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Unravelling the Code

The Code of Health and Disability Services Consumers' Rights
Significant Issues and Developments

1. Introduction

The Code of Health and Disability Services Consumers' Rights came into force on 1 July 1996. Its incorporation as regulation under the Health and Disability Commissioner Act 1994 gives New Zealand a unique place in the medico-legal world. No other country has a Code which gives consumer rights the force of law. While the Code is gradually becoming known by both providers and consumers in the health and disability sector, the path to acceptance of its ten rights has not been without some debate - although I would have to say that very little has arisen during the first 21 months of the Code's operation to indicate fundamental difficulties with the Code itself. Today I would like to focus on some of the issues which have arisen from the application of the Code during these early months.

2. The Commissioner's Legislation

Health and Disability Commissioner Act 1994

The authority for the Code and its content is the Health and Disability Commissioner Act 1994. The purpose of the Act is defined in section 6 as:

to promote and protect the rights of health consumers and disability services consumers, and, to that end, to facilitate the fair, simple, speedy, and efficient resolution of complaints relating to infringements of those rights.

This objective is achieved through the implementation of the Code, the establishment of a complaints process to ensure enforcement of the rights contained within it, and through the ongoing education of consumers and providers. While I will be discussing the Code as the primary means of achieving the first part of this objective, other members of my staff will speak about the complaints process which has been established to ensure enforcement of these rights, and the interface between this process and that of the health professional bodies. Later in the morning I will also address my role and jurisdiction as Commissioner, as it is defined by the Health and Disability Commissioner Act and as it has been interpreted judicially, and will look at the powers given to the Commissioner to carry out this role.

The Code of Health and Disability Services Consumers' Rights

The application of the Code is extensive and covers the breadth of all providers of services in the health and disability sector. It covers any person or organisation providing or holding themselves out as providing a health care service to the public, whether that service is paid for or not. This includes all registered health professionals and hospitals, and extends to alternative health providers. The definition of a disability services provider is even wider as it is not limited to those providing services to the public. Arguably the Code extends to those caring for a family member with a disability within their own home. The Code therefore brings a degree of accountability to practitioners who are beyond the medical mainstream - naturopaths, homeopaths, acupuncturists, rest homes, etc - professions which have been exposed to little regulation in the past. It has particular advantage for the elderly and disability service consumers who previously had little protection.

There are 10 rights in the Code:

1. the right to be treated with respect

2. the right to freedom from discrimination, coercion, harassment, and exploitation

3. the right to dignity and independence

4. the right to services of an appropriate standard

5. the right to effective communication

6. the right to be fully informed

7. the right to make an informed choice and give informed consent

8. the right to support

9. rights in respect of teaching or research

10. the right to complain

Clause 1 of the Code requires providers to inform consumers of their rights and enable them to exercise those rights. However, the rights in the Code are not absolute - Clause 3 states that providers are not in breach of the Code if they can show they have taken "reasonable actions in the circumstances to give effect to the rights, and comply with the duties" in the Code - a matter which must be decided on the particular facts of each case I consider. It is important to remember that compliance with the Code is not an "all or nothing" matter. If circumstances are difficult, the obligation on the provider is still to take all reasonable steps to comply with the Code as much as possible in those circumstances. The Code does not override other legislation and nothing in the Code requires a provider to act in breach of any duty or obligation imposed by any enactment or prevents a provider doing an act authorised by any enactment.

While I am not able to give advance interpretations of the Code, and there is insufficient time this morning to discuss each Code right in detail, I would like to discuss the Code's application in those areas which to date have given rise to the majority of complaints to my office. My comments will therefore be under the four broad headings - the right to respect, the right to appropriate standards of service, the right to informed consent, and the right to complain.

3. The Right to Respect - The "Key to the Code"

The right to respect is the cornerstone of the Code. The Code is about people and respect for the intrinsic value and uniqueness of each individual underlies all the rights within it. It is not coincidental that respect is listed as the first of the rights in the Code.

