The Quackometer

As I write this, two married Australian homeopaths are spending their first nights in gaol as they begin prison sentences for six and four years respectively for the manslaughter of their baby daughter, Gloria.

This is a tragic, not least for the convicted parents. A nine month old baby died unnecessarily in the most horrific way because of her parent’s belief in the superiority and power of homeopathic sugar pills. Gloria suffered from severe eczema where the sores became severely infected. She constantly cried in pain and her skin became broken and oozing with fluid. She became malnourished and died.

This case has very important implications for those who are seeking better ways to regulate the so-called ‘complementary and alternative medicine’ (CAM) sector here in the UK. Understanding the nature of this tragedy will highlight the shortcomings of the approaches being taken by the government.

The parents of baby Gloria Thomas have been branded “cruel”, “arrogant” and “irresponsible”. The couple wept in the dock and it is easy to understand why. It is not just the loss of their daughter, or their impending incarceration, but almost undoubtedly their complete failure to understand what has happened to them.

This gulf may be difficult to grasp by those who do not understand the nature of homeopathy and see it just as a natural and safe complementary medicine. It is nothing of the sort. Whilst its pills are completely safe (they are just sugar pills), the homeopathic belief system is quite dangerous. Homeopathy does not define itself as complementary. It is not designed to assist treatments by real medicine. Homeopathy defines itself as ‘a compete system of medicine’ in its own right and, importantly, it defines itself in conflicting opposition to what homeopaths call ‘allopathy’ – or mainstream medicine. Homeopathy is strictly alternative.

The founder of homeopathy, Samuel Hahnemann, was keen to discover the universal laws of health and to create general and complete principles of healing. Homeopathy is the result. Indeed, Hahnemann saw chronic disease as actually being caused by other forms of non-homeopathic treatment and that deviations from the strict homeopathic doctrines as being disastrous for health. The Society of Homeopaths describe homeopathy on the front page of their site as a “complete system of medicine”. It describes how homeopathy can treat “all a patients symptoms”. This is a system that is not presented as a complement to other therapies, but a full system in its own right.

These belief systems persist for many interesting reasons. In two hundred years, the homeopathic principles have not been underpinned with an evidence base of any reliable sort. Worse, the principles have been shown to be in direct contradiction with well established principles of physics and chemistry. Homeopathy is magical in its nature, not scientific. The beliefs persist not because of their veracity but because they are taught within a cult-like atmosphere. The homeopath, Michael Bridger writes that,

The unwritten rule is not to be critical or try to define. No one has to publicly burn the books; you simply deify the inane and render critical thought unfashionable. Politically, this is a sophisticated form of authoritarianism; medically and clinically, it is the seeds of psychosis.

Recently, another homeopath has commented on Gimpy’s blog about the cult like nature of homeopathy. She describes it as a ‘pyramid scheme’, and like all successful pyramid schemes you need to ‘sell the dream.’ In her words, “We alone care about health – everyone else (Big Pharma, allopaths, EU, WHO, in conscious conspiracy, only wish to destroy health.” and, importantly for the case of Gloria, “You can be a part of saving the world’s health – but you have to be brave enough to tackle any case”.

I have recently received in the post some lecture notes from a UK homeopathy school accredited by the Society of Homeopaths. The notes describe a case of someone with a notifiable disease who was treated homeopathically without alerting the authorities, on the basis that the homeopath’s conscience dictated that he should not. To legally notify an allopath would be to alert the enemy, no doubt. When treating cancer homeopathically, the students are told to ‘trust and wait’. I will be writing more about this soon. Being trained to avoid medicine and trust only in homeopathy is mainstream thought in homeopathy, not exceptional.

The other cult-like aspect of homeopathy is its insistence in believing in a spiritual force that is being manipulated by the pills. According to Hahnemann, it is the ‘Vital Force’ that needs help with the pills. This is a vitalistic belief system with no place in modern science. As such, homeopathy is a spiritual belief which requires adherents to accept this quasi-religious world view.

In this light we can see that the parents of Gloria were doing what they were trained to do by the cult of homeopathy. If they had been trained well and had bought into the whole Hahnamanian philosophy then to take their seriously ill baby to an ‘allopath’ would have put it in danger. The only method to treat Gloria was with sugar pills. Homeopaths are taught that symptoms inevitably get worse when treated homeopathically. An ‘aggrevation’ is the remedy working the illness out of the body. No doubt as Gloria deteriorated, their training would have told them that this was a ‘good thing’ and that they should ‘trust and wait’. Her death must have been quite unexpected.

The parents of Gloria Thomas are not an exception. They are not an extreme. They have been good homeopaths and have merely been unlucky and had the misfortune to have the courage to stick with their beliefs. We can see on homeopathic discussion boards that tensions exist about resorting to real medicine when things look bad and that the choice of sticking with homeopathy is a question of “staying strong”. I have written before about the prominent UK homeopath Grace Da Silva-Hill MSc LCPH MARH MAAMET RGN who says about the fatal childhood illness of bacterial meningitis that “It requires a great deal of trust between patient and homeopath, for a serious acute to be treated solely with homeopathy.” Grace also is a supporter of homeopathic treatments for malaria in West Africa.

