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    WCPT 17

    th

    General Meeting

    Minutes

    18th 20th June 2011

    Formal approval of the minutes of the 17th

    General Meeting (GM) will occur at the 18th GM in

    2015. This draft is your opportunity to make comments and corrections prior to the circulation of

    final minutes with the 16th GM papers.

    Please submit your comments and changes by 29th February 2011.

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    17th

    General Meeting Minutes

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    June 2011

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    WCPT 17th General Meeting1

    18th 20th June 20112

    Amsterdam City Novotel Hotel3

    Amsterdam, The Netherlands4

    18th June 2011: 09:00-16:005

    19th June 2011: 09:00-15:306

    20th

    June 2011: 09:00-12:3078

    DELEGATES PRESENT9A list of Executive Committee members and delegates to the 17

    thGeneral Meeting is attached to the10

    minutes as Appendix 1.11

    NOTES TO MINUTES12

    In the minutes delegates are referred to by country rather than by the name of the member13organisation they represent, but it is understood that delegates speak and vote on behalf of a WCPT14

    member organisation and not on behalf of a country.15

    While all motions require a proposer and a seconder, seconders are not recorded in the minutes.16

    17

    MEETING PAPERS18

    The following items are also appended to the file copy of the minutes:19

    Appendix 2: meeting papers circulated prior to the meeting20

    Appendix 3: meeting papers tabled at the meeting21

    Appendix 4: Presidents address22

    Appendix 5: report from the Executive Committee and Secretary General23

    Appendix 6: financial presentation made to the meeting24Appendix 7: final copies edited policies and guidelines25

    26

    MINUTES27

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    The Presiding Officer reinforced the Rules of Procedure, in accordance with WCPTs Articles of1

    Association, and the process that had been followed to call the meeting and to issue the agenda2

    and papers. The meeting plan and proposed timetable were reinforced.3

    4

    A number of practical notes were announced:5

    The meeting was set out with countries in rows from A-Z starting at the front of the room on6

    the 18th June and would be reversed for the 19 th ie from Z-A.7

    All motions need a proposer and a seconder.8

    No promotion/campaigning related to the election of the President and Vice President would9be permitted in the meeting room. Regions must report to the Secretary General if they want10

    an observer present for the election.11

    The following replacement/additional papers were provided on each table for voting12

    delegates: list of delegations, replacement page 6 for agenda item 14.2, and subgroup13

    applications.14

    The President welcomed Doreen Moore, past President of WCPT, to the meeting. Past15

    Presidents David Teager and Margrit List were also introduced and welcomed on arrival later in16the meeting. It was announced that Sandra Mercer Moore had sent regrets for her absence and17

    wishes for a successful meeting.18

    19

    2. Roll call20

    2.1 Report from Credentials Committee21

    222.2 Apologies for absence23

    Regrets from member organisations from the following countries were noted: Bahrain, Ecuador,24

    Mauritius, Paraguay, Indonesia.25

    26

    2.3 Roll call27

    The Secretary General advised that the roll call would be conducted by country rather than by full28

    member organisation name. Registered delegates from 85 member organisations had been29credentialed by the start of the meeting and 81 were present at the time of the roll call. Other30

    voting delegates joined the meeting as it progressed. A complete list is attached as appendix 1.31

    32

    3 Appointment of tellers33

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    4. Adoption of the rules of procedure1

    On behalf of the Executive Committee the President moved that:2

    the rules of procedure be adopted.3

    MOTION GM2011-2 CARRIED4

    5

    5. Agenda6

    On behalf of the Executive Committee the President moved that:7

    the agenda be accepted.8

    MOTION GM2011-3 CARRIED9

    10

    6. 16th General Meeting11

    6.1 Approval of minutes12

    The President reported that the minutes of the 16th

    General Meeting had been circulated in13

    December 2007 with corrections required by February 2011. Amendments had been received14

    and the minutes corrected.15

    On behalf of the Executive Committee the President moved that:16

    the minutes of the 16th

    General Meeting be approved and signed.17

    MOTION GM2011-4 CARRIED1819

    6.2 Report on motions from the 16th

    General Meeting20

    The Secretary General briefly outlined the key points from the tabled paper reporting on the21

    motions from the 16th General Meeting.22

    23

    6.3 Matters arising24

    There were no matters arising.25

    26

    7. Applications for membership27

    7 1 Approval of new member organisations28

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    Omani Physiotherapy Association1

    Slovakian Association of Physiotherapists2

    3

    * It was noted that Belgium had been a member of WCPT since 1955, but since 2007 the4

    previous member organisation and other organisations in Belgium had merged to found Axxon. In5

    recognising Axxon, Belgium maintained continuous and uninterrupted membership within WCPT.6

    MOTION GM2011-5 CARRIED7

    87.2 Introduction of new member organisations9

    The Presiding Officer announced the new member organisations by region. The President and10

    Executive Committee welcomed the delegates from each organisation and they were escorted to11

    their seats in the meeting by their regional chair.12

    13

    8. Subgroups14

    8.1 Reconfirmation of existing subgroups15

    The Presiding Officer advised the meeting that it was approving the subgroups not the individual16

    members of the subgroups.17

    On behalf of the Executive Committee the Vice-President moved that:18

    in accordance with Article 15(A)(iv) the Executive Committee recommends that the19

    following organisations be reconfirmed as WCPT subgroups:20

    International Federation of Orthopaedic Manipulative Physical Therapists21

    (IFOMPT)22

    International Private Practitioners Association (IPPA)23

    International Organisation of Physical Therapists in Womens Health (IOPTWH)24

    International Acupuncture Association of Physical Therapists (IAAPT)25

    International Federation of Sports Physiotherapy (IFSP)26

    International Association of Physical Therapists Working with Older People27

    (IPTOP)28

    International Organisation of Physical Therapists in Paediatrics (IOPTP)29

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    On behalf of the Executive Committee, Margot Skinner moved that:1

    in accordance with Article 7.2 the Executive Committee recommends that the International2

    Neurological Physical Therapy Association (INPA) be confirmed as a WCPT subgroup.3

    Margot Skinner reported that there were now 11 confirmed members of INPA.4

    MOTION GM2011-7 CARRIED5

    6

    On behalf of the Executive Committee, Margot Skinner moved the substitute motion that:7

    in accordance with Article 7.2 the Executive Committee recommends that the International8

