Options for regulation of unregistered health practitioners Decision Regulation Impact Statement



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Same as the system applying to registered practitioners

7

ESSA, AMT, ARC, ANZCP, STAA, ANZSRS

Court hearing

1




Professional Organisations should deal with complaints in the first instance

4

RAoA, AA, SPA

Should be managed by a clinical board /( with direction from the Ministerial Council)

2

ASTA

Tribunal hearings with the power to 'name and shame' lying with the commissioner

1

TOHCC

As per NSW scheme

3

ACAA, ACQ, ADPA

A Commissioner in the first instance and a tribunal for more serious breaches/appeals

5

CPWA, CPSA, HSC

Practitioners should have a right of a appeal before prohibition order is made

2

AOPA, HCQ

Orders issued through State and Territory HCEs, except in jurisdictions where HC does not have power to issue orders

1

HSUE

Tribunal hearings, with the possible exception of repeat offenders

1

AIMBI

Peak bodies are best placed to hear complaints about its members

1

ACA

Through existing formal mechanisms

1

AURA

Should be a separation of powers between the investigating and prosecuting functions

1

HCQ

What ‘relevant offences’ (if any) should provide grounds for a prohibition order to be issued?

Non-communication or failure to refer

2

AAMT

Providing information that is not evidence-based

2

DAA

Any offences that normally apply to a registered practitioner

4

URN, PA, AREMT

Any proven harm to a person either physical or mental

5

RAA, CMA, SASH

False and misleading claims

7

RA, AAMT, CCWA

Discouraging conventional and life saving treatments

1




Providing services without a valid qualification

2

ASA

Gross misconduct/sexual offences/fraud

10

ASA, CPWA, AASW, RA, AURA, SASH

Financially profiting from useless/dangerous treatments/financial misconduct

3

SARRAH

As per NSW code

6

ATMS, NCC, ANTA, TOHCC, AIMS

All offences which cause (or potentially cause) harm to the public

4

VAHLC, AMT, ARONAH

Those defined in the Public Health Act, Fair Trading Act or Australian Consumer Law

3

ESSA, ANTA, ARC

Risk to public safety

5

SARRAH, ANZCP, ANZSRS, DAA

Failure to maintain professional standards

2

ASA

The practice of types of unproven therapy known to cause harm

1




Any breach of the code of conduct

4

ANZCP, DSCWA,NHAA

Should include offences that don't necessarily pose a direct threat to public health and safety

1

AIMBI

As per NSW code, but broadened to include criminal offences

1

AOB

Prohibition orders should be a last resort after supervisory and educational activities

1

ACA

What other grounds should apply before a prohibition order may be issued?

Unethical behaviour

4

ASA

Sexual misconduct

6

SARRAH, AMT, AAMT, SASH

Practising under the influence of drugs/alcohol

4

AMT, ASA, CPWA

Financially exploiting clients

4

CPWA, NHAA, SASH

Misinforming clients/making false claims

3

CPWA, AAMT

Keeping poor patient records

1




Providing harmful/potentially harmful treatments to the public

5

AMT, AIMS

Any grounds that would normally apply to a registered practitioner

3

LCANZ, URN, CHF

Should be possible to issue prohibition orders pre-emptively, subject to procedural fairness, as a result of a professional association’s findings

2

ATMS, NCC

Working outside scope of practice

6

AMT, ARONAH, APA, AMA

Failure to comply with statutory requirements e.g. privacy laws

1

AMT

Should be possible to issue interim prohibition orders during an investigation if there is a serious risk to health and safety.

2

AREMT, CHF

Practitioner being found guilty of a criminal offence

4

AOPA, CPWA, STAA, AAMT

Practising while suffering from certain physical or mental conditions

2

CPWA, ANZSRS

Breaching code should be sufficient, not necessary to demonstrate risk to health and safety

1

CCWA

How do you think a regulatory scheme to investigate and prosecute breaches of a national statutory code of conduct for unregistered health practitioners should be funded?