The implication in all of this is that even with very serious illnesses the homeopath has to stay true and believe in their cult and not betray their beliefs by accessing the outside world and their allopathic ways. Their education is full of denouncements of mainstream medical practice. It is a fundamental part of the creed that vaccinations are harmful and that chemotherapy is a killer. Medical drugs are a collection of side effects and not effective in their own right. Conspiracy theories abound about how ‘Big Pharma’ is out to destroy homeopathy. Harald Walach, Research Professor in Psychology at the University of Northampton has written that homeopaths should “Be proud, not afraid, fight back and don’t duck.” in light of the conspiracy theory that ‘Big Pharma’ is attacking them for homeopathic ‘successes’. Robert Davidson, a founder of one of the London homeopathy schools, describes how Pharmaceutical companies are trying to eliminate things like vitamins “to ensure sickness, so that everyone has to take drugs with no other choices available”. He says they are “evil, so totally evil”. Cults need their evil opponents to survive.

How many Gloria Thomas’s are there out there? It is difficult to know. We hope Gloria is at the extreme end of cases. But how many cancer patients needlessly delay treatment? How many chronic illnesses remain untreated due to such beliefs? Part of the problem is that homeopaths themselves do not collate the sort of records that would help us answer these types of questions. Sites such as What’s the Harm gathers news stories but these must be the tip of the iceberg. In Africa, where missionary homeopaths use homeopathic pills prophylactically to prevent malaria or even treat HIV we can have little idea how much harm is being done. The homeopathic belief is absolute. The current regulatory bodies such as the Society of Homeopaths refuse to discipline their members or even criticise them for taking part in such activities. Understanding homeopathy as a cult makes it easy to see why.

So how can we protect other Glorias? The homeopaths themselves will do nothing. There will be no response to this tragedy from the Society of Homeopaths, the medical Faculty of Homeopaths or even Prince Charles’ Foundation for Integrated Health. When criticism of homeopathy strikes, these organisation most often engage in bluster and obfuscation – or simply ignore the problem.

But, the government recognises that harm can be done by alternative medicine and that some sort of framework needs to be in place to protect the vulnerable. There could be no more vulnerable victim than Gloria, and indeed future infants like her deserve protection. And it is not just homeopaths we need worry about. Chiropractors display similar cult-like attitudes, and indeed much of alternative medicine appears to use similar anti-medical rhetoric to define itself and lock its members into cultish denial. You need only look at at sites such as What Doctors Don’t Tell You to understand the mentality of people attracted to such beliefs.

Unfortunately, UK government, like many other governments, appears to believe that regulating such practices is best done in a way similar to medical practitioners: registration and accreditation of training.

The folly of this is to believe that in doing this you are regulating health care professionals. You are not. You are trying to protect the public from health-threatening cultish beliefs. This is not medicine – it is pseudo-medicine with deluded practitioners. We do not protect people from Scientologists by formally recognising their leaders and giving their ‘Bishops’ seats in the House of Lords. And neither should we protect people from homeopaths by giving them protected title and a stamp of official approval from the Health Professions Council.

The government has pumped lots of money into a new organisation called the Complementary and Natural Healthcare Council (Ofquack) that claims its primary goal is to “protect the public by means of regulating practitioners on a voluntary register for complementary and natural healthcare practitioners”. It does this by ensuring their members have “undertaken a programme of education and training which meets, as a minimum, the National Occupational Standards for that profession/discipline”. It appears to think that by ensuring that an alternative therapist has been through training then people are protected. Gloria’s legacy should be to show us that this is not the case. Training is the problem, not the solution.

The National Occupational Standards scheme has tried to draw up standards for homeopathic education. These standards are to ensure that practitioners have the right “knowledge and understanding”. But as Professor David Colquhoun says, “no attention whatsoever is paid to the little problem of whether the “knowledge and understanding” are pure gobbledygook or not.” The problem is caused by the fact that these standards were set up in consultation with the Society of Homeopaths; the very people whose members’ beliefs the next baby Gloria needs protecting from. I once complained to the Society of Homeopaths about a homeopath who set up an eczema and asthma clinic. Despite obvious breaches of their own code of ethics, and that the Advertising Standards Authority concluded that this homeopath made “untruthful, unsubstantiated and irresponsible claims”, the Society decided there was no case to answer. The Society of Homeopaths believed that their time was better spent attempting to sue me.

In France, it is illegal to practice Homeopathy without a medical license. There is no such thing as lay homeopathy there and the Society of Homeopaths would be an illegal organisation. How much this protects people though is debatable. France has an enormous over-the-counter homeopathy trade through pharmacies, with Boiron, a homeopathic sugar pill manufacturer, making hundreds of millions of Euros from their big vat of sugar pills. The French self-medicate with homeopathy and their doctors are free to dish them out, although the state is fortunately reducing the amount it reimburses people for sugar pills. At least if a doctor prescribes a sugar pill when a placebo treatment is not required, then the regulatory bodies could well step in.

In the UK, we appear to be moving in the direction of legitimising various forms of quackery through various forms of state approval and recognition through statutory regulation. It is a disastrous move. There are currently reviews taking place for the regulation of acupuncture and herbal medicine. The same problems exist there with degree courses in Chinese medicine teaching students how to weasel word around regulation when making claims to treat cancer. Regulation of this style will put people at risk. The chiropractors have already achieved protected title and statutory regulation. This may not last much longer though as the regulator buckles under the weight of hundreds of complaints about chiropractors bogusly claiming to treat children’s illnesses in the light of the Simon Singh affair.

