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Not enrolled Professionalism and Professional Standards for Osteopaths 2 CPD hours
NZ$200 Buy Now

Osteopathic Council notification · Written to Code of Conduct for Osteopaths

Professionalism and Professional Standards for Osteopaths for Osteopaths facing an Osteopathic Council investigation, complaint or allegation

The allegation concerns your professionalism, behaviour or conduct as an osteopath.

  • Undressing — no draping, or a sensitive area treated unchaperoned
  • Remarks — a comment about a patient’s body or underwear
  • Boundaries — a boundaries breach with a patient or a colleague
  • Messages — texts or a home visit that crossed a line
  • Dishonesty — notes dated through the week, or an ACC claim untrue
  • Records — no notes kept, or notes written up days later
  • Consent — not asked again when the treatment changed
  • Any other — professional concern or allegation of unprofessional conduct

Facing an allegation of unprofessional behaviour or misconduct like these — from the Osteopathic Council, a Professional Conduct Committee or the Health Practitioners Disciplinary Tribunal?

Help with an Osteopathic Council investigation, complaint or allegation starts here. This CPD course helps you remediate — and demonstrate the remediation, with a dated certificate for your written response, your portfolio or a Committee or Tribunal direction.

Immediate access · certificate on completion · twelve months' access

  • 2 CPD hours
  • Self-paced
  • Written for New Zealand
  • CPD certificate
  • Bulk buy: any 5 for NZ$850 · any 10 for NZ$1,400

At a glance

Who it is for
Any osteopath facing an Osteopathic Council complaint, notification or allegation, a Professional Conduct Committee investigation or a competence review about professional behaviour or conduct — an allegation of unprofessional behaviour or conduct
Authorities covered
The Osteopathic Council of New Zealand, its Health Committee, its Professional Conduct Committees and the Health Practitioners Disciplinary Tribunal
Length
10 sections, 69 lessons, 2 CPD hours
Format
Self-paced, online, immediate access, twelve months from purchase
Certificate
Issued by Healthcare Ethics Courses on completion, dated, with the course title and 2 CPD hours
Price
NZ$200 · any 5 for NZ$850 · any 10 for NZ$1,400
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Certificate issued by Healthcare Ethics CoursesRemediation courses for regulatory processes.

2CPD hours, issued by Healthcare Ethics Courses
10Sections, nine closing with a reflective quiz
67Lessons, plus a post-course assessment
NZ$200One off. Twelve months' access

Who this course is for

Facing an allegation of unprofessional behaviour or conduct

The Council’s letter says what was said while the patient was undressed, how draping was handled, a message, a record or a claim fell short of the Code of Conduct for Osteopaths. This course is how you account for it — and show you have remediated.

Dealing with an Osteopathic Council complaint

The Council sends you the complaint, without the complainant’s contact details, and asks for your response. In its latest report most complaints closed with no further action after the osteopath responded; this course gives your response the structure the Council reads for.

A complaint about what happened in the room

With no chaperone or colleague present, the Council has two accounts and your notes. A Tribunal majority has treated failure to drape as part of professional misconduct; the course teaches the account, the record and the chaperone policy that answer it.

A complaint with the Health and Disability Commissioner

A complaint that your care affected a patient goes to the Commissioner first, and the Council can act on public safety meanwhile. The Commissioner has referred osteopaths to the Director of Proceedings over remarks and messages that crossed a boundary; remediation completed now is already documented.

Before a competence review or a Professional Conduct Committee

You are asked about your practice and professional development before any review against the Capabilities; or two osteopaths, one from your area of practice, and a layperson, with an investigator and a legal adviser, meet you at a recorded meeting of about two hours near where the events happened.

Facing a misconduct charge or hearing before the Tribunal

A charge has been laid, or a penalty is being decided — and the Tribunal has cancelled osteopaths’ registrations for sexual misconduct and suspended one for inappropriate touching, ordering education in ethics, boundaries and consent. Remediation completed before the hearing, dated and documented, is weighed every time.

The concerns this course speaks to

Undressing, draping and a chaperone

A patient left undressed without draping, a sensitive area treated without explanation or a chaperone offered, clothing adjusted without asking. A Tribunal majority treated failure to drape as part of professional misconduct, and an osteopath suspended in 2025 was barred for a year from treating sensitive areas without a chaperone.

