Consultation with midwives, midwifery and regulatory organizations, and the public is an essential part of the College’s policy development process, and in keeping with our guiding principles of accountability and transparency.
Open consultations are listed below. For full details, follow the links.
We list all of our open and closed consultations on our website for members of the public, stakeholders, and midwives to understand our rationale for making changes, and our response to feedback received, where needed.
If no open consultations are listed, please return at a later date or subscribe to the College’s electronic newsletter here.
Why we consult
We are committed to developing regulatory policy in a clear, accountable, and transparent manner, that is in accordance with best regulatory practice. Open and effective consultation is a critical part of policy development. Our approach may include early consultation through informal discussion as well as formal written consultation. Our work impacts a number of individuals and organizations, including midwifery clients, midwives, government, and regulatory and midwifery organizations. We therefore place great importance on engaging with all of our stakeholders.
When the College is required to consult
In accordance with the Regulated Health Professions Act, 1991, we are obligated to circulate all proposed regulations and certain by-laws to every member of the College at least 60 days before they are approved by the Council.
Our approach to consultation
Formal written consultation is a central element of our approach in the majority of areas, including when developing or revising our standards of practice.
To ensure effective engagement, we sometimes undertake more targeted forms of consultation alongside or ahead of a written consultation with certain groups or organizations that may be most directly affected by the proposed change. This kind of consultation is particularly valuable at the earlier stages of policy development, or as we refine the final details in discussion with those directly affected.
When deciding on the format of consultation, we take into account a range of factors, including our obligation to consult; the nature and scale of the proposed change; the stakeholders we are consulting with; timing; results from any previous consultation. We have used the following methods to accept feedback:
- Comments on our website
- Phone calls.
- In-person forums.
Your feedback and posting guidelines
All public consultations are posted on our website and we formally circulate a notice to relevant stakeholders. All comments made on our website during a written consultation are published on the College’s website and can be viewed even if the consultation has closed. Comments on the website must adhere to the Posting Guidelines. In all situations, you can also provide feedback by email or by mail.
There are currently no open consultations.
Closed Public Consultation: Clinical Education and Student Supervision Standard
The proposed changes to the Clinical Education and Student Supervision standard were designed to tie all standards to the public interest and to the delivery of client care. These changes also incorporate the feedback received during the first consultation about professional behaviours and providing a safe learning environment for students. These resulted in a revised standard that has been categorized into the following broad domains:
- clinical supervision and involvement in client care
- learning environment
- professional conduct and boundaries
Closed Public Consultation: Second Birth Attendant Standard
This standard was revised so it is achievable by all midwives by requiring midwives to work with second birth attendants who are competent in NRP.
Public Consultation: Clinical Education and Student Supervision Standard
The College sought feedback on proposed updates to its Clinical Education and Student Supervision standard, which was last revised in 2017, to ensure it reflects current and relevant content.
Public Consultation: Blood Borne Pathogens
The College invited comments about its proposal to revise the standard Blood Borne Pathogens to:
- Set minimum expectations for midwives to test for and manage their health when infected with a blood borne pathogen which includes being in the care of a physician expert.
- Fulfill the requirements of Public Health Agency of Canada (PHAC) guidance recommending the regulator has a role in setting standards about blood borne pathogens in their membership.
Public Consultation: Standards Review: Phase 2
In 2016, the College adopted a principles-based approach to the development of the standards of practice, which required a review of all of the College’s existing standards. The first part of the review was completed in 2018, which resulted in a number of standards being rescinded and the Professional Standards for Midwives being implemented.
The College completed work as part of Phase 2 and requested feedback on the following:
- Rescinding the Consultation and Transfer of Care Standard (CTCS), implementing the Midwifery Scope of Practice Guide, and adding a standard to the Professional Standards for Midwives that sets minimum expectations for midwives after a transfer of care.
- Rescinding the Delegation, Orders and Directives Standard and propose changes to the Professional Standards for Midwives.
- Rescinding When a Client Chooses Care Outside the Midwifery Standards of Practice and making changes to the Guideline on Ending the Midwife-Client Relationship.
Public Consultation: General By-law
The College invited comments on the proposed changes to the College of Midwives of Ontario’s General By-law. Proposed changes include rescinding Part II of the General Regulation made under the Midwifery Act, 1991 called Notice of Open Meetings and Hearings. We propose to add certain pieces of information from the regulation to the College’s General By-law to ensure that when Part II of the General Regulation is rescinded, the important requirements related to providing information to the public about discipline hearings and Council meetings do not disappear and continue to exist in the College’s By-law.
Public Consultation: Designated Drugs Regulation
The College invited comments on the proposed changes to the Designated Drugs Regulation. The proposed changes included rescinding the lists of drugs and substances in the current Designated Drugs Regulation and including categories of drugs and substances in accordance with the American Hospital Formulary Services (AHFS) pharmacologic-therapeutic classification categories.