I believe a significant part of the answer is already with us. We do not need new regulation and statutory recognition of pseudo-medical cults. We need prosecution.

We already have the laws that say you cannot make false claims when selling goods and services. The Trading Standards laws are explicit in saying you cannot make false medicinal claims. What is not happening is enforcement of these laws as Trading Standards do not appear to have the training to go after these sorts of breaches. I would think it would be far more cost effective to provide this training rather than set up useless regulatory regimes for registering quacks.

The other change that would greatly help is for the Medicines and Healthcare products Regulatory Agency(MHRA) to drop its ridiculous stance on believing you only have to ensure homeopathic medicines are safe. No one disputes sugar pills are intrinsically safe – there is nothing in them. The MHRA though allow homeopaths to submit pseudoscientific ‘traditional’ evidence for a pill’s effectiveness so that they can make claims on packets. The MHRA legitimises dangerous quackery with homeopathy and it undermines its authority in doing so.

In summary, protecting future children like baby Gloria will require authorities to abandon the belief that they need to regulate homeopaths like medical practitioners and instead treat them according to the more accurate picture of them being a pseudo-medical and mystical cult with dangerous and irrational beliefs.

Labels: CNHC, Complementary and Natural Healthcare Council, homeopathy, ofquack, Society of Homeopaths, SoH, the law

 

I was going to call this post “The Failure of IT at Ofquack”, but I think the failure is a little deeper than computers. The Complementary and Natural Healthcare Council have recently put the following announcement up on their web site:

Website Hackers

We are extremely disappointed to have to share with you that we have had a number of unprecedented attempts by hackers to disable our website. We are currently taking IT and legal advice on how to resolve these issues.

Meanwhile we have reduced some aspects of the register’s functionality in order to ensure the security of personal details of applicants and registrants on the CNHC register.

If you have any difficulty in accessing any part of the CNHC website or retrieving information please call CNHC on 020 3178 2199 or e-mail info@cnhc.org.uk and we will assist you with your enquiries.

Added: 01-04-2009

This sounds quite serious. Unprecedented attempts by hackers to disable their website? I am not so sure it is as simple as that. Firstly, a number of people have noticed that the CNHC were listing their members’ full personal details. Search for a name by putting in an initial letter and all quacks that had joined were listed along with all their details. It was easy to do so. The search functionality allowed you to enter simple wildcards and the results would list everyone on their register. Not only names, but home addresses and telephone numbers.

Their own privacy policy states,

The Published Register
CNHC will make part of your register entry available to any enquirer as part of the published register.

The public can inspect the following information on the online register:

• Your full name
• Your profession or practice discipline
• Your approximate work location
• Your registration number
• Any restrictions imposed on your registration

Your home address, contact details, date of birth and other data are not available to the public.

In publishing their registrant personal contact details, the CNHC were in quite a serious breach of trust. The legality of publishing the details is dubious too, since the Data Protection Act insists data is only used for stated purposes.

In the last few days, it is no longer possible to gain these details on the CNHC web site. Far from them “reducing some aspects of the register’s functionality” because of “hackers”, the CNHC have finally stopped dishing out their members private data to all and sundry. Hackers have nothing to do with the “loss of functionality” – they were managing to cause privacy leaks all on their own.

But did some malicious person try to disable their web site? Well, last week I twittered that the CNHC web site was down. Well, it was not quite down, but the content management system was spewing out an error. What was quite remarkable was that a complete dump of debugging information was being returned to my browser. This information was giving me lots of information about the nature of their server and he code they were using to run the web site. In web site security rulebooks, this is a number one no no. “If an error is encountered, do not return technical error information to the user”. Such information is invaluable to a real hacker. Even if a hacker does compromise your server, you do not return more fuel for them to use. There is only really one conclusion I can make – Ofquack’s IT team are utterly incompetent. I can well believe that the CNHC management were told “it woz hackerz wot dun it” when the web site crashed.

So, it would look like the CNHC IT system is not fit for purpose. Not only was there a failure to describe proper functional requirements for the web site, including what data should be displayed, it would also look like it has been coded in a compromisingly amateurish way. I would not want my own data on the site.

I have no idea if hackers really did have a go at their site. And I would not condone such silliness. But the CNHC would appear to have been negligent in not anticipating problems and in not protecting their data. The web is a wild place and there are people out there who like attacking naive web sites just for the hell of it. You need to be prepared. You do not leave your front door open just because you live in a nice village of homeopaths and nutritionists.

But the bigger issue is that Ofquack is not being entirely open. There may well be people who want to see a list of registered members for perfectly legitimate reasons. The CNHC are providing a public service and have been funded by public money. We deserve some transparency in what they are doing, especially given that they have been so heavily criticised. They claim in their statement of values to be “open and transparent in our business”. I see little evidence of this.

My main criticism of the CNHC is that they have failed to answer the single most important question about themselves. Given that their “key purpose” is to “protect the public by means of regulating practitioners” they have not said how this is possible when they will not take into account if any of the alternative medicine techniques they claim to regulate are actually effective. If their members are making false, delusional or even fraudulent claims to the public, how do the CNHC claim to protect the public if they are not concerned about the truth of their members’ claims? There has been no “open and transparent” response to this concern.

Their website claims that “in order to meet our commitment to transparency, CNHC will make the minutes of its Board Meetings available.” They have failed to do this. Worse, they had published some minutes but have since removed them from public scrutiny.