    Organization of Physical Therapists in Mental Health (IOPTMH) be confirmed as a WCPT9

    subgroup.10

    MOTION GM2011-8 CARRIED11

    On behalf of the Executive Committee, Margot Skinner moved the substitute motion that:12

    in accordance with Article 7.2 the Executive Committee recommends that the International13

    Confederation of Cardiorespiratory Physical Therapists (ICCrPT) be confirmed as a WCPT14

    subgroup.15

    MOTION GM2011-9 CARRIED16

    17

    On behalf of the Executive Committee, Margot Skinner moved the substitute motion that:18

    in accordance with Article 7.2 the Executive Committee recommends that, pending the19

    appointment of officers, the International Society for Electrophysical Agents in Physical20

    Therapy (ISEAPT) be confirmed as a WCPT subgroup.21

    MOTION GM2011-10 CARRIED22

    23

    On behalf of the Executive Committee, Margot Skinner moved the new motion that:24

    in accordance with Article 7.2 the Executive Committee recommends that, pending the25

    appointment of officers, the International Association of Physical Therapists in Animal26Practice (IAPTAP) be confirmed as a WCPT subgroup.27

    MOTION GM2011-11 CARRIED28

    29

    8 3 Introduction of new subgroups30

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    10. Reports1

    10.1 Executive Committee, Secretary General2

    The Secretary General and President presented an overview of the work of the Executive3

    Committee and Secretariat over the last four years. The report is attached as appendix 5.4

    Comments were invited from delegates and the following points were raised in discussion:5

    The President, Executive Committee and Secretariat were thanked for all their work in6

    moving the profession forward over the last four years (Norway, South America Region)7The report was noted and received.8

    9

    11. Amendments to Articles of Association10

    11.1 Objectives (Executive Committee)11

    The President moved the motion that:12

    Article 1.3 be amended as follows:13

    The objectives of WCPT are to:14

    1.3.1 Promote high standards of physical therapy education, practice, and research15

    1.3.2 Encourage the development and promote the strength of national organisations of16

    physical therapists17

    1.3.3 Encourage communication and exchange of information including18organisation of international congresses of physical therapists19

    1.3.4 Represent physical therapy internationally20

    1.3.5 Promote the health, wellness, and fitness of global populations21

    1.3.6 Co-operate with relevant international and national organisations22

    1.3.7 Comment on social and political issues relevant to health23

    1.3.8 Engage in all necessary activities to further the work of WCPT in the best interests24

    of physical therapists and the profession of physical therapy25

    The following points were raised in response to the motion:26

    Member should be added to national organisations in 1.3.2 ie national member organisations27

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    It was suggested that 1.3.8 should be amended to include patients ... in the best interests of1

    physical therapists, the profession of physical therapy and the patients of physical therapists2(Australia). It was further noted that this should include clients, not just patients (Austria).3

    Executive Committee response: patients/clients/populations were seen to be covered4

    under 1.3.5 whereas 1.3.8 focuses on the profession and WCPTs member5

    organisations.6

    It was felt that this did not cover the issue raised and reflect physical therapists role in7

    patient advocacy sufficiently (Australia, UK).8

    Executive Committee response: it was suggested that a new paragraph 1.3.9 be9

    added to address the issue advocating that physical therapists Engage in all10

    necessary activities to promote the best interests of our patients/clients.11

    The proposed amendment was supported (Australia, UK).12

    It was suggested that 1.3.1, promoting high standards, should also include management and13

    read ...Promote high standards of physical therapy education, clinical practice, management14

    and research (Lebanon).15

    Executive Committee response: practice, as used by WCPT in all its documents, is16

    not seen as restricted to clinical practice, but includes hands on clinical practice,17advice, education, research, management and administration; the preference is18

    therefore to keep the term as practice in its broadest sense.19

    It was suggested that a footnote definition be added to explain practice in the context set out20

    by the Executive Committee (South Africa). The meeting was also encouraged to remember21

    that there were also animal as well as human clients.22

    Executive Committee response: practice in its broadest sense is defined in WCPTs23

    glossary.24 It was proposed that health prevention be added e.g. in 1.3.5 (Lebanon).25

    Executive Committee response: a lot of terms could be added, but prevention was26

    seen to be implied with wellness.27

    The inclusion of prevention within wellness was disputed (Belgium).28

    The proposed amendment to the motion with a new 1.3.9 was put before the meeting:29

    Article 1.3 be amended as follows:30

    The objectives of WCPT are to:31

    1.3.1 Promote high standards of physical therapy education, clinicalpractice,32

    managementand research33

    1.3.2 Encourage the development and promote the strength of national organisations of34

    h i l h i35

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    1.3.9 Engage in all necessary activities to further the work of WCPT in the best interests1

    of users of physical therapist services2

    3

    The following points were raised in discussion:4

    Clinical prior to practice in 1.3.1 should be removed (Denmark, Portugal, Turkey).5

    Important to include management due to important role in standards (Denmark).6

    The new 1.3.9 was redundant as it was covered by 1.3.7 and other bullet points (IPPA).7

    The role of physical therapy in rehabilitation should be promoted as a new 1.3.10 Promote8the role of physical therapy in rehabilitation (UAE).9

    It was unlikely that the meeting would agree all terms and the objectives of WCPT should be10

    at a higher level, therefore take out the terms in 1.3.1 and leave as promote high standards of11

    physical therapy (Netherlands).12

    It was suggested that 1.3.5 could be re-phrased to read Promote health, wellness and fitness13

    of global populations through rehabilitative and preventative strategies (Philippines).14

    Executive Committee response: if through/with /by are added it limits the ability to15enable growth in the profession. If include rehabilitation risks restricting the16

    statement. The shorter the statement the better. The Secretary General further17

    clarified that these are objectives in the Articles and are designed to be inclusive,18

    short broad statements.19

    The revisions to the objectives in the Articles were taken in turn.20

    The Presiding Officer moved the motion that 1.3.1 be amended as follows:21

    1.3.1 Promote high standards of physical therapy.22

    MOTION GM2011-12 CARRIED23

    24

    The Presiding Officer moved the motion that 1.3.5 be amended as follows:25

    1.3.5 Promote health, wellness and fitness of global populations through26

    rehabilitative and preventative strategies.27

    MOTION GM2011-13 DEFEATED28

    29

    The Presiding Officer moved the motion that 1.3.9 be added as follows:30

    1.3.9 Engage in all necessary activities to further the work of WCPT in the best31

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    The Presiding Officer moved the motion to approve the final amendments to the objectives1

    included in the Articles reminding the meeting that a 2/3 vote was required to amend the Articles.2

