Mailing Address
Health Professions Regulatory Advisory Council
55 St. Clair Avenue West
Suite 806 Box 18
Toronto, Ontario, Canada
M4V 2Y7

Telephone and Facsimile
Toll-Free: 1-888-377-7746
Telephone: 416-326-1550.
Fax: 416-326-1549

Text Size RSS Print

Extended Class Nurses

Minister's Question and HPRAC's Approach

The Minister's Question

The Minister has asked HPRAC "to undertake a review of the scope of practice for registered nurses in the extended class under the Nursing Act, 1991, and include in the review the proposals made by the Council of the College of Nurses of Ontario with respect to controlled acts and the practice of registered nurses in the extended class".

HPRAC's Approach 

When a referral is received from the Minister of Health and Long-Term Care, HPRAC determines relevant public interest concerns and questions. HPRAC attempts to understand all perspectives on an issue including those of key health care practitioners, other affected health care professionals, clients and patients, facilities and institutions, advocates and regulators. 

Each issue proceeds through a multi-stage process where information and responses are requested from and shared with all concerned stakeholders. HPRAC independently conducts literature, jurisdictional and jurisprudence reviews, other research and engages in key informant interviews.

Initially, HPRAC requested that the College of Nurses of Ontario respond to a detailed questionnaire relating to proposed changes in the scope of practice for nurses in the extended class. The College's submission is posted on the HPRAC website, and the responses of organizations and individuals, providing comment and additional information are also available on the website. Public consultations have been held in venues across Ontario.

HPRAC's analysis of the issues will lead to a determination of additional information required, and the appropriate process to be used.

HPRAC's Report Submitted to the Minister

HPRAC submitted A Report to the Minister of Health and Long-Term Care on the Review of the Scope of Practice for Registered Nurses in the Extended Class (Nurse Practitioners) on March 31, 2008.

Minister Releases HPRAC's Report

The report has been released following the Minister's consideration. Please click on "Report to Minister" on the left-side menu to view the report.