STRATEGIC PLAN. Protecting the public, promoting good medical practice

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1 STRATEGIC PLAN 1 July 2018 t 30 June 2019 TE KAUNIHERA RATA O AOTEAROA MEDICAL COUNCIL OF NEW ZEALAND Prtecting the public, prmting gd medical practice Te tiaki i te iwi whānui me te whakatairanga pai i te mahi e pā ana ki te taha rngā

2 OUR VISION We will prvide leadership t the medical prfessin and enhance public trust by prmting excellence and penness in medical practice. OUR STATUTORY PURPOSE Our statutry purpse is t prtect the health and safety f the public by prviding mechanisms t ensure that dctrs are cmpetent and fit t practise. OUR VALUES: Cnsistency and fairness Respect Integrity Openness and accuntability Cmmitment Effectiveness and efficiency

3 OUR PRINCIPLES OUR STRATEGIC GOALS In undertaking all its functins, Cuncil will fcus primarily n achieving its purpse f prtecting the health and safety f the public. Cuncil will be accuntable fr its decisins t the public, Parliament and the Minister f Health and, in relatin t the efficient use f funds t achieve its purpse under the HPCAA, t the prfessin. Cuncil will make its decisins as an independent regulatr f the medical prfessin free f influence frm external bdies. Cuncil will perate as a right tuch regulatr, ensuring the mst effective, efficient, cnsistent and prprtinate regulatin fr the prfessin. Cuncil will cnsider whether there is a risk f harm r risk f serius harm t the public when managing dctrs with cmpetence, cnduct and/r health cncerns. Cuncil will wrk in a cllabrative and cnstructive manner with all key stakehlders and cntinue t fster mutual trust and respect in all ur relatinships. Cuncil will aim fr excellence in everything that we d and will fcus n cntinually imprving ur perfrmance. Cuncil will prmte the Treaty f Waitangi principles f partnership, participatin and prtectin. GOAL ONE Optimise mechanisms t ensure dctrs are cmpetent and fit t practise. GOAL TWO Imprve Cuncil s relatinship and partnership with the public, the prfessin, and stakehlders t further Cuncil s primary purpse t prtect the health and safety f the public. Prmte gd regulatin f the medical prfessin by prviding standards f clinical cmpetence, cultural cmpetence and ethical cnduct and ensuring that the standards reflect the expectatins f the public, the prfessin and stakehlders. GOAL FOUR Imprve medical regulatry and wrkfrce utcmes in New Zealand by the registratin f dctrs wh are cmpetent and fit t practise and their successful integratin int the health service. GOAL FIVE Prmte gd medical educatin and learning envirnments thrughut the under-graduate / pstgraduate cntinuum t help ensure all dctrs have achieved the necessary standards fr their practice. Cuncil will wrk t imprve cultural cmpetence within the medical prfessin with the aim f imprving health equity fr disadvantaged grups within New Zealand. Cuncil will aim fr excellence in ur peple and will fcus n being an emplyer f chice and applying best practice human resurce plicy and practice. Cuncil will make decisins within a transparent natural justice-based decisin-making framewrk. Cuncil will wrk with ther internatinal medical regulatrs t prmte natinal and internatinal best practice in medical regulatin. Cuncil will wrk with ther health regulatrs in New Zealand prmting greater cllabratin t supprt an effective and efficient regulatry envirnment. Cuncil will set standards that signify a high and readily attainable level f medical practice.