    The objectives of WCPT are to:3

    1.3.1 Promote high standards of physical therapy.4

    1.3.2 Encourage the development and promote the strength of national organisations of5

    physical therapists6

    1.3.3 Encourage communication and exchange of information including organisation of7

    international congresses of physical therapists8

    1.3.4 Represent physical therapy internationally9

    1.3.5 Promote the health, wellness, and fitness of global populations10

    1.3.6 Co-operate with relevant international and national organisations11

    1.3.7 Comment on social and political issues relevant to health12

    1.3.8 Engage in all necessary activities to further the work of WCPT in the best interests13of physical therapists and the profession of physical therapy14

    1.3.9 Engage in all necessary activities to further the work of WCPT in the best interests15

    of users of physical therapist services16

    MOTION GM2011-16 CARRIED17

    18

    The Tellers conducted a count to ensure a two-thirds vote was achieved.19

    2021

    11.2 Provision for a mail ballot (Australian Physiotherapy Association)22

    The Australian Physiotherapy Association moved the substitute motion that:23

    the WCPT Articles of Association be amended as follows:24

    4.1 Postal Vote25

    The Executive Committee may decide that a postal (including electronic) vote shall be26

    taken on matters between General Meetings.27

    With the proviso that the Executive Committee develop appropriate processes to enable28

    full and informed decision making by member organisations.29

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    organisations felt they had had the necessary information to make a full and informed1

    decision. The Committee did not anticipate significant costs.2 The importance of discussion had been demonstrated by the previous motion and that an3

    exchange of the pros and cons was not possible with a postal system (Germany).4

    The amendment was not supported as it was felt that the Executive Committee already had5

    the ability to make decisions between meetings. Also that issues of extraordinary importance6

    eg where statutes and policies are unclear or where the right and good things to be done are7

    not obvious then further debate is required (Denmark).8

    Must ensure that all member organisations have access and opportunity to engage in any9communication. Four years is a good timeline for big decisions, ones of an emergency nature10

    are different (Finland).11

    In debating who should decide what is extraordinary it was agreed that this was the12

    responsibility of the Executive Committee.13

    In 5-10 years electronic voting would be possible, which suggested postponing the decision14

    until the proposal defined the exact criteria and content of a postal or e-mail vote and on what15

    matters such a vote could be carried out (Belgium). The Presiding Officer confirmed that16

    advice on voting was included in the Articles.17

    Technology solutions may help those countries that experience visa issues (Saudi Arabia).18

    Australia proposed using the term significant rather than extraordinary, acknowledging that19

    the Executive Committee had the confidence of the General Meeting in applying their20

    judgement. There was general consensus for this amendment (Denmark, Singapore,21

    Zimbabwe).22

    The Presiding Officer moved that the substitute motion from APA be amended to read that:23

    the WCPT Articles of Association be amended as follows:24

    4.1 Postal Vote25

    The Executive Committee may decide that a postal (including electronic) vote shall be26

    taken on matters ofsignificancebetween General Meetings. (With the proviso that the27

    Executive Committee develop appropriate processes to enable full and informed decision28

    making by member organisations.)29

    MOTION GM2011-17 CARRIED30

    31

    The Executive Committee indicated their support for the motion and the opportunity to develop32

    procedures.33

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    12. Executive Committee Motions1

    12.1 WCPT policy review - new policy structure and definitions2

    The President moved that:3

    the new policy structure and definitions be approved.4

    The following points were raised in discussion:5

    The excellent work undertaken was acknowledged and fully supported. It was vital for member6

    organisations that the policies were clear and an open and transparent structure was very7 positive (Norway).8

    MOTION GM2011-19 CARRIED9

    1012.2 Edits to existing policies11

    12.2.1 Minor edits to existing policies12

    On behalf of the Executive Committee Emma Stokes moved that:13the existing WCPT Ethical Principles with minor edits be approved.14

    The following points were raised in discussion:15

    It was questioned if it was appropriate to group all the minor edited polices together16

    for voting (Canada).17

    Clarification was requested on individual edits (Austria) and they were directed to the18

    summaries of edits.19

    The Presiding Officer reminded delegates what constituted minor edits as set out in20

    the paper.21

    MOTION GM2011-20 CARRIED22

    23

    On behalf of the Executive Committee, Mabel Espinel Gonzalezmoved that:24

    the existing WCPT policy statements with minor edits be approved.25The Presiding Officer noted that minor edits should be submitted to Tracy Bury and only26

    substantive issues raised from the floor.27

    The following points were raised in discussion:28

    Agenda item 12 2 1 11 policy on private practice: the broad title did not reflect the29

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    that physical therapists have as health professionals. Change the title to physical1

    therapists are experts on specific exercise across the lifespan (Norway).2 Agenda item 12.2.1.4 policy on ethical principles: add physical therapy to diagnoses3

    so that the focus is on a physical therapy diagnosis not a medical diagnosis, at least4

    where it is first mentioned (Finland).5

    The Presiding Officer then took the meeting through each policy in turn.6

    12.2.1.2 community based rehabilitation: no comments.7

    12.2.1.3 education: no comments.8

    12.2.1.4 ethical principles: The President commented that if the diagnosis was9

    limited to a physical therapy diagnosis it was not in the best interests of the10

    profession. It was suggested that physical therapists made a functional and11

    differential diagnosis and not just a physical therapy diagnosis and therefore12

    diagnosis should not be added (Argentina).13

    The Presiding Officer moved that:14

    physical therapy be added before diagnosis (line 195).15

    MOTION GM2011-21 DEFEATED16

    12.2.1.5 evidence based practice: no comments17

    12.2.1.6 female genital mutilation: no comments18

    12.2.1.7 patient/client rights: no comments19

    12.2.1.8 exercise experts: the following points were raised in discussion:20

    The suggestion was to change to title to include specific exercise (Norway,21

    Turkey). Therapeutic exercise was suggested as a better alternative (Chile,22

    Nepal). Others spoke in support of not adding any terms and leaving it broad23

    (Germany, Argentina, Israel, Sri Lanka, USA). The intention of clarifying the24

    nature of the exercise was to draw a distinction from exercise for sport25

    (Norway). Movement exercise was suggested as an alternative edit (Peru).26

    Executive Committee comment: the issue may be one of interpretation but27

    it was understood that across the life span exercise provided by physical28

    therapists has a primary preventative and a therapeutic role and this was29seen to be covered by the policy.30

