{"id":31431,"date":"2026-07-24T22:43:10","date_gmt":"2026-07-24T22:43:10","guid":{"rendered":"https:\/\/healthcareethicscourses.com\/can\/?page_id=31431"},"modified":"2026-07-25T00:39:35","modified_gmt":"2026-07-25T00:39:35","slug":"remediation-and-reflection-for-ontario-nurses-and-midwives","status":"publish","type":"page","link":"https:\/\/healthcareethicscourses.com\/can\/remediation-and-reflection-for-ontario-nurses-and-midwives\/","title":{"rendered":"Remediation and reflection for Ontario nurses and midwives"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"31431\" class=\"elementor elementor-31431\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a68d96f e-flex e-con-boxed e-con e-parent\" data-id=\"a68d96f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7cd5a0c elementor-widget elementor-widget-html\" data-id=\"7cd5a0c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n<!-- Remediation and reflection for Ontario nurses and midwives | Elementor Custom HTML fragment -->\r\n<!-- Body only. 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Support<\/a><span>\/<\/span><a href=\"\/can\/knowledge-support\/\">Nurses &amp; Midwives &mdash; Ontario<\/a><span>\/<\/span>Remediation and reflection\r\n  <\/nav>\r\n\r\n  <p class=\"eyebrow\">Ontario &middot; College of Nurses of Ontario<\/p>\r\n  <h1>Remediation and reflection for Ontario nurses and midwives<\/h1>\r\n  <div class=\"meta\"><b>9 min read<\/b><span>Last updated July 14, 2026<\/span><\/div>\r\n\r\n  <p class=\"lede\">By the time the ICRC reads your file, the question is no longer only what happened &mdash; it is whether the risk still exists. Documented insight and remediation is the strongest evidence you can offer that it does not.<\/p>\r\n\r\n  <div class=\"callout\">\r\n    <p><b>Do this first:<\/b> Do not wait to be ordered to remediate. Work you complete <em>before<\/em> the ICRC decides is voluntary evidence of insight; the same work completed after an order is simply compliance. Start it early, document it properly, and submit it with your written response.<\/p>\r\n  <\/div>\r\n\r\n  <h2>What the ICRC is really deciding<\/h2>\r\n  <p>It helps to understand the question a panel of the ICRC is answering. It is a screening committee protecting the public, not a court punishing a wrong. So the practical question is forward-looking: given what happened, does this nurse or midwife still present a risk, and does the College need to do something about it? Everything you put in front of the panel should speak to that question.<\/p>\r\n  <p>This is why remediation matters so much, and why timing matters within it. Where a concern has merit and you have already reflected, taken relevant education and changed your practice, you give the panel a reason to conclude that no order is needed. Where you have done nothing, the panel is left with only its own tools &mdash; a caution, a SCERP, an undertaking &mdash; to close the gap.<\/p>\r\n  <h2>Voluntary remediation versus an order<\/h2>\r\n  <p>There is a real difference between the two, and it is worth being blunt about it. Work you do voluntarily, before the decision, is evidence of <strong>insight<\/strong>: you saw the problem yourself and acted on it. Work you do because the ICRC ordered a <strong>SCERP<\/strong> is evidence of nothing except that you complied. The first can change an outcome. The second is the outcome.<\/p>\r\n  <p>The public consequences differ too. A SCERP is published on your profile on the Public Register, alongside oral cautions and referrals to discipline. Voluntary education you completed and submitted with your response is not a public sanction &mdash; it is part of your case.<\/p>\r\n  <h2>What genuine insight looks like<\/h2>\r\n  <p>Insight is the most misunderstood word in this process. It is not an apology for the inconvenience of the complaint, and it is not a defensive explanation dressed up as remorse. Insight means being able to say plainly what went wrong, why it mattered <em>to the patient<\/em>, what in your practice or judgement allowed it to happen, and what is now different. It requires you to look at the standard the College applies and locate your conduct against it honestly.