Remarks in the treatment room

A comment about a patient’s body or underwear, a joke while they are undressed, a remark heard differently from how it was meant. A sexual remark during treatment was part of a professional misconduct finding that ended an osteopath’s registration, and the Code asks you to respect the dignity of every patient.

Boundaries with patients and colleagues

A relationship that grew out of years of hands-on care, a home visit, a message after hours, a gift or a business dealing, a colleague or a member of staff harassed. The Code asks you to work respectfully with colleagues as well as patients; the Tribunal has cancelled registrations for sexual misconduct, and the course treats the first drift as the moment the standard is engaged.

Messages, home visits and after hours

Texts with emojis, a message about a patient’s body, a free home visit, an appointment extended for no clinical reason. The Commissioner found that one osteopath’s messages clearly crossed a professional boundary, held that the responsibility was his because of the power imbalance, and referred him to the Director of Proceedings.

Probity and an allegation of dishonesty

Notes written up on Sunday and dated through the week, an ACC claim for a treatment shorter than the code or never given, a qualification or a technique overstated, a favour for a neighbour later claimed. The Code asks you to act with integrity to justify patients’ trust, and the course gives probity a section of its own.

Records another osteopath could take over

No notes kept, notes written up days later, consent and draping not recorded, a file left visible in a room that is also the office. With no one else in the room the record is what the Council has, and its Guidelines for Clinical Record Keeping set the measure.

Consent to touch that was not real

Treatment begun without proper informed consent, undressing requested without the reason, a cervical technique performed without the risk discussed, consent not asked again when the treatment changed. The Council’s informed consent guidelines set the measure, and the Code asks you to work in partnership with the patient — consent is a conversation, not a form.

Cultural safety and any other concern

A Māori patient’s reluctance to undress read as non-compliance, tikanga around the head not asked about, whānau kept out of the room. Partnership is one of the Code’s four values and respecting cultural needs and values one of its principles. Any allegation is measured against a value or principle of the Code — the course shows you how to find it and answer it.

Facing an Osteopathic Council investigation, complaint or allegation? This course helps you remediate — and demonstrate it.

Buy this course — NZ$200

What the course covers

Ten sections and 69 lessons, with a reflective quiz closing each of the first nine and a post-course assessment at the end.

