Amalgamation

On September 1st, 2020, the College of Midwives of British Columbia (CMBC) and the BC College of Nursing Professionals (BCCNP) will amalgamate to become the BC College of Nurses and Midwives (BCCNM).  As September 1st approaches, CMBC’s board and staff are committed to clear, transparent communication as well as continued, uninterrupted delivery of regulatory services. This web page serves as a central hub for current and comprehensive information on amalgamation for midwives and members of the public.

Background

In British Columbia, there are 26 regulated health professions, 25 of which are governed by 20 different regulatory colleges under the Health Professions Act (HPA). Following up on ideas shared in 2018, in April of 2019, the BC Ministry of Health stated its desire to modernize and improve the regulatory system framework in BC by reducing the total number of regulatory colleges.  In response, CMBC (a small regulator of midwives with just over 400 registrants and 6 staff) and BCCNP (a large regulator of nursing professionals with over 60, 000 registrants and 130 staff) proposed to amalgamate as one regulator. This proposal met with support by the BC Ministry of Health in early 2020 and regulation changes were proposed by government in March.

On June 8th, 2020, the government  released an Order in Council that amends the regulations under the Health Professions Act to confirm that the amalgamation of BCCNP and CMBC will take place on September 1st, 2020, as planned.

The proposed bylaws for the new college were posted by BCCNP and CMBC on May 27 and are now open for consultation.

Amalgamation: Frequently Asked Questions








Proposed Bylaws: Open for Consultation

Board members and staff from CMBC and BCCNP have worked together to create new bylaws. The aim has been to create bylaws that will enable the new college to be fully functional from Day 1 of amalgamation on the basis of the following principles:

  • to make no major changes besides those required to continue regulating the five professional groups (nurses, nurse practitioners, midwives, licensed practical nurses and psychiatric nurses);
  • to make some changes necessary for the transition itself;
  • to clarify or enhance bylaws that support our current work; and
  • to update bylaws for the new governance framework.

Before these new bylaws can come into effect, we are required to give notice to registrants and the public and post them for three months. This gives everyone who is interested an opportunity to ask questions and provide feedback and is a key phase in the process. Feedback from registrants is especially useful as it provides us with insight into how the bylaws will be perceived and whether further clarification is needed.

We value and appreciate your feedback and hope you will take part in the consultation process.

What happens to your feedback?

All comments submitted will be considered by both colleges and the Ministry of Health before receiving final approval from the first board of the new college. If you prefer, you may provide comments directly to the Ministry of Health.

What are the key changes to be aware of?

Area Change Page #
Board composition The new BCCNM board will be composed of 10 people: five public members appointed by the Minister of Health and five elected members also initially appointed by the Minister of Health—one from each designation represented by the new college including one LPN, one NP, one RN, one RPN and one RM. p. 13
Committee creation and composition BCCNP and CMBC committees to be restructured and revised to eliminate duplication and to ensure general provisions for the powers and duties of each committee individually:

  • Executive committee eliminated as all decisions to be made by the full board; other previous duties of the executive committee fall to the governance committee, registrar oversight committee, and finance and audit committees.
  • Professional Practice and Standards Committee (PPSC) to include multidisciplinary membership and capacity for decision making by profession-specific panels where appropriate.
  • CMBC’s client relations committee eliminated and BCCNP provisions for the client relations program adopted. The Professional Practice and Standards Committee (PPSC) will now have an advisory role in relation to the program. The program, which is outlined in the HPA, remains the same, but the committee that does this work to be different.
  • CMBC’s Indigenous midwifery committee to continue their work through an indigenous midwifery panel of the PPSC:

               o   PPSC chair will be required to establish and maintain an Indigenous midwifery panel (not discretionary).
               o   Composition of the panel must include at least three Indigenous individuals (not necessarily Indigenous midwives).
               o   The board will be required to appoint PPSC members as necessary to ensure the panel can be properly appointed by the PPSC chair.
               o   Powers and duties of the PPSC changed to include a new mandate, expanded from that of the current CMBC indigenous midwifery committee. The panel will have full authority to exercise all those powers and duties.

  • Midwives and public committee members from CMBC will be appointed to the new committees to ensure representation and to ensure there are adequate numbers to provide expertise on profession specific panels.
p. 29
Quality Assurance There are no changes to the Quality Assurance Program requirements. p. 163
Registration Four registration classes are proposed to replace the nine currently in place at CMBC- see the graphic below

The are no changes to the registration requirements or requirements for midwives to register and renew their licenses.

In keeping with the Policy on Continuing Competencies, Fetal Health Surveillance to be listed as mandatory course for registration renewal along with CPR, NRP, and Emergency Skills.

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