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Mailing Address
Health Professions Regulatory Advisory Council
56 Wellesley St W.,
12th Floor
Toronto, Ontario, Canada
M5S 2S3

Telephone and Facsimile
Toll-Free: 1-888-377-7746
Telephone: 416-326-1550.
Fax: 416-326-1549


Click here for overview of current ministerial referrals

Registered Nurse (RN) Prescribing

The Minister's Question

On November 4, 2015, the Minister of Health and Long-Term Care, the Honourable Dr. Eric Hoskins, directed HPRAC to conduct broad consultations with key partners within the nursing and health care community to assess the following three models for RN prescribing:

  • Independent Prescribing;
  • Supplementary Prescribing; and
  • Use of Protocols.

HPRAC has been requested to provide the Minister with the results of its consultation and its recommendations related to which model is most appropriate for Ontario.

The Minister has requested that HPRAC provide its report by March 31, 2016.

The Minister's letter.

HPRAC's Approach

When a referral is received from the Minister of Health and Long-Term Care, HPRAC determines relevant public interest concerns and questions. HPRAC attempts to understand all perspectives on an issue including those of key health care practitioners, other affected health care professionals, clients and patients, advocates and regulators. 

HPRAC conducts research reviews, and engages in key informant interviews.  Its analysis of the issues will lead to a determination of additional information required, and the appropriate process to be used.  

Registered Nurse Prescribing

HPRAC's recommendation(s) will be based on its assessment of which model of RN prescribing best meet its criteria for the assessment of prescribing models.

As part of this assessment HPRAC will be reviewing the following literature reviews:

Invitation to Comment on the Issue

Many organizations and individuals have extensive or related experience and interest in health care, health professions regulation, and the public interest. HPRAC wants to ensure that this experience and interest is  fully reflected in its recommendation-making process. 

The Minister has requested a summary of the consultations conducted by HPRAC and for HPRAC to make its recommendations to the Minister by March 31, 2016. Considering the Minister's timelines, HPRAC has designed a consultation period that is comprehensive but shorter than previous referrals. 

The consultation period was from December 14, 2015 to January 22, 2016.

Stakeholder Feedback

Submissions were made to HPRAC through an online survey portal or by providing views in the form of a letter.

To ensure transparency, the stakeholder comments HPRAC received are posted according to access to information guidelines (for guidelines, visit http://www.hprac.org/en/privacy.asp).

Next Steps

HPRAC carefully considered all evidence gathered to develop its recommendations. Your feedback helped HPRAC assess the referral and determine the issues the advisory council should consider throughout the review process.

On March 31, 2016 HPRAC submitted its report to the Minister on Registered Nurse Prescribing in Ontario.

Please note that HPRAC recommendations are advisory only. The Minister is not bound to accept HPRAC's advice. The release of an HPRAC report and any follow-up action are at the discretion of the Minister. Should the Minister choose to accept HPRAC's advice, the Ministry of Health and Long-Term Care is responsible for implementation of HPRAC recommendations.

Watch this site for updates and announcements. You may also get latest updates and consultation announcements by following HPRAC on Twitter at: http://twitter.com/HPRACOntario.