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Competence Reviews<br />

Key Results: 2016–2017<br />

32<br />

inquiries completed:<br />

13 needed<br />

competence<br />

reviews<br />

19 required<br />

no further action<br />

50<br />

new notifications were<br />

received by the Council<br />

about the competence<br />

of nurses<br />

13<br />

competence<br />

reviews conducted<br />

Response to notifications of competence concerns<br />

The Council must inquire into all<br />

notifications it receives about nurses’<br />

competence and determine what action,<br />

if any, will be required to ensure the<br />

nurses practise at the standard required<br />

to protect the safety of the public.<br />

Employers generally address any<br />

competence concerns about nurses<br />

in their employment with performance<br />

improvement plans or similar processes.<br />

However, where the concerns about the<br />

competence of a nurse are more serious,<br />

or the nurse has been unable to sustain<br />

any improvement in practice following<br />

additional education and support, a<br />

notification to the Council may be required.<br />

Where a nurse is dismissed or resigns<br />

for reasons related to competence, their<br />

employer must notify the Council of the<br />

reasons for that dismissal or resignation.<br />

The Health and Disability Commissioner<br />

is also required to notify the Council if<br />

he or she has reason to believe that a<br />

nurse may pose a risk of harm to the<br />

public by practising below the required<br />

standard of competence. Referrals may<br />

also be made by PCCs or any health<br />

practitioner. Other sources of notification<br />

include self-notification, members of the<br />

public, the Ministry of Health, overseas<br />

regulatory authorities, the recertification<br />

audit process and a Health Committee<br />

or Professional Conduct Committee. The<br />

Council may also review the competence<br />

of a nurse with an APC at any time.<br />

In the 2016-2017 year the<br />

Council received notifications<br />

about the competence of 50<br />

nurses. This is a very <strong>small</strong><br />

proportion of nurses practising:<br />

0.09% of the 55,289 nurses with<br />

APCs at the end of March 2017.<br />

It is a decrease from the previous year,<br />

when 77 nurses were referred. Most of<br />

the notifications (43 of 50) came from<br />

employers.<br />

Annual Report 2017 | 45

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