ANNUAL REPORT 20112010–2011 ANNUAL REPORT 5Raewyn Curin continued in her chairmanship role of the...

ANNUAL REPORT20111 April 2010 – 31 March 2011

Governance 2

Purpose and Mission 2The Board’s Functions 2Medical Radiation Technologists Board Members 3Chairperson’s Report 6Board Meetings 8Board Fees 8Organisational Framework 9Managing Business Priorities in 2010-2011 10Board Committees 10Board Member’s Professional Development 12

Secretariat 13

CEO/Registrar Report 13

Registration and Practising Certificates 15

Scopes of Practice 15Accreditation 15New Registrations 17Registration Examination Assessment Path to Registration 19Assessment of Overseas Qualifications 20Annual Practising Certificates 20

Contents

Competence and Fitness to Practise 21

Performance 21Recertification/Continuing Competence 21Health/Fitness to Practise 23

Complaints and Discipline 24

Health Practitioners Disciplinary Tribunal 24

Linking with Stakeholders 25

HRANZ Collaborations 25

Finance 26

Audited Accounts 26

Contact Details 25

2 MEDICAL RADIATION TECHNOLOGISTS BOARD

Governance

Purpose and Mission

The Medical Radiation Technologists Board (the Board) is one of sixteen New Zealand health

regulation authorities appointed by the Minister of Health under the Health Practitioners

Competence Assurance Act 2003 (the Act). The Board is responsible for the administration of

the Act in regard to the profession of medical radiation technology.

The primary responsibility of the Board is to protect the health and safety of the New Zealand

public by ensuring practitioners registered in the profession of medical radiation technology

are competent and fit to practise.

The Board’s Functions

In accordance with Section 118 of the Health Practitioners Competence Assurance Act (2003),

the Board is responsible for fulfilling a number of functions:

1. Prescribe the qualifications required for scopes of practice within the profession of

medical radiation technology, and, for that purpose, to accredit and monitor

educational institutions and degrees, courses of studies, or programmes.

2. Authorise the registration of medical radiation technologists under the Act, and to

maintain registers.

3. Consider applications for annual practising certificates.

4. Review and promote the competence of medical radiation technologists.

5. Recognise, accredit, and set programmes to ensure the ongoing competence of

medical radiation technologists.

6. Receive and act on information from health practitioners, employers, and the Health

and Disability Commissioner about the competence of medical radiation

technologists.

7. Notify employers, the Accident Compensation Corporation, the Director-General of

Health, and the Health and Disability Commissioner that the practice of a medical

radiation technologist may pose a risk of harm to the public.

8. Consider the cases of medical radiation technologists who may be unable to perform

the functions required for the practice of the medical radiation technology profession.

9. Set standards of clinical competence, cultural competence, and ethical conduct to be

observed by medical radiation technologists.

10. Liaise with other authorities appointed under the Act about matters of common

interest.

11. Promote education and training in the profession of medical radiation technology.

12. Promote public awareness of the responsibilities of the Board.

2010–2011 ANNUAL REPORT 3

Medical Radiation Technologists Board Members

Maureen Waaka, a MNZM JP of Te Arawa Tuwharetoa/Ngati Whakaue, was appointed to

the Board in 2010. Maureen has been registered as a Diagnostic Imaging Technologists for

over twenty years and has extensive governance experience. During 2010-2011 Maureen

was a member of the Board’s Continuing Competence and Health Committees.

Megan Campbell is a lay member of the Board and was appointed in 2010. Megan has

qualifications in Arts, Policy and Commerce. She has worked in policy and communications

for a number of central government organisations, within Parliament, as well as the not-for-

profit sector. Megan currently owns a research consultancy as well as an import distribution

company. Megan has extensive governance experience and serves on a number of school

and community boards. Megan is a member of the Board’s Finance and Administration

Committee.

Sue McKenzie was appointed to the Board as a lay member in 2010. Sue has a background

as a senior academic lecturer in the tertiary sector and as a consultant in the areas of business

entrepreneurship and development, strategic planning, marketing, project management and

professional peer development. Over the last twenty years Sue has had governance

experience in the voluntary sector and on a number of advisory boards and committees at

local and national level. Sue is a member of the Board’s Continuing Competence and Health

Committees.

Back Row (left to right):

Maureen Waaka, Megan Campbell, Sue McKenzie, Julia Metcalfe, Julia Andrew

Front Row (left to right):

Prue Lamerton, Shelley Park, Jennifer de Ridder (Deputy Chair), Raewyn Curin (Chair)

Absent:Rosanne Hawarden


Julia Metcalfe was appointed to the Board in 2006. A registered sonographer, Julia is currently

employed in an education role as clinical tutor in ultrasound at Auckland District Health

Board, and tutoring on the Postgraduate Diploma in Ultrasound programme at Unitec. She is a

member of various professional bodies in the field of ultrasound including being a practical

examiner for the Australian Society of Ultrasound in Medicine (ASUM). During 2010-2011

Julia convened the Board’s Registration Examination Assessment Committee and was a

member of the Registrations and Education Committees.

Julia Andrew was appointed to the Board in 2010. Julia is currently Radiographic Manager for

the Radiology Group Milford, on the North Shore in Auckland, having worked there for some

time both as a manager and clinically in the areas of general radiography, mammography and

CT. She has an interest in quality assurance systems and has been a technical expert in the

areas of diagnostic imaging general, mammography and CT for International Accreditation

New Zealand (IANZ). Julia is a member of the Board’s Registrations and Registration

Examination Assessment Committees.

Prue Lamerton was appointed to the Board in 2010 and has been a Board member previously.

Prue is a registered nuclear medicine technologist and is currently team leader for nuclear

medicine at Hawkes Bay Memorial Hospital. She has been actively involved with the

Australian and New Zealand Society of Nuclear Medicine (ANZSNM) at both local and

national level and is currently the New Zealand representative for ANZSNM. Prue convenes

the Board’s Health Committee and is a member of both the Registrations and Education

Committees.

