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Compliance Policy: Supervision - Occupational Therapy

Occupational Therapy

Policy

Published on 1 June 2016

This policy applies to

An occupational therapist who is the subject of supervision conditions imposed in NSW after 9 March 2016.

¹ This policy applies where the supervision condition is imposed under Part 8 of the Health Practitioner Regulation National Law (NSW).

Purpose

This policy sets out the Council’s expectations of practitioners who have supervision conditions imposed on their registration.

A practitioner who is the subject of supervision conditions must comply with both this policy as well as the conditions. If a condition is inconsistent with any part of this policy, the condition prevails.

This policy is not to be confused with the Occupational Therapy Board of Australia’s Supervision Guidelines – effective September 2014. The National Board guidelines apply to supervision conditions imposed by the Board. Those guidelines also require supervised practice plans for limited practice registrants and those seeking to return to practice.

Requirements for complying with a supervision condition

Practitioners who are the subject of a supervision condition must:

  1. Practise in a manner that complies with the category of supervision required by their condition(s).
  2. Nominate proposed supervisors to the Council in accordance with the requirements of their category of supervision. The Council will not automatically approve nominated supervisors and approval cannot be assumed. Practitioners must have received confirmation of approval of any supervisor to ensure compliance with their condition.
  3. Participate in review meetings with the Council-approved supervisor as required.
  4. Authorise the supervisor to forward reports (in a Council approved format) to the Council at the frequency required by their condition and ensure that the supervisor does in fact provide those reports.
  5. Authorise the supervisor to immediately inform the Council of any concerns regarding the performance of the practitioner and their compliance with any conditions on their registration, or if the supervisory relationship ends.
  6. Meet all costs associated with supervision.
  7. Ensure continuity of supervision by nominating a suitable substitute supervisor for approval by the Council to cover any planned period of absence by the Council-approved supervisor. Any such nomination must be made with adequate time to allow consideration and approval by the Council.
  8. Immediately nominate a proposed replacement supervisor to be approved by the Council if the approved supervisory relationship ends or is unexpectedly suspended.
  9. Not enter into an arrangement or association with the supervisor, which could cause a conflict of interest.

Consequence of failure to comply with this policy

Failure to comply with this policy constitutes a breach of conditions.

Any breach of conditions may be referred to the Health Care Complaints Commission for investigation as a complaint. The Council may also consider taking interim action under s 150 of the Health Practitioner Regulation National Law (NSW) (National Law).

Practitioners should know that the definition of unsatisfactory professional conduct (see s 139B(1)(c) of the National Law) includes contravention of a condition to which a practitioner’s registration is subject.

Implementation

This Policy will be published on the Council’s website, provided to practitioners when a supervision condition is imposed and provided to nominee and approved supervisors. It should be read in conjunction with the Council’s Supervisor Approval Position Statement.

Practitioners whose registration is subject to a condition requiring supervision imposed in NSW, must practise in compliance with their supervision conditions as well as this policy.

Acknowledgement

The Occupational Therapy Council of New South Wales acknowledges that this Compliance Policy, Supervisor Approval Position Statement and associated documents were adapted from versions prepared by and for the Medical Council of New South Wales and that the Medical Council has granted permission for their adaptation by other health professional councils.

The requirements and nature of each category of supervision

Decision makers will usually impose a supervision condition requiring supervision at a specified category in accordance with this policy. The requirements of the different categories are described in the table below and are to be adhered to unless varied by the conditions imposed on the practitioner’s registration.

CategoryType of supervision requiredSupervisor required to practise at the same practice location as the practitioner?Independent practice permitted?Frequency of review meetings with supervisorFrequency of reports provided to CouncilNomination of a proposed supervisorNature of the review meetings
Category ADirect supervision is required at all times.Yes, at all times.No.Continuous supervision with weekly* review meetingsOnce a month*Within 14 days^The nature and duration of a review meeting is to be determined by the approved supervisor as guided by the supervision condition and other relevant information. A review meeting may address the following:

• Discussion of conditions and compliance
• Observed practice
• Case presentations
• Case and record reviews
Category BThe supervisor is to monitor and provide indirect supervision and be readily available to provide advice, assistance or direct supervision as required.Yes, the supervisor is to practice at the same location.

The supervisor may be off-site in exceptional circumstances, but must be contactable by phone to provide advice or assistance as required.
Yes, unless restricted by their practice conditions.Fortnightly*Every 3 months*Within 21 days^ 
Category CIndirect supervision is required. The supervisor must be contactable by phone for emergencies.No, but the supervisor must be contactable by phone and should attend on occasion to review records and files.Yes, unless restricted by their practice conditions.Monthly*Every 6 months*Within 21 days^ 

* Frequency may be varied by a review body.

^ From the date of imposition of conditions and/or from the date when a nomination is declined.

Last updated on 1 June 2016

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