Highlights from the New Controlled Acts Standard

The updated Controlled Acts Standard will come into effect on August 1, 2026.

The revised standard must be followed by all physiotherapists and physiotherapist residents.

To support you in understanding the requirements, we have included key highlights below.

While these highlights provide a helpful look at the key elements of the standard, all physiotherapists and PT residents are encouraged to read the standard in full to understand the complete scope of the requirements.

As always, we’re here to support you in the delivery of high-quality care. If you have any questions about the new standard, you are welcome to contact the Practice Advisors at advice@collegept.org or 1-800-583-5885 ext. 241.

Top 5 Highlights — Controlled Acts Standard

1. Only Perform Controlled Acts if you’re Authorized and Competent
   Before performing any controlled act, make sure you have the legal authority to do so (through legislation or delegation), are properly trained, and, if performing the act independently, are rostered with the College. Continuously maintain the knowledge, judgement, and practical skills needed to safely perform the act.
2. Get Informed Consent Beforehand
   Before performing a controlled act, explain what the act involves, including its risks and benefits, and get and document the patient’s informed consent.
3. Be Prepared for Adverse Events
   Maintain a written plan for managing foreseeable adverse events associated with the controlled acts you perform and know what to do if there are complications. Document any patient safety incidents or near misses.
4. Understand your Responsibilities when Accepting Delegation
   Only accept delegation of a controlled act if you have the knowledge, skills and judgement to perform it safely, can reasonably assume that the person delegating the act has the authority to do so, and fully understand the conditions and limitations of the delegation.
5. Use Safeguards when Delegating Controlled Acts
   When delegating a controlled act, ensure both you and the recipient are competent to safely perform it, that adverse event protocols have been reviewed, and the delegation has been explained to the patient. Know which controlled acts must not be delegated.
   

Please ensure you also read the complete standard.