Shelley Park was appointed to the Board in 2006. Registered in the dual scopes of diagnostic

imaging general and MRI, Shelley is a Senior MRI Technologist at the University of Auckland

where she undertakes a variety of clinical and research work. Shelley has held a number of

clinical tutor and Charge MRT positions both in New Zealand and overseas. She is also a part-

time academic lecturer at Unitec and MRI Technical Advisor to IANZ. Shelley convenes the

Board’s Education Committee and is a member of the Board’s Registrations and Continuing

Competence Committees.

Jennifer de Ridder was appointed to the Board in 2005 and in 2010-2011 was the Deputy

Chair. Jennifer was also a Board representative on the Medical Sciences Secretariat Board of

Directors. She is currently the Team Leader of Radiation Therapists at the Wellington Blood

and Cancer Centre and is also a guest lecturer for the University of Otago’s Bachelor of

Radiation Therapy study programme. Jennifer is a member of the Ministry of Health Advisory

Radiology Oncology Working Group. In 2010-2011 Jennifer convened the Board’s Continuing

Competence and Information Technology Committees and was a member of the Registrations,

Finance and Administration, and Education Committees.


Raewyn Curin continued in her chairmanship role of the Board throughout 2010-2011.

Raewyn was also a Board representative on the Medical Sciences Secretariat Board of

Directors. She has been a member of the Board both prior to and since the implementation of

the HPCA Act. Raewyn is a registered diagnostic imaging general technologist and is the

Service Manager of Radiology Services for the Auckland District Health Board. During 2010-

2011 Raewyn convened the Board’s Finance and Administration and Registrations Committees

and was a member of the Education Committee.

Rosanne Hawarden was appointed as a lay member to the Board in 2010. She has a

background in nursing and midwifery, human resources, and information technology. Rosanne

is a director of company representing a large international software house. She holds a Masters

degree in Psychology and in 2010-2011 completed a doctorate in Business and Administration

focusing on board diversity. Rosanne is a member of a number of professional bodies including

Chartered Secretaries New Zealand. In 2010-2011 she was a member of the Board’s

Information Technology Committee.

In 2010 four Board members were not re-appointed: Marie-Therese Borland, Paula Jones, Barbara Holland, and George Coalter. The Board extends its thanks and appreciation to the

valuable contributions each of these members made during their terms of office and wishes

them well for their future endeavours.


Chairperson’s Report

This is my final report as Chair of the Medical Radiation Technologists Board (the Board). My

tenure on the Board has come to an end and I hand over the chair to Jennifer de Ridder. I

have spent ten years on the Board, during which we have seen the introduction of the Health

Practitioners Competence Assurance Act 2003 (the Act). This legislation was welcomed by

the health professional groups as, for the first time it ensured that all health practitioners

operated under the same legislation with their primary focus on ensuring the safety of the

public. The new legislation has given all regulatory authorities the opportunity of reviewing

their competencies and processes. The focus for all Boards in ensuring that their practitioners

are safe to practise on an ongoing basis with renewal of their annual practising certificate is

now firmly aligned with the need to demonstrate how each individual is maintaining

competency within their profession. This has brought changes for all health practitioners with

accountability for continuing education and clinical hours being amongst the challenges

faced by individuals. Personal accountability for professional development and competency

is now an integral part of the health professional’s working life. With the increasing focus on

maintaining competency, the Board has adopted a requirement for education providers to

include a method of assessing clinical competency in all degree programmes, both

undergraduate and postgraduate. This ensures that graduates applying for registration in any

of the medical radiation technology scopes of practice are fit to practise, both academically

and clinically.

The Board has worked with Medical Sciences Secretariat to ensure all medical radiation

technologists have a clear understanding of the requirements of the Act. Over the past year, a

new web site has been launched which gives access to accurate information in a more user

friendly format. Further developments are planned for the web site that include online

renewal of annual practising certificates. A policy manual has been published which covers

all Board policies, including a number of which are in common with the Medical Laboratory

Science Board, our partners in Medical Sciences Secretariat. A process is in place for the

review of all policies.

The Board has undertaken a review of the method for assessing the overseas qualifications of

people applying for registration in medical radiation technology in New Zealand. At the

recommendation of the working group, the Board has adopted an assessment process that

involves both an industry representative and an educational expert as a means of ensuring

that both the academic and competency contents of a qualification are assessed.

Of continuing concern to the Board is the lack of an approved Nuclear Medicine

qualification in New Zealand. Nuclear Medicine has been dependent on Australian

education providers for appropriate qualifications but that has become increasingly difficult


with distance learning problems and high fees. The small numbers of medical radiation

technologists with a Nuclear Medicine scope of practice in New Zealand contributes to this

problem. With the growth of CT PET in New Zealand it is important that training is available

for New Zealand medical radiation technologists wishing to undergo postgraduate training in

Nuclear Medicine.

Over the past two years, the Board has continued to move to a governance framework, with

the majority of operational work now being undertaken by the staff of Medical Sciences

Secretariat under delegated authority to the Board. There are challenges ahead for the Board,

with a review of the Act commencing in 2012 and the strong message from the Ministry of

Health around amalgamation and cost savings for the regulatory authorities.

I would like to thank all of the members of the Board, both past and present with whom I have

worked in the past ten years. I have found the position of Board member fascinating and

rewarding and I am continually reminded of the time and energy that Board members put into

this work. As all of you hold demanding jobs in your own right, I am very grateful for the hours

you have contributed to Board business. I would also like to thank the staff of Medical Sciences

Secretariat, in particular CEO Mary Doyle, for their support. By developing the skills and

knowledge to take responsibility for operational matters, the staff at Medical Sciences

Secretariat have allowed the Board to develop and maintain a focus on the policies and

procedures that govern Board decisions.

I believe the Board and Medical Sciences Secretariat are well placed to address the challenges

of the future.

