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.
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
What will happen to the midwifery scope and model of care after amalgamation?
Who will develop policies and standards for midwives?
Midwives are primary care providers with a unique history and position in the health care system. Will BCCNM understand that?
What will happen to the CMBC Board, Committees and Panels?
I am a midwife with an open inquiry file. What can I expect?
I am a member of the public and have an open complaint with CMBC. What can I expect?
What is changing, and what will be the same?
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.
- Click here to go to the bylaw consultation page.
What are the key changes to be aware of?
|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:
o PPSC chair will be required to establish and maintain an Indigenous midwifery panel (not discretionary).
|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.