, URN, SARRAH, PA, NFR, DSCWA, ASA, AHA, AACMA, AIMS, AFMA, NHAA, CCWA

Anyone accused of misconduct should have the opportunity to defend themselves

1





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