Consultation on a new Chiropractic Quality Standard: Low Back Pain and Sciatica

Quality Standards are tools designed to help deliver the best possible outcomes for patients. They are a series of specific, concise quality statements with associated measures that provide aspirational, but achievable, markers of high-quality patient care covering the treatment of different conditions. They also play an important part in addressing the increasing priority being placed on improving quality and patient outcomes.

The Royal College of Chiropractors (RCC) announces the launch of a consultation on a draft RCC Low Back Pain & Sciatica Quality Standard which updates, combines and replaces the previous Quality Standards on Chronic Low Back Pain and Acute Low Back Pain. The views of all stakeholders including interested organisations, chiropractors, other healthcare professionals, patients and the public are sought.

Comments are invited on any aspect of the document including its relevance and applicability to the chiropractic profession, the achievability of the standards described in the quality statements, the utility of the quality statements in terms of promoting best care, the document’s accuracy and validity in terms of the evidence base and the clarity of the content to practitioners, patients and other stakeholders.

Any comments must be submitted by the deadline of 12 noon on Friday 2nd August 2024 using the consultation form provided. Comments will inform the production of the final version of the quality standard which will be widely publicised.

You can read the draft document and participate in the consultation here

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Chiropractic Practice Standard: Clinical Record Keeping

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Chiropractic Practice Standard: Clinical Record Keeping

The Royal College of Chiropractors’ Chiropractic Practice Standards are evidence-based documents designed to help chiropractors meet their obligations in the provision of patient care and/or the governance of their services. For each area of practice, they:

  • Highlight relevant elements of the General Chiropractic Council’s Code, and relevant legislation, as requirements;
  • Provide expected standards of practice informed by the evidence;
  • Provide additional helpful guidance; and
  • Provide a benchmark for normal practice.

The RCC’s new Chiropractic Practice Standard on Clinical Record Keeping, formally launched today, focuses on the principles and expected standards of clinical record keeping in a chiropractic care setting and aims to assist chiropractors to achieve those standards.

Consultation – Chiropractic Practice Standard: Clinical Record Keeping

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CONSULTATION – Chiropractic Practice Standard: Clinical Record Keeping

The Royal College of Chiropractors’ Chiropractic Practice Standards are evidence-based documents designed to help chiropractors meet their obligations in the provision of patient care and/or the governance of their services. For each area of practice, they:

  • Highlight relevant elements of the General Chiropractic Council’s Code, and relevant legislation, as requirements;
  • Provide expected standards of practice informed by the evidence;
  • Provide additional helpful guidance; and
  • Provide a benchmark for normal practice.

This new Chiropractic Practice Standard focuses on the principles and expected standards of clinical record keeping in a chiropractic care setting and aims to assist chiropractors to achieve those standards. The RCC now wishes to consult on the content of the draft document.

The consultation is aimed, in particular, at the chiropractic profession, but the RCC is also keen to hear from other health professionals, health & care organisations, commissioners, patients and the public. It particularly wishes obtain views on the following questions:

  1. Have we identified all the relevant requirements of chiropractors in the context of clinical record keeping
  2. Do the expected standards of practice reflect normal practice and have we included the appropriate evidence to support them? Is anything missing?
  3. Should we include any additional guidance?
  4. Are our statements clearly expressed such that chiropractors, other health professionals, health & care organisations, commissioners, patients and public can reasonably be expected to understand what we mean?

The consultation document and response form are available here:

Clinical Record Keeping Consultation Document

Consultation Response Form

Deadline for receipt of responses: 5pm, Friday 19th May 2023

The consultation has now closed

Access to Health Education England’s IRMER and MRI Safety training for chiropractors

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Access to Health Education England’s IRMER and MRI Safety training for chiropractors

Essential CPD for x-ray referrers
If you refer out for x-ray imaging to private service providers, such as Ramsay Health, Spire etc, you will have found that, as an x-ray referrer, you need to provide evidence that you are up-to-date with your IRMER training. It is common policy to require up-to-date completion certificates from high quality training such as the relevant ‘e-IRMER’ modules on Health Education England’s e-LFH (electronic learning for health) platform.
 
Essential CPD for chiropractors with x-ray facilities
In the best interests of patient safety, remaining up-to-date with all aspects of IRMER is essential for chiropractors who have in-house x-ray facilities.
 
Essential CPD for MRI referrers
If you refer patients for MRI, you may need to show service providers that you are up-to-date with ‘MRI Safety Training for Referrers’, which is also hosted on the e-LFH platform.

Access to e-LFH is normally limited to NHS staff, however I am pleased to advise that the Royal College of Chiropractors has arranged access for chiropractors to the relevant e-IRMER and MRI Safety for Referrers learning modules on the e-LFH platform. This high-quality training is provided free of charge to RCC members and represents another valuable addition to the RCC membership package.

The same training is also available via the RCC for non-members at a cost of £115. If you wish to make use of this essential resource, please contact admin@rcc-uk.org to obtain your access details.

NICE Publishes Workplace Health Quality Standard

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NICE Publishes Workplace Health Quality Standard

A NICE quality standard on Workplace Health (QS202) has been published on the NICE website.

This quality standard covers how to help people return to work after long-term sickness absence, reduce recurring sickness absence, and help prevent people moving from short-term to long-term sickness absence. It covers everyone aged over 16 in full-time or part-time employment (paid or unpaid), and describes high-quality care in priority areas for improvement.

Research Grant Awards 2021

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Research Grant Awards 2021

The RCC is pleased to announce the availability of a grant to support staff costs in relation to a research project commencing during 2021. Applications are invited from UK institutions to fund the costs of personnel undertaking research in the UK, but may relate to projects that involve collaboration with partner/s overseas.

Innovation Grant – £15k for 1 year:

Applications will be considered for projects in any area of research relevant to neuro-musculoskeletal health. Priority will be given to projects that adopt an innovative approach and attract matched funding.

[N.B. RCC Innovation Grant holders will be eligible for NIHR Clinical Research Network Support if their project is of clear and demonstrable value to the NHS.]

The deadline for receipt of applications for projects commencing in 2021 is Friday 23 July 2021.

Please visit this page for full details, including an Application Form and Conditions of Award.

RCC Research Committee Bulletin

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RCC Research Committee Bulletin

Global summit on SMT

A new RCC Research Committee Bulletin, available here, summarises a recent study that reviewed the evidence for the efficacy and effectiveness of Spinal Manipuative Therapy (SMT) for the treatment of non-musculoskeletal conditions. The findings and limitations of the study are discussed.

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.

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.