Raewyn Curin Chair


Board Meetings

In 2010-2011 the Board held four meetings:

2010 2010 2010 2011 Board Members 17 June 16 September 8-9 December 24 March

Raewyn Curin Yes Yes Yes Yes

Jennifer de Ridder Yes Yes Yes Yes

Julia Andrew Yes Yes Yes Yes

Julia Metcalfe Yes Yes Yes Yes

Shelley Park Yes Yes Yes Yes

Prue Lamerton Yes Yes Yes Yes

Maureen Waaka Yes Apology Yes Yes

Megan Campbell Yes Yes Yes Yes

Sue McKenzie Yes Yes Yes Yes

Rosanne Hawarden Yes Yes Apology Yes

Board Fees

Board members are remunerated at the following rates:

Position Fee

Chairperson $660 day /$85 hour

Deputy Chairperson $605 day /$80 hour

Board Member $440 day /$60 hour


Organisational Framework

The Board has ten members who are appointed by the Minister of Health for up to a 3-year

term. Members have the ability to apply for re-appointment to serve a maximum of three

consecutive 3-year terms (9 years) with the Board. Within the framework of the Act the first

term of office for all Medical Radiation Technologists Board members began in September

2003.

The Board works very closely with another health regulatory authority, the Medical Laboratory

Science Board with whom they set up a jointly-owned company, Medical Sciences Secretariat

(MSS). MSS provides both Boards with business support services including research and policy

analysis and advice. This partnership arrangement has allowed the Boards to contain costs and

achieve operational synergies including consistency in the formulation and delivery of health

regulation policy.

Minister of Health

Medical Laboratory Science Board (MLSB)

10 members

Medical Radiation Technologists Board (MRTB)

10 members

Registration Managers (2)

Executive Administrator (1)

Finance Administrator (.75)

Chief Executive – Registrar(1)

Professional Standards

Coordinator (1)

Medical Sciences Secretariat Board of Directors (MLSB (2), MRTB (2)


Managing Business Priorities in 2010-2011

In 2010-2011 the Board revised its three-year strategic plan and a revised Strategic Directions

2010-2013 plan was adopted. This document describes the strategic goals and strategies to be

undertaken by the Board over the three year period from April 2010 through to March 2013 to

fulfil its responsibilities under the Health Practitioners Competence Assurance Act 2003. It

provides the Board with a foundation for looking forward and on which future strategic plans

can be built. Strategic Directions 2010-2013 can be accessed through the Board’s website at

www.mrtboard.org.nz

Information Technology Development

Following the launch of its new-look website in April 2010, the Board has made further

investment into developing its information technology capability. This next phase of

development has focused on building enhanced interactive functions through the website to

enable practitioners to change their contact details online, and the provision of a secure portal

for Board members. Work also commenced on the development of an online facility that will

allow practitioners to renew their annual practising certificates online and this is expected to

be in place by January 2012 in readiness for the renewal of 2012-2013 annual practising

certificates. Registration applications will also be able to be managed online from early 2012.

The Board has managed all of its information technology developments in partnership with the

Medical Laboratory Science Board which has allowed the two Boards to purchase a good

quality product at a reduced cost.

Policy Development

In 2010 a major undertaking was completed to review and collate all Board policies and

procedures into an integrated framework which utilised a standardised documentation format.

This framework has proved to be invaluable in assisting Board members and staff in applying

consistent principles and processes to core activities. An ongoing review process is in place to

ensure these core documents are current to reflect the functions and responsibilities of the

Board.

Board Committees

The Board has a number of standing committees who have delegated authority to oversee

many of the ongoing functions of the Board as well as progressing specific business

improvement initiatives as set out in the Board’s Strategic Directions 2010-2013 document.


Committee Membership April – June 2010

Function

Finance and Administration

ConvenerRaewyn Curin MembersJennifer de RidderMegan CampbellMary Doyle

•MonitortheBoard’sfinancialperformance•LiaisewiththeCEOonadministrationandfinancialissues

•Developandreviewrelevantpolicies

Registrations ConvenerRaewyn Curin (DIG)MembersJulia Andrew (DIG)Prue Lamerton (NM)Julia Metcalfe (US)Shelley Park (MRI)Jennifer de Ridder (RT)

•Considerallregistrationapplicationsfrom holdersofnon-prescribed/non-approvedqualifications


Registration Examination Assessments

ConvenerJulia MetcalfeMembersJulia Andrew

•ReviewallfailedREA•OverseeappointmentandongoingtrainingofREAassessors

•RegularreviewofREAframework•Developandreviewrelevantpolicies

Education ConvenerShelley ParkMembersRaewyn CurinJennifer de RidderPrue LamertonJulia Metcalfe

•RepresenttheBoardatrelevanteducationforums•Overseetheaccreditationprocessofprescribedqualificationprogrammes

•Monitorprocessforassessmentofoverseasqualifications


Continuing Competence

ConvenerJennifer de RidderMembersPrue LamertonShelley ParkSue McKenzieMaureen Waaka

•Overseecompetenceand/orconduct notifications

•Monitorannualcompetenceauditof10% of registrants

•Reviewrecertificationprogrammes•Developandreviewrelevantpolicies

Health ConvenerPrue LamertonMembersSue McKenzieMaureen Waaka

•Overseehealthnotifications•Developandreviewrelevantpolicies

IT ConvenerJennifer de RidderMembersRosanne Hawarden

•ProvideadviceandsupporttotheCEOregardingtheBoard’sITrequirements


Legend: DIG Diagnostic Imaging General RT Radiation Therapy MRI Magnetic Resonance Imaging NM Nuclear Medicine US Ultrasound


Board Member’s Professional Development

In 2010 Buddle and Findlay once again offered a series of educational workshops relating to

core sections of the Health Practitioners Competence Assurance Act 2003 and the Board

paid for a number of members to attend these in accordance with its annual budgetary

allowance for members’ professional development.