Public Consultation: Fees and Remuneration By-law 2019
The College invited comments on the proposed changes to the Fees and Remuneration By-law. The proposed changes were to raise membership fees from $2193 to $2550 for all classes of registration other than Inactive. This represents a $357 increase effective October 2019 registration renewal. The Inactive class of registration will not be affected by these changes, and will increase at 2%, as per the existing by-law.
Public Consultation: General By-law (Council and Committees)
The College invited comments on the proposed changes to the College of Midwives of Ontario’s General By-law. Proposed changes included increasing the standard that we hold Council members to by requiring those seeking positions on Council and Committees to meet new criteria for eligibility and undergo training; and allowing members of the public to join College Committees.
Public Consultation: General By-law
Changes to the Regulated Health Professions Act, 1991 (RHPA) made in May 2017 have necessitated changes to our College’s General By-law. While our public register is in compliance with the RHPA as mandated by Bill 87 our General by-law needs to be amended to reflect the current legislation. You can click here for more information on the changes that Bill 87 brought to our public register.
In addition to the necessary changes above, Council is proposing some additional changes and edits that are not related to Bill 87, as these further changes are also appropriate at this time. All of the proposed changes amend Article 14 of the College’s General By-law, entitled “The Register.”
We have provided additional information on these changes on our website here. Our consultation was open until June 3rd, and all members of the public, stakeholders, and midwives are invited to share their thoughts on the changes to Article 14 of the College’s General By-Law here.
Public Consultation: Fees and Remuneration By-law
Public Consultation: Fees and Remuneration By-law
This March, the College of Midwives of Ontario Council proposed changes to our Fees and Remuneration By-law that includes a registration fee increase. If approved, this increase would bring the fees to $2150 for general class of registration and $1075 for inactive class of registration, effective for this year’s renewal. Fees would then increase by inflation, at 2% per year.
While this was not an easy decision for Council, it is necessary in order for the College to continue fulfilling its mandate of public protection and meeting the cost of regulation. We also are proposing changes to the way we process payments made in instalments, and have provided more information on our website here.
Our consultation was open until June 3rd, 2018, and all members of the public, stakeholders, and midwives are invited to share their thoughts. You can find more information and a space to leave comments here.
Public Consultation: Professional Standards PT 2
This consultation is now closed. For more information and to read feedback see here: Public Consultation: Professional Standards Second Consultation The development of the new Professional Standards for Midwives (Professional Standards) is a major step forward in reforming our current standards of practice. It forms the first phase of a wider program of work to streamline our approach to regulation to promote targeted and proportionate regulation in the public interest.
Public Consultation: Professional Standards PT 1
This consultation is now closed. For more information and to read feedback see here: Professional Standards Pt 1. At the College of Midwives of Ontario, we are reviewing and refining our approach to regulation, which includes simplifying our standards of practice. Our findings show that our current standards of practice are rigid, complex, and can be difficult to interpret.We believe midwives do not need a lot of detailed, prescriptive rules to practise competently, ethically, and safely. That is why our Council has decided to apply a more principles-based approach to the development of the standards of practice. The Professional Standards for Midwives (Professional Standards) is the first stage in a broader review of College standards.
Public Consultation: General Regulation
This consultation has now closed. For more information and to read feedback see here: General Regulation. The College seeks to make changes to legislation and regulations to improve the effectiveness and efficiency of its programs, to respond to best practices in regulation, to remove barriers to the delivery of safe, timely and quality midwifery care, and to improve client experience in the health care system. All legislation and regulations that define and inform the practice and regulation of midwifery, and that require Ministry approval, will be reviewed. At this time, the College Council has approved the General Regulation (Quality Assurance; Notice of Open Meetings and Hearings; and Intubation of a Newborn) for a formal consultation.
Public Consultation: Professional Misconduct Regulation
This consultation has now closed. For more information and to read feedback see here: Professional Misconduct Regulation. The College seeks to make changes to legislation and regulations to improve the effectiveness and efficiency of its programs, to respond to best practices in regulation, to remove barriers to the delivery of safe, timely and quality midwifery care, and to improve client experience in the health care system. All legislation and regulations that define and inform the practice and regulation of midwifery, and that require Ministry approval, will be reviewed. At this time, the College Council has approved the Professional Misconduct Regulation for a formal consultation.
Public Consultation: Proposed transparency-related and general by-law amendments.
This consultation has now closed. For more information see here: Proposed Transparency-related and General By-law Amendments. We are seeking your feedback on proposed transparency-related and general by-law In response to public demand and requests from the Ministry of Health and Long-Term Care, all Regulatory Health Colleges, including the College of Midwives of Ontario are taking significant steps to improve transparency of member and governance information available to the public. The College has been working with other health regulators in its consideration of how to meet these requests for greater transparency and make additional information available to the public. The College is committed to providing members of the public with information that enables them to decide who they wish to see for their health care.