I can speculate why this must be. In my last blog post on Ofquack, I noted that they had only managed to attract about 150 members. Given that they need 10,000 members to break even, they have managed to acquire independent funding to keep them afloat for a week. They have achieved less than 2% of their required income levels. Maybe they are hoping that by starting to regulate more forms of quackery later this year, they will make up the missing 98%. I would suggest, like all quackery, they are indulging in wishful thinking.

So, panic must be setting in. The main aspect of their register's functionality they have removed is the ability to easily see how many members they have attracted. I would suggest that this is not the result of ‘hackers’, but an attempt to keep under wraps the increasing failure of this folly.

Labels: CNHC, Complementary and Natural Healthcare Council, ofquack

 

Labels: CNHC, Complementary and Natural Healthcare Council, Natural Healthcare Council, ofquack

 

I understand from little dickie birds that the newly launched Complementary and Natural Healthcare Council (CNHC), or Ofquack to give it its official title, has been seeing a few lawyers' letters flying backwards and forwards between itself and other organisations.

The CNHC was set up by the Prince's Foundation for Integrated Health and the Department of Health to form a voluntary register for quacks, charlatans, mountebanks and other hawkers of dubious medical practices, so that the public can have 'confidence' in them with a government approved stamp. Maggie Dunn, co-Chair of the CNHC, believes "there are going to be a significant commercial advantages to signing up". No doubt, Maggie.

Criticism of the new body has been widespread with commentaries in the Economist and the FT. As the Oxfordshire MP Evan Harris was reported to have said in an article in the Guardian (False Assurances),

This register is an attempt to give legitimacy to a business model founded on deceiving the public with pseudo-scientific and misleading health claims.

One way Ofquack was going to allow its registrants to differentiate themselves from unregistered and obviously 'bad' quacks was by allowing its members to display a 'kitemark'. Their home page said,

Our key function is to enhance public protection, by setting standards for registration with CNHC. We anticipate that obtaining the CNHC "kitemark" will swiftly be recognised as the hallmark of quality for the sector.

In an interview with the Foundation for Integrated Health, Maggie Dunn said,

Complementary healthcare practitioners have been working in some cases for a couple of decades to get here. They don't want just another register. They want a proper regulator who can offer a kitemark and a gold standard.

Members will be able to proudly display their 'Kitemark'.

When you register you will be sent a certificate, incorporating the CNHC kitemark, for public display, showing the details of your entry on the CNHC Register. You will also be able to use the kitemark in your publicity materials. People will also be able to search the Register on-line to check that you are registered.

Now, the only problem is that the only organisation that is allowed to award kitemarks is the British Standards Institute. They say,

The Kitemark® is the world's premier symbol of trust, integrity and quality. Manufacturers having this associated with their product or service will reassure customers and specifiers alike that they have satisfied the most rigorous of quality processes.

And it looks like a number of troublemakers have let the BSI know how the CNHC are using their registered trademark. A comment from 'zeno' on a recent thread of mine (Ofquack's Toothless Squawk)reports that the BSI have taken action,

"Thank you for your enquiry and your concern for Kitemark. Please be assured that we take the protection of our trademark extremely seriously and all potential mis-usage is reported to our Group Legal department where we have a team specialised in Intellectual Property and its protection.

The legal team have been in contact with CNHC about their use of Kitemark and the Co-Chair of this organisation has assured us that they did not intend to mis-use Kitemark, have issued sincere apologies and have committed to put this in writing along with a commitment not to use the word again.

If you re-visit the links you should see that they have removed reference to Kitemark. Naturally should CNHC be interested in commissioning a standard and a Kitemark scheme then BSI would be only to happy to discuss this with them.

Thank once again for your query and I hope that this clarifies the situation and our action."

The CNHC have rapidly updated their web site to remove all traces of their fledgling 'kitemark'.

I find it rather remarkable that the CNHC, after taking years to get set up, has got such basic things wrong. I do think this rather supports my view that Ofquack is nothing but a thin veneer of so-called regulation being applied to dubious practices to keep both Prince Charles happy and to allow the government to say they are 'getting tough' on quacks. The result is nothing but an official rubber stamp on a deluded trade that does nothing to protect people from the absurdity of alternative medicine.

And one can only speculate what extra costs have now been incurred. How much printed material and certificates will have to be reworked?

(PS Ta Dr* T for the logo)

Labels: CNHC, Complementary and Natural Healthcare Council, ofquack

 

Today sees the long awaited launch of the government backed Ofquack, better known in some circles as the Complementary and Natural Healthcare Council (CNHC). Ofquack is the "national voluntary regulator for complementary healthcare practitioners" and was set up by Prince Charles' Foundation for Integrated Health and funding from the Department of Health. You can find their sparkly new website at http://www.ofquack.org.uk/.

It has been quite a long road getting here. The quackometer reported on the newly emerging regulator's woes this time last year when I described it as a dead duck. The CNHC had grand ambitions to be the one-stop-shop regulator for all complementary therapists - a single register that the public can check to see if their chosen quack professional was 'legit'. The House of Lords, in a 2000 report, said that such a move was desirable. It has been a dismal failure.

The reasons for this are many, but principally stem from the daft decision by the Department of Health to put the set-up of the new body in the hands of Prince Charles. This is a man with a blind faith in all sorts of wooly alternative health ideas and no critical ability to appraise the problem rationally. His sycophants have assured that Ofquack has been set up so that it presents little challenge to his beliefs.

