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Chinese medicine has been practised in Victoria since
the first part of the nineteenth century. More recently and until 30 December 2001 acupuncture was regulated
via skin penetration regulations administered by local governments. After an extensive process of consultation
from 1995, Victoria, from 1 January 2002 became the first, and is still the only, state or territory of
Australia in which the practice of Chinese medicine is regulated as a discrete health profession. There
has been much national and international interest.
The Victorian Minister for Health established the Chinese Medicine Registration Board of Victoria in
December 2000 under authority of the Chinese Medicine Registration Act 2000. The CMR Board, slightly
enlarged, continued after July 2007 under the Health Professions Registration Act 2005 (HPR Act) which
repealed the earlier act. The HPR Act's purpose is to protect the public by minimising the health risks
associated with this form of health care.
The CMR Board is an incorporated body acting independently of government. It is financed solely
through registration fees paid by registered practitioners. It does not have the roles of a
professional association and like other health profession registration boards cannot act as a
pressure group in the economic interests of the profession.
The CMR Board's function is to apply the HPR Act and the law in protecting the public through
regulation of the practice of Chinese medicine including acupuncture and the prescribing and
dispensing of Chinese herbs. This is to be achieved via the process of registration of practitioners
and investigation into the professional competence and fitness to practise of registered practitioners.
This requires the CMR Board to ensure practitioners are suitably qualified and to investigate
complaints (notifications) about them.
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The CMR Board has now been discharging these obligations for some years. It is useful to recall the criteria which were established through the consultation process and accepted by the government in the lead up to regulation. These were to:
- ensure training for practitioners is
of a high standard
- ensure and enforce good standards of
clinical practice
- enable the public and other health
professionals to easily identify well qualified practitioners
- enable patients access to an effective
mechanism to address concerns about their practitioner.
The CMR Board has attempted to the best of its ability
to address these criteria. There is still further work to be done. The CMR Board is grateful for the
continuing support given to it by its staff, Chinese medicine practitioners, professional associations,
consumer groups, state public servants, other registration boards and the many other individuals who have
contributed to its work.
There will, from 1 July 2010, be a national registration
regime introduced for the professions currently regulated in all states and territories. Chinese medicine
will be added to that national scheme on 1 July 2012. On that date the HPR act will be repealed and a
national board will be established to regulate Chinese medicine throughout the whole of Australia.
This will have advantages for registered practitioners when moving and working in the different states
and territories. It will also allow a "one stop shop" approach for consumers of health services who have
concerns about their treatment. The CMR Board has involved itself in the consultation process around
national registration. It believes its experience in the start-up process of registration of the profession
in Victoria will be of relevance to the national board when it commences to first register practitioners
across the Commonwealth.
David Halstead
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