Medical Council of New Zealand an independent regulator - - PowerPoint PPT Presentation

Medical Council of New Zealand – an independent regulator

Presentation to the New Zealand Teachers Council

Philip Pigou Chief Executive Medical Council of New Zealand

Self or independent regulation

• An evolving issue

– A history of the profession protecting their interests resulting in a loss of public trust – A lack of openness and transparency – Unwillingness of doctors to change how they practise – Greater awareness of patient / public rights – Developments in other professions including pilots

The Medical Council of NZ

A statutory body with the principal purpose to “protect the health and safety of members of the public by providing for mechanisms to ensure that health practitioners are competent and fit to practise their professions.” Section 3, Health Practitioners Competence Assurance Act 2003.

The responsibilities of Council

• Setting standards of clinical competence,

cultural competence and ethical conduct

• Prescribing qualifications, and accrediting

educational institutions and programmes.

• Registration of doctors from NZ and overseas
• Managing competence and fitness to practice
• f doctors
• Investigation of conduct – arms length

Health Sector Regulation – MCNZ, HDC and HPDT

• Separate jurisdictions / co-regulation

– MCNZ’s focus is standards, competence and fitness to practice – HDC is complaint investigation and resolution – HPDT is discipline – works as an adversarial Tribunal

What are the Council’s current governance arrangements?

• Twelve members all appointed by the

Minister

• The election of four members – costly and

poor turnout

• A majority of doctors – compare Ireland and

UK

• All members have the same role and

responsibilities

• Committees and delegations

An independent professional body?

• 2010 review by CHRE

– Effective framework for management of concerns about doctors – Need to increase openness and transparency – Appointment of Council members on basis of fair and open competition (not ministerial, not election) – Majority of lay membership

• Governance and quasi-judicial decisions of

Council fully independent of Minister

Catalyst for the recent review?

• Future focus – patient safety and workforce

needs

• Consumer focus – maintaining public

confidence

• Safety focus – balance between independent

regulator and role of employers

• Cost-effectiveness – shared services

The Profession’s response

• The Act is working well but Council / Board

performance varies

• More accountability required – KPIs, a

regulator of regulators

• What should be the role of lay members – a

community representative or governance?

• Regulation above what employers provide is

needed

• Elections should be retained

Future challenges

• Costs to the Government of regulation
• Workforce flexibility and innovation
• The single secretariat – compare Australia

Questions???