THE NEWFOUNDLAND AND LABRADOR GAZETTE EXTRAORDINARY

Part II PUBLISHED BY AUTHORITY ST. JOHN'S, TUESDAY, JULY 3, 2007 NEWFOUNDLAND AND LABRADOR REGULATION NLR 72/07

Extraordinary Gazette July 3, 200 7 3 NEWFOUNDLAND AND LABRADOR REGULATION 72/07 Commission of Inquiry on Hormone Receptor Testing Order under the Public Inquiries Act, 2006 (O.C. 2007-300) (Filed July 3, 2007) Under the authority of

section 3 of the Public Inquiries Act, 2006, the Lieutenant-Governor in Council makes the following Order. Dated at St. John’s, July 3, 2007. Gary Norris Clerk of the Executive Council ORDER Analysis 1.

Short title 2. Commission of inquiry established 3. Terms of reference 4. Conclusions or recommen- dations limited 5. Final report 6. Commencement 1. This order may be cited as the Commission of Inquiry on Hor- mone Receptor Testing Order. 2. There is established a commission of inquiry on hormone re- ceptor testing and the Honourable M.A. Cameron is appointed as the sole member of the commission. 3. The commission of inquiry shall

Short title Commission of inquiry established Terms of reference

Commission of Inquiry on Hormone Receptor Testing Order 72/07 Extraordinary Gazette July 3, 200 7 4 (

a) inquire into why the estrogen and progesterone hormone receptor tests done between 1997 and 2005 in the New- foundland and Labrador health system resulted in a high rate of conversions when re-tested; (

b) inquire into why the problem with the estrogen and proges- terone hormone receptor tests was not detected until 2005, whether it could have been detected at an earlier date, and whether testing protocols during that period between 1997 and 2005 were reasonable and appropriate; (

c) inquire into whether, once detected, the responsible authori- ties responded and communicated in a timely manner to those women and men who needed re-tests and those who were being tested for the first time; (

d) inquire into whet her, once detected, the responsible authori- ties communicated in an appropriate and timely manner with the general public and internally within the health system about the issues and circumst ances surrounding the change in test results and the new testing procedures; (

e) advise whether the estrogen and progesterone hormone re- ceptor testing systems and pro cesses and quality assurance systems currently in place are reflective of "best practice"; and (

f) make the recommendations that the commission of inquiry considers necessary and advisa ble relating directly to the matters of public concern referred to in paragraphs (

a) to (e). 4. The commission of inquiry shall not express any conclusion or recommendation regarding the civil or criminal responsibility of any person or organization. 5. The commission of inquiry shall terminate its work and deliver the final report to the Minister of Health and Community Services, who shall be the minister responsible for the commission of inquiry, on or before July 30, 2008. 6. This Order shall come into force on July 3, 2007. ©Earl G. Tucker, Queen's Printer Conclusions or recommendations limited Final report Commencement

5 ST. JOHN'S, TUESDAY, JULY 3, 2007 Index Title of Act and Subordinate Legislation CNLR or NL Gazette made thereunder NL Reg. Amendment Date & Page No. Public Inquiries Act, 2006 Commission of Inquiry NLR 72/07 New July 03/07 p. 3 on Hormone Receptor Testing Order