Council or Board notification · All 18 responsible authorities
Rebuilding Trust of Patients, Colleagues, the Public and the Regulator for Health Practitioners facing a Council or Board investigation, complaint or allegation
Trust lost with patients, colleagues, the public or your Council or Board? The course that sets out how trust is lost, and how to rebuild it.
- Patients — a patient’s or whānau’s trust damaged
- Colleagues — confidence lost at work, or a colleague who notified
- Public — conduct that reached beyond the consulting room
- Regulator — a notification, conditions or a finding in your file
- Response — a complaint answered defensively or dismissively
- Honesty — an account that was not candid, to anyone
- Pattern — a second concern that looks like the first
- Any other — concern about the trust placed in you
Rebuilding trust after a complaint, a notification, conditions or a finding — with patients, colleagues, the public, your Council or Board or the Health Practitioners Disciplinary Tribunal?
Help with a Council or Board 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
- Every registered profession
- CPD certificate
- Bulk buy: any 5 for NZ$850 · any 10 for NZ$1,400
At a glance
- Who it is for
- Any registered practitioner looking to rebuild the damaged trust of their patients, colleagues, workplace or Council or Board — after a complaint, a Council or Board notification, conditions or an undertaking, a Professional Conduct Committee or Tribunal finding, or a return to practice
- Authorities covered
- All 18 responsible authorities under the Health Practitioners Competence Assurance Act 2003, their Professional Conduct Committees and the Health Practitioners Disciplinary Tribunal
- Length
- 10 sections, 98 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
Certificate issued by Healthcare Ethics CoursesRemediation courses for regulatory processes.
Who this course is for
A patient’s or whānau’s trust has been damaged
A complaint made to you or the practice, a patient who has asked to see someone else, a whānau who were not told. The first response decides much of what follows: the Commissioner’s guidance on open disclosure says a disclosure should include a sincere apology, and that an apology is not about allocating blame. The course is written for the conversation that decides whether trust returns.
A complaint has reached your Council or Board
The Registrar has read it and asked for your response, and the response is read as the next act in the same story — a defensive reply loses trust a second time. The course covers the written response as a trust-rebuilding document.
Your colleagues or workplace have lost confidence
A team that has stopped referring or telling you things, a colleague who reported you, a manager who has had to notify, an investigation at work. Colleagues see the practice every day; in one nurse’s case the employer’s endorsement of three and a half years’ work weighed against a suspension. Rebuilding their trust has its own section.
A Professional Conduct Committee or the Tribunal is deciding
Whatever the ground, the question is whether the public can trust this practitioner again. The Tribunal’s penalty decisions apply factors the High Court set out in 2012 — protecting the public, maintaining professional standards, rehabilitation where it is appropriate, and the least restrictive penalty that is fair, reasonable and proportionate.
You are under conditions, or returning to practice
Trust is rebuilt over time and reviewed over time, and a return after a suspension, a health process or a period of conditions is read for sustained change rather than a single good response. The course covers when trust is considered rebuilt and how sustained behaviour change is evidenced.
The account you gave was not candid
An answer to the Registrar that was not complete, a record that did not match, a document that should not have been sent. Candour during the process is the test of trustworthiness itself: the Tribunal cancelled the registration of a nurse who put a forged reference before it. A second response that corrects the first is read as insight.
The concerns this course speaks to
Patients and whānau: needing to rebuild trust
The event managed, the patient not asked how they were, a result not explained. Right 6 of the Code of Rights is the right to be fully informed, and the Commissioner’s open disclosure guidance expects a sincere apology; acknowledgement in the patient’s terms, with whānau where the patient wishes, is the first step in rebuilding trust with anyone.
Colleagues: confidence lost at work
They learned something from someone else, or watched the same conduct recur. Trust with colleagues is rebuilt through candour with the team, reliability since, conduct they can vouch for and feedback gathered from them on purpose — and an employer’s endorsement is evidence the Tribunal weighs.
The public: rebuilding public trust
A post, public commentary, conduct outside work with a professional title attached. The Tribunal weighs public confidence in the profession and has cancelled registrations for online conduct that discredited it; public trust is rebuilt through transparency and behaviour over time.