    Following the explanation from the Executive Committee the edit specific31

    exercise was withdrawn by Norway.32

    Further debate raised suggestions of physical therapists as experts on all33

    exercise and prevention across the life span (IPTOP) physical therapists as34

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    The Presiding Officer moved the motion that:1

    the title be amended to Physical therapists asexercise expertsin health2across the life span3

    MOTION GM2011-23 DEFEATED4

    The current title stood and the Executive Committee was asked to review it, taking5

    account of the discussions.6

    12.2.1.9 older people: no comments.7

    12.2.1.10 primary health care: no comments.8 12.2.1.11 private practice: the following point was raised in discussion:9

    In response to the earlier suggestion to change the title, the President noted the10

    value in developing the guidelines as suggested but highlighted that the policy11

    addressed more than just the right to establish private practice and therefore12

    the title should not change.13

    The Presiding Officer moved the motion that:14

    the title be amended to The rights of physical therapists to establish private15physical therapy services16

    MOTION GM2011-24 DEFEATED17

    Since the motion had been defeated the current title stood.18

    12.2.1.12 quality services: no comments.19

    12.2.1.13 relationships with other health professionals: no comments.20

    12.2.1.14 specialisation: no comments.21 12.2.1.15 standards of practice: no comments.22

    12.2.1.16 torture: no comments.23

    12.2.1.17 endorsement on doping guideline: no comments.24

    12.2.1.18 endorsement of UN standard rules on persons with disabilities: no25

    comments.26

    12.2.1.19 endorsement of the UN convention on the rights of the child: no27

    comments.28

    The Presiding Officer moved the motion that:29

    the existing WCPT policy statements with minor edits (12.2.1.2-12.2.1.19) be30

    approved.31

    MOTION GM2011-25 CARRIED32

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    12.2.2.2 Description of physical therapy1

    On behalf of the Executive Committee, Marilyn Moffat moved that:2

    the existing WCPT policy statement on description of physical therapy with3

    substantive edits be approved.4

    MOTION GM2011-27 CARRIED5

    12.2.2.3 Disaster management6

    On behalf of the Executive Committee, Sandra Thornhill moved that:7

    the existing WCPT policy statement on disaster management with substantive8

    edits be approved.9

    MOTION GM2011-28 CARRIED10

    11

    The Japanese Physical Therapy Association (JPTA) addressed the meeting to thank all12

    member organisations and WCPT for the sympathy expressed for Japan following the13earthquake and tsunami.14

    15

    12.2.2.4 Health human resources16

    On behalf of the Executive Committee, Sylvia Kambalametore moved that:17

    the existing WCPT policy statement on health human resources with substantive18

    edits be approved.19

    In discussion the following comment was noted:20

    The policy was considered a great improvement. Future work could include21

    guidelines on professional standards for health human resources. Human22

    resources are essential to the development of the profession and are not only a23

    national but also an international matter (eg professional movement across24

    international borders). Guidelines should not just focus on advocating for health25human resources but also the rights of professionals to deliver quality services26

    (Denmark).27

    MOTION GM2011-29 CARRIED28

    12.2.2.5 Infection prevention control29

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    The following points were raised in discussion:1

    Informed consent should be changed to valid consent (Ireland).2 Informed consent is a legal term used in many jurisdictions (Colombia).3

    Executive Committee response: informed consent is a legal term and to4

    change it in documents that need to be translated risks losing the legal aspect.5

    The suggested amendment was withdrawn (Ireland).6

    It was suggested that the term valid could be used within the text eg WCPT7

    understands the term informed consent to be valid consent; this could be a8

    footnote (Austria). It was agreed this could be done editorially.9 Line 482 refers to a competent adult but in South Africa children can give informed10

    consent from age 12. The term competent individual should be used so as not to11

    suggest an age restriction. This could be an editorial change to change12

    patient/client to individual (South Africa).13

    MOTION GM2011-31 CARRIED14

    12.2.2.7 Support personnel15

    On behalf of the Executive Committee, Mabel Espinel Gonzalez moved that:16

    the existing WCPT policy statement on physical therapist support personnel with17

    substantive edits be approved.18

    The following points were raised in discussion:19

    Line 552 refers to the physical therapist being physically present and this does not20

    reflect current practice in Australia and is overly prescriptive. Preferably could be21

    inserted in front of physically present and therefore delete the sentence that follows22

    in brackets (Australia). This was supported by the UK.23

    The Presiding Officer moved that24

    the policy be approved with this amendment.25

    (It would therefore now read supervision of physical therapist support personnel by the26

    physical therapist requires that the physical therapist is preferably physically present27

    and immediately available)28

    29

    MOTION GM2011-32 CARRIED30

    12.2.2.8 Protection of title31

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    The Colegio de Kinesiologos de Chile moved the substitute motion that:1

    the Executive Committee develop an appendix to the policy statement on2

    protection of title to include the list of title/titles protected under3

    legislation/regulation in the countries of WCPTs member organisations and4

    annotate the title/titles recognised by member organisations in the absence of5

    legislation/regulation.6

    7The following points were raised in discussion:8

    A list of internationally recognised terms would be valuable (UAE).9

    Any list should include terms in languages using other alphabets (Thailand).10

    MOTION GM2011-33 CARRIED11

    The Presiding Officer returned to the motion from the Executive Committee that12

    the existing WCPT policy statement on protection of title with substantive edits13

    be approved, with the addition of an appendix of internationally recognised terms14 for the profession.15