Six members attended the Buddle Findlay workshop on Good Decision Making, three

members attended the Registrations and Practising Certificates workshop, and four members

attended the workshop on Competence Health and Conduct.

Five members attended a financial workshop developed by Medical Sciences Secretariat.

The workshop was aimed at those members who had limited experience in financial

management from a business/governance perspective and was developed in response to a

specific request from Board members.


Secretariat

CEO/Registrar Report

Medical Sciences Secretariat (MSS) is a New Zealand registered company jointly owned by

the Medical Radiation Technologists Board and the Medical Laboratory Science Board.

While the Boards are separate regulatory authorities responsible for administering the

Health Practitioners Competence Assurance Act 2003 in respect of their relevant

professions, they have instituted a collaborative framework within which they deliver their

legislative responsibilities. A cornerstone of the establishment of the Secretariat was a

commitment to building synergies between the two Boards in respect of their governance

and operational activities. Managing the operations of the Boards within the most cost-

effective framework was a primary consideration when looking to establish an appropriate

organisational structure.

The Secretariat receives governance support and direction from a four-member Board of

Directors who are nominated and mandated delegated authorities by their respective

Boards. Service delivery is managed through a Chief Executive and in 2009 both Boards

agreed to combine the Chief Executive and Registrar roles into one position.

MSS has a team of 5.75 FTE staff who provide business support services, including policy

research and advice, to the two Boards. All staff are employed on the basis of generic

functions and thereby work across each of the Boards in alignment with those functions.

For example, the CEO/Registrar role is a single position that provides Registrar services to

both Boards as well as managing the operations of the Secretariat.

All registration and annual practising certificate applications are managed by two

Registrations Managers. Sherly Adie and Nicky Wilson worked together and in consultation

with the respective committees from each Board to manage a total of 639 new registration

applications, and the issue of 5653 annual practising certificates. In March 2011 Nicky

Wilson resigned from her position with MSS and Lana Guest joined the team in a

Registrations Manager role.

At the beginning of 2011 Jenny Lee became a permanent member of the MSS staff team. As

the Professional Standards Coordinator Jenny is responsible for managing all notifications

received by both Boards in respect of competence, health, and/or conduct concerns about

the practice of registered practitioners. She also assists both Boards with the management of

accreditation processes for education providers.


Claire Lovewell provides administrative and hospitality support to both Boards in respect of

their meetings as well as administrative support to the CEO/Registrar. Claire takes a lead role

in managing the Secretariat’s filing systems.

Management of the financial processes for both Boards is the primary responsibility of

Beverley Irvine, and considerable work was undertaken by Beverley during the 2010-2011

business year to consolidate a number of improvements to the financial systems and

processes.

In 2010 the MSS Board of Directors, supported by their respective Boards, agreed to seek

alternative office premises for the MSS operations. This was in response to a notification that

the building containing the premises had been identified as an earthquake risk, and in light

of the devastation caused by the Christchurch earthquakes. The MSS team took on the

challenge to find affordable office accommodation that would meet the improved building

standards in respect of earthquake safety. In December 2010 an agreement was signed to

lease new premises in Manners Street of Wellington, effective from 1 April 2011.

I would like to take this opportunity to acknowledge the gains achieved by the MSS staff

team over the 2010-2011 business year. Meeting the needs of two separate Boards presents

a number of challenges. The team has worked conscientiously and systematically to align its

daily operations with the philosophical backbone of MSS, that is, to maximise operational

synergies across both Boards as well as meeting the unique business priorities of each Board,

ensuring both sustainability and affordability.

My thanks also to the MSS Board of Directors, the Medical Radiation Technologists Board

and the Medical Laboratory Science Board. Your visionary leadership has been invaluable in

supporting the MSS team’s achievements in providing a shared secretariat service.

Mary Doyle CEO/Registrar


Registration and Practising Certificates

Scopes of Practice

The Board has defined eight scopes of practice for registration in the profession of medical

radiation technology:

• DiagnosticImagingGeneralTechnologist

• RadiationTherapist

• NuclearMedicineTechnologist

• MagneticResonanceImagingTechnologist

• Sonographer

• TraineeNuclearMedicineTechnologist

• TraineeMagneticResonanceImagingTechnologist

• TraineeSonographer

Accreditation

The Board has prescribed a number of qualification programmes offered by four New Zealand

education providers for registration in the profession of medical radiation technology.

Education Provider Qualification Programme Relevant Scope of Practice

UNITEC Institute of Technology

Bachelor of Health Science (Medical Imaging)

Diagnostic Imaging General Technologist

Postgraduate Diploma in Health Science (Magnetic Resonance Imaging)

Magnetic Resonance Imaging Technologist

Postgraduate Diploma in Health Science (Ultrasound)

Sonographer

University of Otago Bachelor of Radiation Therapy Radiation Therapist

Universal College of Learning – UCOL

Bachelor of Applied Science (Medical Imaging Technology)


Christchurch Polytechnic Institute of Technology – CPIT

Bachelor of Medical Imaging Diagnostic Imaging General Technologist


Education providers are subjected to an ongoing accreditation/monitoring process to ensure

each qualification programme continues to meet the minimum competence standards as set by

the Board for the purpose of registration.

The accreditation/monitoring process has five components:

1. Submission of full course documentation

2. Annual report from the education provider

3. Monitoring clinical assessments

4. An on-site monitoring visit

5. Employers of graduates surveys

The accreditation/monitoring process is repeated on a 5-year cycle for each prescribed

qualification programme.

Following its 5-yearly accreditation review of Unitec in early 2010 in respect of the Bachelor

of Health Science (Medical Imaging) study programme, the Board agreed that an ongoing

review process was necessary. This was in response to a number of concerns raised by students

and academic staff both during, and subsequent to the initial review. The Board is continuing

to review the progress being made by Unitec and two follow-up site visits during 2010-2011

were undertaken. A further site visit is scheduled for early 2012.