<\/p>\r\n  <p>Panels are experienced readers of this. A reflective statement that concedes the smallest possible point, blames staffing or a colleague, and promises to be more careful reads as an absence of insight &mdash; and an absence of insight is itself a risk factor, because a nurse who has not understood the problem cannot be relied on to avoid it.<\/p>\r\n  <h2>Building a remediation record that a panel can credit<\/h2>\r\n  <p>A record that carries weight tends to have four parts:<\/p>\r\n  <ul>\r\n      <li><strong>A written reflection<\/strong> &mdash; structured, specific to the incident, and honest about the standard you fell short of.<\/li>\r\n      <li><strong>Targeted education<\/strong> &mdash; CPD that maps onto the actual concern, not a generic certificate collected to show willingness.<\/li>\r\n      <li><strong>Evidence of changed practice<\/strong> &mdash; a new checking routine, a documentation habit, a supervisor&rsquo;s confirmation, an audit of your own charts.<\/li>\r\n      <li><strong>A forward plan<\/strong> &mdash; what you will keep doing, and how you would recognise the same risk if it reappeared.<\/li>\r\n  <\/ul>\r\n  <p>The through-line is specificity. A panel can distinguish education chosen because it addresses this concern from education chosen because it was available.<\/p>\r\n  <h2>Undertakings, SCERPs and what comes after<\/h2>\r\n  <p>If the ICRC does act, the common remedial outcomes are an <strong>undertaking<\/strong> &mdash; an agreement you enter into with the College, which may include limits on your practice or a commitment to specific education &mdash; and a <strong>SCERP<\/strong>, a specified continuing education or remediation programme. Both are meant to be corrective rather than punitive, and both require you to actually complete what has been ordered. Non-compliance is a fresh regulatory problem, not a lapse.<\/p>\r\n  <p>Where the matter has gone to the Discipline Committee, a panel that makes a finding can order a reprimand, terms, conditions or limitations on your certificate of registration, suspension, or revocation. Even there, evidence of remediation and insight is relevant to penalty, and it is routinely put before the panel by counsel.<\/p>\r\n  <h2>Where courses fit &mdash; honestly<\/h2>\r\n  <p>Structured CPD is useful for one specific reason: it converts &ldquo;I understand what I did wrong&rdquo; into something a panel can actually read &mdash; a dated certificate, and a written reflection produced through a defined framework rather than composed under pressure the week the response is due. Completing <a href=\"https:\/\/healthcareethicscourses.com\/can\/courses\/reflection-for-fitness-to-practise\/\">reflection<\/a>, <a href=\"https:\/\/healthcareethicscourses.com\/can\/courses\/insight-for-fitness-to-practise\/\">insight<\/a> and <a href=\"https:\/\/healthcareethicscourses.com\/can\/courses\/remediation-for-fitness-to-practise\/\">remediation<\/a> gives you that record.<\/p>\r\n  <p>What it does not do is resolve your case. No course &mdash; ours or anyone&rsquo;s &mdash; guarantees an outcome, substitutes for legal advice, or persuades a panel on its own. It is one component of a response that is built with CNPS or a regulatory lawyer, grounded in the record, and submitted on time. Treat it as evidence, not as a defence.<\/p>\r\n  <p>If you are earlier in the process, read <a href=\"https:\/\/healthcareethicscourses.com\/can\/knowledge-support\/nurses-midwives\/ontario\/complaints\/\">how to respond to a CNO complaint<\/a> and <a href=\"https:\/\/healthcareethicscourses.com\/can\/knowledge-support\/nurses-midwives\/ontario\/investigation\/\">what happens during a CNO investigation<\/a>.<\/p>\r\n\r\n  <section class=\"kt\">\r\n    <h2>Key takeaways<\/h2>\r\n    <ul>\r\n      <li>The ICRC asks whether the concern has been addressed &mdash; voluntary remediation before a decision carries more weight than compliance after one.