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Community Hospices Regulations

made under Section 78 of the

Health Authorities Act

S.N.S. 2014, c. 32

O.I.C. 2019-304 (effective October 29, 2019), N.S. Reg. 173/2019



Table of Contents


Please note: this table of contents is provided for convenience of reference and does not form part of the regulations.
Click here to go to the text of the regulations.

 

 

Citation

Definitions

Prescribed health services

Provincial health authority’s responsibilities for community hospices

Appointing temporary manager

Terms of appointment

Notice of appointment

Powers of appointed manager

Liability of provincial health authority and appointed manager


 


Citation

1        These regulations may be cited as the Community Hospices Regulations.


Definitions

2        In these regulations,

 

“appointed manager” means a person appointed under Section 5 to manage and administer, or assist in managing or administering, a community hospice;

 

“community hospice” means a facility to the extent that the facility provides community hospice services;

 

“community hospice agreement” means an agreement to establish and sustainably operate a community hospice;

 

“community hospice operator” means either of the following:

 

                              (i)      the provincial health authority,

 

                              (ii)     a person who has entered into a community hospice agreement between the person and the provincial health authority;

 

“community hospice services” means end-of-life care, as approved by the Minister, provided by a community hospice operator and delivered in a home-like setting in accordance with the community hospice standards;

 

“community hospice standards” means the Nova Scotia Community Hospice Residence Standards established by the provincial health authority.


Prescribed health services

3        Community hospice services are prescribed as services to be included in the definition of “health services” in clause 2(1)(p) of the Act.


Provincial health authority’s responsibilities for community hospices

4        (1)    Subject to subsection (2), the provincial health authority is responsible for all of the following with respect to community hospices:

 

                   (a)      establishing community hospices and delivering community hospice services;

 

                   (b)     approving and supervising the establishment and construction of community hospices by others;

 

                   (c)      entering into and carrying out community hospice agreements;

 

                   (d)     in the manner and at such time or times that the provincial health authority determines to be appropriate, supervising the operation of community hospices and the delivery of community hospice services delivered by others, including all of the following:

 

                              (i)      requiring reports in a form and including content acceptable to the provincial health authority,

 

                              (ii)     inspecting, or appointing a person to inspect, community hospices and community hospice services,

 

                              (iii)    auditing, or appointing a person to audit, the administration of a community hospice and the delivery of community hospice services;

 

                   (e)      establishing and requiring adherence to standards and policies for the administration of community hospices and community hospice services;

 

                   (f)      if the provincial health authority determines it to be appropriate, requiring the accreditation of a community hospice or community hospice operator;

 

                   (g)     appointing temporary managers under Section 5.

 

          (2)    All of the following require the prior approval of the Minister:

 

                   (a)      establishing a community hospice under clause (1)(a);

 

                   (b)     approving the establishment and construction of a community hospice under clause (1)(b);

 

                   (c)      entering into a community hospice agreement under clause (1)(c).


Appointing temporary manager

5        (1)    If the provincial health authority determines it to be necessary to ensure the sustainable operation of a community hospice or to provide community hospice services in accordance with these regulations, a community hospice agreement or the community hospice standards, the provincial health authority may appoint a person or persons, on a temporary basis, to manage and administer or assist in managing or administering a community hospice.

 

          (2)    An appointment under this Section may be for such period or periods as the provincial health authority determines necessary and may be extended or renewed.

 

          (3)    An appointment under this Section is subject to any terms and conditions established by the provincial health authority.


Terms of appointment

6        (1)    The provincial health authority may fix the remuneration and reimbursement of expenses payable to an appointed manager upon appointment.

 

          (2)    An appointed manager may be appointed without security.


Notice of appointment

7        (1)    The provincial health authority must give written notice of the appointment of an appointed manager to all of the following:

 

                   (a)      the community hospice operator of the community hospices that the appointment applies to;

 

                   (b)     the appointed manager.

 

          (2)    A notice of appointment under subsection (1) must include all of the following:

 

                   (a)      the name of the appointed manager;

 

                   (b)     the name of the community hospice operator of the community hospices that the appointment applies to;

 

                   (c)      an identification of all of the community hospices that the appointment applies to;

 

                   (d)     the date and time when the appointment becomes effective;

 

                   (e)      the reasons for the appointment;

 

                   (f)      any terms and conditions of the appointment, including those that end the appointment.