Closely associated with Right 1 are the rights to fair treatment (Right 2), to support (Right 8) and to dignity and independence (Right 3). The latter right is of particular importance to consumers of disability support services. While the provision of any service, particularly a disability service, entails a degree of dependence on the part of consumers, Right 3 directs providers to always keep in mind the objective of providing the service so as to optimise the consumer's independence and quality of life. The first three rights of the Code together form an attitudinal umbrella under which all services must be delivered. If providers conduct themselves in a manner consistent with these rights, and if they communicate effectively with consumers, the likelihood of complaints is markedly reduced.

One issue of interpretation which has arisen is the meaning of the right to privacy contained in Right 1 of the Code. The Act states that the Code can deal with matters of privacy other than those dealt with by the Privacy Commissioner. The right to privacy in the Code is therefore not a right to personal information privacy, but a right to personal physical privacy. The distinction between the two is not always clear cut however, and there will sometimes be an overlap. For example, where the lack of an appropriate private space means that information is given in the presence and hearing of others, a possible breach of both the Health Information Privacy Code and the Code of Rights may occur. Where this happens, I have the ability to consult with the Privacy Commissioner to decide how best to deal with the matter.

4. The Right to Services of an Appropriate Standard

All consumers have the right to receive services of an appropriate standard. Prior to the implementation of the Code, many aspects of health and disability service standards were already regulated by statute or regulation, with a number of statutes regulating health professional groups, and their registration and discipline. However, this legislation traditionally focused on enforcing standards of clinical practice, and the disciplinary mechanisms under such statutes were unable to adequately resolve Consumers' complaints on other matters. The Code provides a framework for addressing professional standards in a wider context. This context includes the guiding principle that the service is to be consumer-focused, not provider oriented. Accordingly, Right 4 of the Code - along with all the other rights in the Code - applies to all providers, not just those who are registered, or for whom legislation has historically provided.

Right 4(1)

Right 4(1) states that every consumer has the right to have services provided with reasonable care and skill - the standard on which the common law of negligence is based - and I can receive complaints about acts or omissions which fail to meet this standard. The potential scope of this Right is very broad and covers everything from a pharmacist incorrectly labelling and dispensing medication, to a Crown Health Enterprise failing to provide a system for storing quarantined products separately from non-quarantined products, to a midwife allowing an inappropriate time delay to occur before obtaining a consultant referral during a consumer's labour.

Sometimes a provider's failure to meet the standard of reasonable care and skill may lead to a consumer's death. It is significant that the Code covers such situations. Medical professionals are now less likely to be prosecuted for manslaughter due to a recent amendment to the criminal law which requires their conduct to be a "major departure from the standard of care expected of a reasonable person - in those circumstances." The Code of Rights and the complaints process of the Health and Disability Commissioner Act still provide an avenue for redress and accountability in circumstances where the departure from an acceptable standard of care fails to meet this new criminal law standard. Indeed, I am empowered to investigate not only individual providers, but also the systems behind the provision of service - a matter not previously addressed by the criminal law in "medical manslaughter" cases.

Right 4(2)

Right 4(2) gives every consumer the right to have services provided that comply with legal, professional, ethical, and other relevant standards. The Code is therefore a means by which standards set by other bodies can be enforced. However, a matter which has given me cause for concern in recent months is the absence in many sectors of industry standards against which conduct can be assessed. Safety and quality standards are not always clearly defined, and where providers are not formally regulated, there are sometimes no suitable standards by which conduct can be measured. In these situations the accepted practice of other providers may indicate the standard to be met. If no standards are set, I may also interpret Right 4(2) with reference to appropriate overseas standards. Alternatively, by forming an opinion as to what is reasonable in the circumstances, I myself effectively set a standard. This, at the very least, has the advantage of prompting debate on the matter within the relevant sector.