So, Ofquack is not quite dead, but it is moribund. They state that their aim for 2009 is to register 10,000 practitioners. My guess is that they will achieve a tenth of that. Of all the forms of quackery that were supposed to be regulated by the CNHC only massage therapy and nutritional therapy are included in the fold. The other large quack trades, such as homeopathy, aromatherapy, reflexology and reiki have not been cooperative and enthusiastic in their wish to be regulated. The homeopaths, for example, have flatly refused to take part and their current fake regulatory bodies, such as the Society of Homeopaths, are desperately trying to be seen as their own effective regulators - a role they fail dismally at.

So, will the massage therapists and nutritional therapists flock to the fold of Ofquack? Well, massage therapy is a small trade - it does not include the vast majority of massagers that you might find in luxurious hotels, sports centres, or dodgy rooms above a betting shop in the less salubrious suburbs of Birmingham. Massage therapists are the massagers left over who somehow believe that a good rub down can clear your body of toxins or something. Not a happy ending.

What of the nutritional therapists? I somehow doubt they will be rushing to join. They stand to lose a great deal by being independently regulated. Currently, their own regulator BANT allows them to get away with all sort of sharp practice. BANT changed their code of practice under pressure from Vitamin pill companies to allow BANT members to take kick backs on the sale of pills. This is a cosy and profitable arrangement that I am sure would be threatened if Ofquack decided to apply some more ethical standards to their registrants. Nutritional therapists also make money from dodgy diagnostic tests, such as fake allergy testing and hair mineral analysis, which has been described by the American Medical Association as "an unproven practice with potential for health care fraud." I am sure practitioners would wish to stay with a 'regulator' who is in on the scam.

So, even if some quacks decide to join so that they can use the new 'kite mark' on their advertising, will Ofquack work? I doubt it. The central problem is that the Complementary and Natural Healthcare Council appear to be horribly confused about what they are supposed to be protecting the public from.

Today, one of the chairs of the CNHC said on the BBC web site (Alternative therapy 'crackdown') that Ofquack would "would clean up the industry used by one in five people." She "estimated thousands of clinics may go out of business in the process." (See Maggie Dunn talk about Ofquack here).However, the BBC were quick to point out the flaw here when they said "It will not judge clinics on whether therapies are effective, but rather on whether they operate a professional and safe business." However, there is an inherent contradiction here that you cannot assess if a therapy is 'professional and safe' if you do not also take into account if the therapy is effective. And here we have the fatal flaw in the whole idea of the Complementary and Natural Healthcare Council.

Let's imagine a few scenarios. Someone complains to Ofquack that a nutritional therapists is using hair mineral analysis to diagnose 'mineral deficiencies' and using this as a basis of selling huge numbers of expensive supplements and then is taking a kick back on the sales in the form of commissions. Hair mineral analysis does not diagnose dietary deficiencies. The whole basis of the transaction is fraudulent and yet is very common in nutritionist circles. What would Ofquack do? They would probably consult their therapy specialists who advice them if such a practice was within the training of a therapist. And the answer would be 'yes'. Patrick Holford's Institute of Optimum Nutrition in London trains students in such dodgy practices. The course is underwritten by the University of Bedfordshire. Is the practice safe? Well no direct harm has occurred, although the indirect harm is that someone believes their diet is deficient when it probably is not, and they are left with the belief that they have to buy 'specially formulated' vitamin and mineral supplements to avoid dreadful health effects. Could Ofquack protect the public from these dubious practices without asking 'is the therapy effective'?

A second scenario - based on real life. A customer is brain damaged by a nutritional therapist who told their customer that the needed to diet by drinking lots of water and removing salt from their diet. Again, this sort of advice is routine. This year, Barbara Nash, a nutritional therapapist, was sued and paid out £810,000 in a settlement for compensation for such a course of action? How would Ofquack respond to such a complaint? Clearly they would have to take into account that such advice is batty and dangerous. But to do this they have to rely on their 'panel of experts' from the various quack trades. In the Barbara Nash case, none of the nutritional therapy bodies spoke out and condemned her actions. People like Nash are constantly told that they have good training and are professional. As Ben Goldacre argued in the guardian,

After completing the rigorous training at the "College of Natural Nutrition", anyone would naturally believe themselves to be appropriately qualified, and able to give advice confidently. Nash's confidence in her own abilities seems entirely congruent with that world view.

Membership of Bant carries such privileges as "a listing in the Bant Directory of Practitioners, which is available to the public and entry on the Bant website" and "acknowledgement of professional status by the Nutritional Therapy Council". So endorsed, Nash would once again have perfectly reasonable grounds for a strong faith in her own abilities

The big fear here is that if any therapist would join Ofquack, they now would have government backed endorsement of their 'abilities and professionalism', even though everything they think they know is nonsense - and sometimes dangerous nonsense.

The Barbara Nash affair took its first scalp at Ofquack. In my blog, I laid part of the blame on the British Dietetic Association for not doing enough to educate the public about the difference between quack nutritional therapists and properly qualified and regulated Dietitians. It transpired that Andy Burman, Chief Executive of the BDA, was actually on the board of directors of the CNHC. You can see from comments on my web site the sheer anger of dietitians over the fact that their Chief Executive was openly helping to promote quack alternatives to their profession. Dieticians have to spend a lot of their time disabusing patients of the nonsense they have been told by nutritionists. Very soon after, Andy Burman resigned from the CNHC board of directors.

