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NEWS

Issue 59, January 2014

Good afternoon,

Welcome to this issue of Medical Council News.

In this issue we look at the Cole’s Medical practice in New Zealand chapter on ‘Doctors’ Health’ and the work of the Council’s Health Committee, the achievement and recognition of Professor Pat Alley, the first New Zealander to be awarded the Confederation of Postgraduate Medical Education Councils (CPMEC) Clinical Educator of the Year Award in mid November, and advice about some changes to our Statement on medical certification.

In September 2012, Dr Steven Lillis, the Council’s Medical Adviser wrote in Medical Council News, ‘Every week the Council receives complaints or concerns about doctors. They may come from patients, colleagues, the Health and Disability Commissioner (HDC), ACC or others. The complaints may be minor or serious, but the one thing they all have in common is that they are all assessed by our complaints triage team (CTT). Meeting every week, the CTT comprises the Council’s Chair, Chief Executive, Registrar, two Medical Advisers, Professional Standards Manager, Senior Policy Adviser and a Council lay member. Usually, the number of cases discussed each week is between eight and twelve’.

The referrals can range from competence issues such as poor communication with patients to serious conduct issues, for example sexual assault.

Over the past 18 months there has been an increase in the number of cases managed through the CTT, particularly those that relate to doctors’ competence. Each referral is considered by the CTT who may seek a response from the doctor, before reviewing the concern and making a decision as to whether the matter needs to be referred to the Council. Council then decides what, if any steps need to be taken. Such steps could be:

  • whether to proceed with a performance assessment;
  • or to refer the concern to a professional conduct committee.
This increase in the number of notifications, particularly those relating to concerns about competence, has resulted in an increased number of cases considered by the full Council, and an increased number of performance assessments ordered. The subsequent processes we need to go through are time and resource consuming for the Council members and staff as well as the doctors involved. The table below shows the numbers of competence related cases that have been referred to Council and the number of performance assessments carried out in the last 3 financial years.

Financial YearCompetence cases to councilPerformance assessments ordered
1 July 2010 - 30 June 20113622
1 July 2011 - 30 June 20126030
1 July 2012 - 30 June 20134332

The average performance assessment takes between 3 and 6 months, or longer to complete. Although these processes do take up considerable time and resources, they are critical to maintaining standards and giving health consumer’s confidence about the competence and fitness to practise of all doctors.

After four years as Chair, I have decided to resign from Council as from mid February. I leave with the organisation in a strong position and with a productive and important strategic agenda. Farewell from me. 

With best wishes

Dr John Adams
Chairperson
Medical Council of New Zealand



Stop press

The Medical Council office has moved offices because the building it occupied did not meet earthquake building codes.  The Council office has relocated to 17-21 Whitmore Street, Wellington.

Although we are at a new location, our contact details remain unchanged - our postal address is still:

PO Box 11649
Manners Street
Wellington 6142

and our phone numbers remain:

Freephone: 0800 286 801 (for calls within New Zealand only)
Phone: +64 4 384 7635

as do all Council staff phone numbers and email addresses.

Click on the following link to see our new location on Google maps:

http://goo.gl/maps/Cs32u 



 

IN THIS ISSUE

 

Responsible Authorities Working Together

Medical Regulation – What Is It? Where Is It Heading?

Professor Pat Alley awarded 2013 CPMEC Clinical Educator of the Year Award

Updated standards for doctors writing medical certificates 

Looking at Cole’s Medical practice in New Zealand

Ethics 101

MyMCNZ

Credit card fees

Vocational Education and Advisory Bodies (VEABs)

Changes to prevocational training requirements for doctors in New Zealand

Changes to scopes of practice and prescribed qualifications

Is your email address the right one?

The New Zealand Medical Workforce in 2012 - workforce survey results

Making health and disability services safer

What happens when a concern is referred to Council - A case study

 

Quick links

Find a registered doctor

Change your personal details

Lost doctors

Resources

 

 

 

 

Responsible Authorities Working Together

 

In early 2011, Health Workforce New Zealand (HWNZ) began consultation on a proposal for a single secretariat for all health responsible authorities (RAs). This consultation and the deliberations around it since have been the subject of both debate and speculation as to what the end result would be.

Read more

Viewpoint: Medical Regulation – What Is It? Where Is It Heading?

