A registered health professional is taken to have contravened the required standard of practice if—
(a) the health professional believes on reasonable grounds that—
(i) another registered health professional has contravened or is contravening a required standard of practice or a suitability to practice requirement; and
(ii) the contravention has had, or is likely to have, a substantial affect on a member of the public; and
(b) the contravention does not relate to an administrative matter; and
(c) the health professional does not tell a health professional board about the belief; and
(d) the contravention has, or has had, a substantial effect on a member of the public.