This document discusses New Zealand and Australian health regulation, specifically the scope of practice for healthcare professions. It outlines the process undertaken so far to reform osteopathic scope of practice, including establishing vocational/extended scopes. It notes the need for additional scopes to recognize post-graduate skills and specializations. Suggested new osteopathic scopes include areas like paediatrics, geriatrics, acupuncture, and prescribing. The document also discusses partnerships and next steps in the reform consultation and approval process.