Foundation Standard changes

The following updates have recently been added to Foundation Standard 2022.

Updates 22 November 2023

  • Quality Programme General Resources: How to structure a policy and/or procedure.

Changed content under the document control heading:

From - It's a good idea to do some housekeeping on your policy/procedure so that people after you can navigate the document and also understand who worked on it. You should include who the policy was prepared by, who approved it and the date that happened, who owns and manages it. You should also remember to add page numbers. Also include a date for the policy's review - the minimum period for that is generally three-yearly.

To - Your policies and procedures should be well documented so that others understand who developed and worked on them. You should include who the policy was prepared by, who approved it, the date that happened and who owns and manages it. You should also add page numbers and include a date for the policy's review - the maximum review period is 3 years, or earlier as required.

  • 11.6 Residual current devices (RCDs)

Added the following sentence: Portable RCDs are 30mAmp so cannot be used, if an RCD outlet is required, it must be installed by an electrician and be 10mAmp Type 1.

  • 8.2 Delivering clinical governance.

The guidance has been re-written for 'Patient engagement and participation' in collaboration with HQSC - this has made it clearer and more comprehensive. There is no new information which would affect an upcoming assessment, however, if you would like a copy of the previous guidance for 'Patient engagement and participation' please email quality@rnzcgp.org.nz

Updates 17 October 2023

  • 13.4 Added to guidance:

An accessible toilet for general practices is a necessary requirement.

If practices do not host an accessible toilet, it is the College’s expectation that they will have explored/are exploring the possibility of installing one. In the rare circumstance where this is problematic, practices can submit an exemption form to the College which will be considered on a case by case scenario.

If a short term exemption is required, for example, a practice is in a temporary site, practices should include on the exemption form, their circumstances, the measures taken to mitigate the lack of an accessible toilet and what their plans are for installing one.

Updates 3 October 2023

  • 1.1 Added RNZCGP chaperone poster to resources
  • 2.1 Added RNZCGP Telehealth position statement 2022
  • 3.2 Updated guidance content to clarify Te Tiriti o Waitangi training for those with experience of Te Tiriti.
  • 3.2 Added suggestions for (free) Te Tiriti o Waitangi training
  • 3.2 Added to resources: Whakamāua Tiriti o Waitangi framework
  • 9.2 Added resource on student nurses and standing orders and clarification in the guidance on this

Updates 23 June 2023

  • 12.1 Added resource - CPRG: Masking, PPE and ventilation
  • 12.1 Added text: AS/NZS 4815:2006 requires that sterilisation records must be kept for 12 months showing the time and date when each article was sterilised; and the length of time that the article was sterilised and the temperature and pressure levels of the autoclave.

Updates 13 JUNE 2023

  • 4.1 Added resource: From PES to PDSA
  • 8.1 Added resource: From PES to PDSA
  • 9.1 – added Power Point slides on: Repeat prescribing and auditing the policy
  • 9.2 Added Power Point slides on: Standing orders
  • 9.3 Added Power Point slides on: Medicines reconciliation
  • 11.2 Changed text in brackets from: Copy of the annual medical equipment servicing report (this must be certified and dated) to: (this must be conducted by a certified electrician).
  • 13.1 Added Power Point slides on: Health and safety + hazardous substances
  • 13.2 Added Power Point slides on: Health and safety + hazardous substances
  • 14.1 Added resource: FENZ update on expected rollout of new Evacuation Schemes system
  • 14.1 Added following text: To demonstrate compliance of a FENZ approved evacuation scheme, practices need to upload the approval letter sent to the applicants RealMe account. If this can’t be accessed, contact FENZ at: RiskReduction@fireandemergency.nz

Updates 17 October 2023

  • 13.4 Added to guidance:

An accessible toilet for general practices is a necessary requirement.

If practices do not host an accessible toilet, it is the College’s expectation that they will have explored/are exploring the possibility of installing one. In the rare circumstance where this is problematic, practices can submit an exemption form to the College which will be considered on a case by case scenario.

If a short term exemption is required, for example, a practice is in a temporary site, practices should include on the exemption form, their circumstances, the measures taken to mitigate the lack of an accessible toilet and what their plans are for installing one.

Updates 3 October 2023

  • 1.1 Added RNZCGP chaperone poster to resources
  • 2.1 Added RNZCGP Telehealth position statement 2022
  • 3.2 Updated guidance content to clarify Te Tiriti o Waitangi training for those with experience of Te Tiriti.
  • 3.2 Added suggestions for (free) Te Tiriti o Waitangi training
  • 3.2 Added to resources: Whakamāua Tiriti o Waitangi framework
  • 9.2 Added resource on student nurses and standing orders and clarification in the guidance on this

Updates 23 June 2023

  • 12.1 Added resource - CPRG: Masking, PPE and ventilation
  • 12.1 Added text: AS/NZS 4815:2006 requires that sterilisation records must be kept for 12 months showing the time and date when each article was sterilised; and the length of time that the article was sterilised and the temperature and pressure levels of the autoclave.

