NLMA urges physicians to delay signing CorCare agreement amid possible changes

The Newfoundland and Labrador Medical Association is advising its members to hold off on signing the proposed CorCare Link Access Site Agreement as NL Health Services considers revisions following recent discussions.

In an update to physicians, the NLMA said NL Health Services indicated it is reviewing the agreement after receiving feedback from both the association and its members. As a result, the NLMA is recommending doctors delay signing until further direction is provided.

The association said it has heard concerns from physicians since a March 18 update about the agreement, particularly around potential legal and financial risks. The NLMA said it shares those concerns and has raised them directly with NL Health Services, emphasizing that participation in the public health system should not require physicians to assume disproportionate personal liability.

The NLMA also clarified it was not involved in developing the agreement and that it is not a negotiated contract. After becoming aware of the document through discussions with health officials, the association requested a copy and sought an external legal review.

According to the NLMA, it met with NL Health Services on March 10 to provide written feedback and legal analysis. Two days later, the health authority outlined changes it planned to make. However, on March 13, NL Health Services indicated no further revisions would be made at that time. The agreement was then distributed to physicians by email on March 16.

Following additional discussions this week, the NLMA said new developments have emerged. During a recent meeting, the association presented recommendations to simplify the agreement and remove the requirement for a commissioner of oaths. NL Health Services said it would consider those suggestions and requested further input, with a follow-up meeting planned.

The NLMA said it was later informed that a revised version of the agreement will be developed incorporating its recommendations. The health authority is also considering removing the commissioner of oaths requirement.

In addition, NL Health Services is expected to respond next week to a proposal regarding compensation for CorCare training.

The NLMA said it remains in active discussions with the health authority and will review any changes to the agreement before advising physicians on next steps. The association has also sought input from the Canadian Medical Protective Association.

The group said it will continue to advocate for solutions that support physician practice and patient care and will provide updates as more information becomes available.