The Board agreed to a request from the University of Otago to delay its scheduled monitoring

of the clinical assessments component of the accreditation review process. This was in

response to the introduction of significant changes to the curriculum for the Bachelor of

Radiation Therapy study programme. The review will be re-scheduled for later in 2011.

In 2010, following a consultation process, the Board introduced a new policy that all

prescribed qualification programmes for the purpose of registration in the profession of

medical radiation technology must contain an assessment of the clinical competence of

graduates. To meet this requirement, Unitec revised its Postgraduate Diploma in Health

Science (Magnetic Resonance Imaging). The Board undertook an assessment of the revised

programme and agreed that it meets the requirements to be prescribed as a qualification for the

purpose of registration in the scope of practice of medical resonance imaging technologist.

In 2010 Monash University in Australia withdrew from offering its study programme in nuclear

medicine which means there is now no Board-approved nuclear medicine training programme

available through an extra-mural study option. While medical radiation technologists can still

apply for the nuclear medicine study programme at Newcastle University in Australia this

requires on-campus study and is financially prohibitive for many practitioners. The Nuclear

Medicine Advisory Board is working on sourcing an appropriate alternative that will be readily

accessible and affordable for those medical radiation technologists wanting to train in nuclear

medicine.


New Registrations

Between 1 April 2010 and 31 March 2011 the Board received 307 applications from persons

wanting to be registered in one of the eight scopes of practice. 88% of these applications were

approved and 3% declined due to the applicants not meeting the entry level registration

requirements. Of the remaining applications, 4% of applicants were offered an opportunity to

sit a Registration Examination Assessment as an alternative pathway to gaining registration, 2%

of applications were withdrawn, and 3% of applications were still being processed as at 31

March 2011.

Table 1: Applications for Registration

HPCAA Section

Number Applications

Receive

Outcomes

RegisteredRegistered with

ConditionsNot

Registered

Total 307 272 35

Reasons for non-registration

Communication including Englishlanguagerequirements

16(a)16(b)

Convictionbyanycourt for 3 months or longer

16(c)

Mental or physical condition 16(d)

Professional disciplinary procedureinNZoroverseas, otherwiseunderinvestigation

16(e)(f)(g)

Other–dangertohealth and safety

16(h)

Qualificationsnotequivalent 22

Application still in progress 8

Application withdrawn 5


Table 1a: Registrations per Scope of Practice

Scope of Practice Approved Declined Offered REA In Progress Withdrawn


120 5 8 4 2

Radiation Therapist 44 2 1 - 2

Magnetic Resonance Imaging

Technologist 30 - 1 - 1

Nuclear Medicine Technologist 4 - 2 1 -

Sonographer 35 1 1 2 -

Trainee Magnetic Resonance Imaging Technologist

19 - - -

Trainee Nuclear Medicine Technologist

1 1 - -

Trainee Sonographer 19 - 1 -

TOTAL 272 9 13 8 5


Table 1b: Registrations per Applicants’ Country of Origin (excluding training scopes of practice)

Country

Approved Registrations

Diagnostic

Imaging

General

Radiation

Therapy

Nuclear

Medicine MRI Ultrasound Total

Australia 6 5 2 2 3 18

Canada 8 2 10

Fiji 2 3 5

Hong Kong 1 1

India 1 1

New Zealand 83 15 1 18 23 140

South Africa 2 2 1 5

UnitedKingdom–Ireland 24 15 1 4 5 49

USA 1 1

Zambia 1 1

Zimbabwe 1 1 2

SUB-TOTAL 120 44 4 30 35 233

Declined Applications

India 3 3

Iran 1 1

Philippines 1 1

USA 1 1

Zimbabwe 2 2

SUB-TOTAL 5 2 – 1 8

Offered REA as Alternative Path to Registration

Canada 1 1

Croatia 1 1

Fiji 2 2

India 3 1 4

Philippines 3 3

USA 1 1 2

SUB-TOTAL 8 1 2 1 1 13

TOTAL 133 47 6 31 37 254

Registration Examination Assessment Path to Registration The Board offers an alternative path to registration. For some overseas applicants, while their

qualification may not be equivalent to the New Zealand prescribed qualification for the relevant

scope of practice, they may have significant clinical experience in an overseas setting. A


registration examination assessment (REA) may be offered to applicants as a means of gaining

New Zealand registration.

Table 1c: Registration Examination Assessments

Scope of Practice

Countries of Origin

Diagnostic Imaging

General

Magnetic

Resonance Imaging Sonographer

Pass 2 1 1 Fiji; Zimbabwe; Ireland; South Africa

Fail 2 – – United Kingdom; Philippines

Note: ThenumberorREAofferedinanyoneyeardonotnecessarilyequatetothenumberofREAsatinthatsameyearascandidatesaregivena12-monthperiodwithinwhichtotakeuptheREAoffer

Assessment of Overseas Qualifications1n 2010-2011 the Board undertook a review of its processes for assessing overseas

qualifications for the purpose of registration and agreed to introduce a panel approach to these

assessments. Each assessment of an overseas qualification is now undertaken by at least two

Board-approved assessors, including a medical radiation technologist who holds a current

practising certificate in the relevant scope of practice, and a person from the tertiary education

sector (and ideally who is a registered medical radiation technologist from the relevant scope of

practice).

Annual Practising Certificates

In 2010-2011 the Board issued a total of 2364 annual practising certificates (7 of these were

issued with conditions), and 3 interim practising certificates to medical radiation technologists.

Table 2: Applications for an Annual Practising Certificate

HPCAA Section

Number Applications

Received

Outcomes

APC Issued

APC with

Conditions

Interim Practising

Certificate

No APC

Issued

Total 2367 2357 7 3 –

Reasons for non-issue

Competence 27(1)a

Failed to comply with a condition 27(1)b

Not completed required competence programme satisfactorily

27(1)c

Recency of practice 27(1)d

Mental or physical condition 27(1)e

Not lawfully practising within 3 years 27(1)f

False or misleading application 27 (3)


Competence and Fitness to Practise

Performance

In 2010-2011 the Board received no notifications in respect of competence concerns about

individual medical radiation technologists.