So, even if quacks start joining the Complementary and Natural Healthcare Council there will soon be huge stresses applied. The first upheld Advertising Standards complaint, or any other action that requires Ofquack to judge if a therapy is effective will result in their current structures unable to cope and their members frightened to death. Quacks are used to cosy arrangement with their current trade bodies who act as regulators. They know they could never be struck off for doing their normal quack business. But Ofquack, being a government body, and with a large lay team acting as judges, may sooner or later have to let reality into their decisions. The whole edifice will then collapse.

So what is to be done? Well, the first thing is that setting up voluntary regulators that rubber stamp quack training and practices only legitimises irrational, fraudulent and dangerous practices. It will risk giving extra undeserved standing to nonsense and will not protect the public from delusional and/or deceitful actions.

The whole thing has been a huge waste of money. The hundreds of thousands of pounds given by the government to set up this body would have been much better spent on training Trading Standards Officers in the issues of alternative medicine. As Professor David Colquhoun argues, the new Trading Standards Laws that came into effect last May have probably made much of alternative medicine illegal. "The gist of the matter is that it is now illegal to claim that a product will benefit your health if you can’t produce evidence to justify the claim." The law is clear: “falsely claiming that a product is able to cure illnesses, dysfunction or malformations" will be illegal. And as alternative medicine ceases to be alternative as soon as there is good evidence of efficacy, a lot of quacks could be in trouble.

What is standing in the way of people being prosecuted for making false health claims is the appropriate expertise within Trading Standards to evaluate the claims and initiate the appropriate prosecutions. There appears to be a situation evolving where there could be a large clash of government policy. It is likely Trading Standards will start prosecuting registered members of the Complementary and Natural Healthcare Council. Now, that will be a sight to watch.

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Update

As always, satire is the most efficient way of telling the story.

The excellent Daily Mash runs with the headline...

COMPLEMENTARY THERAPISTS TO BE REGULATED BY WITCH DOCTOR

Papa Limba said his first task as chairman of the Complementary and Natural Healthcare Council would be to identify which therapists were righteous shamans and which had the bad juju.

...

Limba said: "There are many frauds and not everyone has as strong a connection to the serpent god Demballa as they like to make out."I place my hands on their head and if their spirit vibrates to the rhythm of the ocean I give them a sticker to put in the window. If not I rub them with the mashed root of the banyan tree and we never hear of them again."He added: "Once a year I shall visit them and cast my chicken bones on their consulting room floor. If they are still there a week later I report them to health and safety."

And there is the heart of the problem. How are Ofquack going to certified 'well trained' practitioners when their training is in nonsense?

Labels: CNHC, Complementary and Natural Healthcare Council, ofquack, regulation

 

The Adverting Standards Authority has today found that a homeopath advertised their asthma clinic for kids by making untruthful, unsubstantiated and irresponsible claims. Archway House Natural Health Centre holds an Asthma and Eczema clinic for children, run by Julia Wilson, a member of the Society of Homeopaths.

Inasmuch, this is not news. The ASA make judgments like this every week. Their weekly published list today contains all sorts of findings against chiropractors and related quacks. But what makes this interesting is that this advert, in the form of a leaflet, has already been subject to a complaint directly to the Society of Homeopaths, who claim to regulate their members. Over a year ago, I was concerned that the Society's Code of Ethics was being widely ignored by their membership and there was no evidence that they took any steps to uphold their code which is designed to protect the public. If so, this was pretty serious. People would be visiting homeopaths under the impression that their membership of the Society of Homeopaths ensured that certain standards would be maintained and that they would not be misled or endangered as a result of the consultation.

I picked on one homeopath from their register pretty much at random. Not only was Julia Wilson making claims to treat asthma (which would be in breach of the code) but also she has spent time in Kenya in a clinic that dishes out sugar pills to prevent malaria and to treat HIV. One would have thought that a responsible organisation would want to rein in such dangerous excesses. This homeopath appeared to be in breach of several points in their code including treating named diseases and advertising in a way that claimed superiority to real treatments.

You can read about the Society of Homeopath's response here. Julia Wilson defended herself by claiming that her adverts (see here) did not claim superiority of homeopathy over conventional treatment, that she made no stated or implied claim that homeopathy can treat asthma, and that no cure was implied. She also said that she could not be held responsible for the Kenyan clinic's claims on their website and that she did not claim to cure HIV or malria when working there. I would suggest you read the leaflet yourself and see if this defence merits any credibility. The Society of Homeopaths wrote to me to tell me that they were satisfied that no breach of their code had taken place and that "no action will be taken."

Well, the Society of Homeopaths did take action. Their solicitor wrote to my web hosts demanding that I take down web pages that commented on this and other aspects of their lack of concern for the dangerous practices of their members. When I wrote to the Society's CEO Paula Ross asking for an explanation, I got a threatening letter back from their solicitor. Naturally, bloggers on the web went crazy, reposting my articles and condemning the behavior of the society, calling them 'Cowards and Bullies".