While Parliament has a part to play in setting standards, I believe that responsibility for establishing and maintaining quality standards ultimately lies with provider groups themselves. These standards must be consumer focused and input is needed into their development by consumers. The Code is not, and should not be, the primary mechanism for the establishment of standards. As general Code awareness improves, and provider groups recognise that I will define applicable standards in the absence of industry based standards, I envisage greater provider responsibility for standard setting. Those groups adopting voluntary standards should be aware that the Commissioner will use them in assessing compliance with the Code of Rights. In this sense, what may be perceived or intended as voluntary standards can become de facto regulation. I also hope that the development of opinions on the Code will, over time, help entrench an understanding of, and responsibility for, the provision of consumer-focused, quality care. However, I note that both "de facto" regulations or standards set by providers will not of necessity be accepted as "appropriate". They may not be "reasonable" in the circumstances or meet an individual consumer's requirements or meet international standards.

Right 4(3)

Right 4(3) gives every consumer the right to have services provided in a manner consistent with his or her needs. It has been argued by some that this confers a right of access to services consistent with needs. Such an interpretation is unlikely to be upheld. The Health and Disability Commissioner Act, on which the Code is based, makes it clear that the Code applies to the quality of services actually provided. It gives no authority for the Code to extend to purchasing decisions. Furthermore, the wording of Right 4(3) itself refers to the "manner" in which services are provided, rather than the fact of provision itself. While initially there was some confusion over the application of the Code to purchasing criteria and funding matters, its scope now seems to be understood by most of the consumers who make a complaint.

Right 4(4)

Obviously, if a consumer suffers any harm, physical or otherwise, as a result of the provider's actions, the Commissioner may find the provider in breach of the Code. However, it is interesting to note that the Commissioner's ability to find a breach of the Code goes further than that. Actual harm is not a necessary element for such a finding. Right 4(4) provides that services must be provided in a manner that minimises potential harm to a consumer and optimises his or her quality of life. Providers must therefore have in place safety management systems by which risks to consumers are identified and managed.

Right 4(5)

Under Right 4(5) every consumer has the right to co-operation among providers to ensure quality and continuity of services. This envisages seamless transition between providers to ensure appropriate care for the consumer, and obliges providers to take positive steps to ensure that their service is properly co-ordinated with that of other providers. For example, it is important that providers hold sufficiently detailed and accurate records of the service provided, and transfer relevant information to subsequent providers to allow them an adequate picture of the consumer so that quality services can continue to be provided.

The health and disability sector is extremely complex. Individual providers do not provide care in isolation from other parts of the sector and it is important that all providing service and supporting the provision of service recognise their interdependence. My experience over the last 21 months has been that lack of communication between providers and the inability to look beyond one's own individual part in the provision of service is one of the major issues in the sector today.

5. The Right to Informed Consent

Another issue, central to the Code, is the right to make an informed choice and to give informed consent. Informed consent is not a one-off event, but a process containing three essential ingredients, namely,

  • effective communication between the parties,
  • provision of all necessary information to the consumer (including information about options, risks, benefits and costs), and
  • the consumer's freely given and competent consent.

These ingredients work together and are represented in the Code by Rights 5, 6 and 7 respectively. Each one of these rights protects a fundamental component of the informed consent process. Although emphasis is often placed on the more technical Right 7, my experience has been that many complaints boil down to a simple lack of proper communication between the parties. I will therefore address all three rights.

Effective Communication and Interpreter Services

Right 5

Right 5 of the Code gives every consumer the right to effective communication in a form, language, and manner that enables the consumer to understand the information provided. Where necessary and reasonably practicable, this includes the right to a competent interpreter. In addition, Right 5(2) states that every consumer has the right to an environment that enables both consumer and provider to communicate openly, honestly, and effectively. Experience to date has shown that most complaints stem from poor communication, and many negative outcomes can be traced to unnecessary misunderstandings between the parties.

Providers need to take all reasonable steps to ensure that they provide consumers with sufficient information, in a form which they can understand, and in an environment which facilitates open, honest and effective communication. Creating such an environment might include allowing an appropriate amount of time for the consultation, using culturally appropriate methods of communication, using plain language, providing written or visual explanations, and considering the needs of consumers who require the assistance of an interpreter.