Section 01

Introduction to Professionalism in Osteopathic Practice

Five lessons

Section 02

Core Attributes of Professionalism

Eight lessons

Section 03

Professional Boundaries in Osteopathic Practice

Six lessons

Section 04

Communication and Professional Conduct

Eight lessons

Section 05

Documentation and Record Keeping

Seven lessons

Section 06

Professionalism in Challenging Situations

Nine lessons

Section 07

Cultural Safety and Professional Practice in New Zealand

Seven lessons

Section 08

Professionalism in Complaints, Competence Reviews, and Fitness to Practise

Nine lessons

Section 09

Reflective Practice, Insight, and Remediation

Eight lessons

Section 10

Conclusion and Key Takeaways

Key takeaways and the post-course assessment

Show every lesson title
Section 01 · Introduction to Professionalism in Osteopathic Practice
What is Professionalism in Osteopathic Practice?; Why Professionalism Matters; Core Components of Professionalism; Professionalism in Everyday Osteopathic Practice; Risks of Poor Professionalism.
Section 02 · Core Attributes of Professionalism
Integrity and Honesty; Accountability and Responsibility; Respect, Compassion, and Patient-Centred Care; Professional Boundaries; Communication Skills; Competence and Scope of Practice; Reliability and Professional Conduct; Ethical Awareness and Decision-Making.
Section 03 · Professional Boundaries in Osteopathic Practice
Understanding Professional Boundaries in a Professionalism Context; Types of Professional Boundaries in Osteopathic Practice; Boundary Risks in Professional Practice; Maintaining Professional Boundaries; Recognising and Managing Boundary Concerns; Professional Boundaries and Fitness to Practise.
Section 04 · Communication and Professional Conduct
The Role of Communication in Professionalism; Principles of Effective Communication; Non-Verbal Communication and Professional Presence; Communication in Clinical Practice; Communication in Challenging Situations; Professional Conduct in Practice; Cultural Considerations in Communication; Communication, Professional Conduct, and Fitness to Practise.
Section 05 · Documentation and Record Keeping
Importance of Documentation in Osteopathic Practice; Principles of High-Quality Record Keeping; Essential Components of Osteopathic Records; Documentation in Modern and Digital Practice; Common Documentation Errors and Risks; Documentation and Fitness to Practise; Improving Documentation Practice.
Section 06 · Professionalism in Challenging Situations
Understanding Challenging Situations in Osteopathic Practice; Managing Difficult Patient Interactions; Managing Disagreement with Patients; Managing Clinical Uncertainty and Risk; Responding to Errors and Adverse Events; Professionalism Under Pressure; Professionalism in Complaints and Investigations; Learning from Challenging Situations; Professionalism, Insight, and Fitness to Practise.
Section 07 · Cultural Safety and Professional Practice in New Zealand
Understanding Cultural Safety in Osteopathic Practice; Te Tiriti o Waitangi and Professional Responsibility; Māori Health Perspectives in Osteopathic Care; Addressing Health Inequities; Communication and Cultural Safety; Cultural Safety in the Clinical Environment; Cultural Safety and Fitness to Practise.
Section 08 · Professionalism in Complaints, Competence Reviews, and Fitness to Practise
Understanding Complaints in Osteopathic Practice; Professional Response to Complaints; Competence Reviews in New Zealand; Understanding Fitness to Practise; Professional Behaviour During Investigations; Insight and Reflection in Professionalism; Remediation and Professional Improvement; Preventing Complaints and Competence Concerns; Professionalism, Trust, and Public Confidence.
Section 09 · Reflective Practice, Insight, and Remediation
Understanding Reflective Practice in Professionalism; Developing Insight in Professional Practice; Structured Reflective Practice; Writing Effective Reflective Statements; Understanding Remediation in Professionalism; Demonstrating Effective Remediation; Reflective Practice, Insight, and Fitness to Practise; Embedding Reflective Practice in Daily Professionalism.
Section 10 · Conclusion and Key Takeaways
Conclusion; Key Takeaways.

How to respond to an Osteopathic Council notification, complaint or allegation

The Council has two accounts and the notes, and yours is the one it asked for. A reviewer, a Committee and the Tribunal read it for the same four things.

With no one else in the room, the record and your response are what the Council has.

  1. The factsThe events in order, plainly, with the note cited — and what was not done said plainly.Weak and strong responses to the same events show the tone that works.
  2. Which value or principleBoundaries for the relationship, integrity for the claim, the consent guideline for the undressing not explained, dignity for the remark — named by you first.The course takes the Code’s eight principles as behaviour, so you can name the one that applies.
  3. The effectOn the patient in the patient’s terms — alone on the table, often undressed — not the practice’s.The reflective account has a section of its own, with a weak and a strong one side by side.
  4. What someone else can confirmSomething changed, with dates, that a mentor, an auditor or a written chaperone policy can confirm.This course is the dated item you attach — and it tells you how to build the rest.

A response that says the patient misunderstood is not a reflection — and do not send the first draft.

Take advice from your indemnity insurer, your union or a lawyer before you respond to anyone.

Facing an Osteopathic Council investigation, complaint or allegation? This course helps you remediate — and demonstrate it.

Buy this course — NZ$200

How this course helps with an Osteopathic Council investigation

The Council asks whether the next patient is safe alone with you, and reads your response for the answer

The Council’s purpose under the Act is public safety, so it asks whether the osteopath will behave differently without anyone checking, and answers from three things: reflection specific to the event, insight that accepts the seriousness without qualification, and remediation someone else can verify. The course pairs weak and strong responses to the same events — the Sunday notes, the undressing not explained, the relationship of years, the ACC claim, the remark on the table — so the difference is visible before you write.

Remediation a reviewer, a Committee or your Continuing Competence Programme can verify

Counts: this course’s dated certificate; CPD targeted to the principle concerned; a mentor’s or peer’s written reports — the colleague a solo practitioner otherwise lacks; a chaperone or third-person policy in writing; an audit of records, consent documentation or claims repeated after an interval; patient feedback gathered for the purpose; Māori-led cultural safety education where the concern engages it. Counts for little: hours on another subject, the patient or the town blamed, an apology for the complaint, and reflection that argues the case. For the stages from the first letter to the Tribunal, see the Council and Board investigation process, explained.