Recertification/Continuing Competence

In 2010 the Board commenced its 3-yearly review of the competencies applied to each of the

scopes of practice. These competencies provide the baseline against which practitioners

registered in those scopes of practice are expected to practise. The competencies are used by

the Board for a number of purposes, including:

• Settingnationalstandardsforallscopesofpracticeinmedicalradiationtechnology.

• Cross-referencing/assessingoverseasqualificationsforregistrationinNewZealand.

• Identifyingareasinwhichprospectivemedicalradiationtechnologistsneededucation

to comply with New Zealand standards.

• Providingguidelinesfortertiaryinstitutionswhoareprovidingoranticipatingproviding

a course in medical radiation technology.

• Assistinginthedevelopmentofcorestandardunitsineducation.

• Monitoringprogrammedeliveryintheeducationalinstitutions.

• Providingthestandardsforanyreviewofprofessionalcompetence.

As at 31 March 2011 the Board had completed a review of the competencies for the scopes of

practice of nuclear medicine and diagnostic imaging general. Reviews of the remaining three

scopes of practice (excluding training scopes of practice) were scheduled for the first quarter of

the 2011-2012 business year.

All medical radiation technologists applying for a renewal of their annual practising certificate

are required to declare that they are enrolled and engaged in at least one of the recertification

programmes approved by the Board. The Board has approved seven recertification

programmes which are provided by both New Zealand and overseas organisations.


Provider Programme Relevant Scope of Practice

New Zealand Institute of Medical Radiation Technology – NZIMRT

Continuing Professional Development(CPD)programme

All

Australia and New Zealand Society of Nuclear Medicine – ANZSNM


Nuclear Medicine

Australasian Society for Ultrasound in Medicine – ASUM

MOSSIPContinuingProfessionalDevelopmentprogramme

Ultrasound

American Society of Radiologic Technologists – ASRT

ContinuingEducation(CE)programme

All

Christchurch Radiology Continuing Professional Development(CPD)programme

All

Australian Institute of Radiography – AIR


All

Australasian Sonographer Accreditation Registry – ASAR


Ultrasound

Each year the Board undertakes a survey of practitioner’s competence and fitness to practise.

Each audit involves a random selection of 10% of practitioners in each of the gazetted scopes

of practice who hold a current annual practising certificate. The following results have been

recorded for the 4-year period from 2007 to 2010:

2007 2008 2009 2010

Called for audit 201 245 220 223

Audited 191 95% 210 86% 176 80% 220 99%

Passed 100 52% 170 81% 152 86% 210 95%

Failed 91 48% 40 19% 24 14% 10 5%

These results show a steady improvement in practitioners meeting the Board’s requirements for

medical radiation technologists to actively engage in ongoing learning and development and

to demonstrate competence in their everyday practise.


Health/Fitness to Practise

Five notifications were received about health concerns for medical radiation technologists,

and of these, 3 were self-referrals by the technologist concerned.

Table 3: Source and number of notifications of inability to perform required functions due

to mental or physical (health) condition

SourceHPCAA Section

Numbers of Practitioners

Existing New Closed Still Active

Health service 45(1)a

Health practitioner 45(1)b 4

Employer 45(1)c 1

Medical officer of health 45(1)d

Any person 45 (3)

Person involved with education 45 (5)

Table 4: Outcomes of health notifications

Outcomes HPCAA Section Number of Practitioners

No further action 2

Order medical examination 49 1

Interim suspension 48 1

Conditions 48 1

Restrictions imposed 50


Complaints and Discipline

The Board received 4 notifications of convictions, 3 of which were self-reported and related to

drink-drive offences. 1 notification received by an employer related to both drink-drive

offences and conduct issues.

Table 5: Complaints from various and outcomes

Source Number

Outcome

No Further Action

Referred to Professional

Conduct Committee

Referred to Health and Disability

Commissioner

Consumers

Health and Disability Commissioner

Health Practitioner (under RA)

Other health practitioner

Courts notice of conviction 3 3

Employer 1 1

Other

Table 6: Professional Conduct Committee Cases

Nature of Issue Source Number Outcome

Fraudulent claiming

Concerns about standards of practice

Notification of conviction 3 No further action

Theft

Conduct 1 Referred to HPDT

Practising outside scope

Other

Health Practitioners Disciplinary TribunalThere was one referral to the Health Practitioners Disciplinary Tribunal and the case was still

pending as at 31 March 2011.


Linking with Stakeholders

The Board’s primary media for maintaining links with stakeholders is through its website,

newsletters, and emails to departments and practices. Feedback on the re-vamped website has

been very positive and the Board undertakes regular updates of the informational content to

ensure accuracy and currency. Board representatives sit on the Board of Studies/Programme

Advisory Committees at each of the four tertiary institutions that offer the prescribed

qualification programmes.

In 2010 the Board undertook a consultation with the medical radiation technology profession

in respect of the processes used for the registration examination process and as a result have

made a number of quality improvement changes.

HRANZ Collaborations

The Board continued its participation with the Health Regulation Authorities of New Zealand

group throughout 2010-2011, at both strategic and operational levels.

Contacting the Board

Post all correspondence to:

The RegistrarMedical Radiation Technologists BoardPOBox11905Wellington6142

Fax: (04)3810270Email: [email protected] Website: www.mrtboard.org.nz

Contact with the Board is through its office at:

Level7,SovereignHouse34-42 Manners StreetWellington

Tel:+6448016250Registrar :extension2 RegistrationManager:extension3or4


INDEPENDENT AUDITOR’S REPORT

TO THE READERS OF MEDICAL RADIATION TECHNOLOGISTS BOARD’SFINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2011

The Auditor-General is the auditor of the Medical Radiation Technologists Board (the Board). The Auditor-General has appointed me, Paolo Ryan, using the staff and resources of PKF Martin Jarvie, to carry out the audit of the financial statements of the Board on her behalf.