The requirement for an interpreter to be provided in certain situations has given rise to considerable comment, especially within the medical profession. While all agree that the requirement is good in theory, many regard adherence to this requirement as unworkable in practice. However, it is important to remember that an effective service cannot be delivered, and Right 4 of the Code cannot be met, if a provider is unaware of the full nature of the symptoms and the consumer fails to understand the requirements of ongoing treatment. Accordingly, if not having an interpreter means that a provider's obligation to provide services with reasonable care and skill cannot be met, then it is my view that no services should be provided.

As always, the test for whether the provider has met the Code's obligation to provide interpreter assistance will depend on whether the provider took reasonable steps to facilitate the best interpreter services available in the circumstances. A consideration of practicalities is built into the Code and the particular circumstances of both the provider and consumer will be taken into account in deciding if the obligation has been fulfilled.

For example, a sole GP on the West Coast is unlikely to be able to obtain a low cost Korean interpreter for the occasional tourist that happens to get sick. In this instance, the most reasonable step will probably be to rely on the consumer's fellow tourists, friends or family. On the other hand, it is likely to be "reasonably practicable" for a general practitioner in South Auckland servicing a largely Samoan population to arrange for interpreter services where these are needed.

Information the Consumer Should be Given

Right 6

Consent is not valid unless it is given with complete understanding of what is being consented to. The Code is clear that services can be provided only if the consumer chooses and gives consent which is informed. Accordingly, Right 6(2) of the Code gives consumers a right to information that a "reasonable consumer in the consumer's circumstances" needs to make an informed choice or give informed consent. In addition, Right 6(1) gives consumers a right to the information that they would expect to receive, irrespective of whether a particular choice is being made, and sets out a list of such information. The list is not an exhaustive one, but rather is indicative of the type of information a provider should make available. In addition, consumers are entitled to honest and accurate answers to questions about services, and are entitled to receive, on request, a summary of information provided.

In practice, the obligations under Right 6 require the provider to make certain judgements, for example, as to the "expected risks" associated with a proposed medication or treatment, and what the "reasonable consumer in that consumer's circumstances" would want to know. The consensus of medical opinion as to what information should responsibly be given is relevant, but is not the final determining factor in terms of the Code. Good communication is essential in getting the balance right.

The language of Right 6 focuses on the concept of "choice" as well as the more traditional concept of "consent". This is to emphasise that the Code envisages consumers taking an active role in decision-making. If consumers are to be empowered to make choices, it is important for them to be advised of all their treatment and care options, not just those which are publicly funded. This is particularly important given that the Health Funding Authority may not always fund the full range of available treatment options. However, I would emphasise that in communicating effectively and giving options, providers should be careful to do so from the consumer choice perspective and not involve personal political views or lobbying views, as this may not be considered professional.

Because a provider cannot presume to know a consumer's personal circumstances or needs, the information offered to a consumer should include the likelihood of success of the various options; their likely effects and any associated physical, emotional, mental, social or sexual outcomes; the consequences of not accepting the proposed treatment; the costs of treatment and any financial interest of the provider. Providers should explain which option they recommend and why, but must accept that the consumer also has a right to seek a second opinion.

Consent and the Presumption of Competence

Right 7

Right 7 of the Code is perhaps the most technical of all the Code Rights and has generated a number of enquiries about its application. In particular, questions have arisen with regard to issues of competence and the giving of consent. I would like to briefly clarify the Code's application in this context.

Right 7(1) requires that services may be provided only if the consumer makes an informed choice and gives informed consent, except where any enactment, the common law or the Code itself provides otherwise. Right 7(2) then contains a presumption of competence. Following on from this, Right 7(3) states that where a consumer has diminished competence, that consumer retains the right to make informed choices and give informed consent to the extent appropriate to his or her level of competence.