4 OUR FIVE STRATEGIC DIRECTIONS DIRECTION ONE ACCOUNTABILITY TO THE PUBLIC AND STAKEHOLDERS The accuntability t the public and stakehlders strategic directin relates mainly t strategic gals tw and three: GOAL TWO Imprve Cuncil s relatinship and partnership with the public, the prfessin, and stakehlders s that Cuncil can fulfil its rle under the Health Practitiners Cmpetence Assurance Act Prmte gd regulatin f the medical prfessin by prviding standards f clinical cmpetence, cultural cmpetence and ethical cnduct and ensuring that the standards reflect the expectatins f the public, the prfessin and stakehlders. The Cuncil is accuntable t the public, t Parliament, and t the prfessin. There are many individuals and grups with whm we cllabrate in the perfrmance f ur functins. This strategic directin intersects with and sits acrss all the strategic directins. Key utcmes: Imprved engagement with the public and stakehlders t raise awareness f Cuncil s rle and functins, btain valuable feedback int ur strategy, plicy and business develpment and imprve hw we perfrm ur functins. The best interests f the public are integral t all Cuncil strategic planning, plicy develpment and business activity. Hw we will achieve ur utcmes: Fr patients and the public Our decisin-making will take int accunt the principles f patient-centred regulatin and the Cde f Health and Disability Services Cnsumers Rights t ensure penness and accuntability t the public in prcesses. We will incrprate public and patient feedback int plicy develpment thrugh input frm Cuncil s Cnsumer Advisry Grup and ther stakehlder engagement and cnsultatin. We will clearly cmmunicate meaningful regulatry infrmatin t the public abut dctrs. Fr dctrs and ther stakehlders We will cntinually seek t imprve ur methds and prcesses fr managing cmmunicatin with dctrs and ther stakehlders. We will raise awareness f Cuncil s rle, respnsibilities and apprach t medical regulatin and prmte standards f gd medical practice. Our agreements and Memranda f Understanding with key stakehlders will be mnitred t ensure they are used effectively t define rles and respnsibilities related t medical regulatin. We will cntinue t actin and maintain Cuncil s stakehlder engagement plan, including specific engagement with DHBs n Cuncil s key strategic pririties and updates n statements and standards. We will engage with ther Respnsible Authrities t develp a cnsistent and effective regulatry apprach acrss health prfessins in New Zealand and t cllabrate abut best practice and the impact f future legislative change. We will cntinue with a quality imprvement fcus fr effective and efficient Cuncil prcesses, when undertaking ur functins under the HPCAA and in strategy, plicy and business develpment.

5 DIRECTION TWO PROMOTING COMPETENCE The accuntability t the public and stakehlders strategic directin relates mainly t strategic gals tw and three: GOAL ONE Optimise mechanisms t ensure dctrs are cmpetent and fit t practise. Prmte gd regulatin f the medical prfessin by prviding standards f clinical cmpetence, cultural cmpetence and ethical cnduct and ensuring that the standards reflect the expectatins f the public, the prfessin and stakehlders. All dctrs must maintain cmpetence, have up-t-date knwledge and be fit t practise t ensure public health and safety. The principles f right tuch risk-based regulatin, that is effective, efficient, cnsistent and prprtinate, will be used t cntinue Cuncil s fcus n changing behaviur thrugh the use f educatin and nn-regulatry levers. Key utcmes: Cuncil prvides leadership t the prfessin and wrks cllabratively and cnstructively with key stakehlders, including the Medical Clleges, DHBs, primary care, and the Ministry f Health using preventative regulatin t cntinually imprve the current high quality f medical practice in New Zealand. Cuncil will fcus n practive strategies that will imprve standards f practice, supprting dctrs t prvide quality care t patients in an effrt t reduce the need fr reactive regulatry measures. Hw we will achieve ur utcmes: Strengthening recertificatin Develp a cllective apprach between Cuncil, Medical Clleges and emplyers t ensure dctrs are nt burdened with repetitive and duplicated recertificatin activities. Establish accreditatin standards fr recertificatin that align with Cuncil s Visin and Principles fr Recertificatin. Evaluate the effectiveness f regular practice review (RPR) as a methd f maintaining and imprving the standard f medical practice. Review the nature and effectiveness f cllegial relatinships within the recertificatin prgramme fr dctrs registered in a general scpe f practice, including the expectatins n the senir clleague. Supprting the prfessin and emplyers t cntinually imprve medical practice Cllabrate with clleges, DHBs and ther stakehlders t facilitate cllegial and emplyer supprt fr dctrs with health, cmpetence and/r cnduct cncerns that Cuncil are assessing, investigating and managing. Supprt prfessinal bdies t build a culture f respect and cllabratin in medical practice, including fstering relatinships f trust, cnfidence and cperatin between dctrs and members f the public t supprt public safety. Develp standards t supprt integrated care, team wrk and inter-prfessinal cmmunicatins. Prvide guidance t the prfessin, prfessinal bdies and emplyers abut accessing and utilising dctrs practising utside New Zealand t prvide medical services t New Zealand patients. Cnsider and prvide guidance t the prfessin abut apprpriate incrpratin f multimedia and virtual cmmunicatin methds in the delivery f medical services. Wrk with the prfessin and ther stakehlders t prmte recertificatin activities that reflect Cuncil s Visin and Principles f Recertificatin, which are: Frmative in nature Based in the dctr s actual wrk and wrkplace settings Infrmed by public input and referenced t the Cde f Cnsumer s Rights Supprted by emplyers Prfessin-led Infrmed by relevant data Evidence-based.