    MOTION GM2011-34 CARRIED16

    12.2.2.9 Reciprocity17

    On behalf of the Executive Committee, Marilyn Moffat moved that:18

    the existing WCPT policy statement on reciprocity with substantive edits be19

    approved.20

    MOTION GM2011-35 CARRIED21

    12.2.2.10 Research22

    On behalf of the Executive Committee, Sandra Thornhill moved that:23

    the existing WCPT policy statement on research with substantive edits be24

    approved.25

    The following editorial changes were suggested for the Executive Committee to review:26

    Line 673 change advocates to considers which was considered to be stronger27

    (Denmark). More could be added on new technologies.28

    Implementation sciences should be added to the last bullet list (Netherlands)29

    E id b d h i l th th th id b d ti h ld b30

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    12.3 New WCPT policies1

    12.3.1 Direct access/self-referral2

    On behalf of the Executive Committee, Sylvia Kambalametore moved that:3

    the new WCPT policy statement on direct access and patient/client self-referral to4

    physical therapy be approved.5

    The following points were raised in discussion:6

    Direct access had been in place since 2001 in Norway, but it was connected to7

    payments. Reimbursement still requires a referral in the private sector. The8

    profession should also work for extended scope of practice (since 2006 in Denmark).9

    Norway was working to develop extended scope practice roles in sports and mental10

    health.11

    Finland spoke in support of Norway and the development of advanced practice, eg a12

    physical therapist can authorise sick leave in manual therapy practice.13

    It was agreed that developing a policy on advanced practice in physical therapy was14

    an area for future policy work.15 There was strong evidence for self-referral (UK). It was requested that self referral16

    as a term be used and not direct access. Direct access has a different meaning in17

    the UK eg a general practitioner can access physical therapy services, and therefore18

    to avoid confusion only self-referral should be used.19

    Executive Committee comment: terminology was required to meet the needs20

    around the world. Other examples of direct access included a physical therapist21

    working on an ICU unit being able to decide who they saw without a medical22

    referral, in that instance the physical therapist had direct access to patients, but23

    the patient was not able to self-refer. It was therefore felt appropriate to keep24

    both terms at this stage but it should be reviewed over the next four years if25

    practice changed.26

    It was noted that in the future one term would be good but for now many27

    governments used direct access and therefore the term was important for political28

    reasons (Netherlands).29

    Self-referral is the right of the patient to choose the professional. Direct access30places emphasis on the professional. Political pressure can say patients should have31

    the right to choose the physical therapist. Self-referral can be used to assert the right32

    for direct access (Portugal).33

    Welcoming the direction of discussions the UK was happy to withdraw the34

    d l lf f l35

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    The following point was raised in discussion:1

    Line 75 after other weapons of war add even in peace time (Puerto Rica). It was2

    agreed this could be done editorially.3

    MOTION GM2011-38 CARRIED4

    5

    12.3.3 Occupational health and safety for physical therapists6

    On behalf of the Executive Committee, Emma Stokes moved that:7the new WCPT policy statement on occupational health and safety for physical8

    therapists be approved.9

    MOTION GM2011-39 CARRIED10

    11

    12.3.4 Records management12

    On behalf of the Executive Committee, Mabel Espinel Gonzalez moved that:13

    the new WCPT policy statement on records management: record keeping, storage,14

    retrieval and disposal be approved.15

    In discussion the following points were raised:16

    The importance of records management and the development of information17

    management and technology (IM&T) were supported. It was suggested there should18

    be more emphasis on the challenges of IM&T. The addition WCPT advocates that19

    member organisations should ensure that the electronic systems for record holding20

    and communication are functional and secure was suggested (Norway).21

    It was suggested that WCPT could not ensure anything but perhaps use the term22

    advocates (Bermuda).23

    Executive Committee comment: point of clarification, the bullet list of statements is24

    preceded by WCPT advocates that member organisations should.25

    The Presiding Officer moved that:26

    the amendment to line 329 should be added ensure that the electronic systems for27

    record holding and communication are functional and secure.28

    MOTION GM2011-40 CARRIED29

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    12.3.5 Regulation of the physical therapy profession1

    On behalf of the Executive Committee, Margot Skinner moved that:2

    the new WCPT policy statement on regulation of the physical therapy profession3

    be approved.4

    The following points were raised in discussion:5

    In Canada, as in other countries, it is the professional association that establishes6

    education to practice standards (line 398). They are proud to work in collaboration7

    with the educators and regulators to ensure high standards for physical therapy8education. They therefore believe it is the responsibility of the profession and not the9

    regulator for ensuring physical therapists enter the workforce as well educated and10

    skilled professionals. To replace current line 398 the following amendment was11

    proposed assurance that educational programmes have met appropriate12

    professional entry to practice standards.13

    Executive Committee comment: no issue with the amendment..14

    The Presiding Officer moved the motion that:15

    the amendment to line 398 be added to the policy statement.16

    (It would therefore read assurance that educational programmes have met the17

    professional entry level education standards for practice)18

    MOTION GM2011-42 CARRIED19

    The UK spoke in support of the amendment. In addition the importance of20

    cooperation between the professional body and the regulator, for the benefits of the21profession, was highlighted (UK). The list of bullet points starting from line 413 could22

    be added to with Assert the value of the regulator having appropriate links (ie ones23

    that safeguard the impartiality and independence of the regulator) with the relevant24

    member organisation to help develop, maintain, implement and secure engagement25

    with high standards of education, practice and professionalism.26

    Executive Committee response: the amendment could be made more positive27

    and focus on the member organisations having positive links, as WCPT cant28influence the regulators.29

    There was support for the amendment (USA).30

    MOTION GM2011-43 CARRIED31

    Regulation should only be about the public interests and therefore line 393 should32