Federally

17

RAA, NFR, AOPA, AIMBI, STAA, AASW, AHPRA, RA, CMA

Funded through professional organisations and paid for by members

4

ANZCP

Partially federally and partially by national associations/practitioners

10

ATMS, NCC, AHA, CPWA, QPCS, ANZSRS, DAA, ASAPO

Professional indemnity or other type of insurance

3




A new scheme would protect the public (thus should be partially funded by taxes) and improve professional standards (thus partially funded by professions)

1




Commonwealth should see public protection as a duty not an option

5




It should form part of current national scheme

5

URN, OHPA, AAMT

It would need to be publicly funded which may limit services available through complaints mechanism

1

SPBQ

Recovery costs should be sought if a practitioner is disciplined

6

LCANZ, NFR, HSUE, ANZSRS, AIMS, SASH

Medicare should be increased .5% to cover dental and complementary health care

1




The self-medication/vitamin industry should be required to pay a levy/tax

2




Registration fees/license to practise

3

ASA

Should be borne by practitioners

2

VAHLC, AOB

Commonwealth and/or State and Territory governments

28

ESSA, ANZATA, SARRAH, RAoA, AMT, ARC, ACAA, PA, AA, SPA, ARONAH, DSCWA, AMA, ASTA, HSUE, AACMA, PACFA, ACQ, IBPA, AMTA, AFMA, NHAA, HQCC, CCWA, SASH, HCQ, HSC

As per NSW scheme

1

MRPBV

By several jurisdictions

1

TOHCC

Do you have any other comments to make about these proposals?

Non-evidence based practice is a large problem, especially when anyone can provide health advice. It is impossible for consumers to differentiate between good and poor advice.

1




Naturopaths should be registered under the National Scheme.

4

ANPA, ARONAH, NFR

Social Workers should be registered under the National Scheme

12




There needs to be a more integrated approach to treating abused children and adults and those with a mental health diagnosis

1




I would like national registration and protection of title

1




Everyone should be registered

1




Speech pathologists should be registered

4

SPBQ, LBHCC, QCA

TGA should become Therapeutic Goods and Services Administration

1




The term ‘health practitioner’ can be misleading. There needs to be a clearly defined work role and job description.

1




Pseudo-medicine should not be legitimised through a regulatory scheme

3




The German and/or South African models should be followed.

1




Religious organisations purporting to offer health/counselling services should be included under the scheme.

1




Emergency Medicine should be registered

1




Sonographers should be registered

2




Tooth whitening and bleaching should only be done by registered dentists

2

ADA

Family members/concerned other should be able to make complaints

1






2




A database of professional bodies should be made publicly available

1




Governments should only accredit professional bodies if they confirm qualifications and require criminal history checks

1




Prohibition orders should be published

1

MSC

New category of ‘health coach/counsellor’ should be created

1




Probity checking should be introduced to insure any professional association is bona fide and effective

1

ATMS

Practitioners should be required to be members of a peak professional association

2

SNTR, RAA

The term ‘unregistered’ health practitioner has negative connotations and should be changed

8

RAA, ANZATA, RAoA, ANZCP, SPA, AROH, AOPA, AASW

Online and TAFE courses in Audiometry should be stopped

1




The generic approach will not significantly improve standards of practice

1

MRPBV

Therapists who engage in recovered memory therapy must be held accountable

1




Cardiac scientists should be registered

1




The Church of Scientology (which offers counselling and distributes drugs) should be included on list of practitioners under consideration







Personal care workers/assistants in nursing should be registered

2

ANMFSA, ANF

A nationally endorsed practice framework for personal care workers/assistants in nursing should be developed







A separate consultation process on the content of the Code of Conduct should be undertaken to ensure that viewpoints of all pre-hospital care practitioners are in included.

1

AREMT

Paramedics should be registered

1

CAA

Unregistered health professionals who are subject to a prohibition order should lose Medicare status

1

AMA

The proposals are minimalistic and focus on ethical conduct

1

ASTA

Pharmacy assistants are not health professionals and should be not included in any health regulatory scheme

1

PBA

There needs to be a distinction in legislation between established professions and 'quacks'

1

HSUE

The consultation should have included details of current self-regulation programs

1

AASW

Consideration needs to be given as to how the proposed code will fit in with existing association codes

1

BUPA

A national code of conduct should be an interim measure only, pending full registration

1

BUPA

The NSW Coroner's recommendations from the report into the death of Rebekah Lawrence (8 December 2009) regarding psychotherapists/counsellors should be actioned.

1

PACAWA

Dental technicians should be registered

3

LBHCC, CPSA, QCA

The unregulated use of psychotherapy may warrant further investigation

1

AHPRA


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