Read the primary sources

Who wrote it

Dr Shehzad Iqbal, course author and facilitator at Healthcare Ethics New Zealand

Dr Shehzad Iqbal

Course author and facilitator, Healthcare Ethics New Zealand

Dr Iqbal has designed and delivered ethics, probity and professionalism training for healthcare professionals since 2020, working with registrants across regulated health professions, online and face to face. He combines clinical practice with formal postgraduate training in healthcare law and ethics.

MBBS · MRCS · MRCGP · Postgraduate Certificate in Healthcare Law and Ethics, University of Dundee

Written and reviewed by Dr Shehzad Iqbal. Last reviewed .

In short

Professionalism and Professional Standards for Osteopaths is a two-hour, self-paced remediation course for osteopaths registered with the Osteopathic Council of New Zealand facing a notification, investigation, complaint or allegation, written to the Council’s Code of Conduct for Osteopaths, its Capabilities and its guidelines on consent and records. It is written for the osteopath who is usually alone with the patient: what the Council means by professionalism — four values, eight principles — the lapses notifications about osteopaths often describe — boundaries in a room with no witness, honesty in notes and ACC claims, consent, communication, records, treating whānau and neighbours, scope and the Capabilities, cultural safety — and what a credible written response and Committee meeting look like for a notification, a competence review, a Professional Conduct Committee or the Tribunal. Ten sections, the first nine closing with a reflective quiz, a post-course assessment, and a dated certificate from Healthcare Ethics Courses for your Continuing Competence Programme. It is remediation and dated evidence of it; it decides no matter, and it is not a substitute for advice from your indemnity insurer, your professional association or a lawyer.

What the Osteopathic Council means by professionalism

The Code of Conduct for Osteopaths describes professionalism as behaviour, not character — four values (respect, partnership, trust, integrity) and eight principles, from respecting the dignity of every patient to maintaining public trust in the profession. Beside it sit the Council’s guidelines on informed consent and clinical record keeping, and beneath it the Capabilities for Osteopathic Practice a competence review applies.

Three features of osteopathy run through it. The room: many osteopaths practise alone with the patient, often undressed, so draping, consent, a chaperone offered and the record do the work a colleague would otherwise do. The community: patients are often neighbours and friends, and the informal treatment is where records, consent and boundaries lapse. The claim: treatment funded through ACC is read against the record, so honesty in both is professional conduct before it is a financial matter.

What these words mean

The three terms that decide where a matter goes, and the other words the course uses.

Professional Conduct Committee
Two osteopaths, one with experience in your area of practice, and a layperson, with a legal adviser and an investigator, appointed where a notification is about conduct or a conviction. The investigator gathers statements and notes; you receive everything before a recorded meeting of about two hours near where the events occurred, at which you and the complainant are heard.
Professional misconduct
The Tribunal’s ground under s 100 of the Act: malpractice or negligence in your scope of practice, or conduct that has brought or was likely to bring discredit to the profession. Dishonesty, a boundary breach and a breach of confidence are among the findings made under it.
Professional boundary
The line between the osteopathic relationship and any other — with a patient or a colleague — tested in a room that often has no third party and, for many osteopaths, in a community where patients are known socially. The responsibility for keeping it lies with the osteopath, because of the power imbalance, whoever initiated the drift.
The three routes under the HPCA Act
Fitness to practise is the phrase practitioners use for the whole process. Under the Health Practitioners Competence Assurance Act 2003 the Council or Board takes one of three routes: a competence review (your practice against the required standard); the health process — the Act’s fitness to practise provisions, for impairment by a mental or physical condition; or a referral of your conduct to a Professional Conduct Committee, which can lay a charge of professional misconduct before the Tribunal. Which route your letter names tells you how the matter is being treated.
The Code, the Capabilities, the guidelines and the other terms the course uses
Code of Conduct for Osteopaths
The Council’s statement of the behaviour expected of every osteopath, January 2023: four values — respect, trust, partnership, integrity — and eight principles. The document a notification is measured against and the one a response should cite by value and principle.
Capabilities for Osteopathic Practice
The Council’s statement of what a competent osteopath knows and does, the measure a competence review applies, and the frame the Continuing Competence Programme is planned around. Professional behaviour and cultural safety are capabilities in their own right.
Informed consent guidelines
What the Council expects before hands-on treatment begins — the explanation, the risk of the technique, the alternative, the undressing and draping, the right to stop — and how consent is recorded, with the Guidelines for Clinical Record Keeping alongside.
Competence review
The Council’s process where a notification suggests practice below the required standard: a request for information about your practice and professional development, then a review against the Capabilities, which may lead to a competence programme, conditions, an examination or supervision. Not a disciplinary process.
Insight
Acceptance of the seriousness of a lapse and its effect on the patient and on public trust, without minimising it or shifting responsibility to the technique, the patient or the town. Read for in every response, and weighed by the Tribunal when it sets a penalty.
Remediation
Corrective action targeted to the lapse and verifiable by someone else: CPD on the principle concerned, a mentor’s or peer’s reports, an audit of records, consent or claims repeated over time, a third-person policy, feedback gathered on purpose. CPD hours on an unrelated subject count for little on their own.