We have audited the financial statements of the Board on pages 28 to 32, that comprise the statement of financial position as at 31 March 2011, the statement of financial performance and statement of movements in equity for the year ended on that date and the notes to the financial statements that include accounting policies and other explanatory information.

OpinionIn our opinion the financial statements of the Board on pages 28 to 32:

• complywithgenerallyacceptedaccountingpracticeinNewZealand;and

• fairlyreflecttheBoard’s:– financial position as at 31 March 2011 and – financial performance for the year ended on that date.

Our audit was completed on 29 August 2011. This is the date at which our opinion is expressed.

The basis of our opinion is explained below. In addition, we outline the responsibilities of the Board and our responsibilities, and we explain our independence.

Basis of OpinionWe carried out our audit in accordance with the Auditor-General’s Auditing Standards, which incorporate the International Standards on Auditing (New Zealand). Those standards require that we comply with ethical requirements and plan and carry out our audit to obtain reasonable assurance about whether the financial statements are free from material misstatement.

Material misstatements are differences or omissions of amounts and disclosures that would affect a reader’s overall understanding of the financial statements. If we had found material misstatements that were not corrected, we would have referred to them in our opinion.

An audit involves carrying out procedures to obtain audit evidence about the amounts and disclosures in the financial statements. The procedures selected depend on our judgement, including our assessment of risks of material misstatement of the financial statements, whether due to fraud or error. In making those risk assessments, we consider internal control relevant to the Board’s preparation of financial statements that fairly reflect the matters to which they relate. We consider internal control in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the Board’s internal control.

An audit also involves evaluating:

• theappropriatenessofaccountingpoliciesusedandwhethertheyhavebeenconsistentlyapplied;

• thereasonablenessofthesignificantaccountingestimatesandjudgementsmadebytheBoard;

PKF Martin JarvieChartered Accountants

3rd Floor I 85 The Terrace I PO Box 1208 I Wellington 6140Phone +64 4 472 7919 I Fax +64 4 473 4720Email [email protected] I www.pkfmartinjarvie.co.nz

PKF Martin Jarvie is a member firm of PKF International Limited and PKF New Zealand Limited networks of legally independent firms and does not accept any responsibility or liability for the actions or inactions on the part of any other individual member firm or firms.


• theadequacyofalldisclosuresinthefinancialstatements;and

• theoverallpresentationofthefinancialstatements.

We did not examine every transaction, nor do we guarantee complete accuracy of the financial statements. We have obtained all the information and explanations we have required and we believe we have obtained sufficient and appropriate audit evidence to provide a basis for our audit opinion.

Responsibilities of the BoardThe Board is responsible for preparing financial statements that:

• complywithgenerallyacceptedaccountingpracticeinNewZealand;and

• fairlyreflecttheBoard’sfinancialpositionandfinancialperformance.

The Board is also responsible for such internal control as it determines is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.

The Board’s responsibilities arise from the Health Practitioners Competence Assurance Act 2003.

Responsibilities of the AuditorWe are responsible for expressing an independent opinion on the financial statements and reporting that opinion to you based on our audit. Our responsibility arises from section 15 of the Public Audit Act 2001 and section 134(1) of the Health Practitioners Competence Assurance Act 2003.

IndependenceWhen carrying out the audit, we followed the independence requirements of the Auditor-General, which incorporate the independence requirements of the New Zealand Institute of Chartered Accountants.

Other than the audit, we have no relationship with or interests in the Board.

Paolo RyanPKF Martin Jarvie On behalf of the Auditor-GeneralWellington, New Zealand

Matters relating to the electronic presentation of the audited financial statementsThis audit report relates to the financial statements of the Medical Radiation Technologists Board (the Board) for the year ended 31 March 2011 included on the Board’s website. The Board is responsible for the maintenance and integrity of the Board’s website. We have not been engaged to report on the integrity of the Board’s website. We accept no responsibility for any changes that may have occurred to the financial statements since they were initially presented on the website. The audit report refers only to the financial statements named above. It does not provide an opinion on any other information which may have been hyperlinked to or from the financial statements. If readers of this report are concerned with the inherent risks arising from electronic data communication they should refer to the published hard copy of the audited financial statements as well as the related audit report dated 29 August 2011 to confirm the information included in the audited financial statements presented on this website.Legislation in New Zealand governing the preparation and dissemination of financial information may differ from legislation in other jurisdictions.


Statement of Financial PerformanceFor the Year ended 31 March 2011

The attached NOTES form part of these Financial Statements.

MEDICAL RADIATION TECHNOLOGISTS BOARD

2011 2010

Note $ $ $

Income

RegistrationFees–NonNZ 31,519 30,658RegistrationFees–NZ 41,846 49,444APC’s 573,542 562,547ExaminationFees 10,734 28,534InterestReceived 35,663 26,905SundryIncome 3,415 4,910

Total Income 696,719 702,998

Less Expenses

AuditFees 6,441 4,880Archiving 122 296BankCharges 13,569 13,286BoardMemberFees&Expenses 85,295 86,555Catering 4,476 2,243CharteredAccountancyFees 3,501 4,300ConferenceExpenses 4,853 2,650ExaminersFees 45,240 50,250GeneralExpenses 2,099 1,042IT 188 385LegalExpenses 14,273 20,904Postage 2,529 3,464Printing,Stamps&Stationery 11,682 20,229ProfessionalFees 21,512 615MSSServiceCharges 318,388 277,439SafetyCosts 815 –Telephone,Tolls&Internet 3,604 2,638Travel–National 81,398 82,367

