Welcome to the Royal College of Chiropractors

The RCC is a registered charity promoting professional excellence, quality and safety in chiropractic. We are an apolitical professional membership body of over 2800 members. The organisation promotes and supports high standards of education, practice and research, enabling chiropractors to provide, and to be recognised for providing, high quality care for patients. You can learn about the RCC on our about page. 

HPU Bulletin: New Chiropractic Quality Standard for Osteoporosis

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New Chiropractic Quality Standard for Osteoporosis

The Royal College of Chiropractors’ Health Policy Unit is pleased to announce the publication of a new quality standard which covers the chiropractic assessment and management of patients with osteoporosis and those at risk of osteoporotic fracture.

This quality standard is specific to the environment in which chiropractic care is provided; a setting that is often less constrained by time and resource limitations than other healthcare settings, and where the physical nature of some therapeutic interventions means that understanding a patient’s bone health is of particular importance. Patients present to chiropractors with a wide range of different complaints and (whether or not related to their presenting condition) the presence of osteoporosis, an osteoporotic fracture or major risk factors of osteoporosis should be a consideration.

Chiropractors have the skills and competencies to identify those patients with significant risk factors prior to the potential deterioration in bone density, and to provide early preventative support and advice. Fractures due to osteoporosis are a significant and growing public health concern and chiropractors are well-placed to identify those at risk, support them to make the necessary lifestyle and practical changes to help limit that risk, and to make appropriate referrals for further investigations and management. This embraces best practice in relation to the public health responsibilities of primary healthcare practitioners.

Vertebral fractures are the most common osteoporotic fracture although up to 70% do not come to medical attention and thus remain undiagnosed. Patients with these fractures often present to chiropractors with an increased kyphosis, loss of height and back pain. Given that vertebral fractures are a powerful predictor of further fracture, chiropractors have an important role to play in identifying and managing these patients, including making appropriate referrals, in an attempt to reduce the risk of further fractures.

Due to the prevalence of osteoporosis, increasing numbers of patients that present to chiropractors have already been diagnosed and are taking medications for the condition. Depending on the circumstances, chiropractors may have a multi-disciplinary role to play in co-managing these patients by providing conservative, non-pharmacological care, as well as communicating with the patient’s GP or other healthcare professionals.

Many different patient presentations are associated with osteoporosis, from those who simply have a number of positive risk factors to patients in severe pain having suffered a recent fracture, and the exact management will be different in each case. Therefore, the quality statements that make up the new quality standard are general but, nevertheless, provide achievable markers of high-quality, cost-effective patient care.

The RCC’s Chiropractic Quality Standard for Osteoporosis is available for download here in full and abbreviated versions. A separate copy of the Osteoporosis Assessment and Management Flowchart, which forms part of the full version of the document, is available on the same webpage.

Chiropractic & Manual Therapies gains an Impact Factor

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Chiropractic & Manual Therapies gains an Impact Factor

The Royal College of Chiropractors is delighted to announce that the Royal College’s official journal, Chiropractic & Manual Therapies (CMT), has been included in the Science Citation Index – Expanded (SCIE), under the ‘Rehabilitation’ category. Journals in the SCIE are indexed in Web of Science and also receive an Impact Factor, which is a very significant measure of the high quality of the publication. Given that this decision was made very recently, CMT won’t get an Impact Factor with this year’s release of the Journal Citation Reports, but will receive it in June 2020,

This achievement means that CMT will be the first journal in the world with “chiropractic” in its title to attain an impact factor.

Professor Bruce Walker AM, Editor in Chief, stated that ‘this success is due to the collective efforts of a large group of people who have supported the journal over its long 29-year history. There are indeed too many to mention however, there are some very important contributors to the accomplishment. First, the staff of publishers BMC whose professional stewardship over 14 years has been outstanding, and members of the CMT editorial team, past and present. The editorial board has provided advocacy, reviews and advice regarding the journal that paved the way for success. Authors and peer reviewers are to be acknowledged as well’

Professor Walker went on to thank all who believed in the journal and to the many readers who have accessed articles. The journal is now truly established and, with continued support, will thrive in the coming years and decades.

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HPU Bulletin – Suspected neurological conditions

Suspected neurological conditions: recognition and referral
NICE guideline [NG127]

Published this month, NICE Guideline NG127 covers the initial assessment of symptoms and signs that might indicate a neurological condition. It helps healthcare professionals working in primary and secondary care identify people who should be offered referral for specialist investigation.

The guideline, which gives recommendations for people aged 16 and over, as well as children and young people aged under 16, and includes a helpful interactive flowchart for a wide range of neurological conditions, will provide a useful evidence-based resource for chiropractors.

Osteoporosis Quality Standard Consultation

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Osteoporosis Quality Standard Consultation

The Royal College of Chiropractors has opened a consultation on a draft Osteoporosis Quality Standard and is seeking the views of all stakeholders including interested organisations, chiropractors, other healthcare professionals, patients and the public. You can read the draft document and participate in the consultation here.

Undergraduate Essay Competition

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Undergraduate Essay Competition

The Royal College of Chiropractors is pleased to announce a new Undergraduate Essay Competition. Open to all undergraduate students currently studying chiropractic in the UK, this competition provides an opportunity for students to develop and share their thinking about the current status and/or future of the profession.

The winner, and the runner-up, will each receive a certificate and an expenses-paid trip to the RCC’s AGM in London on 30th January 2019. Their essays will also be published in an RCC publication. The winning author will, in addition, receive a £150 cash prize.

Full details are available here.

RCC Bursaries for Studies in Research Methods, EBP or Clinical Audit

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RCC Bursaries for Studies in Research Methods, EBP or Clinical Audit

The Royal College of Chiropractors is pleased to announce that a number of bursaries are to be awarded for the 2017/18 academic year to enable members to register for Masters-level modules in Research Methods, Evidence-based Practice or Clinical Audit. For more information and to apply visit: Research Study Bursaries. Deadline: 12 noon, Friday 9th November 2018.

Musculoskeletal core capabilities framework

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HPU Bulletin - Musculoskeletal Core Capabilities Framework

Released this week, the Musculoskeletal core capabilities framework for first point of contact practitioners is essential reading for chiropractors. Published by NHS England, Health Education England and Skills for Health 2018, the Framework was developed with the Arthritis and Musculoskeletal Alliance (ARMA), of which the RCC is part, and a range of other stakeholders across the whole MSK sector. See here for details.

Embedding physical activity in the undergraduate curriculum

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Embedding physical activity in the undergraduate curriculum

All healthcare professionals are well-positioned to influence positive lifestyle changes among their patients, and encouraging physical activity is a vital part of helping patients avoid and manage health problems. However, physical activity is not well integrated into undergraduate curricula for medicine and other healthcare professions.

The ‘Embedding Physical Activity’ report and appendices, co-authored by Ann Gates of Exercise Works who gave a keynote address at the Royal College of Chiropractor’s AGM in January 2018, was commissioned by Public Health England (PHE) & Sport England (SE) as part of their Moving Healthcare Professionals Programme, and is aimed at embedding physical activity into undergraduate curricula. It highlights the initiatives of the Chiropractic Schools and the RCC which are working towards better incorporating physical activity into undergraduate chiropractic training and continuing professional development as part of a wider public health initiative.