He celebrates the strength of Ontario’s physiotherapy community, thanks volunteers, and all the physiotherapists, physiotherapist assistants and student members for their contributions. Courtney also acknowledges the many connections OPA maintains with health care leadership, other associations and organizations that help drive our advocacy initiatives forward.
Watch his video now!
The Government of Ontario announced plans to implement regulations allowing physiotherapists to order diagnostic imaging (X-rays, CT scans, MRIs, and diagnostic ultrasounds). OPA’s relentlessly advocated through:
We hope to see movement on the scope of practice implementation in 2026!
Support the advocacy work we do on behalf of the physiotherapy community in Ontario. Join OPA/CPA!
The Primary Care Advisory Committee met on October 9, 2025, and focused its advocacy discussions on:
The Primary Care Advisory Committee is made up of volunteer members who advise OPA staff and the Board of Directors on issues affecting physiotherapy in primary care settings.
This committee supports members and promotes quality physiotherapy services within primary care organizations across Ontario.
Interested in joining? We welcome new volunteer members who want to help shape the future of physiotherapy in primary care. Contact us a physiomail@opa.on.ca.
OPA continues to advocate for increasing the integration of physiotherapists into primary care teams. Emily Stevenson, OPA’s Director of Practice & Policy and Amy Hondronicols, former OPA Director, presented at the Association of Family Health Teams of Ontario conference, Power of Primary Care 2025, on October 23. Emily and Amy shared the evidence for physiotherapists in team-based primary care – resulting in the right care, at the right time, by the right provider.
The Evidence Shows:
Emily and Amy were joined by OPA’s President, Courtney Bean, and Sarah Hutchison, OPA’s CEO.
There are currently about 90 physiotherapist positions in primary care teams in Ontario, including Family Health Teams, Community Health Centres, Nurse Practitioner-Led Clinics, and Indigenous Primary Care Teams. With Ontario’s Primary Care Action Plan to create or expand 305 teams, there is great opportunity to increase the presence of physiotherapists to support Ontario’s goal of 100% attachment to primary care.
The evidence is there – first contact physiotherapy improves patient outcomes, family physician/nurse practitioner satisfaction and reduces red tape within the health system.
Physiotherapists are the experts in the assessment, diagnosis for all MSK concerns. With 20-30% of all visits to primary care in Ontario being musculoskeletal (MSK) concerns, physiotherapists can be the first contact, and offload visits from the family physician or nurse practitioner. It is estimated that an additional 425 patients could be attached per physiotherapist.
The Family Physician/Nurse Practitioner Perspective
88% of family physicians and nurse practitioners reported that working with a physiotherapist increased their own satisfaction in providing care. 94% reported that having a physiotherapist in the team resulted in more comprehensive care for the patients. (Toronto Community Health Centre Evaluation, 2016).
In their presentation, Emily and Amy also shared about the development of the PT in Primary Care Competencies and Educational Modules – an initiative in partnership with Team Primary Care (Projects — Team Primary Care | Équipe de Soins Primaires). This project was led by Dr. Jordan Miller and supported by the Canadian Physiotherapy Association. It included contributions from various physiotherapy professionals across Canada.
The education modules are designed to support physiotherapists to successfully integrate into interprofessional teams in primary care. The modules are also helpful to educate interprofessional team members and team leadership/ executives – so feel free to share broadly with anyone in your local community/network!
The evidence shows that adding physiotherapists to primary care teams improves patient, provider, and system outcome in Ontario. The more we can demonstrate our value across all practice settings, the more we are able to advocate for increasing access so that everyone in Ontario has a physiotherapist across their lifespan.
Northern Ontario District members welcomed the physiotherapy community to their district’s bi-annual conference in Timmins.
The event took place over two days, from October 3-4, and included many amazing sessions, a pre-conference course, and a chance to network with the Northern and Northwestern Ontario physiotherapy community, among others.
“It was truly a valuable experience for both skill development and networking opportunities. It was great connecting with so many engaged professionals.”
“Amazing coming together of the North.”
When asked what they liked most about the event, attendees shared:
“Networking with colleagues, meeting/interacting with the CEOs of the CPO and OPA”
“Networking with peers and sharing what is important to Northeastern Ontario Physiotherapists with OPA and the College”
Craig Roxborough, Registrar & CEO and Mary-Catherine Fraser Saxena, Manager, Practice Advice (CPO) both echoed there were lots of meaningful conversations, and they appreciated the opportunity to connect with PTs in the North to hear their perspectives.