The ASA read this leaflet and decided that on four counts it was in breach of the CAP rules on advertising for being unsubstantiated, untruthful and irresponsible. They decided the leaflet did imply a cure for asthma because it denigrated conventional treatment - "puffers can provide temporary relief, they're not offering your child a cure. Homeopathy is different...". They asked Archway House for evidence that their treatments 'helps alleviate the flaring skin and tightening lungs of your child's allergic reactions". They could not answer this to any degree of satisfaction. Most strikingly, the ASA found the leaflet was irresponsible because it was likely to dissuade parents from seeking medical advice. A testimonial read "I was frightened by how much my daughter relied on her inhalers". Damningly, Archway house could not provide any evidence that the testimonials on the leaflet were real.

I have emailed the Society of Homeopaths to ask why their conclusions were so different from the ASA. I have also asked if they will relook at the complaint and take action against their member as it is a requirement of their code that member's adverts do not breach Advertising Standards rules. Importantly, I have asked if the public can have confidence in their code of ethics and complaints process. (Update: response, so far, below)

Does this matter? Asthma is not a trivial disease. Asthma UK report that,

A person is admitted to hospital every 8 minutes in England because of their asthma. That's on average 185 people per day and one in six people require further emergency care again within two weeks, yet 75% of admissions for asthma are avoidable and could save the NHS in England an estimated £43.7 million a year.

It is estimated that there are 1,500 deaths and 74,000 emergency hospital admissions for asthma each year in UK. A child whose parents go a homeopathic route rather than following the management plan of their doctor is being put at risk. The Society of Homeopaths do not appear to care about this. But people in the UK quite rightly have choices. When homeopaths take their sugar pills to Africa and tell them that they are better and cheaper than medicine at preventing malaria and managing HIV, then the delusion of homeopathy becomes truly murderous. If you want to believe the homeopaths that they act responsibly over this, then you should see the latest newsletters from the Abha Light Foundation in Kenya where Julia Wilson worked. They are handing out homeopathic remedies to 1,500 families and telling them that they are malaria prophylactics. 34,000 people die in Kenya each year from malaria. Over a third of children die before their first birthday from Malaria. Telling families that magic water pills can protect them will reduce the likelihood that they will seek proven safe alternatives, such as mosquito nets for babies. The Society of Homeopaths have never spoken out against this terrible western delusion inflicted on Africa.

In the year 2000, the House of Lords looked into the question of regulation of Alternative Medicine and made a large number of recommendations about how various treatments should be controlled. Eight years on and the government strategy is in tatters. The homeopaths have actively campaigned to be exluded from greater regulation and decided that they can regulate themselves. This is clearly not true. The deluded cannot regulate the deluded if the public want to be protected. The government has set up the Complementary and Natural Healthcare Council (better know as Ofquack). This has failed for a number of reasons. Firstly, few alternative medicine groups have wanted to join. As Ofquack will have council members that are not part of the alternative medicine communities that they will regulate, none of the practitioners want to be judged by anyone who does not share their delusions. And secondly, as Ofquack has failed to get up and running and will be entirely voluntary, there has been no compulsion for quacks to subject themselves to any meaningful scrutiny.

Prince Charles has been deeply involved in trying to set up Ofquack. The Prince's Foundation for Integrated Health put one of their own people into a group that would try to unite the homeopathic profession and create a single register that could be effectively managed. The squabbling between homeopaths ensured this failed. Ofquack appears to have abandoned any pretense that it can now regulate vast swathes of the alternative medicine industry. The Society of Homeopaths have now stated that they intend to create their own 'single register' - a move that has angered the rest of the UK homeopaths and is doomed to failure too.

So, in the UK, when a member of the public seeks the services of an alternative medicine practitioner, they are likely to see someone with letters after their name and a web site that says that they are members of professional bodies with a strict code of conduct. This is a thoroughly misleading picture. Homeopaths and other practitioners may well sign up to a code of conduct, but in the knowledge that it will never be enforced.

In the Guardian recently, the same comment was made in an article entitled "A Question of Ethics". The article noted that one of the most senior member of the Society of Homeopaths was a strong advocate for providing homeopathic 'immunisations' - the belief that magic water can protect people from dangerous diseases. The arctile concluded, "It seems that codes of ethics are good for window dressing while pragmatism is better for profit. ". The Society responded with a press release,

The Society would like to advise Guardian readers that any suspected breach of The Society's Code of Ethics & Practice should be formally reported to its Professional Conduct Department where it will be fully investigated.

Investigated maybe. Enforced? Doubtful. The codes are an illusion and we are being taken for fools.

*****************************************************************************

Update

I have had a reply from Jayne Thomas, Chair of the Board of Directors at the Society of Homeopaths:

As we have not yet seen the findings of the ASA adjudication to which you refer, The Society of Homeopaths is unable to comment on the specifics of this case.

However, we would like to reassure you that due process was followed in the handling of this case.

By their own admission, The Committee of Advertising Practice (CAP), have been delayed in finding an expert to assess the evidence base for homeopathy, which was submitted to them earlier this year.

The Society of Homeopaths is therefore awaiting the outcome of this assessment to inform future guidelines to our members concerning the advertising of homeopathy

So, we will have to wait for a more detailed response. I must admit that I surprised that SoH have not seen the adjudication yet. The ASA release a preliminary report to all parties several weeks before publication to allow the advertiser to respond and make corrections. Did Archway House really not consult SoH both originally and on the preliminary finding? The advertiser would also have been aware of the final outcome about a week before publication too. How do the SoH know that the ASA could not find an 'expert' to help them? In what way have SoH been involved here?