Powers of appointed manager

8        (1)    Subject to the terms and conditions of their appointment, an appointed manager has all the powers and duties of the community hospice operator with respect to its community hospices, including all of the following:

 

                   (a)      occupying, managing and administering the community hospice;

 

                   (b)     taking possession of and controlling all of the community hospice operator’s assets and property that are necessary for, or are used in the operation of, the community hospice;

 

                   (c)      entering into any agreements, incurring and carrying out any obligations, including any obligations arising in the ordinary course of operations of the community hospice before and during the period of their appointment, ceasing to carry on all or any part of the operations of the community hospice and ceasing to perform any of the community hospice operator’s contracts.

 

          (2)    If the community hospice operator is an incorporated body, the appointed manager has, subject to the terms and conditions of their appointment, all of the powers and duties of the directors and officers of the incorporated body with respect to its community hospices.

 

          (3)    While the powers and duties of a community hospice operator and any directors or officers are vested in an appointed manager, the community hospice operator and the directors or officers may not exercise those powers or carry out those duties.

 

          

(4)               An appointed manager must consider all of the following matters when exercising their powers and duties:

 

                   (a)      compliance with any enactment that applies to the community hospice operator, its employees or the community hospice;

 

                   (b)     compliance with the provincial health authority’s policies, directives and standards that apply to the community hospice operator, its employees or the community hospice;

 

                   (c)      that their actions must be incidental to the attainment of the objects for which the community hospice was established and must be in conformance with the governance requirements of the community hospice operator;

 

                   (d)     that they must be able to maintain sufficient control over the community hospice operator’s operations, including the care of residents in its community hospices, and its premises, accommodation, equipment and community hospices;

 

                   (e)      any terms and conditions for their appointment established in accordance with Section 5.


Liability of provincial health authority and appointed manager

9        (1)    No action or other proceeding for damages or otherwise may be instituted against the provincial health authority or an appointed manager or any director, officer, agent or employee of the provincial health authority or an appointed manager, as a result of any act done in good faith in the performance or intended performance of any duty under Section 8, or in the exercise or intended exercise of any power or duty under Section 8, or of any neglect or default in the performance or exercise in good faith of the power or duty.

 

          (2)    Neither the provincial health authority nor an appointed manager is liable for any actions or omissions in connection with operating a community hospice during the time before or after the appointment or attributable to that period.

 

          (3)    The appointment of an appointed manager, the management and administration of a community hospice by an appointed manager or the ceasing of that management and administration is not

 

                   (a)      a sale, lease or transfer of the community hospice operator’s business or operations for the purpose of Section 31 of the Trade Union Act;

 

                   (b)     a merger, amalgamation or transfer of jurisdiction for the purpose of Section 32 of the Trade Union Act.

 

          (4)    For greater certainty, during the term of an appointed manager’s appointment,

 

                   (a)      any collective agreement binding a community hospice operator continues to apply;

 

                   (b)     the employees of the community hospice operator remain the employees of the community hospice operator; and

 

                   (c)      neither the provincial health authority nor the appointed manager is liable for any of the community operator’s employee-related liabilities.

 

 


 

Legislative History
Reference Tables

Community Hospices Regulations

N.S. Reg. 173/2019

Health Authorities Act

Note:  The information in these tables does not form part of the regulations and is compiled by the Office of the Registrar of Regulations for reference only.

Source Law

The current consolidation of the Community Hospices Regulations made under the Health Authorities Act includes all of the following regulations:

N.S.
Regulation

In force
date*

How in force

Royal Gazette
Part II Issue

173/2019

Oct 29, 2019

date specified

Nov 22, 2019

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The following regulations are not yet in force and are not included in the current consolidation:

N.S.
Regulation

In force
date*

How in force

Royal Gazette
Part II Issue

 

 

 

 

 

 

 

 

 

 

 

 

*See subsection 3(6) of the Regulations Act for rules about in force dates of regulations.

Amendments by Provision

ad. = added
am. = amended

fc. = fee change
ra. = reassigned

rep. = repealed
rs. = repealed and substituted

Provision affected

How affected

..........................................................

 

 

 

 

 

 

 

 

 

Note that changes to headings are not included in the above table.

Editorial Notes and Corrections

 

Note

Effective
date

 

 

 

 

 

 

 

 

 

Repealed and Superseded

N.S.
Regulation

Title

In force
date

Repealed
date

 

 

 

 

Note:  Only regulations that are specifically repealed and replaced appear in this table.  It may not reflect the entire history of regulations on this subject matter.