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    The Presiding Officer moved that:1

    the sentences from lines 393-396 be amended in line with the discussion.2

    (It would therefore read WCPT encourages member organisations to work towards a3

    system of regulation that focuses on the public interest. Such a system will promote trust4

    and confidence in the profession.)5

    MOTION GM2011-44 CARRIED6

    The Presiding Officer moved the motion from the Executive Committee that:7

    the new WCPT policy statement on regulation of the physical therapy profession8

    with the amendments agreed be approved.9

    MOTION GM2011-45 CARRIED10

    1112.3.6 UN convention against torture and other cruel, inhuman or degrading12

    treatment or punishment13

    On behalf of the Executive Committee, Sandra Thornhill moved that:14

    the new WCPT endorsement on the UN Convention against Torture and Other15

    Cruel, Inhuman or Degrading Treatment or Punishment be approved.16

    MOTION GM2011-46 CARRIED17

    12.3.7 UN convention on the rights of persons with disabilities18

    On behalf of the Executive Committee, Sylvia Kambalametore moved that:19the new WCPT endorsement on the UN Convention on the Rights of Persons with20

    Disabilities be approved.21

    MOTION GM2011-46 CARRIED22

    23

    12.4 Existing and new WCPT guidelines24

    On behalf of the Executive Committee, Zola Dantile moved that:25

    the member organisations endorse the development of WCPT guidelines as a valuable26

    resource for policy implementation.27

    The following points were raised in discussion:28

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    Executive Committee response: changes will first be made to the policies and then1

    carried through to all guidelines and any new resources developed.2MOTION GM2011-47 CARRIED3

    4

    13. Motions submitted by member organisations5

    13.1 Chartered Society of Physiotherapy disability and access to practising the6

    profession7

    The Chartered Society of Physiotherapy (UK) moved that:8

    WCPT encourage a rights-based approach to disability in terms of access to entry-level9

    education and support for practice.10

    Executive Committee response: the Committee welcomed the motion and considered it11

    a positive direction to embrace globally. The work of the UK and other member12

    organisations on this issue was acknowledged and input requested to share13

    experiences to develop a portfolio of resources.14The following points were raised in discussion:15

    The focus should be on equal rights not so much as positive rights ie not positive16

    discrimination (Denmark).17

    South Africa also had experience of training visually impaired physical therapists and18

    considered it important to ensure that the publics interests were looked after, should19

    therefore add without compromising quality of care of patients to the motion from the CSP.20

    There is an assumption with the motion that providing quality care is part of equal rights and21would not be said of any other group within the profession so the amendment should not be22

    added (UK, Bermuda).23

    It was important to help disabled young people to enter the profession (Oman).24

    Terminology from WCPT documents ie access to physical therapist professional entry-level25

    education and practice should be used in the motion.26

    27

    The Presiding Officer moved the motion from the CSP with the amendment from South Africa28that:29

    WCPT encourage a rights-based approach to disability in terms of access to physical30

    therapist professional entry-level education and support for practice, without31

    compromising quality of care of patients.32

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    13.2 Colegio de Kinesiologos de Chile the terms kinesiologystand kinesiotherpist1

    This item had been taken earlier in the agenda with the policy on protection of title, agenda item2

    12.2.2.8.3

    4

    13.3 Association of Danish Physiotherapists scope of practice5

    Denmark withdrew the motion.6

    MOTION GM2011-50 WITHDRAWN78

    13.4 Australian Physiotherapy Association - full revision of the WCPT Articles of9

    Association10

    The Australia Physiotherapy Association moved that:11

    the Executive Committee undertake a comprehensive review of the WCPT Articles of12

    Association to ensure that they reflect best practice corporate governance standards and13support contemporary business practices.14

    Executive Committee response: the Committee was happy to support the motion as it15

    was important to review the Articles. The Committee was also planning to review the16

    type of organisation WCPT was and should be. WCPT is currently a charity registered17

    in the UK.18

    MOTION GM2011-51 CARRIED19

    20

    13.5 Australian Physiotherapy Association support for PEDro21

    The Australia Physiotherapy Association moved that:22

    the General Meeting strongly recommend that all WCPT member organisations establish23

    an annual grant to PEDro, possibly based on a formula linked to membership numbers. 24

    Executive Committee response: the Committee supported the motion and welcomed the25support already given by member organisations.26

    The following points were raised in discussion:27

    The work of PEDro was applauded and the University of Sydney APA as founders of the28

    j t l ith th t f APA h ld b d l i d (USA N th l d I l29

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    Not all Associations are strong as many physical therapists have chosen not to join them,1

    therefore the last part of the motion should be deleted (Italy).2 Spain has made an effort to translate contents of PEDro to make it more available to3

    Spanish users.4

    Other members spoke in support of PEDro (Argentina, Japan).5

    Australia accepted the deletion of the formula from the motion.6

    The Presiding Officer moved the amended motion that:7

    the General Meeting strongly recommend that all WCPT member organisations establish8

    an annual grant to PEDro9

    MOTION GM2011-52 CARRIED10

    11

    13.6 Japanese Physical Therapy Association provision of information12

    The Japanese Physical Therapy Association moved the motion that:13

    the function of providing information be strengthened.14 The Executive Committee response: The development of the WCPT website had been15

    a priority as it was seen as the means to interact with the profession and share16

    information globally. Increasing the capacity of the organisation to provide more17

    information would have financial implications. In addition, the availability and18

    completeness of information was dependent on responses from all of WCPTs member19

    organisations. WCPT needed the support of members to make sure the information was20

    available and the common data project was designed to yield useful information. The21success of the project would impact on the ability of WCPT to provide detailed22

    information to its members and others. It was regrettable that some information had not23

    been available to JPTA in a good time frame, but every effort was being made to build24

    valuable data about the profession.25

    The following points were raised in discussion:26

    Information was important in discussions with governments and whilst guidelines were good,27

    statistical information about each region and member organisation was also required. This28should be made easily accessible on the website (Japan).29

    The challenge for WCPT due to lack of responses from members was acknowledged and30

    members were encouraged to submit an annual report with the required information31

    (Nigeria). An annual report was also seen as an opportunity for member organisations to32

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    model for other regions. In the common dataset project, WCPT will be looking at educational1

    standards, scope of practice and regulation, amongst other topics.2 It is important that efforts do not reinvent the wheel and that there is a united voice for the3

    profession based on sound data that shows the profession across the regions and world.4

    Every member organisation had a responsibility to contribute to the common data project as5

    it was the solution for the future (Portugal).6

    MOTION GM2011-53 CARRIED7

    8

    14. Finance9

    14.1 Financial report 2007 -201010

    14.2 Financial projections 2011 201511

    14.3 Subscriptions 2012 201512

    On behalf of the Executive Committee the treasurer, Emma Stokes, presented the financial report13

