Posts Tagged ‘General Chiropractic Council (GCC)’
Taking the strain
The General Chiropractic Council‘s occasional News from the GCC publication rarely makes interesting reading. It’s usually a mish-mash of stuff only of interest to chiropractors.
But there is an occasional interesting item or two.
The latest issue discusses the apparent ongoing debate between the Advertising Standards Authority (ASA) and the GCC:
The ASA Committee of Advertising Practice (CAP) – the debate goes on
The latest issue we’ve flagged up to the team at CAP relates to claims to treat minor sports injuries.
Its AdviceOnline in respect of osteopathy and physiotherapy states that CAP has accepted that they may claim to help minor sports injuries, but there is no mention of this for chiropractic. In respect of physiotherapy, CAP goes on to state that
“At the present time, CAP is unlikely to ask to see evidence for the treatment of minor conditions.”
We’ve asked CAP to confirm that it would take the same approach to any claims made by chiropractors about minor sports injuries. As ever, we’ll keep the profession in touch with progress.
We have the situation where the GCC — the statutory regulator for chiropractors, who frequently claim to be a primary health-care profession — is asking the ASA — the voluntary advertising regulator, funded through a levy on advertising spend — to add minor sports injuries back onto their list so their registered chiropractors can make claims about it!
Let’s see if we can help answer the GCC’s query.
Out with the old…
When I submitted my complaints about claims made on chiropractic websites in June 2008, a fundamental requirement regulating what chiropractors could claim — firmly embedded in their Code of Practice — was that they only advertise consistent with guidance issued by the Advertising Standards Authority (ASA).
At that time, the General Chiropractic Council‘s Code of Practice that was in effect was the 8 December 2005 version and the relevant clause was C1.6. Let’s put it fully in context:
Chiropractors must justify public trust and confidence by being honest and trustworthy.
C1 Chiropractors must act with integrity and never abuse their professional standing.
Specifically chiropractors:
…
C1.6 may publicise their practices or permit another person to do so consistent with the law and the guidance issued by the Advertising Standards Authority. If chiropractors, or others on their behalf, do publicise, the information used must be factual and verifiable. The information must not be misleading or inaccurate in any way. It must not, in any way, abuse the trust of members of the public nor exploit their lack of experience or knowledge about either health or chiropractic matters. It must not put pressure on people to use chiropractic.29
______________________
29 For example, by arousing ill-founded fear for their future health.
This clearly mandates chiropractors to ensure any advertising complies with ASA guidance, remembering that ASA guidance includes the CAP Code, other guidance and their adjudications.
In prosecuting my complaints, the GCC inexplicably forgot all about the requirement to be consistent with ASA guidance and came up with some arbitrary standard of evidence for compliance. The Professional Conduct Committee begged to differ even with that and effectively allowed any old evidence to be used to substantiate chiropractors’ claims. To understand the whole story, see Humpty Dumpty regulation.
Humpty Dumpty regulation
The phrase Humpty Dumpty chiropractic cropped up in a Google Alert a few days ago. It was the fitting title of an editorial (cached) in the December 2010 issue of Clinical Chiropractic, which discussed the slippery and nebulous meaning of vertebral subluxation complex (VSC).
For those who don’t remember their childhood, in Lewis Carroll’s Through the Looking Glass, Humpty Dumpty is discussing the meaning of words with Alice. HD remonstrates:
‘When I use a word,’ Humpty Dumpty said in rather a scornful tone, ‘it means just what I choose it to mean — neither more nor less.’
Such equivocation is typical of on-line conversations with chiropractic supporters discussing the VSC, but it applies elsewhere as well.
Where the evidence leads
Google Alerts is a very useful tool for skeptics. It sends you an email whenever the word or phrase you’ve asked for crops up in their searches of news, blogs or other websites. They are excellent for keeping tabs on what’s going on by helping you track new stories and hits.
Naturally, I have one set up for the General Chiropractic Council (GCC), just to see where they crop up on web sites and in the news.
