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This information comes into effect as of June 4, 2009

Mandatory Reporting Obligations Employee Termination / Resignation

The Regulated Health Professions Act (RHPA) requires a person to file a mandatory report if :

  • They have terminated the employment, dissolved a partnership, a health profession corporation or association with a physiotherapist for reasons of professional misconduct, incompetence or incapacity
OR
  • They intended to terminate the employment of a physiotherapist for reasons of professional misconduct, incompetence or incapacity but they did not do so because the physiotherapist resigned
 
The legislative requirements for these types of mandatory reports can be found in section 85.5 of the Health Professions Procedural Code which is Schedule 2 of the Regulated Health Professions Act.

This fact sheet is intended to provide information to potential reporters to assist them in understanding their professional reporting obligations. Additional information can be obtained by reviewing the Professional Reporting Obligations Briefing Note or by contacting the Director, Professional Conduct at 416- 591-3828 or 800- 583-5885 Ext. 233 or via email at investigations@collegept.org.

What is incapacity?

In relation to a physiotherapist, that the physiotherapist is suffering from a physical or mental condition or disorder that makes it desirable in the interest of the public that the physiotherapist’s practice be subject to terms, conditions or limitations, or that the physiotherapist no longer be permitted to practise

What is incompetence?

If the physiotherapist’s professional care of a patient displayed a lack of knowledge, skill or judgment of a nature or to an extent that demonstrates that the physiotherapist is unfit to continue to practise or that the physiotherapist’s practice should be restricted.

What is professional misconduct?

For the purpose of mandatory reporting, acts of professional misconduct are referred to in the College’s Professional Misconduct Regulation. Additional definitions of professional misconduct, albeit less relevant to employers are referred to in section 51.(1) of the Code.
 

When and how soon do I have to report?

A person is required to file a mandatory report within 30 days of the termination /resignation, or ending of the professional relationship with the physiotherapist.


What information should the report include?

The report should include:
  • the name and contact information of the person filing the report;
  • the name of the regulated health care provider who is the subject of the report;
  • an explanation of the concerns that have been identified

Where should I send the mandatory report?

The report should be addressed to the Registrar of the appropriate College. Reports related to physiotherapists can also be submitted online using the online mandatory reporting form.

What happens if an individual fails to make a mandatory report required by the RHPA?

Failure by a person to make such a report where required may result in prosecution and upon conviction a fine up to $25,000 for a first offence and up to $50, 000 for a subsequent office. If the individual is a regulated health care provider, their regulatory College may take further action against them.

Where a corporation fails to file a mandatory report where required to do so,  the RHPA also includes specific provisions whereby failure to make such a report where required may result in prosecution and upon conviction a fine up to $50,000 for a first offence and up to $200, 000 for a subsequent office.

What happens once the College receives the report?

The Office of the Registrar will determine if additional inquiries are warranted. The results of the investigation would be considered by a panel of the Inquiries, Complaints and Reports Committee (ICRC) of the College which is comprised of representatives of the public and the profession.

How does a therapist respond to the report?

The ICRC will not make a final decision on a matter without the physiotherapist having the opportunity to respond to the report in writing and possibly by way of meeting with an investigator. If an investigation is required, the physiotherapist will receive a summary of the investigation for their review and consideration. At this time the physiotherapist will also be invited to make submissions prior to the matter being considered by the ICRC.  

What information will the College share with me after I submit the mandatory report?

The physiotherapist and the College are the only parties involved in the process. As such the outcome of the process is not shared with the individual who submitted the mandatory report to the College. In the event that the matter is referred to the Discipline Committee or Fitness to Practise Committee for a hearing, the College may ask the reporter to participate in the hearings process as a witness.

Can the ICRC revoke a physiotherapist’s Certificate of  Registration?

No. A physiotherapist’s certificate of registration may only be revoked as a result of a finding made by either the Discipline Committee or the Fitness to Practice Committee.

In rare circumstances a panel of the ICRC may direct the Registrar to suspend or impose terms, conditions or limitations on a physiotherapist’s certificate of registration through an Interim Order. This will only be considered in cases where the matter has been referred to the Discipline Committee or the Fitness to Practice Committee for a hearing and it is the opinion of the ICRC that immediate action is required to protect the public interest.

What decisions can the ICRC make?

The panel may where appropriate:
  • Refer the matter to the Discipline Committee for a hearing
  • Refer the matter to a Health Inquiry Panel for health related inquiries, which could result in a result in a referral to the Fitness to Practise Committee for a hearing
  • Issue a verbal caution
  • Require the physiotherapist to take part in a specified continuing education and remediation plan

In addition, the panel could:
  • Take no further action
  • Issue guidance, advice and/or recommendations to the physiotherapist
  • Issue a written caution
  • Invite the physiotherapist to participate in a remediation plan as defined in an Acknowledgement & Undertaking

How long does the process take?

There are no timelines associated with these types of investigations as some investigations are quite detailed and extensive while others are relatively short.

If I have concerns about the physiotherapist’s practice but she or he has not been terminated, what are my options?

In these cases, individuals may wish to file a formal complaint with the College. The physiotherapist would be advised of the complaint and provided with an opportunity to respond prior to the matter being considered by a panel of the ICRC. Additional information about the complaints process can be viewed on the College’s website under Complaints or by contacting the Associate, Professional Conduct at 416-591-3828 or 800-583-5885 Ext. 227 or investigations@collegept.org.