Stephen Donnelly (Wicklow, Fianna Fail)
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As the Deputy will be aware, the Health and Social Care Professionals Council and Registration Boards, collectively known as CORU, are responsible for protecting the public by promoting high standards of professional conduct, education, training, and competence amongst the professions designated under the Health and Social Care Professionals Act (2005).

Each profession designated under the Health and Social Care Professionals Act has its own independent registration board with statutory responsibility for:

• Establishing and maintaining the register of members for that profession;
• Recognising qualifications gained outside the State;
• Approving and monitoring education and training programmes for entry to the register;
• Setting the code of professional conduct and ethics giving guidance to professionals on Continuing Professional Development (CPD).

The Counsellors and Psychotherapists Registration Board (CPRB) was established in February 2019. Its membership comprises practitioners, representatives from education and training, and lay members, which ensures there is a broad range of voices and perspectives shaping the design of standards and criteria. The work of the CPRB includes consideration of the titles to be protected and the minimum qualifications to be required of existing practitioners and the qualifications that will be required for future graduates. The work of the CPRB is significantly more challenging than it is for registration boards for some of the more established professions owing to the different and complex pathways into these professions, the variety of titles used, and the variety and number of courses and course providers.

The CPRB undertook an extensive research process which informed the drafting of standards and criteria. This included a review of contemporary evidence-informed academic literature, an examination of comparator international professional standards, and understanding the contemporary practice of the profession in Ireland. Key stakeholders, including the public (through a public consultation process), were also part of the drafting process.

Throughout the course of 2022 and 2023, the CPRB drafted threshold level standards of knowledge, skills and professional behaviour – its Standards of Proficiency – and the systems and processes that education providers must have in place to ensure consistent and effective delivery of graduates who have achieved the Standards of Proficiency ­– its Criteria for Education and Training Programmes. Two sets of these requirements were drafted: one for counsellors and one for psychotherapists representing the first attempt to establish distinct standards for each profession in Ireland and the first effort to standardise threshold level education and training requirements for entry to each profession.

The public consultation on the draft Standards of Proficiency and Criteria for Education and Training Programmes ran for 12 weeks from 4 September until 1^stDecember 2023. As part of this consultation, the CPRB encouraged feedback from all stakeholders, including members of the professions, education providers, employers, professional and representative bodies, as well as members of the public. The public consultation is the mechanism through which professional bodies, as well as other stakeholders, are given an opportunity to provide their views on the draft standards.

I am informed that the CPRB will consider all submissions very carefully in formalising Standards of Proficiency and Criteria for Education and Training Programmes for the psychotherapy profession. CORU, on behalf of the CPRB, will brief my Department on the outcome of the public consultation in due course.

Stephen Donnelly (Wicklow, Fianna Fail)
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As the Deputy will be aware, CORU is Ireland’s multi-profession health and social care regulator. CORU’s role is to protect the public by regulating the health and social care professions designated under the Health and Social Care Professionals Act 2005 (as amended), including setting the standards that health and social care professionals must meet to be eligible for registration and maintaining registers of persons who meet those standards.

Seventeen health and social care professions are designated for regulation by CORU. There are currently registers open for twelve professions and CORU is continuing the substantial work required to open the registers for the remaining designated professions of Psychologists; Counsellors and Psychotherapists; Clinical Biochemists; and Orthoptists.

The Psychologists Registration Board (PSRB) was established in 2017. The work of the PSRB includes consideration of the titles to be protected, the minimum qualifications to be required of existing practitioners, the qualifications that will be required for future graduates, and drafting the Standards of Proficiency and Criteria for Education and Training Programmes.

Regulating a new profession is a complex and lengthy process, requiring careful consideration and preparatory work to ensure that it is effective in protecting the public. Psychology has been a uniquely challenging profession to regulate due to the diversity of its specialisms (for example clinical psychology, counselling psychology, occupational and work psychology, sports and performance psychology) and the fact that there is no common education pathway or standards for entry to the profession.

In 2020 a public consultation on the draft Standards of Proficiency and Criteria for Education and Training Programmes developed for the profession revealed significant issues and a lack of consensus on how to proceed with regulation. Key areas of disagreement among the profession are around the minimum level of qualification required for entry to the profession, the number of placement hours, and the appropriateness of practice placement settings.

Having reached an impasse, CORU wrote to me on behalf of the PSRB in September 2021 seeking guidance on how to proceed. Having considered the matter with due regard to the complexity of this profession, its diverse specialisms (including non-health and social care specialisms), the lack of consensus among the profession on how to proceed, and risks to the public of delays in opening a register, I wrote to CORU in August 2022 requesting that the PSRB consider a dual-stream and phased approach to regulating the profession. This approach will allow the PSRB to prioritise regulating the psychology specialisms which present the greatest risk to public safety, while simultaneously continuing to work towards the long-term objective of protecting the title of ‘psychologist’.

CORU wrote to wrote to me on 3 March 2023 with the PSRB’s recommendations on which specialisms should be prioritised for regulation, using an evidence and risk-based methodology. I have accepted the PSRB’s recommendations to prioritise regulation of clinical, counselling, and educational psychology. On 24 April 2023 I wrote to CORU requesting the PSRB to proceed to immediately regulate these three specialisms, while progressing work to protect the title of psychologist in parallel.

The PSRB has now commenced its work to establish the education and training standards for entry to each of these three specialist divisions, and to identify technical legislative amendments required to enable the opening of these divisions of the register. In parallel, an Expert Advisory Group has been convened by CORU to examine and make recommendations on a regulatory model that will facilitate regulation of the psychology profession. This includes international regulatory and professional experts. The Expert Advisory Group is working towards making recommendations to me by March 2024.

Owing to the significant body of preparatory work that the PSRB are required to undertake, it is not possible to say with any degree of accuracy when the profession of psychologist will be fully regulated. I would anticipate that the registration board will require a number of years to complete its work.

CORU, the PSRB, and my Department are fully committed to delivering regulation of this very important profession through protection of the title of ‘psychologist’.