The regulator: a notification, conditions or a finding
A notification in the file, conditions or an undertaking, a Committee or Tribunal finding. The Act exists to protect the health and safety of the public, and the authority rebuilds its trust under observation: conditions, supervision and reports, reviewed against what has changed.
A defensive or dismissive response to a complaint
The complaint answered with the practice’s policy, the harm disputed, the patient told they misunderstood. The response is where trust is decided, and the Commissioner’s guidance notes that an apology may be critical to whether a patient lays a formal complaint. The course sets out the initial response, the tone it sets and the written reply.
Honesty and candour, during the process too
A record altered, an account that did not match the notes, an answer to the regulator that was not candid. The Tribunal has found false declarations to an authority to be professional misconduct, and cancelled the registration of a nurse who put a forged reference before it; honesty during the process is read as the test of trustworthiness itself.
A pattern: the second concern
A good response followed by the same conduct; an apology followed by a second incident. Trust is lost faster the second time, and the authorities read a pattern as a trust matter whatever the individual events were. The course treats consistency between words and actions as the test every audience applies.
Boundaries, health and any other concern
A boundaries breach with a patient or a colleague, a condition not declared. A boundary lapse damages trust with the patient, the workplace and the profession at once, and is rebuilt by the boundary restored and visible; a health matter by the declaration, the plan and evidence over time. Any trust concern is measured against your own authority’s standard.
Facing a Council or Board investigation, complaint or allegation? This course helps you remediate — and demonstrate it.
Buy this course — NZ$200What the course covers
Ten sections and 98 lessons, with a reflective quiz closing each of the first nine and a post-course assessment at the end.
Understanding Trust in Healthcare Practice
Ten lessons
How Trust Is Lost – Common Triggers and Patterns
Eleven lessons
Rebuilding Trust With Patients and Whānau
Eleven lessons
Rebuilding Public Trust and Professional Reputation
Eleven lessons
Responding to Complaints and Concerns Professionally
Eleven lessons
Insight, Honesty, and Accountability as Trust-Rebuilding Tools
Ten lessons
Remediation, Learning, and Behaviour Change
Ten lessons
Regulatory Expectations and Fitness to Practise
Ten lessons
Reflection, Insight, and Sustained Trust Rebuilding
Twelve lessons
Conclusion and Key Takeaways
Key takeaways and the post-course assessment
Show every lesson title
- Section 01 · Understanding Trust in Healthcare Practice
- What Trust Means in Healthcare; Trust From Different Perspectives; Why Trust Is Central to Safe Healthcare; The Fragility of Trust in Healthcare; Trust and Professionalism; Trust as a Professional Asset; Regulatory Perspective on Trust in New Zealand; Trust, Insight, and Future Risk; Rebuilding Trust as a Professional Responsibility; The Purpose of This Course.
- Section 02 · How Trust Is Lost – Common Triggers and Patterns
- How Trust Is Lost: Not the Error Alone; Poor Communication as a Trigger for Loss of Trust; Perceived Lack of Honesty or Transparency; Defensive or Dismissive Responses to Concerns; Failure to Acknowledge Harm, Distress, or Impact; Inconsistent Behaviour Over Time; Boundary and Professionalism Lapses; Delayed or Inadequate Responses to Complaints; How Regulators Identify Loss of Trust; Why Trust Loss Escalates to Fitness-to-Practise; Early Warning Signs of Trust Breakdown.
- Section 03 · Rebuilding Trust With Patients and Whānau
- Why Rebuilding Trust With Patients Requires Active Effort; Acknowledging the Patient Experience; Communicating Openly and Honestly; Apologies and Expressions of Regret; Involving Whānau in the Trust-Rebuilding Process; Consistency Between Words and Actions; Demonstrating Learning and Change to Patients; Managing Ongoing Care After Trust Has Been Damaged; Boundaries and Professionalism During Trust Rebuilding; Regulatory Perspective on Patient Trust; Rebuilding Trust Takes Time.
