Transforming and Supporting Patient Care - Health Professions ...

77Chapter 3 - A New Drug Approvals Framework For OntarioRequest for New Drugs within a Therapeutic Classor Changes to Terms, Limitations or Conditions forDrugs on Drug ListCollege• Requests newdrug within aclass or removalof drug from aclass.• Requestschanges toterms,limitations orconditions fordrugs on DrugList.Council on HealthProfessions RegulatoryExcellence• Conducts review todetermine if request: iswithin scope, or requireschanges to scope.• Refers request to DTFC.• Receives advice fromDTFC.• Makes appropriatechanges or additions toDrug List, including terms,limitations or conditionsas necessary.• May apply changes toother Colleges asappropriate.• Maintains drug list.Drug & TherapeuticsFormulary Committee• Provides advice onrequests for newdrugs within classesto CHPRE.• Provides advice onremoval of drugsfrom therapeuticclasses to CHPRE.• Provides advice ontechnical aspects reterms, limitations &conditions for drugson Drug List.• Provides advicerequested by CHPRE.Additional Safeguards and an Enabling Regulatory FrameworkHPRAC contends that Ontario’s health professions regulatory framework,working within the RHPA, must evolve to meet the requirements of the21st century. Building on the RHPA, HPRAC is recommending ways to makethe regulatory framework more flexible and adaptable, while strengtheningthe accountability of colleges and their members.As outlined in chapter two, the proposed approach allows for the evolutionof professional practice over time, through standards of practice withlegal force adopted by health colleges. This is balanced with an enhancedrole for the colleges to more actively regulate the health profession in thepublic interest.As such, additional safeguards are proposed for standards regardingauthorities to prescribe, dispense, sell, compound or administer drugs orsubstances. Under the proposed system, health professionals will followstandards of practice established by their colleges. These standards ofpractice will often be developed through an interprofessional collaborativeprocess, providing an additional safeguard to the system.HPRAC Critical Links January 2009