Having the conversation is easy; creating the change is hard.
We've changed the name around scope of practice, but we have not done nearly enough in moving to the core competency model. It's a ping-pong game between the health education system, which says it's willing to train to a competency model if the regulatory bodies will approve their licences afterwards, and the regulatory bodies, which say they'll approve on a competency model if the education system starts to produce them. There are a lot of turf and silo aspects, so it has not moved nearly as far or as fast as it should.