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Professional self-interest

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Library

Harry Cayton for the BC Ministry of Health (released April 2019) · Apr 2019

An inquiry into the performance of the College of Dental Surgeons of British Columbia and the Health Professions Act

Harry Cayton, who developed right-touch regulation as chief executive of the UK's Professional Standards Authority, found the college met 17 of the 28 Standards of Good Regulation, and that many but not all of BC's health colleges showed 'a lack of relentless focus on the safety of patients'. He recommended fewer colleges, appointed boards and independent oversight.

Why it matters: Right-touch used to make regulators more accountable to the public, not to deregulate. It set off the reforms that led to BC's 2026 Act.

Official reportExternalRegulator independence
New Zealand Cabinet paper · Aug 2025

Policy approval for amendments to the Health Practitioners Competence Assurance Act

The New Zealand government's case for reform. It criticises 'unnecessarily high standards', long training and strict supervision, 'patch protection' and siloed regulators, and names associate psychologists among new professions it says regulators have been slow to adapt to, citing 'professional resistance or lack of direction from government'.

Why it matters: A strikingly direct statement of what the government believes is wrong with professional regulation. It mentions psychology once, naming associate psychologists as a new profession.

Official reportExternalRegulator independence
Australian Government Department of Health, Disability and Ageing · 5 Nov 2024

Unleashing the Potential of our Health Workforce: Scope of Practice Review

Professor Mark Cormack's review found almost all primary-care professions face barriers to full scope that are unrelated to their education and competence, and made 18 recommendations to remove them.

Why it matters: A central document in Australia's 'top of scope' agenda, now backed by a $60m incentive for states.

Official reportExternalWorkforce supply & access

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