The fact that a consumer has, for instance, an intellectual impairment or severe behavioural problem does not necessarily mean that he or she is incompetent to consent to all health and disability services. The provider must focus on the ability of the consumer to understand the information necessary to give informed consent. This will depend on the individual consumer and the type of service. For example, the level of ability necessary to consent to treatment with a high degree of risk or complexity or with serious consequences for the consumer will usually be different from that required to consent to minor and low risk procedures. In assessing the consumer's competence to consent, the provider may wish to check with other experts or take into account the views of caregivers or support persons. The assessment of a person's competence is itself a health procedure which should be performed with "reasonable care and skill" under Right 4(1) of the Code. In every case it is important to remember that while consumers may not be entitled to consent due to a lack of competence, the Code still gives them rights and protections. Providers must supply them with information about the procedure or service suitable to their age, maturity and interest, and this information must be communicated in a form, language and manner that enables them to understand.

Right 7(4) sets out a procedure that must be followed before a service is provided in situations where the consumer is considered incapable of giving informed consent. This procedure must be adhered to unless one of the exceptions maintained in Right 7(1) applies, for example, where an emergency situation exists. The first requirement of Right 7(4) is that the provider must attempt to obtain informed consent from someone entitled to give consent on the consumer's behalf, such as a parent or welfare guardian. If someone legally entitled to consent is available, that person has the right to give informed consent as if they were the consumer. For the purposes of the informed consent provisions, the Code's definition of "consumer" includes a person entitled to give consent on the consumer's behalf.

If no-one legally entitled to consent on the consumer's behalf is available, the remaining steps set out in Right 7(4) must be followed. An important requirement is that the proposed service must be in the best interests of the consumer. This may involve a clinical assessment by the provider of the need for treatment. The "best interests" test may also move from the narrow clinical focus to a wider inquiry as to what would be appropriate in the particular consumer's circumstances, including considering the consumer's quality of life after the treatment. A clinical decision about what is in the best interests of the consumer is not the end of the matter however. In addition, the provider must take reasonable steps to ascertain what the consumer would have wished to happen if he or she were competent. Services should only be provided where they are consistent with the consumer's views or, where these views cannot be ascertained, where the views of other suitable persons able to advise the provider have been taken into account. It is not a matter of obtaining informed consent from a "suitable person", as the premise on which Right 7(4) is based is that no one who is legally entitled to consent is available. Rather, it is a matter of the provider taking into account the views of such persons in deciding whether treatment would be appropriate.

6. The Right to Complain

Right 10

Complaints are a means of monitoring the strengths and weaknesses of both systems and staff. Providers can learn from Consumers' comments, complaints and suggestions and use them to improve the quality of service and care they offer. For this reason Right 10 of the Code enables consumers to complain about the service they receive and sets out the basic requirements of a complaints process.

Consumers can complain in any form appropriate to them. Complaints may be made directly to the provider, any person authorised to receive complaints about the provider, or any other appropriate person, including independent advocates provided under the Health and Disability Commissioner Act, or the Health and Disability Commissioner. Every provider is obliged to facilitate the fair, simple, speedy and efficient resolution of complaints, while at the same time complying with all other relevant rights in the Code. In particular, the complaints process must use procedures that keep consumers informed and in no way must a complaint jeopardise the provision of service.

Resolution of complaints directly with provider

In most cases, resolution of complaints is best achieved by the consumer speaking directly with the provider. This enables the parties to understand the issues which led to the complaint and assist in ensuring that these are not repeated. It is usually easier for providers to address a complaint directly and put in place whatever changes are necessary, than to be subject to an investigation by my office with the formality this entails. It is important that consumers know that they can have the assistance of a support person of their choice or can seek advocacy assistance during this process.

7. Conclusion

The Code of Rights is unique, and its provisions fundamental to the maintenance of the integrity, dignity and independence of every individual consumer in the health and disability sector. Compliance with the Code leads to consumers becoming empowered - and providers are duty-bound to ensure that this occurs. While my role as Commissioner is to act as a "watchdog" for consumer rights and ensure that the purpose of the Health and Disability Commissioner Act is achieved, the success of the Code as consumer legislation will ultimately depend on the skill with which providers communicate with those receiving service.

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