Total Expenses 619,985 573,543

Net Surplus/(Deficit) For The Year 76,734 129,455


Statement of Movements in EquityFor the Year ended 31 March 2011


2011 2010

Note $ $ $

Opening Equity 649,446 519,991NetProfit(Loss) 76,734 129,455

Total Recognised Revenues & Expenses 76,734 129,455

Equity at End of the Year 726,180 649,446



2011 2010

Note $ $ $

Equity

RetainedEarnings 4 726,180 649,446

Total Equity 726,180 649,446

Represented by:

Current Assets

WestpacBank–GovernmentTrading 111,439 812,309WestpacBank–CashManagementAccount 753,201 561AccruedIncome 4,102 5,092WestpacBankTermDeposits 420,000 427,337MedicalSciencesSecretariatLimited 1,817 –

Total Current Assets 1,290,559 1,245,299

Non–Current AssetsInvestmentsinMSS 50 50

Total Assets 1,290,609 1,245,349

Current LiabilitiesAccountsPayable 11,969 13,622GSTDueforPayment 53,837 43,617MedicalSciencesSecretariatLimited – 19,232MedicalLaboratorySciencesBoard – 37,816IncomeinAdvance 498,623 481,616

Total Current Liabilities 564,429 595,903

Net Assets/ (Liabilities) 726,180 649,446

For and on behalf of the Board:

Chairperson: Date:29/08/2011

Registrar : Date:29/08/2011

Statement of Financial PositionAs at 31 March 2011




Notes to the Financial StatementsFor the Year ended 31 March 2011


1. Statement of Accounting Policies

Reporting EntityThe Board is constituted under the Health Practitioners Competence Assurance Act 2003.

TheseFinancialStatementshavebeenpreparedinaccordancewiththeFinancialReportingAct1993.

General Accounting PoliciesThesefinancial statementshavebeenprepared inaccordancewithGenerallyAcceptedAccountingPractice in New Zealand and on the basis of historical cost. Reliance is placed on the fact that the business is a going concern.

Specific Accounting PoliciesThe following specific accounting policies which materially affect the measurement of financialperformanceandfinancialpositionhavebeenapplied:

Income Tax: TheBoardhasbeengrantedCharitableStatusundertheCharitiesAct2005andisexemptfromIncomeTax.

Investmentsarevaluedatcost.InvestmentIncomeisrecognisedonanaccrualbasiswhereappropriate.

Goods and Services Tax: ThefinancialstatementshavebeenpreparedonanexclusivebasiswiththeexceptionofAccountsReceivableandAccountsPayablewhichincludeGST.

Annual Practising Certificate Income:Annual PractisingCertificate Income is recordedonly uponreceipt.NoAccountsReceivablearerecognisedandreceiptsforAnnualPracticingCertificatesissuedforthefutureyearsareshownasIncomeReceivedinAdvance.

Differential Reporting: Theentityqualifiesfordifferentialreportingasitisnotpubliclyaccountableandisnotlarge.Theentityhastakenadvantageofallapplicabledifferentialreportingexemptions.

Changes in Accounting PoliciesAllaccountingpoliciesareunchangedandhavebeenconsistentlyapplied.

Uncertainty about the Delivery of Office Functions in FutureInFebruary2011,HealthWorkforceNewZealand,onbehalfoftheMinisterofHealth(theMinister),issued a consultationdocumentproposing a single shared secretariat andoffice function for all 16health-related regulatory authorities.

Theproposals,iftheyproceeded,couldhaveasignificanteffectonourstaffnumbers,andourassetsandliabilities.Wehavenotquantifiedthepossibleeffect.

TheMinister is expected to reportback toCabinet about theproposals, andCabinet is expectedtomakeadecisionaboutthem,sometimeinJune2011.Inthemeantime,thereisuncertaintyaboutwhetherourofficefunctionsinfuturewillbedeliveredinthesamewayastheyarenow.


Notes to the Financial StatementsFor the Year ended 31 March 2011


2. Related PartiesInaccordancewithSSAP22para5.1(a)andpara5.1(b),thefollowingdisclosuresaremade:

During the year Medical RadiationTechnologists Board purchased secretariat services on normaltrading terms from Medical Sciences Secretariat Limited . Members of the Board of Medical Radiation Technologists Board are directors of Medical Sciences Secretariat Limited.

MedicalRadiationTechnologistsBoardowns50%ofthesharecapitalofMedicalSciencesSecretariatLimited.MedicalLaboratoryScienceBoardownstheremaining50%ofthesharecapitalofMedicalScience Secretariat Limited.

3. Financial Management AgreementMedicalSciencesSecretariatLimited(“MSS”)hasbeenestablishedtoprovidebusinessmanagementsupport to the Medical Radiation Technologists Board (“MRT”) and the Medical laboratory Science Board (“MLS”).

MSSwillprovidefinancialmanagementsupporttobothMRTandMLSaccordingtoanumberofconditions:

1. MSSundertakesnottomakeaprofitfromitsbusinesspartnershipwithMRTandMLS.

2. EachboardwillbeinvoicedmonthlyforanamountequivalenttotheexpensesincurredbyMSS.

3. GSTischargedontheseexpensesincludingthosethatdidnotoriginallyincludeGST(e.g.wages).

4. MSS will return GST refunds as a 50-50 split to each board.

5. AllMSSexpenseswillbeevenlysplitandpaidbetweenMRTandMLS.

6. Attheendofeachmonthandthefinancialyear,MSSwillshowanilfinancialbalanceonallitsoperations.

4. EquityThefollowingmovementsinRevenueReserveshaveoccurred:

Retained Earnings 2011 2010 $ $

OpeningBalance 649,446 519,991NetIncomeEarnedThisYear 76,734 129,455

Closing Balance 726,180 649,446

5. CommitmentsTherearenocapitalorothercommitmentsatbalancedate(2010:$nil).

6. Contingent LiabilitiesTherearenocontingentliabilitiesatbalancedate(2010:$nil).

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