    (appendix 6). The options for subscription payments for 2011-2015 were then presented:14Option 1: average of 5% across 4 years allowing growth and development across strategic areas.15

    Option 2: average of 3% across 4 years allowing current activities to be maintained.16

    Option 3: average of 6% across 4 years allowing further growth and development.17

    The direction of activity for the next 4 years is decided at the General Meeting therefore it is18

    difficult to be accurate in predicted areas of activity.19

    The following points were raised in discussion:20

    At a time when there were pay freezes for two years for physical therapists the proposed21

    subscription had to be acceptable to members of WCPTs member organisations, therefore22

    only option 2 could be supported (UK).23

    It was acknowledged what WCPT had achieved over the last four years and that this24

    required resources. Option 2 with an amendment was proposed of 1.5% in 2012, followed by25

    3% for three years, giving an average increase of 2.63% (Germany).26

    The work of WCPT with limited funding was acknowledged but members in the Netherlands27

    had not paid an increase for eight years, therefore a further option of 0% should be added28

    (Netherlands).29

    Clarification was sought on the impact the increase would have on individual member30

    organisations of differing sizes (Nigeria). The Treasurer directed delegates to Table 3 on31

    th

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    Executive Committee response: The President advised that some alternative revenue1

    streams had been explored but WCPT was sensitive to not competing with its own2 members for example in the area of CPD provision. Feedback from members had3

    made this clear.4

    Member organisations needed to be truthful with their membership number declarations5

    (Argentina).6

    The Africa regional chair indicated that no members in that region supported an increase and7

    that their priority was to nurture regional capacity development.8

    Small member organisations have to work with small budgets and work within the limitations.9

    Important to look at expenditure and reflect what member organisations are going through10and reduce expenditure (Malta).11

    The Presiding Officer confirmed that items 14.1 and 14.2 were for information and not for12

    voting.13

    If an organisation doesnt increase national fees but increases fees to WCPT then they end14

    up paying more to international work (Norway).15

    There should be a draft action plan presented on how finances will be used (Finland).16

    It was acknowledged that there had been a big difference in what had been achieved and17produced in the last 4 years as compared to previous periods and that had taken resources18

    to be accomplished. These were vital to promote the work of the profession. There is a19

    problem with bank charges that can at times be higher than the fees to be paid (Zimbabwe).20

    The Secretary General noted that some member organisations face significant bank charges21

    and that WCPT also has to pay charges. The Secretariat was open to suggestions on how to22

    resolve this. Options already used included paying for several years fees in one go and23

    therefore only one set of bank charges, and visitors paying cash in London. The issue often24

    affected those with most difficulty.25 The KNGF (Netherlands) was thanked for the bursary enabling Tanzania to be present.26

    Several members spoke in support of option 2 or the modified option presented by Germany.27

    In response to a question about how membership fees reflected gross national product28

    (GNP) the Treasurer confirmed that 27 member organisations paid a reduced fee due to a29

    low gross national income (GNI). Further the Treasurer highlighted that WCPT uses the30

    money well and that it is a very lean organisation and works with trust to ensure it delivers31

    against member organisations needs.32The Presiding Officer confirmed that no delegates present wished to consider options 1 and 333

    and therefore they would not be voted on.34

    The Presiding Officer moved that35

    17th

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    15. Election of Executive Committee1

    15.1 President2

    The candidates for the role of President were:3

    Zola Dantile4

    Michel Landry5

    Marilyn Moffat6

    The Presiding Officer cleared the room to leave only voting delegates. Instructions on voting were7

    given, according to the Rules of Procedure. One observer from each of the Africa, North America8Caribbean and Europe regions, who had been previously confirmed, remained in the room. The9

    three candidates also left the room.10

    As laid out in the procedures, after the votes were cast for the President, the room was cleared of11

    all voting delegates leaving only the Presiding Officer, tellers, Secretary General, and two other12

    WCPT staff (Tracy Bury and Catherine Sykes) present for the counting of the ballots.13

    . On completion of the counting, the candidates and voting delegates were asked to return to the14

    room for the result of the ballot.15

    The Presiding Officer announced the following:16

    Votes cast = 9317

    Votes required = 4718

    Zola Dantile = 1019

    Michel Landry = 2520

    Marilyn Moffat = 5521 Invalid ballots = 322

    As Marilyn Moffat had achieved a majority, she was declared duly elected as President of WCPT.23

    Neither Zola Dantile or Michel Landry wished their names to go forward for the position of Vice24

    President.25

    26

    15.2 Vice President27The candidates for the role of Vice President were:28

    Margot Skinner29

    Emma Stokes30

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    Votes required = 471

    Margot Skinner = 282 Emma Stokes = 613

    Invalid ballots = 44

    As she had achieved a majority, Emma Stokes was therefore duly elected as Vice President of5

    WCPT.6

    Alll delegates (voting and alternate) and observers were invited back in the room and the7

    Presiding Officer announced that Marilyn Moffat had been elected as President and Emma8

    Stokes as Vice President. The delegates applauded them.9

    10

    15.3 Regional members and alternates11

    The chair of each of WCPTs regions named the member of the Executive Committee and the12

    alternate from their region for the period 2011-2015. By region the individuals named were:13

    Africa: Joyce Mothabeng (South Africa); alternate: Jean Gasherebuka (Rwanda)14

    Asia Western Pacific: Margot Skinner (New Zealand); alternate: Celia Tan (Singapore).15

    Europe: Johnny Kuhr (Denmark); alternate: yet to be announced will be elected May 2012.16

    North America Caribbean: Sandra Thornhill (Bermuda); alternate: Alice Aiken (Canada).17

    South America: Mabel Espinel Gonzalez (Colombia): alternate Nelly Cedeo Sucre (Mexico).18

    The delegate from the Lebanon moved that19

    the ballot papers be destroyed.20

    MOTION GM2011-56 CARRIED21

    22

    16. Awards23

    While awards had been presented at the Gala Dinner the preceding evening recipients were24

    announced at the General Meeting also. Citations had been read and pins and certificates presented25 at the dinner.26

    16.1 Mildred Elson Award27

    The President announced that the Mildred Elson Award for 2011 was awarded to Stanley Paris.28