- Section 04 · Rebuilding Public Trust and Professional Reputation
- Why Public Trust Extends Beyond Individual Patient Relationships; How Public Trust Is Commonly Damaged; The Role of Professional Reputation in Trust; Transparency as a Trust-Rebuilding Strategy; Professional Conduct Outside Direct Patient Care; Rebuilding Reputation Within the Workplace; Media, Public Commentary, and Boundaries; Demonstrating Change to the Public; Regulatory Perspective on Public Trust; Public Trust and Future Risk Assessment; Patience and Consistency in Reputation Repair.
- Section 05 · Responding to Complaints and Concerns Professionally
- Why Complaints Are Critical Trust-Building Moments; Understanding What Complaints Are Really About; Initial Response: Setting the Tone; Listening, Acknowledging, and Validating Concerns; Honesty, Transparency, and Open Communication; Apologies and Expressions of Regret; Written Responses to Complaints; Managing Emotional Responses as a Professional; Learning and Improvement as Part of the Response; Responding When Complaints Escalate; Regulatory Perspective on Complaint Handling.
- Section 06 · Insight, Honesty, and Accountability as Trust-Rebuilding Tools
- Why Insight Is Central to Rebuilding Trust; What Regulators Mean by "Insight" in Practice; Honesty as the Foundation of Trust Restoration; Transparency Versus Self-Protection; Accountability Without Self-Blame; How Insight, Honesty, and Accountability Interact; Demonstrating Insight in Written and Verbal Communication; Insight Over Time: Why Consistency Matters; Regulatory Perspective in New Zealand; Insight, Trust, and Safe Future Practice.
- Section 07 · Remediation, Learning, and Behaviour Change
- Why Remediation Is Central to Rebuilding Trust; What Remediation Means in Practice; Linking Remediation to the Identified Concerns; Learning as a Trust-Rebuilding Tool; Behaviour Change: The Indicator Regulators Look For; Supervision, Mentoring, and Support; Demonstrating Remediation to Others; Remediation as an Ongoing Process; Regulatory Expectations Around Remediation; Remediation as a Professional Strength.
- Section 08 · Regulatory Expectations and Fitness to Practise
- Why Trust Is Central to Regulatory Decision-Making; How Regulators Define "Fitness to Practise"; What Triggers Regulatory Concern About Trust; How Regulators Assess Trustworthiness in Practice; Insight as the Cornerstone of Regulatory Trust; Honesty and Candour During Regulatory Processes; Remediation as Evidence of Restored Trust; Regulatory Outcomes in Trust-Related Cases; Restoring Regulatory Confidence Over Time; What Regulators Ultimately Want to See.
- Section 09 · Reflection, Insight, and Sustained Trust Rebuilding
- Why Trust Rebuilding Must Be Sustained, Not Event-Based; Reflection as an Ongoing Professional Discipline; Deepening Insight Beyond Initial Acknowledgement; Integrating Learning Into Professional Identity; Demonstrating Trustworthiness in Everyday Practice; Managing Pressure, Stress, and Risk Without Trust Erosion; Handling Setbacks Without Undermining Trust; Evidencing Sustained Behaviour Change; The Role of Supervision and Peer Accountability; Regulatory Assessment of Sustained Trust Rebuilding; When Trust Is Considered Rebuilt; Trust Rebuilding as a Career-Long Responsibility.
- Section 10 · Conclusion and Key Takeaways
- Conclusion; Key Takeaways.
How to respond to a Council or Board notification, complaint or allegation
One response is read by four audiences, each asking a different question. The course teaches the answer each is reading for.
What is weighed now is less the original event than everything since it.
- The patient and whānau: did you see what it did to us?The acknowledgement first, in their terms; honesty about what happened; an apology for the effect, without a clause that explains it away; whānau where the patient wishes.The course shows the apology that stands on its own.
- Colleagues: can we rely on you again?Candour with the team before they hear it elsewhere; reliability since; conduct they can vouch for in writing; feedback sought from them on purpose.The course gives colleagues and the workplace a section of their own.
