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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

Current HPRAC Reports

RN Prescribing

HPRAC submitted its report, "Registered Nurse Prescribing: Putting Patients First" to the Minister of Health and Long-Term Care on March 31, 2016.  The report was released by the Minister on March 12, 2018 and can be viewed here: 

Registered Nurse Prescribing: Putting Patients First - Volume 1

Registered Nurse Prescribing: Putting Patients First - Volume 2

HPRAC determined that two models of RN prescribing would best serve the people of Ontario at this time: a registered nurse specialist practice (a variation on the supplementary model) and a registered nurse advanced practice (a variation on the protocol model). HPRAC also recommends that the Ministry of Health and Long-Term Care consider taking steps to increase the number of nurse practitioners (NPs) and physicians in rural and remote locations, consider measures to improve the use of protocols in these communities and continue to reduce barriers to the use of telemedicine. HPRAC makes these recommendations based on its finding that currently, RNs are not educated or trained to safely independently prescribe drugs.

The Controlled Act of Psychotherapy

HPRAC submitted its report, “The Therapeutic Relationship as the Cornerstone of the Controlled Act of Psychotherapy” to the Minister of Health and Long-Term Care. The report can be viewed here.

The Therapeutic Relationship as the Cornerstone of the Controlled Act of Psychotherapy - Volume 1

The Therapeutic Relationship as the Cornerstone of the Controlled Act of Psychotherapy - Volume 2

The Alternative Clarification Document

HPRAC believes that the client’s perspective should guide the clarification of the controlled act. As such, the key element of the controlled act is the therapeutic relationship between the client and the provider. This relationship includes diagnosis or assessment, a structured treatment plan, education of the client, securing the client’s informed consent, and the use of psychotherapy techniques. HPRAC also noted that further clarification is required on the activities that are not considered the controlled act of psychotherapy, such as counselling and coaching.

In an ideal situation, the controlled act of psychotherapy should be restricted to the six regulated colleges listed in the Regulated Health Professions Act, 1991 (RHPA). Exemptions to practise the controlled act of psychotherapy should not be given to anyone who is not a member of the six regulated colleges listed in the RHPA.

Chiropody and Podiatry: Recommendations for Regulation under the Regulated Health Professions Act, 1991, August 2015                          

HPRAC submitted the report, "Chiropody and Podiatry: Regulation of the Profession and the Model of Foot Care in Ontario (August 2015)" to the Minister of Health and Long-Term Care. The principle guiding HPRAC's recommendation was whether the application met a "risk of harm" threshold. HPRAC's recommendations related to the regulation of chiropody and podiatry are based on its assessment of the profession's ability to meet the criteria for a change in scope of practice and the need for such a change.

HPRAC found that the applicant did not satisfy HPRAC's criteria for a scope of practice change and that no changes should be made at this time to the current legislation that prohibits the registration of new podiatrists in Ontario. HPRAC did find that changes should be made to titles within the profession and that the list of drugs available to the profession should be reviewed.

HPRAC recommended that not be regulated under the RHPA. The report can be viewed here:

Chiropody and Podiatry: Regulation of the Profession and the Model of Foot Care in Ontario - Volume 1 

Chiropody and Podiatry: Regulation of the Profession and the Model of Foot Care in Ontario - Volume 2 

HPRAC's 2014-2015 Annual Report 

HPRAC submitted its annual report for 2014-2015 to the Minister of Health and Long-Term Care. The report summarizes HPRAC's activities in 2014-2015, which includes the completion of a Diagnostic Sonography referral.

Visit Annual Report 2014-2015

Paramedicine in Ontario: Consideration of the Application for the Regulation of Paramedics under the Regulated Health Professions Act, 1991December 2013

HPRAC submitted Paramedicine in Ontario: Consideration of the Application for the Regulation of Paramedics under the Regulated Health Professions Act, 1991 (December 2013) to the Minister of Health and Long-Term Care. The principle guiding HPRAC's recommendation was whether the application met a "risk of harm" threshold. HPRAC recommended that paramedics not be regulated under the RHPA. The report can be viewed here:

Paramedicine in Ontario: Consideration of the Application for the Regulation of Paramedics under the Regulated Health Professions Act, 1991, Volume 1

Paramedicine in Ontario: Consideration of the Application for the Regulation of Paramedics under the Regulated Health Professions Act, 1991, Volume 2 

The Health Profession Assistant: Consideration of the Dental Assistant Application for Regulation, April 2013

HPRAC submitted The Health Profession Assistant: Consideration of the Dental Assistant Application for Regulation (April 2013) to the Minister of Health and Long-Term Care. The principle guiding HPRAC's recommendation was whether the application met a "risk of harm" threshold. HPRAC recommended that Dental Assistants (DAs) not be regulated under the Regulated Health Professions Act, 1991 (RHPA) at this time. Please click on the following link to review the report:

The Health Profession Assistant: Consideration of the Dental Assistant Application for Regulation - Volume 1

The Health Profession Assistant: Consideration of the Dental Assistant Application for Regulation - Volume 2

The Health Profession Assistant: Consideration of the Physician Assistant Application for Regulation, August 2012

HPRAC submitted The Health Profession Assistant: Consideration of the Physician Assistant Application for Regulation (August 2012) to the Minister of Health and Long-Term Care. The principle guiding HPRAC's recommendation was whether the application met a "risk of harm" threshold. HPRAC recommended that Physician Assistants (PAs) not be regulated under the Regulated Health Professions Act, 1991 (RHPA) at this time. It also recommended that a compulsory registry be implemented under the governance and oversight of the College of Physicians and Surgeons of Ontario (CPSO). It is hoped that the registry, and other targeted initiatives, will result in enhanced interprofessional collaboration. Please click on the following links to review the report:

The Health Profession Assistant: Consideration of the Physician Assistant Application for Regulation - Volume I

The Health Profession Assistant: Consideration of the Physician Assistant Application for Regulation - Volume II

Report on alternatives to the Mandatory Revocation Provisions and Treatment of Spouses by Health Care Professionals, June 2012

HPRAC submitted The Spousal Patient: Advice to the Minister of Health and Long-Term Care for Alternatives to the Mandatory Revocation Provisions and the Delivery of Treatment to Spouses under the Regulated Health Professions Act, 1991 (June 2012), to the Minister of Health and Long-Term Care. HPRAC's recommendations call for changes to the language of the RHPA to expressly exempt the treatment of spouses by health care professionals from the definition of sexual abuse. It also calls for Colleges to make profession-specific changes to the professional misconduct regulations and/or standards of practice to prohibit their members from treating their spouse.

Please click on the link below to view the report.

The Spousal Patient Report