<\/li>\r\n      <li>A SCERP is an ICRC order requiring specified education or remediation, and it is published on the Public Register.<\/li>\r\n      <li>An undertaking is an agreement with the College, and is another route the ICRC may take.<\/li>\r\n      <li>Genuine insight means naming what went wrong and why it mattered to the patient &mdash; not apologising for the complaint.<\/li>\r\n      <li>Reflection, targeted education and evidence of changed practice can persuade the ICRC that no order is needed.<\/li>\r\n      <li>A course certificate is evidence of effort; it is never a guarantee of an outcome, and it does not replace legal advice.<\/li>\r\n    <\/ul>\r\n  <\/section>\r\n\r\n  <section class=\"courses\">\r\n    <h2>Related courses<\/h2>\r\n    <p class=\"sub\">Courses that produce a dated certificate and a written record you can submit to the College:<\/p>\r\n    <div class=\"cgrid\">\r\n      <a class=\"ccard\" href=\"https:\/\/healthcareethicscourses.com\/can\/courses\/remediation-for-fitness-to-practise\/\"><b>Remediation for Fitness to Practise<\/b><span>Building the corrective record a panel of the ICRC can actually credit.<\/span><\/a>\r\n      <a class=\"ccard\" href=\"https:\/\/healthcareethicscourses.com\/can\/courses\/reflection-for-fitness-to-practise\/\"><b>Reflection for Fitness to Practise<\/b><span>Structured written reflection you can submit with your response.<\/span><\/a>\r\n      <a class=\"ccard\" href=\"https:\/\/healthcareethicscourses.com\/can\/courses\/insight-for-fitness-to-practise\/\"><b>Insight for Fitness to Practise<\/b><span>Evidencing that you understand what went wrong and why it mattered.<\/span><\/a>\r\n      <a class=\"ccard\" href=\"https:\/\/healthcareethicscourses.com\/can\/courses\/ensuring-no-repeat-of-misconduct-or-mistake-in-future-practice\/\"><b>Ensuring No Repeat of Misconduct or Mistake in Future Practice<\/b><span>Showing the change is permanent, not a promise made under pressure.<\/span><\/a>\r\n    <\/div>\r\n  <\/section>\r\n\r\n  <section class=\"nextset\">\r\n    <h2>Continue reading<\/h2>\r\n    <div class=\"ngrid\">\r\n      <a class=\"ncard\" href=\"https:\/\/healthcareethicscourses.com\/can\/how-to-respond-to-a-cno-complaint\">How to respond to a CNO complaint<\/a>\r\n      <a class=\"ncard\" href=\"https:\/\/healthcareethicscourses.com\/can\/what-happens-during-a-cno-investigation\">What happens during a CNO investigation?<\/a>\r\n    <\/div>\r\n  <\/section>\r\n\r\n  <section class=\"faq\">\r\n    <h2>Frequently asked questions<\/h2>\r\n      <details>\r\n        <summary>Should I start remediation before the College decides?<\/summary>\r\n        <div class=\"ans\">Yes, where a concern has merit. Work completed voluntarily before a decision is evidence of insight and can persuade the ICRC that no order is needed. The same work completed after a SCERP is simply compliance with an order.<\/div>\r\n      <\/details>\r\n      <details>\r\n        <summary>What is a SCERP?<\/summary>\r\n        <div class=\"ans\">A Specified Continuing Education or Remediation Programme &mdash; an order of the ICRC requiring you to complete specified education or remediation. Details of a SCERP are published on your profile on the Public Register.<\/div>\r\n      <\/details>\r\n      <details>\r\n        <summary>What is an undertaking?<\/summary>\r\n        <div class=\"ans\">An agreement you enter into with the College, which may include limits on your practice or a commitment to complete specific education. It is one of the remedial outcomes available to the ICRC, and non-compliance is itself a regulatory matter.<\/div>\r\n      <\/details>\r\n      <details>\r\n        <summary>What does the ICRC mean by insight?<\/summary>\r\n        <div class=\"ans\">Being able to state plainly what went wrong, why it mattered to the patient, what in your practice allowed it to happen, and what is now different. A defensive statement that blames staffing or concedes the minimum reads as an absence of insight.