6 DIRECTION THREE CULTURAL COMPETENCE, PARTNERSHIP AND HEALTH EQUITY The cultural cmpetence, partnership and health equity strategic directin relates mainly t strategic gals ne, tw, three and fur: GOAL ONE Optimise mechanisms t ensure dctrs are cmpetent and fit t practise. GOAL TWO Imprve Cuncil s relatinship and partnership with the public, the prfessin, and stakehlders s that Cuncil can fulfil its rle under the Health Practitiners Cmpetence Assurance Act Prmte gd regulatin f the medical prfessin by prviding standards f clinical cmpetence, cultural cmpetence and ethical cnduct and ensuring that the standards reflect the expectatins f the public, the prfessin and stakehlders. GOAL FOUR Imprve medical regulatry and wrkfrce utcmes in New Zealand by the registratin f dctrs wh are cmpetent and fit t practise and their successful integratin int the health service. A dctr s culture and wrld view influence the way they interact with patients and the way they understand health, healthcare and wellness. They can als impact upn the dctr-patient relatinship. Patients cultures and wrld views can influence the way they interact with the health system and hw they respnd t healthcare interventins. A dctr s apprach t patients with a cultural identity that differs frm their wn can influence the way a patient accesses care. Medical regulatrs and clleges have a respnsibility t supprt dctrs in the further develpment f a culturally cmpetent wrkfrce. Develping the cultural cmpetence f dctrs is a methd f imprving the experiences f Māri within the health system and reducing the inequities in health that exist between the indigenus Māri and ther ppulatin grups. Key utcmes Imprved health utcmes and reduced health inequity fr Māri and ther ethnic grups, thrugh Cuncil s rle as the medical regulatr respnsible fr prfessinal standards and ensuring dctrs cmpetence. Hw we will achieve ur utcmes: Strengthening Cultural Cmpetence Develp resurces fr Cuncil staff t imprve understanding f tikanga Māri and Te Re. Develp accreditatin standards and statements fr the prfessin that identify clear expectatins and standards f cultural cmpetence fr dctrs and the related cmpetencies which can be used fr assessment and prfessinal develpment f dctrs during prevcatinal medical training, vcatinal training and recertificatin prgrammes. Advcate fr the identificatin and remval f barriers in delivery f medical care. Review IMG inductin, supervisin and assessment, t strengthen cultural cmpetence and cultural safety aspects. Cllabrate with clleges and emplyers abut the imprtance f cultural safety, fcusing n the experiences f the patient t imprve the quality f care. Review Cuncil s statements and resurces s that they reflect the standards f cultural cmpetence with a fcus n cultural safety. Engage with clleges and ther stakehlders t influence an increase in the number f Māri dctrs entering and cmpleting vcatinal training. Imprve understanding f the utcmes f care and the causes f health inequities. Wrk cllabratively with medical clleges and emplyers t ensure cultural cmpetence is embedded in all prevcatinal, vcatinal and recertificatin prgrammes. Gather baseline data and evaluate the effectiveness f the cultural cmpetence, partnership and health equity wrk prgramme t ensure it achieves the agreed utcmes. Imprving partnerships and participatin f Māri Wrk with dctrs and stakehlders t supprt them t establish and strengthen their partnerships with Māri cmmunities and rganisatins and encurage increased Māri participatin in gvernance and decisin making. Develp framewrks and resurces fr supprting dctrs wh identify as Māri, thrugh prevcatinal and vcatinal training, and recertificatin prgrammes.