A few days ago, I received a Google Alert about a page that had been recently updated, although the mention of the GCC was from some time ago. It linked to a decision by the Press Complaints Commission (PCC) about complaints made by the GCC against the Daily Telegraph, the Daily Mail and the Guardian about articles published on 9 November 2007.
According to the GCC, the articles said:
- Chiropractors ‘are waste [sic] of money’, Daily Telegraph, Rebecca Smith
- Chiropractors ‘are a waste of time’, Daily Mail, Jenny Hope
- ‘Chiropractors may be no use in treating back pain, study says’, The Guardian, Alok Jha
Nothing new there, then.
Getting their nappies in a twist
It had never occurred to me that one of the important design parameters of a nappy would be how little noise it makes when flexed.
However, this seems to be a USP for some manufacturers and they want to tell prospective customers all about it.
Credit where credit’s due
I’m insulted. I’m miffed. My good name…
How could anyone possibly think that I would complain to the Advertising Standards Authority about misleading claims for AltMed?
Someone objected to claims being made by the Craniosacral Therapy Association (CSTA) in one of their leaflets.
It wasn’t me!
Chiro evidence for subluxations pwned — by chiros!
When the British Chiropractic Association published its ‘plethora‘ of 29 references they thought supported chiropractic for childhood conditions, it took just 24 hours for it to be utterly demolished by scientists and skeptics. Only 18 of these were relevant to chiropractic and childhood conditions.
Shortly after that, Fiona Godlee, Editor on the BMJ, commenting on an article by Prof Edzard Ernst, said:
But in response to our recent editorial by Evan Harris (doi:10.1136/bmj.b2254), the vice president of the BCA, Richard Brown, has now presented the evidence (doi:10.1136/bmj.b2782). He writes, “There is in fact substantial evidence for the BCA to have made claims that chiropractic can help various childhood conditions” and lists 18 references. Readers can decide for themselves whether or not they are convinced. Edzard Ernst is not (doi:10.1136/bmj.b2766). His demolition of the 18 references is, to my mind, complete.
This, presumably, was the best evidence the BCA could muster and it was left in tatters by those more knowledgeable about science and robust trials.
The beginning of the end? Part three
It’s only taken 433 days to get this far.
On Saturday, I received three batches of letters from the General Chiropractic Council (GCC), sent Recorded Delivery.
These letters are the formal notices that a complaint against a chiropractor has been considered by the Investigating Committee, that they have decided that there is a case to answer and that the complaint will go before their Professional Conduct Committee (PCC).
The letters consist of the formal notice, the Notice of Allegation and some of the website pages that contained the claims I complained of and where they were using the title ‘Dr’. The Notices of Allegation are all very similar to this redacted one; straight and to the point. (There’s lots to be said about the documents and I’ll cover that in a separate blog post.)
I have so far received these formal notices for 93 chiropractors.
There will be far more to follow.
Murky waters
In The beginning of the end? Part two, I mentioned there was going to be more on sciatica.
I have already described how the GCC have dealt with chiropractors making claims about sciatica, even though the GCC admits that:
…there is no high or moderate positive evidence from randomised controlled trials that would support an advertised claim regarding sciatica using manual therapy. In the light of this, the Investigating Committee concluded that it could be inappropriate for you to make such an advertised claim.
Despite this damning statement, the chiropractors I’ve been told about so far have all been let off for making claims about sciatica.
However, it appears that there is more to this than first meets the eye.
The beginning of the end? Part two
Last time, I said I’d have more to say on the letters I’ve received so far.
I said that seven of the 36 were dismissed because the chiropractors mentioned on the websites were no longer at that clinic and therefore — by the GCC’s reckoning anyway — were no longer responsible for claims made. My arithmetic was faulty; there were eight, leaving 35 others. I’ve corrected the previous blog post.
This post deals with why the Investigating Committee (IC) decided there was no case to answer in most of these 35.
