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CRNBC registration renewal fees are increasing for 2018-19

Posted Dec. 5, 2017

CRNBC is increasing registration renewal fees for 2018-19. Compared to last year, fees for both RNs and NPs will go up by $98.55. For Employed Student Nurses there will be an increase of $43.80, there are no changes for non-practising registrants. The increase comes after six years of stable CRNBC registration fees, and is necessary for the College to continue strengthening its regulatory approach in the short and long-term.

The change to registration fees was approved by the CRNBC board on Dec. 1, 2017. Here is a breakdown of the new fee structure.

2018-19 fee summary​

Registrant status CRNBC ARNBC PLP* Total
RN - practising $448.95 $110.55 ​$66.41 $625.91
NP - practising $649.70 $110.55 $120.49 $880.74
RN - non-practising $87.60 - ​​- $87.60
NP - non-practising $120.00 - ​- $120.00
Employed student $189.80 - $66.41 $256.21

*P​​​rofessional liability protection includes GST.

Short-term challenges

Board chair Rob Calnan said after the board meeting, “The College has seen a large increase in the cost of our regulatory work. We’ve seen 30% more complaints, which has led to a significantly higher volume of investigations and disciplinary hearings.” Continued Calnan, “with other critical regulatory work like dealing with changes to the medical assistance in dying legislation, and the challenge posed by the opioid crisis, the Board knew it needed to act now.”

Many of the increased regulatory costs came after CRNBC commissioned an audit by a third-party organization. The report handed down by the Professional Standards Authority (PSA) identified areas where the College should strengthen its approach to regulation in order to better meet the public’s expectations.

These findings lead to an overhaul of programs and the development of new solutions with a focus on the public protection mandate. For example, work is underway to improve our complaints resolution process, a foundation of our public protection mandate.

The PSA also commended CRNBC’s work to develop and implement a new quality assurance (QA) program. This year will see the launch of the program — My Professional Plan — which will streamline and improve peer feedback for all nurses in B.C.

Find out more about My Professional Plan


 

Long-term vision

“While the short-term cost of our work has increased, we are also looking at the future of regulation,” said CEO/Registrar Cynthia Johansen. “For some time now CRNBC, the College of Licensed Practical Nurses and the College of Registered Psychiatric Nurses, have been looking at better ways to harmonize the work we do together. This has led to agreements to co-create a new single nursing regulator in B.C.”

Part of the vision for co-creating a single nursing regulator is bringing the three colleges together under one roof said Johansen, “Our current facilities are no longer meeting our needs. A costly renovation of our building didn’t make sense, and none of our current facilities could accommodate our current and future needs. Moving to a new location is the right option to manage costs.”

In September, the three colleges announced they would move to a new location at 200 Granville Street, Vancouver. The new facilities will be large enough to house the staff of the three colleges, and potentially other B.C. health regulators as well.

Find out more about the one nursing regulator and the benefits it will have for nurses and the public, on our ONR page.

What’s next?

Additional regulatory work, and the significant effort required to co-create a single nursing regulator are some of the most important factors when considering the fee increase, but the impact to RNs and NPs was always top of mind, Calnan said, “The Board is aware that a fee increase can be challenging for our registrants. We’ve worked hard to reduce the fee increase from an initial figure of over $130 to the $98.55 we approved. And we will continue to find ways to be more efficient and reduce the impact of cost increases in the future. Specifically, the Board will consider how the future sale of the CRNBC offices on Arbutus might impact fees going forward.”

Here is a break-down of how CRNBC will be using the additional fees.


 

Questions? Comments?

Write to us at register@crnbc.ca. ​​Or use the comment box on this page.

 Fee FAQs: General

What is the biggest reason for this fee increase?

Work required to meet our regulatory mandate has increased. This includes responding to increasing complaints, the complexity of the investigations, and implementing the quality assurance program. This led to hiring more staff and ultimately the need to move to a new location to accommodate our size. We are also anticipating additional work as we collaborate closely with CLPNBC and CRPNBC to amalgamate the three colleges.

With the passing of Bill 10 in the B.C. legislature, we will be able to begin the formal process and work associated with co-creating a single nursing regulator for all nurses in the province.

Why didn’t you space fee increases out over the past six years?

There are many environmental factors that are outside of CRNBC's control. This includes the number of complaints and the complexity of investigations, increased regulatory work around the medical assistance in dying legislation, the opioid crisis, as well as the timing of changes to government legislation, which has affected the work required to amalgamate the nursing colleges.

While CRNBC tries to limit spikes in fees, this year several external factors occurred at the same time, putting pressure on the College's resources requiring an increase in fees.

You said you haven’t had a fee increase in six years, didn’t we have a fee increase last year?