Last week I was taking a tutorial with the interns working at our hospital – young (in the most) doctors nearing the end of their first year of medical practice. I was attempting to give them some perspective on the medical world around them – councils, colleges, societies, associations, commissions… the bodies, mores, and regulations that surround them now and will continue to define the professional environment in which they will practise medicine for the decades ahead.

Read more

Professor Pat Alley Awarded 2013 CPMEC Clinical Educator Of The Year Award

Well known Auckland surgeon, Professor Pat Alley became the first New Zealander to be awarded the Confederation of Postgraduate Medical Education Councils (CPMEC) Clinical Educator of the Year Award in mid-November.

Read more

Updated Standards For Doctors Writing Medical Certificates

 

The Council’s new standards state medical certificates should provide the necessary information required by the receiving agency and consented to by the patient. The ‘necessary information’ should usually be limited to information about the doctor’s clinical opinion on safe activities / restrictions and timeframes. The certificate should not include private or irrelevant information.

Read more



Looking At Cole’s Medical Practice In New Zealand

 

In this issue of Medical Council News we present an abridged version of the chapter on Doctors’ Health from Cole’s Medical practice in New Zealand. Cole’s is an ebook published by the Council, and is available as a free download from the Council’s website.

Read more


Ethics 101

 

Is it inappropriate to accept a gift from a patient? Can I limit patients to one medical complaint per visit? Is it okay to refuse to accept a new patient if his medical history is complex?

Read more

MyMCNZ

Bar

 

MyMCNZ is a web based system that will let all practising doctors view the information that Council holds about them in time, change their personal details, request online documentation (for example a Certificate of Good Standing) and complete the annual renewal of their practising certificate online.

Read more

Credit Card Fees

 

Following a review by our bank, the credit card fees that the Medical Council gets charged are increasing effective from 1 January 2014, from 0.5 percent to 1.2 percent. As we have done previously, we will be passing on this fee increase for payments made by credit card.

Read more

Vocational Education And Advisory Bodies (VEABs)

 

We have decided to stop using the term Branch Advisory Bodies (BABs), and these organisations will now be known as Vocational Education and Advisory Bodies (VEABs).

Read more

Changes To Prevocational Training Requirements For Doctors In New Zealand

 

Working groups have been established for each of the eight work-streams. Implementation will be phased with the first changes taking place in November 2014 and implementation of the second stage of changes in November 2015.

Read more



Changes To Scopes Of Practice And Prescribed Qualifications

 

The Council last published a full list of the scopes of practice (and associated prescribed qualifications) in February 2012. 

Read more




Is Your Email Address The Right One?

 

The Council is increasingly sending correspondence to doctors by email, as it is the quickest and most cost effective way of communicating with doctors. 

The recent news that New Zealand Post will cut urban deliveries to three days a week from six starting in 2015 has had Council staff examining the services of other alternative mail delivery providers. 

However, our investigations have clearly shown that none of these alternatives can match the speed and cost-effectiveness of email.

Read more


The New Zealand Medical Workforce In 2012 - Workforce Survey Results

 

Dr John Adams, the Council’s chairperson says the survey shows that the number of active doctors increased by 2.5 percent, from 14,333 in 2011 to 14,686 in 2012. This change compares with increases of 3.2 percent in 2011 and 3.5 percent in 2010.

Read more

 

Making Health And Disability Services Safer

The Health Quality & Safety Commission recently released its fourth annual report on serious adverse events. The report covers events reported by health and disability service providers in 2012–13 that resulted in serious harm or death.

Read more

What happens when a concern is referred to Council - A case study

Dr X, a general practitioner, first came to Council's attention when we received a letter of concern from another doctor who had been carrying out a locum for Dr X.

In this case, the concerns were that Dr X was prescribing quantities of controlled drugs well beyond what is usual and reasonable. Dr X's prescribing patterns generally suggested poor judgment and a lack of perspective about appropriate treatment. The locum was also concerned about Dr X's failure to make referrals and follow up results.

Read more

 

 

 

 

Medical Council Of New Zealand

Medical Council of New Zealand
Level 2, 17-21 Whitmore St, PO Box 11649, Wellington 6142
Tel:            0800 286 801
Email:      mcnz@mcnz.org.nz
Website:  www.mcnz.org.nz

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