annual report - odob · 2018. 12. 5. · length and content of the written papers with ocanz and is...

Annual Report1 April 2005 to 31 March 2006

Optometrists and Dispensing Opticians Board

ANNUAL REPORT 2006/07

2 ForewordfromtheChair

3 BoardStaff

3 MembershipoftheBoard

4 NewBoardMembers

5 RegistrationandRegistrationData

5 RegistrationStatistics-Optometrists

5 RegistrationStatistics-DispensingOpticians

5 RegisterStastisticsasatMarch2006

6 Legislation

6 ActivitiesoftheBoard

6 Boardfunctions

6 HealthPractitionerCompetenceAssuranceActimplementationactivities

9 2006FinancialStatements

9 AuditReport

10 StatementofFinancialPerformance

10 StatementofMovementsinEquity

11 StatementofFinancialPosition

12 NotestotheFinancialStatements

BackCoverContactingtheBoard


Contents

Foreword from the ChairThis report covers the period 1st April 2005 to 31 March 2006.

During this time theBoardhasmet formally three times, andheld three teleconferences.

Boardsubcommitteescontinuedtheirbusinessbyteleconferenceandelectronic-mail.

ThispastyearhasseenclosureonanumberofissuesthathaveoccupiedtheBoardfor

someyears.

These include: the enactment of a restricted activity (under section 9 of the Health

PractitionersCompetenceAssuranceAct2003)thatprotectsthepublicfromtheprescribing

ofanopticalapplianceorophthalmicmedicaldevicewithoutfirstadiagnosisbeingmade

byahealthpractitionerqualifiedtomakethatdiagnosis;andtheenactmentofregulations

undertheMedicinesAct1984topermitappropriatelyqualifiedoptometriststoprescribe

22prescriptionophthalmicmedicinesandallofthepharmacyophthalmicmedicines.

In addition, the framework has been established (which includes a contract with the

AssociationofDispensingOpticiansofNewZealand)torecordContinuingProfessional

Development (CPD) for optical dispensing, which means that compulsory CPD for

dispensingopticianswillbearealityinthenextAnnualPractisingCertificateround.This

followsthealreadysuccessfulcompulsoryCPDprocessestablishedforoptometrists.

Standards of clinical competence, ethical conduct and cultural competence are now

completedandpublished.Ashasbeenpreviouslystatedandreiteratedagainlaterinthis

report, thesedocuments are livingdocuments and canbe changedwithdueprocess.

Ifyouhaveanycomment tomakeonthem, theBoardwillbehappyto receive those

commentsandrespondtothem.

SomeBoardbusinessrelatingtoprocessesnowinplaceundertheHealthPractitioners

CompetenceAssuranceAct2003areunfinished.Notably theBoardawaitsa response

fromCityandAngliaUniversities intheUKonthecoursesthathavebeenprovidedto

theiroptometrygraduatesinDiagnosticPharmaceuticalAgents,despiteremindersfrom

theBoardtotheGeneralOpticalCouncilforthisinformation.

OfconsiderableconcerntopractitionersandpublicalikeisPHARMAC’sdecisiontodeny

patients who are prescribed “retail pharmacy-specialist” prescription medicines by a

designatedoptometristprescriber,accesstothesubsidiesapplicabletothosemedicines.

MedicineslistedinthePHARMACPharmaceuticalScheduleas“retailpharmacy-specialist”

medicines requireaprescriptionthat iscountersignedbyavocationalspecialist, in this

caseanophthalmologist,inorderforthepatienttoqualifyfortheapplicablesubsidy.

TheBoardwillultimatelychallengethedecisionmadebyPHARMAC.

Inaddition,competencereviewprocesses (based largelyonthoseusedbytheMedical

Council)arestillbeingdevelopedandarenowatthestagewheretheBoardislookingfor

theprofessions’andeducationinstitutions’inputbeforetheprocessispiloted.

Fromthecompetencyreviewprocesswillevolve“BacktoWork”programmesforthose

whotakeasignificanttimeawayfromwork,andtheself-auditquestionnaire(designed

toenablepractitionerstoself-audittheircompetencystatus).

ANNUAL REPORT 2005/06 ANNUAL REPORT 2005/06

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Atthe lastmeetingof theyear (31stMarch) I stooddownasBoardChair.Thepast3

yearsasChairhavebeenintensebutneverburdensome.IfeelthatIhavebeenprivileged

tohavebeeninapositionwhereIcouldservetheprofessionsofoptometryandoptical

dispensingata timeof significant change.Thesechangeshaveundoubtedlybeen for

thebetter.TheBoardhas respondedwell to thechallengesandopportunity thatnew

legislationinvariablybrings.