7 DIRECTION FOUR MEDICAL EDUCATION The medical educatin strategic directin relates mainly t strategic gals three and five: Prmte gd regulatin f the medical prfessin by prviding standards f clinical cmpetence, cultural cmpetence and ethical cnduct and ensuring that the standards reflect the expectatins f the public, the prfessin and stakehlders. GOAL FIVE Prmte gd medical educatin and training thrughut the undergraduate / pstgraduate cntinuum t ensure all dctrs have achieved the necessary standards fr their practice. It is a functin f Cuncil t ensure and prmte the cmpetence f dctrs thrugh their educatin and training prgrammes, frm undergraduate t pstgraduate educatin. Key utcmes: An imprved educatinal experience fr all dctrs and medical students, prtecting the health and safety f the public by ensuring all dctrs are cmpetent and fit t practise. Hw we will achieve ur utcmes: Imprved quality f prevcatinal medical training: Implement multisurce feedback (MSF) fr interns as a frmative educatinal tl in eprt. Cntinue enhancing eprt as a recrd f learning fr each intern, including the develpment f an App fr n-the-g use. Encurage training prviders t meet targets s all interns are able t cmplete a cmmunity based attachment by 2020; and encurage the develpment f cmmunity based attachments that supprt integrated care that is clser t hme aligning with the New Zealand Health Strategy Undertake a review f the New Zealand Curriculum Framewrk fr prevcatinal medical training s it apprpriately guides a dctr s learning. Undertake an evaluatin f the changes t the prevcatinal medical training prgramme. Transitin int medical practice We will cllabrate with New Zealand s tw medical schls t create a quality transitin prcess and vertical educatinal integratin fr medical students int the prevcatinal medical training prgramme. DIRECTION FIVE: RESEARCH AND EVIDENCE-BASED REGULATION The research and evidence-based regulatin strategic directin relates mainly t strategic gals tw, three and five: GOAL TWO Imprve Cuncil s relatinship and partnership with the public, the prfessin, and stakehlders t further Cuncil s primary purpse t prtect the health and safety f the public. Prmte gd regulatin f the medical prfessin by prviding standards f clinical cmpetence, cultural cmpetence and ethical cnduct and ensuring that the standards reflect the expectatins f the public, the prfessin and stakehlders. GOAL FIVE Prmte gd medical educatin and training thrughut the undergraduate / pstgraduate cntinuum t ensure all dctrs have achieved the necessary standards fr their practice. Cuncil is aware f the fast pace f technlgical and cmmunicatin advancement and the need t ensure plicy and standards are develped using valid and reliable evidence. Key utcmes: All strategic and plicy decisins are supprted by valid and reliable evidence, utilising research and evaluatin utcme data where pssible, with the public interest at the centre. Hw we will achieve ur utcmes: Evaluate all strategic and plicy initiatives t cnsider the effectiveness f regulatry interventins. Analyse and interpret data that Cuncil gathers t make it useful and meaningful and t infrm strategic and plicy develpment and decisin-making. Undertake relevant research and literature reviews t infrm strategy and plicy. Use data t demnstrate risks and trends, and shw the effectiveness f initiatives t imprve the quality f medical practice and patient care. Use and disseminate Cuncil-cllected data effectively t prvide meaningful infrmatin t stakehlders. Cllect and prvide wrkfrce infrmatin and data t cntribute t health wrkfrce flexibility and planning, subject t privacy requirements.

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