- The public: can the profession be seen to have dealt with this?Transparency, conduct outside the consulting room, nothing said in public that defends you at the patient’s expense, and behaviour over time.The course covers public commentary and reputation.
- The regulator: can the public trust you again?Insight, candour during the process, remediation the authority can verify, and consistency for long enough to be evidenced.This course is the dated item you attach — and it names the other evidence.
Trust is rebuilt not by a good response but by behaviour consistent for long enough to be evidenced.
Take advice from your indemnity insurer, your union or a lawyer before you respond to anyone.
Facing a Council or Board investigation, complaint or allegation? This course helps you remediate — and demonstrate it.
Buy this course — NZ$200How this course helps with a Council or Board investigation
Four audiences, the triggers that lose their trust, and the response — not the event — that rebuilds it.
It rebuilds trust with patients and whānau
Why it takes active effort; acknowledging the patient’s experience; communicating openly; apologies and expressions of regret — what they contain and what they must not; involving whānau, in partnership under Te Tiriti o Waitangi where the patient wishes; consistency between words and actions; showing learning and change to the patient; managing ongoing care once trust has been damaged; and boundaries during the rebuilding, because a practitioner trying to make amends can drift.
It rebuilds trust with colleagues, the public and the profession
Colleagues first, because they see the practice every day and can be the notifier: candour with the team about what happened, reliability since, conduct they can vouch for, and feedback gathered from them on purpose. Then why public trust extends beyond individual relationships; how it is damaged; transparency as a strategy; conduct outside direct patient care; rebuilding reputation within the workplace; media, public commentary and boundaries; and how the authorities weigh public trust when they assess future risk. Patience and consistency are treated as the method, not the mood.
It treats the complaint as the trust-building moment
What complaints are really about; the initial response and the tone it sets; listening, acknowledging and validating; honesty and open communication; apologies; the written response; managing your own emotional response as a professional; learning and improvement as part of the reply; what to do when a complaint escalates; and how the authorities read complaint handling — because a complaint handled well can end there, with no notification made.
It joins insight, honesty and accountability to remediation, and both to the regulator
What the authorities mean by insight in practice; honesty as the foundation of restoration; transparency against self-protection; accountability without self-blame; demonstrating insight in writing, in person and over time. Then remediation as behaviour change, and the section on regulatory expectations: how the authorities assess trustworthiness, candour during the process, outcomes in trust-related cases, and what they say they want to see. Counts: an acknowledgement and an apology to the patient for the effect, without a clause that explains it away; candour with the team and with the authority; this course’s dated certificate with a reflection; supervision or mentoring with reports; feedback from colleagues and patients gathered on purpose; behaviour consistent over time. Counts for little: an apology for the complaint rather than the conduct, a defence of the outcome, an account that does not match the record, a promise where evidence should be. For the stages from the first letter to the Tribunal, see the Council and Board investigation process, explained.
Read the primary sources
- Health Practitioners Competence Assurance Act 2003 — the Act
- Every Council and Board, in one place — Responsible authorities
- Medical Council — Good medical practice
- Nursing Council — Code of Conduct
- Dental Council — Standards Framework for Oral Health Practitioners
- Health Practitioners Disciplinary Tribunal — decisions
Who wrote it
In short
Rebuilding Trust of Patients, Colleagues, the Public and the Regulator is a two-hour remediation course, self-paced, for any practitioner facing a notification, investigation, complaint or allegation before one of New Zealand’s 18 responsible authorities. It sets out what trust is from each of the four perspectives, how it is lost — often less by a single error than by the response that followed — and how it is rebuilt with each audience: patients and whānau through acknowledgement, honesty, apology and consistency; colleagues through candour with the team, reliability and conduct they can vouch for; the public through transparency and conduct over time; the regulator through insight, candour during the process and verifiable remediation. It treats the complaint as the trust-building moment, covers regulatory expectations and outcomes in trust-related cases, and ends with sustained, career-long trust. Ten sections with a reflective quiz after each of the first nine, a post-course assessment, and a dated certificate from Healthcare Ethics Courses for your recertification. Remediation, not advice: the course decides no matter, and your indemnity insurer, your union or association or a lawyer should read anything before it goes to your authority.
