Under the HPCA Act if you believe that another health practitioner may pose a risk of harm to the public through incompetence, you may give the Registrar written notice of the reasons on which the belief is based (HPCA Act section 34(1)).
The notice must provide sufficient information for the complaint to be investigated. This includes:
• the reason(s) for the belief; and
• the times, dates, place(s) and people involved in important events.
We prefer not to receive anonymous complaints, as there is no way to accurately assess both sides of the situation.
When a health practitioner is dismissed for posing a risk of harm to the public or when a practitioner resigns for reasons relating to competence, his/her employer must immediately before the resignation or dismissal, give the Registrar written notice of the reasons for the resignation or dismissal (section 34(3)). No action can be taken against the person giving such a notice unless the person acts in bad faith (section 34(4)).
After receiving such a notice, the Registrar must notify:
These people also need to be informed if the Council considers that there is no longer a risk of harm to the public (section 35(1)) and the practitioner concerned, must be given a copy of both notices.
Promptly after receiving such a notice the Council will make inquiries into the matter and if it considers that the notice is neither frivolous nor vexatious (s36(3)) may review the competence of the practitioner, providing that the practitioner is registered and holds a current practising certificate. If the practitioner is not registered and/or does not hold a current practising certificate, the matter is investigated by the Ministry of Health.
If a patient says that they don’t want a particular treatment then you can’t do it, even if you think that not doing it will be detrimental to their health or wellbeing. In such a situation it might be helpful to try and explain what you want to do and why in a different way, or offer an alternative treatment.
Always offer a gown or towel for patients to cover themselves if they wish.
Keep clear notes of each consultation that are sufficiently detailed for:
See “Complaints and Discipline under the HPCA Act 2003” for information about what happens when a complaint is made.
Notify the Registrar of the Council, or the Ministry of Health.
You will need to provide sufficient information to enable an investigation to take place. Information could include:
If such a complaint is made to the Registrar, she may send a warning to the person involved if it the first time that it has come to the Council’s attention, or forward it to the Ministry of Health for investigation. The Ministry of Health will investigate and may prosecute if they think that the breach is serious.
Note: It is not illegal to be unregistered and do what an osteopath does, except for HVLA (restricted activity) as long as the practitioner makes it clear to each patient that he/she is not an osteopath and does not hold him/herself out to be an osteopath.
Unregistered practitioners are not eligible to be registered with ACC.
|If the Council considers that it has information which raises one or more questions about the appropriateness of the conduct or the safety of the practice of an osteopath, it may refer the question(s) to a professional committee (PCC), s68(3).||The Council receives a complaint about an osteopath. Does the complaint allege that the practice or conduct of an osteopath has affected a particular health consumer, s64(1)?||When a notice of conviction is given to the Council, in accordance with s67, the Council must refer the notice to a PCC, s68(2)|
|The council must promptly forward to the Health and Disability Commissioner any complaint alleging that the practice or conduct of an osteopath has affected a health consumer s64(1).|
If the Health and Disability Commissioner refers a complaint to the Council, the Council must promptly assess the complaint and consider the action(s) that should be taken, s65(1).
The Act does not specifically state what actions may be taken, However, it does state that the Council may decide to refer the complaint to a PCC, s65(2). Some suggested options for the council at this point are set out below.
|Review the osteopath's competence under Part 3 of the Act.||Refer the complaint to a PCC, s65(2)||Address concerns about the osteopath's fitness to practise under Part 3 of the Act.||Take no further action.|
Interim suspension of practicing certificate pending prosecution or investigation (section 69 HPCA Act 2003)
Is the osteopath alleged to have engaged in conduct that:
If the Council is considering making an order that the osteopath's practicing certificate be suspended or conditions be included in their scope of practice, the Council must first:
The Council may order that:
The Council must revoke an order described above as soon as practicable after:
Please click here to read Council's recently released position statement for cervical manipulation.
Click here to read the recent HPDT decision concerning Valerie Todd.
Wellington - 26 November
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