Update on the ALA Accredited Lymphoedema Practitioner Program / Streamlining the NLPR

Background

In 2018, following an organisation-wide risk assessment, the ALA engaged an external company to consult with members, consumers and stakeholders as part of a broad review of the ALA Accredited Lymphoedema Practitioner Program (Program) and National Lymphoedema Practitioners Register (NLPR). While confirming the high regard and value of the Program and Register and providing overwhelming support for their continuation, it was also widely acknowledged that simplification and streamlining was required.  The final report outlined 11 recommendations. 

The ALA Board of Directors determined that implementation of these recommendations – which cover governance, guidelines including eligibility criteria and structure as well as criteria for renewal/re-accreditation, the online ‘find a practitioner’ directory and recognition of training courses - is essential to address the inherent risks in operating a regulation program. The primary focus of the work to streamline the ALA Accredited Lymphoedema Practitioner Program and NLPR is to ensure that the ALA meets its core objective of supporting excellence in lymphoedema management by operating a regulation program which:

  • Meets the expectations of funding agencies, thus ensuring ALA Accredited Lymphoedema Practitioners remain the preferred option for providing lymphoedema services to people with lymphoedema
  • Enables the ALA and its committees to more easily manage the regulation program by providing clarity through a structure of benchmarked standards, policies and procedures
  • Recognises the diversity of ALA Accredited Lymphoedema Practitioners by highlighting the different professional backgrounds and training undertaken
  • Empowers training providers to develop courses which embrace innovative options to deliver those courses
  • Provides clear information to people with lymphoedema and referrers.

Project update, April 2020

With Stage 1 of the work to streamline the Accredited Lymphoedema Practitioner Program (ALPP) and National Lymphoedema Practitioners Register (NLPR) now complete and launched, it is timely that we provide ALA members with an update on next steps.

Following work on Stage 2 of the project by the NLPR Implementation Working Group, the NLPR Committee and ALA Board, as well as the ALA's governance and legal advisors, have reviewed the proposed documentation which addresses the key issue of eligibility to become an ALA Accredited Lymphoedema Practitioner as well as aligning the ALA’s governance structure with recognised good governance principles. Members will understand that this extensive process has been necessary to protect the interests of the ALA, our members, accredited lymphoedema practitioners and, most critically, the community.  Members are also reminded that the ALA Board currently classifies the risk of non-adoption of the revised Constitution at the highest ranking on its Risk Register.

Stage 2 comprises updates to four key documents - the proposed updated versions are now available for you to review:

*ALA members are reminded that implementation of Stage 2 relies on adoption of a revised Constitution via a special resolution at the 2020 Annual General Meeting (AGM). The other documents are provided for transparency only. 

In addition to this work, updating of references to the renamed NLPR Committee and renamed policies in other ALA documentation will be required.

A webinar detailing the proposed changes in Stage 2 was held on Monday 27 April 2020 - click here to view the recording of this session.

All ALA members are strongly encouraged to engage in this important project.  Responses to the small number of questions received prior to the AGM are provided here.  This will be updated regularly as questions are received so please check these first to see if your query has already been covered.


Revised project scope and timeline

Stage 1 - now complete and launched:  

Working within the existing ALA Constitution, this stage comprised the reviewing, updating and restructuring of the NLPR Guidelines and the development of additional supporting policies to comply with recommended documentation principles as follows:

  • NLPR Guidelines – incorporating Overview, About the ALA Accredited Lymphoedema Practitioner Program, Governance Responsibilities and Objectives, Eligibility, Pathways to Recognition as an ALA Accredited Lymphoedema Practitioner, Initial Recognition, Renewal, Career Breaks and the NLPR
  • Lymphoedema Continuing Professional Development Policy
  • Professional Indemnity Insurance Policy
  • Recency of Practice Policy*
  • Return to Practice Policy*
  • Mandatory Declarations Policy*
  • Lymphoedema Training Accreditation Policy, supported by the ALA Competency Standards* and application templates
  • Code of Professional Conduct and Ethical Practice*
  • Complaints and Disciplinary Policy*

In line with the recommendations of ALA members and stakeholders via the 2018 review, development of this documentation was informed by the existing NLPR Guidelines, feedback received as part of the review and benchmarking to existing regulatory frameworks such as AHPRA as well as similar regulation models.

Documents marked * are new requirements to fill gaps identified through the review, benchmarking and the ALA’s risk assessment processes.

The documents were prepared either by the NLPR Implementation Working Group (IWG) or by external consultants under the guidance of the NLPR IWG. They were then submitted for rigorous review by the NLPR Committee and ALA Board prior to approval.  Documentation pertaining to the accreditation of training courses was also reviewed by the training providers.

Implementation of this stage was seen as critical to the ALA’s core objective of supporting excellence in lymphoedema management and did not require any changes to the ALA Constitution.

Now completed and launched, the next steps over coming weeks include:

  • Existing ALA Accredited Lymphoedema Practitioners will be invited to renew for 2020 under the newly developed guidelines and supporting policies
  • Prospective ALA Accredited Lymphoedema Practitioners may apply to be admitted for 2020 under the newly developed guidelines and supporting policies
  • Training providers (both existing and new) can apply at any time before 31 October 2020 for accreditation/re-accreditation of their course(s) which will be required to meet the new Lymphoedema Training Accreditation Policy and ALA Competency Standards for Entry Level Practitioners
  • The NLPR Committee and ALA Administration will adapt to new operating procedures.

Stage 2 - now complete, pending implementation:

In line with the recommendations of ALA members and stakeholders via the 2018 review, as well as benchmarking and ALA risk assessment processes, this stage will address the key issue of eligibility to become an ALA Accredited Lymphoedema Practitioner as well as aligning the ALA’s governance structure with recognised good governance principles. This stage will commence in January 2020 and, subject to the outcome of the 2020 Annual General Meeting, conclude by 30 June 2020.  

 

For further information, contact:

Elaine Trevaskis
Company Secretary
Australasian Lymphology Association
admin@lymphoedema.org.au