Our offices are now closed with all staff working from home. Please do not telephone, but direct all your queries to admin@rcc-uk.org. The relevant staff member will contact you by email or phone.

Welcome to the Royal College of Chiropractors

The RCC is a registered charity promoting quality, safety and professionalism 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. 

Latest Covid-19 Infection Prevention and Control (IPC) Guidance

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Latest Covid-19 Infection Prevention and Control (IPC) Guidance

New, official COVID-19 guidance for the remobilisation of services within health and care settings: infection prevention and control (IPC) recommendations was issued jointly by the Department of Health and Social Care (DHSC), Public Health Wales (PHW), Public Health Agency (PHA) Northern Ireland, Health Protection Scotland (HPS)/National Services Scotland, Public Health England (PHE) and NHS England on 20 August 2020.

This guidance desribes the covid-19 management pathways for the treatment, care and support of patients/individuals and has important implications for the PPE chiropractors need to use at this time.

HPU Bulletin: New Chiropractic Quality Standard for Headache

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HPU Bulletin: New Chiropractic Quality Standard for Headache

The Royal College of Chiropractors’ Health Policy Unit has announced the publication of a new quality standard which covers the chiropractic assessment and management of adult patients presenting with headache.

Headaches are one of the most common health complaints, with most people experiencing them at some point in their life. The World Health Organization (WHO) reports that almost half of all adults worldwide will experience a headache in any given year. In the Global Burden of Disease Study 2017, headache disorders were the second most prevalent condition worldwide, as well as the second highest cause of years lost due to disability (YLD).

In the UK, migraine headache occurs in 15% of the adult population, with around 200,000 individual episodes estimated every day, resulting in high levels of disability and work absence, as well as having a significant impact on the wider economy. Episodic tension-type headaches affect 80% of people at some time, and are chronic (having more days with a headache than without one) in up to 3% of the population. Medication-overuse headache is the third most common cause of headache, affecting up to 2% of adults. Despite these figures, headache is under-estimated, under-diagnosed and under-treated, and remains a major public health concern.

Chiropractors regularly see patients that present with headache, often having not been seen by any other healthcare professional, and with no diagnosis having been made. Chiropractors have the skills and competencies to assess patients in order to diagnose most primary headaches, identify secondary headaches that require further investigation and, importantly, recognise the red flags that indicate a medical emergency.

As well as having a role in the management of some primary headaches and a few secondary headaches (in particular cervicogenic headaches), chiropractors also play an important public health role in providing support and advice to patients, signposting and making appropriate referrals.

There are a wide range of different patient presentations associated with headache and the management in each case will be different, requiring an individualised approach. The quality statements that comprise the new Headaches Quality Standard are therefore general but, nevertheless, provide aspirational but achievable markers of high-quality, cost effective patient care.

Given the chronic nature of many headaches, where appropriate, the Headaches Quality Standard should be read in conjunction with the chiropractic quality standards on “Chronic Pain” and “Supportive Self-Management in Chronic Care”, both also published by the Royal College of Chiropractors.

All the RCC’s Chiropractic Quality Standards are available for download here in full and abbreviated versions. Note that a  separate copy of the Headache Assessment & Management Flowchart, which forms part of the full version of the Headaches Quality Standard, is available on the same webpage.

Assuring safe chiropractic practice during the Covid-19 pandemic

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Assuring safe chiropractic practice during the Covid-19 pandemic

With the R value of covid-19 falling below 1, active introduction of test, track & trace, and essential PPE becoming more accessible, the RCC recognises that it may now be feasible for some chiropractors to decide that, in their professional opinion and depending on their individual circumstances, they are able to offer face-to-face care, for some patients, that meets an appropriate safety threshold.

The RCC advises that it is important for every chiropractor to engage in a stringent risk management process in order to establish the special culture of safety required in clinics during the covid-19 pandemic, and a new RCC document outlines the key requirements of such a process.

