How College Amalgamation in BC Affects Physiotherapy Oversight
Health Professions and Occupations Act (HPOA): Big Changes for Physio Regulation
September 22, 2025
If you’re a physiotherapist in British Columbia, or you receive care, you may wonder how the new college amalgamation affects physiotherapy oversight.
Regulation changes, but patient safety and professional accountability stay at the core.
In this blog, I’ll explain what the amalgamation means, why it’s happening, and how it impacts physiotherapy practice and oversight in BC.
What’s Happening with College Amalgamation?
The BC government is restructuring health profession regulation through the Health Professions and Occupations Act (HPOA).
As part of this process:
- The government is merging smaller health profession colleges into larger, multi-profession colleges.
- The College of Health and Care Professionals of BC now oversees physiotherapy.
This approach reduces duplication, improves consistency, and strengthens public trust in health care regulation.
Physiotherapists no longer operate under a standalone college. They now share oversight with other allied health professions.
Why Is This Change Happening?
The government launched this reform after reviews showed:
- Too many small colleges created confusing, inconsistent rules.
- Some colleges lacked resources to handle complaints effectively.
- Patients and the public found it hard to understand which college was responsible for what.
According to the BC Health Regulators Association, amalgamation aims to streamline governance so there’s less fragmentation and stronger accountability.
What Does It Mean for Physiotherapists?
For practicing physiotherapists, the day-to-day changes may feel small at first. You still:
- Register with a college to practice legally.
- Follow professional standards and codes of ethics.
- Maintain continuing competency requirements.
But here’s what’s shifting:
- Broader oversight – The College manages physiotherapy standards alongside other professions.
- Larger disciplinary processes – Centralized resources handle complaints and investigations
- Stronger public representation – More non-physiotherapists serve on the board to ensure transparency.
The BC government confirms on its Professional Regulation page that each profession keeps its standards, but a more unified system provides oversight.
What Does It Mean for Patients?
For patients, the changes are designed to:
- Simplify complaint processes – One college, one process.
- Improve protection – Larger colleges can respond faster and with more resources.
- Enhance trust – A unified, consistent system reduces confusion.
You can explore the Health Professions Designation and Amalgamation Regulation to see how the government has formally designated which colleges were merged.
Benefits of College Amalgamation
For Physiotherapists:
- Access to more resources for professional development and regulation.
- Clearer alignment with other health professions.
- Reduced administrative burden from overlapping systems.
For Patients/Public:
- Easier navigation of health regulations.
- Improved complaint handling and response times.
- Stronger public protection framework.
The Doctors of BC notes that these reforms are designed to increase accountability and make it easier for the public to trust health regulation.
Concerns and Challenges
Of course, no major reform is without challenges. Some key concerns include:
- Loss of profession-specific voice – Physiotherapists may worry about being overshadowed by larger professions.
- Transition confusion – Practitioners and patients may face uncertainty during the handover.
- Cultural differences – Each profession has unique traditions and regulatory approaches.
The BCCNM’s amalgamation report shows how other professions, like nursing and midwifery, faced similar challenges but found long-term stability after merging.
How Oversight Will Look Moving Forward
Here’s how oversight is expected to function under amalgamation:
- Unified complaint process – All patient concerns go through one streamlined system.
- Profession-specific panels – Physiotherapy experts still review physiotherapy-related complaints.
- Consistency in standards – While practice standards stay unique, overarching policies (like ethics and public safety) apply to all.
This structure ensures physiotherapy expertise isn’t lost, while still benefiting from centralized oversight.
Conclusion
The health colleges in BC have merged, changing the structure but not the purpose of physiotherapy oversight.
Physiotherapists uphold accountability, protect patients, and give the public a simpler, stronger regulatory system.
At Divine Care Physiotherapy, we embrace these changes as an opportunity to strengthen patient trust and ensure every treatment we provide meets the highest professional standards. Oversight evolves, but we keep our commitment to safe, effective, and compassionate care.
Key Takeaways
- College amalgamation in BC is reshaping health profession regulation.
- Physiotherapy now falls under a multi-professional college instead of a standalone one.
- For physiotherapists: daily practice standards remain, but oversight is broader and more centralized.
- For patients, the complaint process is simpler, and public safety remains the priority.
- Overall goal: reduce confusion, improve accountability, and strengthen trust in healthcare regulation.