What New Zealand’s Councils and Boards mean by trust
The Act exists, in its first purpose, to protect the health and safety of members of the public. Every provision under which a concern about a practitioner is handled — a competence review, a health process, a Professional Conduct Committee, the Tribunal — serves that purpose, and every decision under it asks, in substance, whether the public can trust this practitioner again. The Tribunal’s penalty decisions apply the factors the High Court set out in 2012, protecting the public and maintaining professional standards among them, and the Nursing Council’s Code makes maintaining public trust and confidence in the profession a principle of its own.
The course separates four audiences because each loses and regains trust differently. A patient and whānau lose it in a conversation and regain it in one: acknowledgement, honesty, an apology that does not explain, consistency afterwards — and with a Māori patient, partnership with whānau under Te Tiriti o Waitangi is the form it takes. Colleagues lose it when they learn something from someone else, and regain it through candour with the team and reliability since. The public loses it through conduct that reaches beyond the consulting room. The regulator loses it through the response, and regains it through insight, honesty during the process and remediation it can verify.
What these words mean
The three terms that decide where a matter goes, and the other words the course uses.
- Professional Conduct Committee
- The committee the Council or Board appoints under s 71 of the Act to investigate a conduct concern: two members of the profession and a layperson with a legal adviser. It asks for your written response, may hear from you, and recommends anything from no further action, through counselling and a competence or health review, to a charge before the Tribunal (s 80).
- 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.
- Candour
- Openness and honesty when something has gone wrong — with the patient, and during the regulatory process itself. Required by every authority’s standard, and its absence during the process can weigh more than the original concern.
- 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.
Candour, acknowledgement, apology, whānau, transparency, consistency, sustained behaviour change and the other terms the course uses
- Trust
- The reliance patients, colleagues, the public and the regulator place on a practitioner to act safely, with honesty and in the patient’s interest without being watched. The thing the Act exists to protect, and the thing every fitness to practise decision is about.
- Fitness to practise
- The authorities’ phrase for whether a practitioner can be trusted to practise safely now, assessed through competence, health and conduct. The question a Registrar, a reviewer, a Committee and the Tribunal each answer.
- Acknowledgement
- Recognising the patient’s experience and the harm, distress or impact, in the patient’s terms, before anything is explained. The first act of rebuilding trust with anyone.
- Apology
- An expression of regret for what happened and its effect, without a clause that explains it away. Every authority reads an apology for whether it is for the conduct or for the complaint.
- Whānau
- The patient’s family and support network in the sense Te Tiriti o Waitangi and every authority’s cultural competence standard give it. Involved in rebuilding trust with a Māori patient where the patient wishes, as partnership rather than courtesy.
- Transparency
- Openness about what happened and what has changed, with the patient, the workplace and the public, as against self-protection. The course treats the choice between the two as the one that decides whether trust returns.
- Consistency
- Behaviour that matches words over time. The test every audience applies, and the reason the authorities read a second incident as a trust matter whatever the first was.
- Sustained behaviour change
- Change evidenced over a period long enough to show it has held — through supervision, peer accountability, repeated audit and the handling of setbacks. What the authorities mean when they say trust has been rebuilt.
The provisions a notification engages, and what rebuilding trust answers
The Health Practitioners Competence Assurance Act 2003 exists, in its own words, to protect the health and safety of the public. Every provision under which a concern is handled is a question about whether the public can trust the practitioner again, and these are the ones that ask it directly.
Section 38 — orders after a review
Where competence is not at the required standard the authority may order a competence programme, conditions on the scope of practice, an examination or assessment, or supervision — educative measures, not discipline. Conditions and supervision are trust made visible: the public, the employer and the authority can see the safeguard while trust is rebuilt, and each is lifted on evidence. Read it.
For this course: Conditions after a review are lifted on evidence that trust can be restored; the course sets out what that evidence is.
Section 80 — what a Professional Conduct Committee may recommend
After investigating, the Committee may recommend counselling, a review of competence, health or scope, no further action or conciliation, or a charge before the Tribunal. Its lesser options are open where it is satisfied that trust can be rebuilt without a charge. Read it.