The provisions a professionalism concern about an osteopath engages

Professionalism is conduct, and the Osteopathic Council’s standards say what professional conduct is for the profession. These are the standard itself and the provisions of the Health Practitioners Competence Assurance Act 2003 a professionalism notification about an osteopath runs under.

Osteopathic Council — Code of Conduct for Osteopaths

The Code of Conduct for Osteopaths (January 2023): four values and eight principles, with the Council’s guidelines on informed consent and clinical record keeping. Every professionalism complaint about an osteopath names a part of it. Read it.

For this course: The course takes the Code of Conduct for Osteopaths as behaviour in the treatment room, so that a response names the standard the conduct fell short of.

Section 71 — referral to a Professional Conduct Committee

A conduct concern — draping, a remark, a message, a record, a claim — is referred to a Professional Conduct Committee of two osteopaths and a layperson, with an investigator and a legal adviser, which meets you at a recorded meeting. Read it.

For this course: A professionalism concern is a conduct concern and is referred here; the course explains what the Committee will ask for.

Section 100 — the grounds of discipline

The Tribunal may discipline for professional misconduct — malpractice or negligence, or conduct likely to bring discredit to the profession — among other grounds. Sexual remarks and touching during treatment, and failure to drape, have been found to reach it. Read it.

For this course: Conduct that brings discredit to the profession is a ground of discipline, and the course explains how it has been applied to osteopaths.

Section 101 — the penalties

Censure, conditions, suspension for up to three years, cancellation of registration, a fine of up to NZ$30,000 and costs — and the Tribunal has ordered education in ethics, professional boundaries and informed consent, mentoring and a chaperone condition. Insight and remediation are weighed every time. Read it.

For this course: The Tribunal’s penalties in osteopathic conduct cases weigh pattern and insight; the course shows how to set out the second in your own reflection.

Also engaged: Section 118 — the Council sets the Code and the Capabilities a complaint is measured against · Section 34 — practitioners and employers must notify a risk of harm · Section 80 — what a Professional Conduct Committee may recommend, from counselling to a charge · Section 36 — a competence review where professionalism and competence overlap.

Not an osteopath? New Zealand regulates 18 professions under the Health Practitioners Competence Assurance Act 2003, and the process is the same for all — courses for every registered profession →

Frequently asked questions

What does the Council want to see in my written response?

The events in order and plainly; the value or principle of the Code you fell short of, named by you before the Council names it; the effect on the patient in their terms; what you have done since, with dates and a mentor’s or peer’s confirmation; and what would be different next time. The course sets weak and strong responses to the same events side by side so the difference is visible before you write.

It was my word against the patient’s — no one else was in the room. How does the Council decide?

On the two accounts, the notes, and what each of you does next. A Professional Conduct Committee’s investigator gathers statements and clinical notes and both of you are heard at a recorded meeting, and the Council reads a response for whether it accounts for the events plainly, names the principle of the Code, and shows what has changed — a third-person policy, draping, the consent conversation recorded. The course is built for that response and that meeting.

Does completing this course count as remediation?