    16 2 I i l i29

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    Education1

    Ina Diener2

    Amlia Pasqual Marques3

    Yoriko Taguchi4

    Practice5

    Jill Boissonnault6

    Elizabeth Carrington7

    Olwen Finlay8 Prudence Galley9

    Gwendolen Jull10

    Research11

    Paul JM Helders12

    Ann Moore13

    14

    16.3 Humanitarian service15

    Peta Ann Schmidt was announced as the recipient of the 2011 humanitarian service award.16

    17

    16.4 Recognition of voluntary leaders18

    The following regional chairs were thanked and acknowledged and certificates presented to them:19

    Esther Munalula Nkandu (Africa), Savita Ravindra (AWP), Sarah Bazin (Europe), Stacey de Gale20

    (NAC), and David Lopez (SA).21

    The following outgoing subgroup chairs were acknowledged and certificates presented to them:22

    Laetitia Dekker-Bakker (IFSPT), Karen Keith (IAAPT) and Jerry Klug (IPPA).23

    The other subgroup chairs were also thanked and acknowledged: Rebecca Stephenson24

    (IOPTWH), Filiz Can (IPTOP), Barbara Connolly (IOPTP) and Annalie Basson (IFOMPT).25

    The following retiring Executive Committee members were thanked and acknowledged and26

    certificates presented to them: Zola Dantile (Vice President) who had served two terms as the27Africa regional member and one term as Vice President, and Sylvia Kambalametore (Africa).28

    29

    17. Acknowledgements and announcements30

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    On behalf of all member organisations congratulations were extended to the President and Vice1

    President and tribute was paid to all the candidates who had put their names forward for2 consideration. The fact that there was competition for positions was the sign of a healthy3

    organisation (UK).4

    The USA saluted Michel Landry and Zola Dantile for running as President and congratulated5

    Marilyn Moffat for her re-election as President. Flowers were presented.6

    A presentation was made by the South America Region to congratulate WCPT on its 60th7

    anniversary. A further presentation was made by Brazil.8

    9

    18. Any other business10

    The delegate from Montenegro thanked WCPT for a grant to allow them to attend the meeting.11

    The delegate from Saudi Arabia announced an initiative to translate all the WCPT policies and12

    guidelines into Arabic to support the increased number of Arab organisations in WCPT,13

    sponsored by the honorary President of the Saudi Physical Therapy Association.14

    On behalf of the European Region of WCPT the delegate from Austria promoted the 201215

    physiotherapy education congress, hosted by the Austrian Association, in Vienna from 8-916

    November.17

    The delegate from Oman congratulated the President and Vice President and made a18

    presentation to WCPT and also to KNGF (Netherlands).19

    20

    19. Location of 17th Congress and 18th General Meeting in 201521

    The President announced that Singapore had been selected to host the 17th

    WCPT Congress22

    and 18th General Meeting. The delegate from the Singapore Association addressed the meeting23

    and thanked the WCPT Executive Committee for the opportunity to host the congress and24

    showcase Singapore. Other candidates for WPT2015 were acknowledged and an invitation25

    extended to all member organisations and their members to visit Singapore in 2015.26

    The Presiding Officer advised that a note had been received from the Africa region on behalf of27member organisations in the region to say that Every region in WCPT should be given equal28

    opportunity to host the WCPT Congress by virtue of the regional members associations/countries29

    being equal members of the WCPT. The note was received and would be passed to the30

    Executive Committee for consideration.31

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    17th General Meeting of WCPTList of Delegates

    17th General Meeting Minutes18th - 20th June 2011

    Appendix 1

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    Org Type Organisation Country Region Role Firstname Lastname

    Member organisation Federacion Venezolana de Fisioterapeutas Venezuela South America Alternate Delegate Vito Calo

    Member organisation Zambia Society of Physiotherapy Zambia Africa Voting Delegate Cleto Mweemba

    Member organisation Zimbabwe Physiotherapy Association Zimbabwe Africa Voting Delegate Dorcas Madzivire

    WCPT Region Africa Region of WCPT Africa Delegate Joyce Mothabeng

    WCPT Region Africa Region of WCPT Africa Delegate Natascha Plani

    WCPT Region Africa Region of WCPT Africa Delegate Esther Nkandu

    WCPT Region Asia Western Pacific Region of WCPT Asia Western Pacific Delegate Gillian Webb

    WCPT Region Asia Western Pacific Region of WCPT Asia Western Pacific Delegate Savita Ravindra

    WCPT Region European Region of WCPT Europe Delegate Sarah Bazin

    WCPT Region North America Caribbean Region of WCPT North America Caribbean Delegate Stacy De Gale

    WCPT Region South America Region of WCPT South America Delegate David Lopez

    WCPT Subgroup International Acupuncture Association of Physical Therapists Delegate Susan Putney

    WCPT Subgroup Internat ional Acupuncture Associa tion of Physical Therapists Delegate Karen Keith

    WCPT Subgroup [New] International Association of Physical Therapists in Animal Practice Not attending

    WCPT Subgroup International Association of Physical Therapists working with Older People Delegate Filiz Can

    WCPT Subgroup [New] International Confederation of Cardiorespiratory Physical Therapists Delegate Shane Patman

    WCPT Subgroup International Federation of Orthopaedic Manipulative Physical Therapists Delegate Annalie Basson

    WCPT Subgroup International Federation of Sports Physiotherapy Delegate Nicola Phillips

    WCPT Subgroup Internat ional Federat ion of Sports Phys iotherapy Delegate Laetitia M.M.C.J. Dekker

    WCPT Subgroup [New] International Neurological Physical Therapy Association Not attending

    WCPT Subgroup [New] International Organisation of Physical Therapists in Mental Health Delegate Liv Helvik Skjaerven

    WCPT Subgroup International Organisation of Physical Therapists in Paediatrics Delegate Barbara Connolly

    WCPT Subgroup International Organisation of Physical Therapists in Women's Health Delegate Rebecca Stephenson

    WCPT Subgroup International Private Practitioners Association Delegate Jerry Klug

    WCPT Subgroup [New] International Society for Electrophysical Agents in Physical Therapy Delegate Liisa Laakso

    Subgroups

    Regions

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