New Zealand Medical Journal · 2026A rapid review of the government's 2025 Putting Patients First proposals through the lens of equity and Te Tiriti o Waitangi obligations.
Why it matters: A critique, published as a Viewpoint in the NZMJ, of the 2025 Putting Patients First proposals, focused on what they mean for Māori health and cultural safety.
Professional Standards Authority · 7 Oct 2025The current version of the framework. It keeps the six principles and eight elements, sets out a broad definition of harm (including psychological harm, financial loss and damage to trust), accepts that deregulation can be warranted where risk is well managed, and aligns with the UK's 'Smarter regulation' agenda.
Why it matters: The primary source. Worth quoting directly, including its own warnings about false assurance, and that regulation should only be called 'risk-based' where risks have actually been quantified and qualified.
New Zealand Psychologists Board · 20 Aug 2025The Board approved a registered Psychology Assistant role with safeguards: no diagnosis, a focus on mild or less complex needs, mandatory supervision and team-only practice. It received 441 submissions.
Why it matters: New Zealand's first registered assistant tier in psychology. Its safeguards are specific enough to monitor.
New Zealand Cabinet paper · Aug 2025The New Zealand government's case for reform. It criticises 'unnecessarily high standards', long training and strict supervision, 'patch protection' and siloed regulators, and names associate psychologists among new professions it says regulators have been slow to adapt to, citing 'professional resistance or lack of direction from government'.
Why it matters: A strikingly direct statement of what the government believes is wrong with professional regulation. It mentions psychology once, naming associate psychologists as a new profession.
GOV.UK · 16 Jul 2025An independent review found the evidence on the roles weak and based on observational data. It made 18 recommendations, including renaming the roles 'physician assistant' and 'physician assistant in anaesthesia', and requiring a named supervising doctor for each physician assistant. The government accepted all of them.
Why it matters: In our view, a template for how a government re-tightens a role after scaling it ahead of the evidence.
BMJ (Greenhalgh & McKee) · Mar 2025Reviewed UK research on physician and anaesthetic associates published from 2015 to January 2025. Of 29 studies meeting its inclusion standard, none examined safety incidents and only one directly observed clinical competence.
Why it matters: In our view, a clear statement of the evidence gap: the authors warn that absence of evidence of safety incidents is not evidence that the roles are safe. Co-author Martin McKee was BMA president in 2022-23.
Harry Cayton for the BC Ministry of Health (released April 2019) · Apr 2019Harry Cayton, who developed right-touch regulation as chief executive of the UK's Professional Standards Authority, found the college met 17 of the 28 Standards of Good Regulation, and that many but not all of BC's health colleges showed 'a lack of relentless focus on the safety of patients'. He recommended fewer colleges, appointed boards and independent oversight.
Why it matters: Right-touch used to make regulators more accountable to the public, not to deregulate. It set off the reforms that led to BC's 2026 Act.
Black & Baldwin, LSE · 2010Two leading regulation scholars set out the built-in limits of risk-based regulation: it can miss cumulative, systemic and newly emerging risks, and depends on the regulator's ability to detect risk.
Why it matters: A theoretical lens. The paper is about regulating firms; applying it to hard-to-measure harms such as psychological harm is our interpretation, not evidence of harm.
Nothing here for these filters yet.