Planning for the provision of safe chiropractic care during the Covid-19 pandemic

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Planning for the provision of safe chiropractic care during the Covid-19 pandemic
 
In notices issued on 24th March 2020 and 9th April 2020, the Royal College of Chiropractors (RCC) advised chiropractors to stop seeing patients in person and clinics to remain closed in order to comply with government guidance on social distancing.
 
This government guidance has not changed, and the RCC’s advice for clinics to remain closed for face-to-face care has not changed. However, the RCC has issued guidance to assist chiropractors in recognising what is required from a risk management perspective in order to prepare and plan for the provision of face-to-face chiropractic services as the pandemic continues.

Advice to chiropractors regarding clinic closures

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Advice to chiropractors regarding clinic closures
 
The government has advised this evening that while current measures to curb the spread coronavirus are starting to have an impact, it is too early to lift restrictions. Thus, further to advice issued on 24th March 2020, the Royal College of Chiropractors continues to advise chiropractic clinics to remain closed for face-to-face consultations, until further notice.

RCC Research Bulletin: Spinal manipulation and the immune system

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RCC Research Bulletin: Spinal manipulation and the immune system

A new RCC research bulletin, available here, explains that:

  • There are no clinical trials of the effectiveness of SMT on enhancing immunity to infectious diseases
  • A few published studies report cellular/molecular responses to SMT in vitro, however these are contradictory and offer no evidence of an overall likely pro-immune, clinically-relevant effect in patients
  • There has been no systematic appraisal of the quality of the studies in this field
  • There is no evidence enabling claims to be made for effectiveness of spinal manipulation on immunity

 

Information for RCC event delegates regarding Coronavirus (Covid-19)

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Information for RCC event delegates regarding Coronavirus (Covid-19)

We expect delegates at our events to follow the Public Health England (PHE) guidance regarding Covid-19. Thus, those who have travelled to the UK from specific locations identified by PHE (including, but not limited to, Hubei province in China and lockdown areas in northern Italy) must stay indoors and avoid contact with other people even if no symptoms are present. For a wider range of locations, the same applies if symptoms are present.

Please refer to the PHE guidance if you have recently travelled to the UK from elsewhere, and adhere to the guidance.

Furthermore, if you have reason to believe that you have been in close contact with someone who has coronavirus, you should call NHS 111 and follow the guidance provided.

If following PHE or NHS guidance requires you to self-isolate, please contact us to let us know. Under these circumstances you must not attend our events.

Contact us at: T: 01491 340022 | E: admin@rcc-uk.org

We feel honoured to share an inspiring #WorldOsteoporosisDay message from our President, Her Royal Highness The Duchess of Cornwall: https://bit.ly/3o5Hy9k

@ClarenceHouse #BoneHealth #Osteoporosis

As health & care professionals, there has never been a more important time to focus on #publichealth. Over the past 6 months we have seen over 13,000 hours of free e-learning taking place using our @PHE_uk @HEE_TEL #AllOurHealth resources. View now👇https://www.e-lfh.org.uk/programmes/all-our-health/

Today marks the end of #BoneJointWeek with #WorldOsteoporosisDay from @IofBoneHealth.

#Osteoporosis can cause life-changing broken bones (fragility fractures). Exercise, diet and lifestyle for good life-long bone health is vital, now more than ever.

http://www.arma.uk.net/bonejointweek

Pregnancy Associated Osteoporosis (PAO) is a severe and rare form of osteoporosis. Read our infographic below to learn more information #WorldOsteoporosisDay #BoneJointWeek #PregnancyAssociatedOsteoporosis @WeAreARMA

This World Osteoporosis Day, find out more about the Royal College of Chiropractors’ Quality Standards, including the new Osteoporosis Quality Standard, at NICE Evidence https://bit.ly/33T7ZHx

Osteoporosis weakens bones and leads to fractures. It causes severe disability, but can be detected early... #WorldOsteoporosisDay @iofbonehealth @RoyalOsteoSoc @OsteoporosisNOF

Children are affected by bone, joint and muscle problems too and this can impact children both physically and emotionally.

Now more than ever, good musculoskeletal health is vital for children.

See our webinars http://www.arma.uk.net/bonejointweek

#BoneJointWeek

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