It is one dated item. Remediation the Council recognises is targeted to the lapse and verifiable by someone else: CPD on the principle, a mentor’s or peer’s reports, an audit of records, consent documentation or claims repeated after an interval, a chaperone policy in writing, feedback gathered on purpose, and reflection that cites the Code. No provider is accredited by the Osteopathic Council and no course decides a matter, though the Tribunal has ordered education in ethics, boundaries and consent; check the wording of any direction with your indemnity insurer, professional association or lawyer.

Should I take advice before I respond to the Council?

Yes — before anything is written to the Council, a reviewer, a Professional Conduct Committee, the Tribunal, ACC or your employer, and before the Committee meeting. Nothing on this page is legal advice, and no course determines the outcome of a matter.

A patient of years has become a friend. Is that a boundary problem?

It can be, and the responsibility for the answer is yours. Long treatment relationships produce real friendships and the Council does not expect osteopaths to be cold; it expects them to notice when the relationship has stopped being professional and to manage it, especially where treatment is hands-on and unwitnessed. The Commissioner has held that the responsibility lies with the osteopath because of the power imbalance.

I write my notes up at the weekend. Is that dishonesty?

Notes written later and dated as written later are a records lapse the Council’s Guidelines for Clinical Record Keeping address. Notes written later and dated through the week, or altered after a complaint or an ACC audit, turn it into a question of integrity — one of the Code’s four values. The course covers records honesty and the audit that shows it has been restored.

I treated a neighbour as a favour and did not open a file. Is that a problem?

It is the complaint waiting to happen. The Code expects the same consent, the same record and the same boundary whoever is on the table, and an informal treatment has none of them — and if it is later claimed, it becomes a probity matter. The course gives treating whānau, friends and neighbours a section of its own.

Is cultural safety a conduct matter for osteopaths?

Yes. Partnership is one of the Code’s four values, respecting patients’ cultural needs and values is one of its principles, and cultural safety is a Capability. The Council’s expectations under Te Tiriti o Waitangi cover how the head and the body are approached, who is in the room, and how a Māori patient’s reluctance to undress is read. A complaint that describes tikanga ignored or whānau kept out is a professionalism complaint.

How is this course different from the Ethics course for osteopaths?

The Ethics course is about the reasoning — consent to touch, confidentiality where patients are neighbours, the treatment the evidence supports, candour, conscience. This course is about conduct: the behaviours the Code requires, the lapses that produce notifications, and the response, the meeting and the remediation a professionalism matter calls for.

How long does it take, and how long do I have access?

The course is 2 CPD hours, self-paced, with twelve months’ access from purchase. The certificate is issued on completion, dated, with the course title and the CPD hours, for your Continuing Competence Programme, a competence programme or a response.

Notifications rarely raise one issue. These are the courses that pair with this one.

Ethics and Ethical Standards for Osteopaths

Ethics course for NZ osteopaths facing an Osteopathic Council notification: boundaries, consent, records, claims and open disclosure. Code of Conduct.

2 CPD hours · NZ$200

Privacy, Consent and Chaperone in Healthcare Practice

Consent, privacy and the presence of another person during an examination: for NZ practitioners facing an allegation about an examination. 2 CPD hours.

2 CPD hours · NZ$200

Professional Boundaries Course

A boundary notification in NZ: where the risk comes from, dual relationships, another person in the room, colleagues and online conduct. 2 CPD hours.

2 CPD hours · NZ$200

Documentation for Healthcare Professionals

Clinical documentation and health records course for NZ health practitioners facing a notification about records, late entries or amendments. 2 CPD hours.

2 CPD hours · NZ$200

Dealing with a Complaint or Investigation Professionally

Responding to a complaint, notification, competence review or conduct committee in NZ: the first letter, the meeting, what to write. 2 CPD hours.

2 CPD hours · NZ$200

Insight for Fitness to Practise

Asked to show insight after a notification? The staged model, the four components a Council or Tribunal assesses, and what undermines it. 2 CPD hours.

2 CPD hours · NZ$200

Remediation for Fitness to Practise

Remediation after a Council or Board notification: root cause not symptom, SMART goals, the seven parts of a written plan, evidence of change. 2 CPD hours.

2 CPD hours · NZ$200

See all CPD courses for osteopaths in New Zealand →

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