<\/div>\r\n      <\/details>\r\n      <details>\r\n        <summary>Will completing a course make the complaint go away?<\/summary>\r\n        <div class=\"ans\">No. A course produces evidence &mdash; a dated certificate and a structured written reflection &mdash; that a panel can read and weigh. It does not resolve a College matter, does not guarantee any outcome, and does not replace advice from CNPS or a regulatory lawyer.<\/div>\r\n      <\/details>\r\n      <details>\r\n        <summary>Does remediation still matter if the case has gone to discipline?<\/summary>\r\n        <div class=\"ans\">Yes. Where the Discipline Committee makes a finding, evidence of insight and remediation is relevant to the penalty a panel imposes, and is routinely put before the panel by counsel.<\/div>\r\n      <\/details>\r\n  <\/section>\r\n\r\n  <p class=\"disc\">This guide describes the process of the College of Nurses of Ontario and, for midwives, the College of Midwives of Ontario. It is general information about how the regulator works and is <strong>not legal advice<\/strong>. Every case turns on its own facts. Before you respond to the College, contact the Canadian Nurses Protective Society (CNPS) or, for midwives, your professional liability protection provider, and consider a lawyer experienced in RHPA regulatory matters. Completing a course does not resolve a College matter and does not guarantee any outcome. Last updated July 14, 2026.<\/p>\r\n\r\n<\/article>\r\n\r\n<script type=\"application\/ld+json\">\r\n{\r\n  \"@context\": \"https:\/\/schema.org\",\r\n  \"@graph\": [\r\n    {\r\n      \"@type\": \"Article\",\r\n      \"headline\": \"Remediation and reflection for Ontario nurses and midwives\",\r\n      \"description\": \"Remediation and reflection for Ontario nurses and midwives: what the ICRC credits, how a SCERP works, and how to evidence insight before a decision is made.\",\r\n      \"inLanguage\": \"en-CA\",\r\n      \"datePublished\": \"2026-07-14\",\r\n      \"dateModified\": \"2026-07-14\",\r\n      \"author\": {\r\n        \"@type\": \"Person\",\r\n        \"name\": \"Dr Shehzad Iqbal\",\r\n        \"jobTitle\": \"MRCS, MRCGP, PG Cert Healthcare Law & Ethics (University of Dundee)\"\r\n      },\r\n      \"publisher\": {\r\n        \"@type\": \"Organization\",\r\n        \"name\": \"Healthcare Ethics Courses\",\r\n        \"url\": \"https:\/\/healthcareethicscourses.com\/can\/\"\r\n      },\r\n      \"mainEntityOfPage\": {\r\n        \"@type\": \"WebPage\",\r\n        \"@id\": \"https:\/\/healthcareethicscourses.com\/can\/knowledge-support\/nurses-midwives\/ontario\/remediation\/\"\r\n      },\r\n      \"url\": \"https:\/\/healthcareethicscourses.com\/can\/knowledge-support\/nurses-midwives\/ontario\/remediation\/\",\r\n      \"about\": \"College of Nurses of Ontario\"\r\n    },\r\n    {\r\n      \"@type\": \"BreadcrumbList\",\r\n      \"itemListElement\": [\r\n        {\r\n          \"@type\": \"ListItem\",\r\n          \"position\": 1,\r\n          \"name\": \"Knowledge & Support\",\r\n          \"item\": \"https:\/\/healthcareethicscourses.com\/can\/knowledge-support\/\"\r\n        },\r\n        {\r\n          \"@type\": \"ListItem\",\r\n          \"position\": 2,\r\n          \"name\": \"Nurses & Midwives \u2014 Ontario\",\r\n          \"item\": \"https:\/\/healthcareethicscourses.com\/can\/knowledge-support\/nurses-midwives\/ontario\/\"\r\n        },\r\n        {\r\n          \"@type\": \"ListItem\",\r\n          \"position\": 3,\r\n          \"name\": \"Remediation and reflection for Ontario nurses and midwives\",\r\n          \"item\": \"https:\/\/healthcareethicscourses.com\/can\/knowledge-support\/nurses-midwives\/ontario\/remediation\/\"\r\n        }\r\n      ]\r\n    },\r\n    {\r\n      \"@type\": \"FAQPage\",\r\n      \"mainEntity\": [\r\n        {\r\n          \"@type\": \"Question\",\r\n          \"name\": \"Should I start remediation before the College decides?\",\r\n          \"acceptedAnswer\": {\r\n            \"@type\": \"Answer\",\r\n            \"text\": \"Yes, where a concern has merit. 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