Courtney Bean, OPA’s President, said he had such a great time and it really filled his bucket. He said he has some good understanding of the challenges of rural care but now realizes the amazing passion of people providing care in rural locations. He also learned a lot about care in the North…a lot more than he ever knew.
Sarah Hutchison, OPA’s CEO, gained a deeper appreciation of the challenges that rural and remote physiotherapists face and how the OPA might advocate further. She also observed that the sense of community was incredible and contagious!
Physio North 2025 is one example of the amazing work done by district volunteers. Thank you to Rhonda Matthews, Northern Ontario District President, and Jody Lemieux, Secretary, for making this event happen!
Regional representation at OPA through our 16 districts is invaluable. While districts may share similarities, understanding the unique populations and advocacy needs in each district contributes to OPA’s success. We encourage all members to get involved in their districts.
OPA is currently looking for member volunteers in these districts. Contact Prerna at ptawde@opa.on.ca if you are interested in volunteering.
Emily Stevenson, Director of Practice and Policy at OPA, spoke at the Health Workforce Canada Connects conference about the value physiotherapists bring to primary care teams. CPA CEO Krissy (Murphy) Bell moderated the workshop “From Silos to Synergy: Scalable, Sustainable Solutions for Team-Based Primary Care”. The session brought together an exceptional panel of leaders from across a diverse spectrum of professions, perspectives, and places in Canada to explore scalable and sustainable models for team-based primary care.
Emily Stevenson highlighted how critical it is that PTs are incorporated into health human resource planning as they are essential members of team-based primary care. Physiotherapists, when incorporated, increase access and attachment to primary care, as they can assess, diagnosis and treat conditions in their scope, which increases the capacity of family physicians and other team members. Physiotherapists need to be part of every primary care team to provide the right care, at the right time, by the right person.
We know that PTs in primary care:
In 2015, OPA was one of the strong advocates leading to the addition of PTs to Family Health Teams in Ontario.
Visit OPA’s Primary Care Hub to stay up to date on all things primary care.
Presenting at national interprofessional conferences allows OPA to demonstrate the value we bring to patients and health system partners. It provides us an opportunity to connect to other health care professionals, building relationships for increased collaboration and advocacy. Thank you to CPA’s CEO, Krissy Bell, for inviting OPA to participate in this important panel discussion.
Health Workforce Canada is a new, independent organization established by an Interim Steering Committee, supported by the Canadian Institute for Health Information (CIHI), and funded by Health Canada. It has been created in recognition of the need to bring together health workforce experts and those in the health care field to learn from each other and strengthen health workforce data and planning to help ensure health workers are there to provide the care people in Canada need.
Thank you to the Health Workforce Canada | Effectif de la santé Canada team for bringing together such an engaged community of health systems leaders and workforce planners, and for continuing to create space for collaboration and innovation.
The Competency Profile for Physiotherapists in Team-based Primary Care in Canada and Preparing Physiotherapists for Team-Based Primary Care educational module series were created by a team of experienced primary care physiotherapists, other interprofessional primary care team members, people with lived experience as patients, and primary care academic experts.
OPA has submitted a detailed response addressing all consultation questions, backed by evidence, research, and the results of our 2024 survey of Ontario physiotherapists. Members are welcome to reference, adapt, or use content from our submission in their own responses to the government consultation.
Our submission emphasizes how implementing the authority for physiotherapists to order diagnostic imaging (X-rays, CT scans, MRIs, and diagnostic ultrasounds) will:
Our submission includes compelling data from the 2024 OPA survey of Ontario physiotherapists who responded that:
Research from jurisdictions where physiotherapists already have this authority demonstrates:
This consultation focuses on diagnostic imaging. OPA will continue to advocate for the authority to order laboratory tests- the final piece of scope expansion approved under Bill 179 in 2009 that has not yet been implemented.
Your voice matters. Here’s how you can support this critical scope expansion:
Since 2009, physiotherapists have been waiting for the regulations needed to implement scope of practice changes that are already approved in legislation. Four other provinces- Alberta, Quebec, Nova Scotia, and PEI- have successfully implemented this authority for physiotherapists.