For this course: A Committee choosing between counselling and a charge is choosing what public trust requires; the course teaches the evidence that lets it choose the lesser.
Section 100 — the grounds of discipline
The Tribunal may discipline for professional misconduct, including conduct that has brought or was likely to bring discredit to the profession — a trust ground in its own words: the Tribunal asks what the public would make of the conduct. Read it.
For this course: Conduct that brings discredit to the profession is a ground of discipline in its own right, and rebuilding trust is the answer to it.
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. The Tribunal applies the factors the High Court set out in 2012 — protecting the public, maintaining professional standards, rehabilitation where appropriate, consistency, and the least restrictive penalty that is fair, reasonable and proportionate. Read it.
For this course: The Tribunal’s penalties are set with public confidence in mind, and its decisions say so; the course is about what rebuilds that confidence.
Also engaged: Section 36 — review of competence: whether patients can rely on the practice · Section 71 — a Professional Conduct Committee investigates on the public’s behalf · Section 118 — your authority’s standards, met visibly and not only privately · Medical Council — Good medical practice and the trust patients place in doctors · Nursing Council — the Code’s principle to maintain public trust and confidence in the profession · Dental Council — the Standards Framework’s ethical principles.
What each stage asks about trust
Every stage under the Act answers the same question about the public, in a different form, whichever authority registers you.
The Registrar: is the public safe, and has the patient been dealt with?
The first reader sorts the notification, asks whether anything needs urgent action, and reads your response beside the patient’s account. A patient already acknowledged and answered, and a change already made, can end a matter here with an educational letter; a defensive reply sends it on.
A competence review: can patients rely on the practice?
The reviewers assess your practice and read your reflection beside what they observed. A programme, conditions or supervision are the authority’s way of rebuilding trust under observation, and each is reviewed against what has changed.
The health route: can you be trusted to know your limits?
Where a condition may affect your ability to practise safely, the authority may require a medical examination and place conditions on your practice. Trust here is the declaration, the plan and the evidence over time, and a practitioner who declared first is read very differently.
A Professional Conduct Committee: were you honest, and does the account match the record?
Members of your profession and a layperson, with a legal adviser, read your response beside the record and meet you. Candour with the Committee is the test of trustworthiness itself; counselling or no further action can follow a response that matched the record and reached the patient.
The Tribunal: would public confidence survive this practitioner continuing?
The Tribunal decides what happened, then applies the penalty factors — protecting the public, maintaining professional standards, rehabilitation where appropriate — and weighs insight, candour and remediation. It has cancelled a registration for dishonesty put before the Tribunal itself.
Every reader: has the behaviour been consistent?
Whatever the stage, the reader checks the response against the earlier ones and against conduct since. A second incident that looks like the first is read as a trust matter, and an employer’s endorsement over years is read as evidence that trust has held.
Facing a Council or Board investigation, complaint or allegation? This course helps you remediate — and demonstrate it.
Buy this course — NZ$200This course is written for every registered profession under the Health Practitioners Competence Assurance Act 2003 — the process is the same for all. Ten professions also have Ethics and Professionalism courses written to their own Council or Board’s standard. Find the courses for your profession →
Frequently asked questions
The original error was minor. Why has it become a trust matter?
Because trust can be lost less by the event than by what followed. A result not explained becomes a complaint when the explanation is defensive; a complaint becomes a notification when the reply is late or dismissive; a notification becomes a Committee referral when the response argues. The authorities read the sequence, and the course’s second section is about the triggers and how loss of trust escalates.
How does the regulator decide that trust has been rebuilt — and will my Council or Board accept this course as part of it?
By evidence over time: insight into what happened, candour during the process, remediation it can verify, and behaviour consistent for long enough to be evidenced — through supervision, peer accountability and repeated audit. No provider is accredited by any Council or Board, and no course decides a matter. What every authority, a Committee and the Tribunal weigh is dated, targeted remediation with reflection that engages your own code — and this course is written to the ground every authority’s standard shares on this subject, so the connection to yours is plain. Check the wording of any direction with your indemnity insurer, union, professional association or lawyer before you rely on it.
