Delegation


Regulated health professionals are able to transfer the authority to perform a controlled act to another person who is not so authorized and not a member of the profession. This process is called a delegation. 

Delegations must be made in accordance with any regulations under the Act governing that profession. It is important to note that some regulated health professions have limitations on what can be accepted through a delegation.  

For Members, Part III of the General Regulation establishes the criteria that must be met when both making and accepting a delegation. The Standard of Practice for Delegation provides additional information and requirements regarding delegations.

A delegation is never appropriate between two Members since they both have the same scope of practice as defined in the Naturopathy Act, 2007. When a Member has another Member perform an assessment or treatment for a patient it is a referral, not a delegation.

A Member who has met the standards of practice for therapeutic prescribing and intravenous infusion therapy can not delegate the performance of those controlled acts to another Member who has not yet met the standards. A Member must only perform those controlled acts authorized to the profession if they have met the applicable standard of practice.

What is a Controlled Act?


Under Ontario law, only authorized health care professionals can perform one or more of the thirteen controlled acts listed in the Regulated Health Professions Act, 1991. With the appropriate education and training, different health care professionals may be permitted to perform certain controlled acts, in whole or part.  

Controlled acts are procedures that inherently carry a risk of harm. Therefore, they are restricted to professionals who have the knowledge, skill and judgment to perform a particular controlled act safely, ethically and competently.

A list of the controlled acts authorized to Members can be found in the About Controlled Acts section of the College's website.

Exceptions to the Restriction


Any person may perform a controlled act that is otherwise restricted if they are:
  • Providing first aid or temporary assistance in an emergency.
  • Fulfilling the educational requirements to become a member of a regulated health profession, and the controlled act is: 1) within the scope of practice; and 2) done while under supervision of a member of the profession.
  • Treating a person by prayer or spiritual means according to the beliefs of the person providing the treatment, i.e. an exemption for pastoral or religious providers.
  • Treating a member of their own household, provided they are: 1) communicating a diagnosis; 2) administering a substance by injection or inhalation; or 3) inserting an instrument, hand or finger into an opening of the body.
  • Assisting a person with routine activities of daily living, and: 1) administering a substance by injection or inhalation; or 2) inserting an instrument, hand or finger into an opening of the body.