With Ontario facing:
OPA remains optimistic that the government will move quickly with the needed regulation changes following this consultation period.
The recent announcement by the Government of Ontario about pending scope of practice implementation for physiotherapists in Ontario is an important and welcome step. OPA remains optimistic that following the completion of the Government consultation on November 3, 2025, the Government will move quickly with the needed regulation changes to expand the scope of practice for physiotherapists.
OPA also continues to advocate for the remaining needed changes so that physiotherapists can order laboratory tests, which the announcement did not reference.
Anthony Grande, PT and OPA member, met with Premier Doug Ford on September 25 and Deputy Premier and Minister of Health, Sylvia Jones on October 7, 2025.
OPA provided Anthony with a letter of acknowledgement and appreciation for the Premier and Minister of Health on behalf of 12,000 physiotherapists in Ontario for their leadership in announcing plans to implement the needed changes. Anthony thanked both the Premier and Deputy Premier in person for the recent Government of Ontario announcement regarding plans to implement the needed changes for physiotherapists to be able to order diagnostic imaging.
We thank all members who recently submitted feedback to OPA regarding the Government consultation. OPA is also encouraged by all members, like Anthony, who dedicate time and energy to advocating for the the physiotherapy profession, and the implementation of our full scope of practice.
The Government of Ontario consultation on the proposed changes to scope of practice closes on November 3, 2025. OPA will share our submission with members prior to the government’s consultation closing.
Our voices are stronger together!
Questions? Contact OPA at physiomail@opa.on.ca
Today we recognize the National Day for Truth and Reconciliation. On September 30 we honour and remember the Indigenous children who never returned home, survivors of residential schools, and their families and communities.
Watch Courtney Bean, OPA’s President, speak about this day, its history, and significance to all of us. Check out resources below mentioned in the video.
Following the Announcement, the Government of Ontario opened a public consultation on the scope of practice for a number of regulated health professions and specifically included the authority for physiotherapists to order diagnostic imaging.
Scope of practice expansion began under the Physiotherapy Act, 1991 in 2009. Specifically, members will recall that the Physiotherapy Act was amended to:
These changes have been in place for some time. Combined with the earlier extension of authority to “administer a substance by inhalation” that was extended prior, the scope changes arguably represent the most extensive granted to any profession that was regulated by the Health Professions Regulations Act when it came into force and effect in 1993. With the pending addition of diagnostic imaging, the only outstanding authority is the ability to order of lab tests.
In the fall of 2024, OPA collaborated with the College of Physiotherapists of Ontario to update past submissions to the Ontario Government on scope of practice implementation. This included the results of a 2024 updated survey of Ontario physiotherapists to understand the current landscape. A comprehensive submission has already been made to the Ministry in advance of this announcement. OPA has been committed to advocacy in this area dating back to 2009. View the timeline of OPA activities related to scope changes.
Once this current consultation period has ended, the following amendments to regulations need to occur. The changes to regulations are under the authority of the Minister of Health, subject to approval by Cabinet. Implementation of the physiotherapy scope of practice changes require:
Physiotherapists are also seeking the ability to order laboratory tests, but the announcement did not reference this request. The following regulation changes would be required:
This announcement is consistent with the government’s commitment to advance scope of practice expansion. The public consultation is a forum for the government to share its intent and to receive input on the benefits and risks of implementing scope of practice changes for multiple regulated health professionals including physiotherapists. We remain optimistic that following the completion of the consultation on November 3, 2025 the government will move quickly with the needed regulation changes to expand the scope of practice for physiotherapists.
Thanks to all who provided thoughts to inform OPA’s feedback. This feedback closed October 8, 2025.
The Government of Ontario has released a consultation on the proposed changes to scope of practice closing on November 3, 2025.
We are actively collecting feedback from the physiotherapy community to include in our response to this consultation, which closes on November 3, 2025.
In addition to a summary of the existing PT competencies and scope of practice already passed in legislation, OPA will ensure the following points are clearly articulated with supporting evidence.
Implementing the authority for physiotherapists to order diagnostic imaging will:
OPA will share our submission with members prior to the government’s consultation closing.
We strongly encourage all PTs to provide their support through any of the two remaining pathways with comments directly to the Government’s consultation or continue with our letter writing campaign. Our voices are stronger together!
Questions? Contact OPA at physiomail@opa.on.ca