Should I take advice before I respond?
Yes — before anything goes to a patient in writing, to your employer, to your Council or Board, a Professional Conduct Committee or the Tribunal. Your indemnity insurer, your union or professional association, or a lawyer should read it before it is sent. Nothing on this page is legal advice, and no course determines the outcome of a matter.
A patient has complained to me directly. What decides whether it goes further?
The first response, in large part. Listening, acknowledging the experience and the impact in the patient’s terms, honesty about what happened, an apology that does not explain, and a written reply that shows learning — the Commissioner’s guidance notes that an apology may be critical to whether a patient lays a formal complaint. The course gives complaint handling a full section, including what to do when it escalates.
Should I apologise? I have been told it admits liability.
Yes, and take advice on the wording. The Commissioner’s open disclosure guidance says a disclosure should include a sincere apology, and that an apology is not about allocating blame; in New Zealand, treatment injury is covered by ACC on a no-fault basis. What the authorities read for is whether the apology is for the conduct or for the complaint, and whether it carries a clause that explains it away. Do not withhold the acknowledgement.
How do whānau come into rebuilding trust?
For a Māori patient, as partnership under Te Tiriti o Waitangi rather than as a courtesy: whānau in the conversation where the patient wishes, tikanga observed, the acknowledgement made to the people the harm reached. Cultural competence is a standard every authority must set, and the course gives involving whānau a section of its own.
My colleagues have lost confidence in me even though the authority has not acted. Does this course apply?
Yes. Colleagues are one of the four audiences the course is built around: they see the practice every day, they can be the notifier and the reader of the remediation, and rebuilding their trust has its own section — candour with the team about what happened, reliability since, conduct they can vouch for, and feedback gathered from them on purpose.
What if I was not honest with the authority in my first response?
Say so now, in your own words, before it is found. Candour during the process is the test of trustworthiness itself: the Tribunal has cancelled the registration of a nurse who put a forged reference before it, and has found false declarations to an authority to be professional misconduct. A second response that corrects the first is read as insight; one that maintains it is read as continuing risk. Take advice before you write it.
I posted about the case, or spoke to the media. Is that a trust matter?
Yes. Conduct outside direct patient care — a post, public commentary, behaviour with a professional title attached — reaches public trust in the profession, and every authority’s standard covers it. The course has a section on media, public commentary and boundaries, and on what transparency means as against self-defence in public.
How is this different from the Insight, Reflection and Remediation courses?
Those three are about the parts of a response — what you understand, how you write it, what you have done. This course is about the relationships the response is for: the patient and whānau, colleagues, the public and the regulator, and how each loses trust and regains it. It draws on the other three, and practitioners often take it alongside them.
Which Council or Board is this course written for?
All 18. The Act’s purpose is the same for every authority, and the Tribunal applies the same penalty factors to every profession it hears. The course reads the Medical Council, Nursing Council, Pharmacy Council and Dental Council standards in their own words and the allied professions’ alongside.
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 a response, a portfolio or your recertification.
Courses that work alongside this one
Notifications rarely raise one issue. These are the courses that pair with this one.
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.
Duty of Candour for Healthcare Professionals
Open disclosure course for NZ health practitioners facing a notification about non-disclosure, delay, a minimised account or a missing apology. 2 CPD hours.
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.
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.
Reflection for Fitness to Practise
Asked for a written reflection or a letter of reflection after a notification? Three models, what a strong statement contains, five pitfalls. 2 CPD hours.
Effective Communication for Healthcare Professionals
Communication course for NZ health practitioners facing a notification about manner, omission, honesty, explanation or handover. 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.
Rebuilding Trust of Patients, Colleagues, the Public and the Regulator
This course. Insight, accountability, targeted remediation and demonstrated behavioural change, for the stage after a concern has been raised.
See all CPD courses for healthcare professionals in New Zealand →
Start today, finish at your own pace
Immediate access on purchase. Twelve months' access, a dated certificate on completion, and 2 CPD hours issued by Healthcare Ethics Courses.