IwouldliketoacknowledgethevaluableinputintoBoardaffairsbyVivianEdgar,Deputy

Chair.Vivianhasledthedevelopmentofthecompetencyreviewprocess.AnnetteKeleher

has chaired the Optometrists CPD Accreditation Committee and was instrumental in

developing the cultural competencies document; Joanne Ryan has become the Chair

oftheDispensingOpticiansCPDAccreditationCommittee.MichaelBlackman,Michael

Firmston, John McLennan, Hywel Bowen, Carrick Lewis and George Lazaridis have all

contributedinthegeneralrunningofBoardaffairs,alongwithSashiMeangerwhowas

alsoinvolvedinthedevelopmentoftheculturalcompetenciesdocument.

IwouldalsoliketospecificallyacknowledgeDeniseNelson,Registrar(untilherresignation)

andJennyLee,DeputyRegistrar(appointedRegistraronthelastdayofthisfinancialyear)

fortheirhardworkandcommitment.

Peter GrimmerChair

Board StaffThisyearunfortunatelysawtheresignationofDeniseNelsonasBoardRegistrar.Denise’s

importantcontributiontotheBoardoveraverybusytimeisnotedandwewishherwell

inhernewappointmentwiththeNursingCouncil.

Under the Health Practitioners Competence Assurance Act 2003, Jenny Lee has been

appointedthenewBoardRegistrarhavingpreviouslybeenitsDeputy.Jennyhasthefull

supportof theBoard in this stepup.Mike Fitzgeraldhasefficientlyfilled inasActing

Registrarovertheinterimperiod.

Membership of the BoardAsat31March2006,theBoardmembershipcomprised:

• Fiveregisteredoptometrists

• Threeregistereddispensingopticians

• Threeotherpersons(noneofwhomisaregisteredoptometristorregistered

dispensingoptician)

TheMinisterofHealthappoints themembersof theBoardbynoticepublished in the

Gazette.BoardmembersattendmeetingsandundertakeBoardactivitiesasindependent

personsresponsibletotheBoardasawhole.Membersarenotappointedasrepresentatives

ofanyprofessionalorganisation,butfortheirexpertiseandgeneralexperience.TheChair

andDeputyChairarerequiredbytheActtobeelectedbytheBoardatitsfirstmeeting

ofeachcalendaryear.

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New Board MembersThisyearhasseentheappointmentoftwonewoptometriststotheBoard,JohnMcLennan

andHywelBowen

JohnbringsawealthofexperiencetotheBoard.HeisapastPresidentoftheNewZealand

AssociationofOptometristsand,mostrecently,wasanoptometryrepresentativewith

theAlliedHealthStandards8171workinggroup.Thisgroup,promotedbyStandards

NewZealandandsponsoredbyACC,determinedcombinedhealthstandardsforall

alliedhealthprofessionals.

Hywelqualifiedasanoptometrist inWales,workingintheUKandAustraliabefore

settingupapracticehere.HehasbeenanassociatelectureratAucklandUniversity,

donevolunteerophthalmicworkinthePacificandmorerecentlyworkednationallyas

alocum.

The Health Practitioners Competence Assurance Act enables the Board to determine

the remuneration, allowancesandexpenses tobepaid tomembersof theBoardand

itscommittees.TheBoardconsidersthatmembersshouldnotcontributetheirtimeto

Boardbusinessfornorecompense,butthisneedstobebalancedagainsttheelementof

voluntarycontributioninherentinservingontheBoard,withremunerationataratefairly

reflectingthatbalance.

Individual claims for each Board member were:

PeterGrimmer(Chair) Optometrist $13,642.50

VivianEdgar(DeputyChair) Optometrist $10,590.00

MichaelBlackman DispensingOptician $2,130.00

MichaelFirmston DispensingOptician $1,548.00

AnnetteKeleher Optometrist $3,450.00

GeorgeLazaridis Layperson $4,240.20

CarrickLewis Layperson $3,570.00

JoanneRyan DispensingOptician $3,540.00

SashiMeanger Layperson $1,260.00

JohnMcLennan Optometrist $2,040.00

HywelBowen Optometrist $600.00

Total Claims $46,610.70


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Registration and Registration DataRegistration Statistics – Optometrists

TherewerefortyfouroptometristsregisteredbytheBoardbetween1April2005and31

March2006.Theseincluded:

• 17fromAustralia(registeringundertheTransTasmanMutualRecognitionAct1997)

•3havingpassedtheCompetencyinOptometryExamination

•22fromNewZealand

•2fromtheUSA(EducatorOptometrists)

Theyheldthefollowingqualifications:

• BachelorofOptometry(UniversityofAuckland)

• ApassintheCompetencyinOptometryExamination

• DoctorofOptometry(USA/CanadaapplicantsintheEducatorOptometristscopeof

practice)

• RegistrationundertheTrans-TasmanMutualRecognitionAct1997

ThereweresixtyfourpeoplewhocompletedtheCertificateofOcularPharmacologyand

TAPIOTcoursefromtheDepartmentofOptometryandVisionScience,theUniversityof

Auckland,andwereregisteredintheOptometrist(TPAendorsement)scopeofpractice.

Registration Statistics - Dispensing Opticians

There were twenty five dispensing opticians registered between 1 April 2005 and 31

March2006.Theseincluded:

• 15withtheAustralianqualification

• 2registeredundertheTrans-TasmanMutualRecognitionAct1997

• 7fromtheUnitedKingdom

Theyheldthefollowingqualifications:

• OTEN/TAFECertificateIVinOpticalDispensing

• FellowoftheAssociationofBritishDispensingOpticians(FBDO)

• RegistrationundertheTrans-TasmanMutualRecognitionAct1997

Register Statistics as at 31 March 2006

TotalnumberofoptometristsontheRegisterofOptometrists 1239

TotalnumberofoptometristsholdinganAnnualPractisingCertificate 642

TotalnumberofdispensingopticiansontheRegisterofDispensingOpticians 248

TotalnumberofdispensingopticiansholdinganAnnualPractisingCertificate 135

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LegislationTheBoardcontinuesasanauthorityundertheHealthPractitionersCompetenceAssurance

Act2003,whichcamefullyintoforceon18September2004.

Activities of the BoardBoard functions

ThepurposeoftheBoardistoprotectthehealthandsafetyofthepublicbyproviding

mechanismstoensurethatoptometristsanddispensingopticiansarecompetentandfit

topractisetheirprofessions.

TheBoardhasfourareasofspecificresponsibility

1. Itmustsetstandardsofclinicalcompetence,culturalcompetenceandethicalconduct.

Itmustprescribequalificationsforthescopesofpracticeithassetandforthatpurpose

itmayaccreditandmonitorteachinginstitutions

2. ItmustmaintainaregisterandconsiderapplicationsforAnnualPractisingCertificates

3. Itmustreviewandpromotethecompetenceofoptometristsanddispensingopticians

includingpromotingeducationandtraining

4. Itmustreceiveandactoninformationaboutthecompetenceofhealthpractitioners

especiallywherethatpractitionerposesariskofharmtothepublic

Health Practitioner Competence Assurance Act implementation activities

• Standards of clinical competence, cultural competence and ethical conductOver the past year the Board has completed and published standards of cultural

competencetobeobservedbytheprofessions.Thesecompetenciesalongwiththe

publishedstandardsofclinicalcompetenceandethicalconductareavailableonthe

Board’s website and able to be downloaded. They are considered to be “working

documents”–i.e.theyremainopentocommentandreview–ifyouhaveanycomment

tomakeatanytime,pleasecontacttheBoardoffice.

Boardwebsite:

http://www.optometristsboard.org.nzor

http://www.dispensingopticiansboard.org.nz

• QualificationsOverseas qualifications: The outcome of the Cole Report, commissioned by the

Board, indicated that itwasno longerappropriate for theBoard toacceptwithout

assessment UK trained optometrists. The Optometry Council of Australia and New

Zealand(OCANZ)carriesouttheassessmentofoverseastrainedoptometristsonthe

Board’sbehalf(notingthatthisfunctionisoneofthetwokeyfunctionsthatOCANZ

has). The Board recognises through its consultation processes, particularly with the

NewZealandAssociationofOptometrists,thatthewrittencomponentoftheOCANZ

competencyassessmentprocessisonerous.TheBoardsoughttodiscusstheseissues

with OCANZ and this resulted in the written component of the assessment being

madeavailableintheUKandSouthAfrica.Further,theassessment,bothwrittenand

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practical,havebeenmadeavailabletwiceayear.TheBoardcontinuestodebatethe

lengthandcontentofthewrittenpaperswithOCANZandisoptimisticofareasoned

outcome.