Last year saw an increase in fees for the association (ARNBC) and for professional liability protection (provided by CNPS). CRNBC's registration fees did not increase, and have been stable for the last six years. The fee increases were deemed necessary for each organization to fulfill a different mandate on behalf of the public (as is the case for CRNBC) and for nurses (ARNBC, the professional association for nurses, and CNPS). Find out more about last year's fees on our website.

We've seen the cost of fees go up in the last two years; when will we start to see the benefits of this extra money we are paying to the College?

The Board of the College, made up of registered nurses and appointed members of the public, carefully weighs any change in fees for registrants. The fee increases in 2017 and 2018 were approved by the Board to ensure that both nurses and the public continue to receive better protection.

Last year's increase benefited the public, RNs, NPs and the College through increased protection provided by the Canadian Nurses Protective Society (CNPS). This year's fee increase will benefit nurses through improvements made to our regulatory work in response to an independent review by the PSA, which made a series of recommendations on how we can improve some aspects of our regulatory work and strengthen other areas, like the continuation of multisource feedback and improved Quality Assurance support.

Finally, for the College to continue to achieve its public protection mandate we needed to grow. To accommodate this growth we required more space, leading to costs associated with relocating a new office.

More information on CNPS can be found on our website.

 Fee FAQs: ONR costs

We didn’t choose to form the one nursing regulator, why are we being asked to pay for it?

The Board of the College, made up of registered nurses and appointed members of the public, have voted for and continue to support, the amalgamation of the three nursing colleges. The move to a single regulatory body for all nurses in British Columbia is being advanced for the benefit of the public and should ultimately reduce pressure on future fee increases through some economies of scale. When registrants and stakeholders were surveyed they were generally supportive of the amalgamation. You can review the summary report on our website.

Find out more about the benefits of a single nursing regulator for B.C. nurses on our website.

Will fees go down once the new college is created?

The amalgamation is part of a solution to manage future fee increases, in addition to our vision of a unified approach to the regulation of all B.C. nurses in the public interest. There will be some economies of scale as the colleges amalgamate and we harmonize some of the work; however, we are aware that the demands and complexity of the College's work continues to increase, this is likely to put pressure on fees for the foreseeable future.

You are selling your building and moving to downtown Vancouver. Why should we pay for this move?

CRNBC's current office location is no longer suitable for the size of the College. We are running out of space to accommodate the CRNBC staff let alone the staff of the other colleges. We explored several office locations considering their impact on staff, stakeholders, and our legislated collaboration with other colleges, as well as cost. The new location was selected as it best met our requirements. Staying at the current CRNBC site on Arbutus Street was not an option. The current building would require significant renovations and would still not fit the staffing requirements of the new college.

The current building on Arbutus requires an expensive structural renovation, these requirements would have resulted in an even larger fee increase for registrants. It was determined by the Board that the move to a new location was the best option.

 Fee FAQs: Reducing costs

What have you done to cut costs?

Over the past six years the Board has had a strategic priority to find ways to collaborate and share costs with other organizations as we moved away from association related work and focused on regulatory work which would protect the public and fulfill CRNBC's mandate.

The College has also continued to leverage technology, where possible, to automate our work and to reduce costs. As a result of these and other efforts, CRNBC's fees have until this year remained stable since 2011.

Will there be a wage/hiring freeze?

No. As a regulatory body, the mandate of the College is to protect the public. CRNBC regulates nursing through registration, development of standards to meet the changing nursing environment, and acting when those standards are not met. These activities support nurses in their work and must continue. The College is always seeking ways to manage fees by seeking opportunities to collaborate and share costs, wherever possible.

 Fee FAQs: Comparison with other regulators

What do RNs in other jurisdictions pay for registration?

Province/Territory

Amount

Yukon$950.00
Northwest Territories/Nunavut
$922.69
British Columbia
$625.91
Alberta
$615.52
Nova Scotia
$597.71
Saskatchewan
$556.60
New Brunswick
$536.70
Newfoundland and Labrador
$475.65
Prince Edward Island
$450.00
Manitoba
$357.49
Ontario
$214.70
How do CRNBC’s fees compare to other B.C. health regulatory colleges regulated under the Health Professions Act?

Profession

Amount

Midwives
$2,250
Physicians and Surgeons
$1,670
​Dental surgeons​$1,428
Psychologists
$1,200
Dietitcians
$580
Pharmacists
$530
Occupational Therapists
$525
Physiotherapists​$525
Dental Hygienists
$495
Psychiatric Nurses
$460
Registered Nurses
$448
Pharmacy Technicians
$350

​(Figures do not incl. PLP or association fees)

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 ‭(Hidden)‬ Effective Jan. 1, 2018

Schedule D — fees​
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