Continuing Care Contracts
Approved: June 25, 2008
Revised: June, 2014
Continuing Care Contracts are used to allow monitoring of physicians with health problems, to place personal or practice restrictions on the physician, or to ensure compliance with decisions made as a result of discipline. The requirements are designed to minimize risk to patients and to encourage the physician to attend to health needs. Compliance with the contract is a condition of registration and failure to comply can result in referral to the Complaints Director.
Physicians will be encouraged to consult with legal counsel before agreeing to the terms of the contract. This will ensure the appropriate balance between protection of the public and the physician’s rights are considered.
The contract consists of four sections:
- The authority and general requirements of the contract.
- Personal limitations: outlines recommendations including those provided by the treating physicians or recommendations from any treatment centres.
- Practice conditions: resulting from an order of a Hearing Tribunal following discipline, or from recommendations arising from assessment and treatment, or through negotiation with the physician. Primarily designed to protect the public, but health issues can also be considered. For example, restriction on on-call responsibilities or restriction of prescribing certain medications may be imposed.
- Financial obligations: outlines the fees associated with the contract and any other financial matters with the College; for example, repayment of costs related to discipline.
The existence of a Continuing Care Contract will be noted on Certificates of Standing by the term “monitored for a health condition” when requested. Physicians asking for a Certificate of Standing when obtaining privileges with a health region or when applying for registration in another jurisdiction must be aware that this will be disclosed.
Under requirements outlined in the Health Professions Act, practice conditions will be noted on the practice permit and notifications will be sent to all locations where the physician provides professional services. Practice conditions are also noted on the CPSA website and are part of the information that is publically available about a physician’s registration. Personal health information of the physician is not revealed. (See Physicians’ Personal Health Information).
The normal term of Continuing Care Contracts will be five years. A shorter or longer time may be considered in individual cases. The five year term is consistent with most other regulatory bodies in North America.