Updates13 June 2023

  • 4.1 Added resource: From PES to PDSA
  • 8.1 Added resource: From PES to PDSA
  • 9.1 – added Power Point slides on: Repeat prescribing and auditing the policy
  • 9.2 Added Power Point slides on: Standing orders
  • 9.3 Added Power Point slides on: Medicines reconciliation
  • 11.2 Changed text in brackets from: Copy of the annual medical equipment servicing report (this must be certified and dated) to: (this must be conducted by a certified electrician).
  • 13.1 Added Power Point slides on: Health and safety + hazardous substances
  • 13.2 Added Power Point slides on: Health and safety + hazardous substances
  • 14.1 Added resource: FENZ update on expected rollout of new Evacuation Schemes system
  • 14.1 Added following text: To demonstrate compliance of a FENZ approved evacuation scheme, practices need to upload the approval letter sent to the applicants RealMe account. If this can’t be accessed, contact FENZ at: RiskReduction@fireandemergency.nz

Updates 3 October 2023

  • 1.1 Added RNZCGP chaperone poster to resources
  • 2.1 Added RNZCGP Telehealth position statement 2022
  • 3.2 Updated guidance content to clarify Te Tiriti o Waitangi training for those with experience of Te Tiriti.
  • 3.2 Added suggestions for (free) Te Tiriti o Waitangi training
  • 3.2 Added to resources: Whakamāua Tiriti o Waitangi framework
  • 9.2 Added resource on student nurses and standing orders and clarification in the guidance on this

3 April 2023

  • 2.1 Added updated IT checklist
  • 13.1 Added information on Incidents/accidents and near misses
  • 15.1: Added information to clarify training requirement

9 January 2023

  • 2.1 The Privacy Act: Amended the guidance regarding privacy training for those who completed the training prior to December 2020
  • 2.2: Enrolling patients: Added MoH Enrolment requirements for contracted providers and PHO’s v 4.0
  • 9.1 Repeat prescribing: Added resources a sample template for repeat prescribing audits
  • 15.2: Added information on presenting evidence of Annual practicing certificates (APCs) electronically rather than uploading documents.

21 December 2022

  • 4.1 Diversity: Added Mauri Ora training resource
  • 9.3: Removed audit example from the Medicines Reconciliation Policy. NB Auditing is still a requirement but the auditing example was incorrect.

6 October 2022

11.1: Medical equipment and medicines

  • 11.1: Information added on purchasing an approved AED
  • 11.1 Resources added: FDA approved AEDS and recommended NZ suppliers selling and renting AEDs 

15.1: Requirements under the Children's Act 2014

  • Information added under the training heading regarding the training requirements for child protection.
  • A resource on requirements of the Children’s Act 2014, has been added. 

12 August 2022

  • 1.1: Training resource added to the guidance
  • 3.1: Added information for practices on how to collaborate with Māori health providers and manu whenua.
  • 4.1: Resources on gender diversity added to the guidance resources
  • 8.1: Equity Champion sample role description added to the guidance resources
  • 13.2 Added to the guidance under the heading ‘Inventory of hazardous substance:
    • The first 2 bullet points in the evidence requirements have been condensed to this:
    • An inventory of hazardous substances in your workplace, including substance type, quantity and location and associated data safety sheets. 

Training: 

  • Information is  included on the Training requirements page  on how to simplify uploading the training documents and certificated for large practices.
  • Induction training information has been moved nearer to the top of the page

15 July 2022

13.2:The practice complies with the Hazardous Substances Regulations 2017

  • added links to 13.2 on Hazardous Substances 
  • The heading has been changed from 'inventory and register of hazardous substances' to 'inventory of hazardous substance
  • last paragraph under that heading has been changed from 'once you have identified the hazardous substances in the practice, these should be organised in either an electronic or hard copy register and available to team members' to 'NB: The hazardous substances, such as detergents, not required to be entered into the inventory due to their grading, should be entered into the practice’s hazards and risks register.'

13 July 2022

13.2 The practice complies with the Hazardous Substances Regulations 2017.

  • The change: The first 2 bullet points in the evidence section have been combined. 
  • From this:
    • An inventory of all the hazardous substances at your workplace.
    • A register of hazardous substances in your workplace, including substance type, quantity and location and associated data safety sheets.
  • To this: 
    • An inventory of all the hazardous substances at your workplace, including substance type, quantity and location and associated data safety sheets. 

30 June 2022

  • added link to free download for  AS/NZS: 3003:2018 to 11.6
  • added link to free download for NZS 8134:2021 to 12.1
  • added link to purchase standard and more information in guidance to 12.1 relating to sterilisation processes
  • added  link to free download for NZS 4304:2002  to 12.2

20 June 2022

13.4: Safe and accessible site

The practice site is required to be safe and accessible for team members and patients. It is the business owner’s responsibility to ensure all legislative requirements and patients’ rights are complied with. Compliance with legislative requirements includes meeting

Building Code requirements and the Fire and Emergency NZ (Fire Safety Evacuation Procedures and Evacuation Schemes) Regulations 2018.

Practices are particularly encouraged to ensure they are compliant with Building Code access requirements and have, as far as is practical, provided mobility parks and accessible toilets.