• RecertificationDiagnostic Pharmaceutical Agent Recertification Programme: The Board, has in

negotiationwiththeDepartmentofOptometryandVisionScienceoftheUniversityof

Auckland,establishedthedidacticcomponentoftheprogramme.Whileithastaken

sometimetofillthefirstintakeintothecourse,ithashappenedwith34enrollingin

thefirstcourse

• Continuing professional development (CPD)Optometrists:TheBoard’sOptometristCPDAccreditationCommitteehasestablishedrobust

protocolsfortheaccreditationofCPDactivities.Asithasthroughouttheyear,thecommittee

remainsresponsivetocommentthatcanprovidetherefiningoftheseprotocols.

Dispensing Opticians: The Board has established a contract with the Board’s CPD

recorders (the Association of Dispensing Opticians of New Zealand), established an

DispensingOpticiansCPDAccreditationCommittee,andprovidedrobustprotocolsfor

theaccreditationofCPDevents

• Competence reviewTheBoardhas formulated its competency reviewprocess andestablished the tools

required to implement these processes. These documents are due to go out for

consultationwiththeprofessionsandotherrelevantparties.Fromtherethecompetence

reviewprocesswillevolve:aself-auditprocessforcompletionbyeverypractitionerat

therenewaloftheirAnnualPractisingCertificate(with20%ofpractitionerself-audits

auditedbytheBoardeachyear);andBack-to-Workprogrammesforthosewhotake

significanttimeawayfromtheirprofessions.

• Restricted activitiesTherestrictedactivitiesenactmentprocessundersection9oftheHealthPractitioners

Competence Assurance Act has been completed. Of particular relevance to the

optometryandopticaldispensingprofessionsisthattheprescribingofanophthalmic

or optical appliance or medical device intended for remedial or cosmetic purposes

orforthecorrectionofadefectofsight,isoneofsixrestrictedactivities.Itservesto

protectthehealthandsafetyofthepublicbyensuringthat,first,adiagnosis takes

placebeforeamemberofthepublicisprescribedaremedyforavisualproblem.

• Optometrists prescribing therapeutic agentsRegulationsmadeunder theMedicinesAct1981werepassed inOctober2005and

authoriseoptometristswhomeetspecifiedrequirementsforcompetence,qualifications

andtrainingtoprescribecertainprescriptionmedicines.

HealthPAC has implemented changes in its software so that the subsidies paid on

optometrists’prescriptionsarerecognised.Therecordingofthisdatashouldenablethe

Boardtomonitoroptometristprescribing.

Thereremainsaproblem in that thepatientsofoptometristprescribersdonothave

accesstosubsidiesfordrugslistedinthePHARMACPharmaceuticalScheduleas“retail

pharmacy-specialist” medicines. These prescriptions need to be countersigned by a

vocationalspecialist,inthiscaseanophthalmologist,ifthepatientwishestoclaimthe

subsidy.


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PHARMAC’s decision to deny those patients access to those subsidies when an

optometrist prescriber prescribes those medicines is a decision the Board will

challenge.

• Council of Optometry Registration Authorities (CORA)CORA(whichincludesrepresentativesoftheoptometryregistrationauthoritiesinNew

ZealandandAustralia)meetsyearly.KeyissuesstillfacingCORAthisyearhavebeen

theincorporationofCORAandtheformalisationofCORAfundingagreementsthat

willthenenabletheNewSouthWalesBoardtobecomeafundingmember.Upuntil

nowtheNewSouthWalesBoardhasnotbeenaparticipantinthefundingofCORA

becauseofitsrelationshipwiththeHealthAdministrationCorporationinthatState,so

exposingtheNewSouthWalesgovernmenttoliability.

• Health Regulatory Authorities of New Zealand

HRANZ meets twice a year. Its membership includes representatives of all health

registrationauthoritiesinNewZealandandprovidesaforumformattersofcommon

interestaswellascapacitytomakerepresentations.


11


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Tel: (64) (4) 474 0705 Fax: (64) (4) 472 2350 E-mail: [email protected] Web: www.optometristsboard.org.nz and

www.dispensingopticiansboard.org.nz

All correspondence should be addressed to: The Registrar Optometrists and Dispensing Opticians Board PO Box 10-140, Wellington Secretariat Staff: Jenny Lee (Registrar) Mike Fitzgerald (Board Administrator)

The Board’s office is located at: Level 21, Grand Plimmer Tower 2-6 Gilmer Terrace Wellington

annual report - odob · 2018. 12. 5. · length and content of the written papers with ocanz and is...

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