Labels: ASA, homeopathy, Natural Healthcare Council, ofquack, Society of Homeopaths

 

Andy Burman, Chief Executive of the British Dietetic Association, appears to have resigned his post from the Complementary and Natural Healthcare Council (Ofquack).

This news follows my recent criticism on this site of the BDA for not doing enough to educate the public about the difference between pseudoscientific Nutritional Therapists (as to be 'regulated' by Ofquack) and professionally trained and regulated dietitians (as currently represented by the BDA). This came in the wake of the news that a brain damaged woman had been given £810,000 by the insurers of self-styled nutritionist Barbara Nash. I commented that the situation was being made worse by the emergence of the ill-conceived, government sponsored and Prince Charles driven, CNHC. Ofquack will not protect the public from the practices and commercial motives of Nutritional Therapists and will do nothing to improve the public understanding of nutritional science - indeed, it will substantially undermine it.

It was therefore something of a shock to read a comment left on my blog that said that Andy Burman, Chief Executive of the BDA, was on the board of directors of the newly emerging Ofquack. The commenter said, "Instead the management of the BDA is actively undermining their own members." My simple response was that the BDA was therefore doomed.

It would appear that I have poked a sharp stick into a dyke of sleeping dogs and unleashed a hornet's nest of discontented angry bear dietitians. What became clear, by further comments on my web site, was that many grass roots dietitians were livid about the situation. A selection of some of the comments follows:

I wonder how much time Dieticians spend disabusing the general public of some wacky notion they have picked up from non evidenced based nutritional practitioners?

Might as well all raise a white flag to McKeith, Holford et al and face the fact that evidence based nutrition is a dead duck.

Is the chief exec of the BDA further providing legitimacy to the very nutritional therapists that are a danger to the public and in doing so professionally humiliating his own members?
Yes.
Should dieticians now be demanding a change of direction and chief exec at the BDA or just abandoning the pointless organisation?
Yes.

I am a proud HPC registered Dietitian and up till recently I was also a proud member(albeit diminishing) of the BDA. However on discovering that my very own Chief Exec Andy Burman is, a member of the Complementary and Natural Healthcare Council's Federal Regulatory Council I am truly mad and embarrassed.

It looks like a storm was brewing. Indeed, Andy Burman appeared to feel it necessary to leave his own comment on my blog. In that comment, Mr Burman defended his role at Ofquack and the need for the organisation itself. Also, on his biography on the Ofquack website, he says,

Andy is committed to voluntary self regulation within complementary healthcare and honoured to be part of this new development.

This defense did not appease his critics. Further comments ensued.

I'm sorry - I find the response from the Chief Exec of the BDA beyond belief. How can you possibly maintain standards for stuff that doesn't work? All you will do is provide legitimacy to those practitioners who do not maintain the high standard of your own members (who, by the way - must be absolutely livid that you are choosing to tacitly support quack therapists by providing legitimacy to them via regulation).

Ladies and Gentlemen It's time to reclaim the place that is rightfully ours and maybe look at who we choose to represent us -because let's face it in any other business our PR agency would have been well and truly fired by now!

I'm also very concerned at the news about Andy Burman. Maybe we should be reviewing his position as CEO of the BDA.

I think Andy has made his position untenable - the membership is mad as hell. Those of us who work in the private sector have all dealt with clients that have seen these therapists - some of the rubbish they sprout is quite unbelievable. The new council I think is a sham - and the NTs themselves do not want any more reg because they will end up halfing their income from all the supplements they sell [The BANT code of 'ethics' explicitly allows Nutritional Therapists to take commissions on supplements they sell. - LCN]

The final comment today from an anonymous dietitician reads,

I understand that Andy Burman has resigned from OfQuack. Good news for dietitians.

Although, I have not has direct confirmation of this yet, it is backed up by the disappearance of his biography on the Ofquack web site (compare the current version with Google's cache). This was the very least that should have happened. It is obvious that some people believe that the involvement with Ofquack has undermined his role as Chief Executive at the BDA.

Ofquack was founded as a result of a monumental governmental mistake. The House of Lords, in 2000, recommended the government look into the proper regulation of alternative medicine. It was concerned that the public was not sufficiently protected from the alternative medicine trade and recommended that ways were sought to ensure practitioners were well trained, safe and effective in what they did. In an act of blazing naivity, the government saw fit to hand over this responsibility to Prince Charles and his bizarre organization, the Foundation for Integrated Health. The task defining what regulation should look like was handed over to the very people that cause the problem with their loony beliefs.

The result was predictable. FIH took to the task with gusto, forming important looking committees and consultations. The only thing dropped from the Lord's recommendations was the question of efficacy. Ofquack are only interested in showing that boxes can be ticked regarding training. It does not matter one iota that the practices of those they seek to regulate do not work.

Indeed, this was against the very wishes of the House of Lords. In their summary they said,

Many CAM therapies are based on theories about their modes of action that are not congruent with current scientific knowledge. That is not to say that new scientific knowledge may not emerge in the future. Nevertheless as a Select Committee on Science and Technology we must make it clear from the outset that while we accept that some CAM therapies, notably osteopathy, chiropractic and herbal medicine, have established efficacy in the treatment of a limited range of ailments, we remain sceptical about the modes of action of most of the others. We therefore emphasise that in recommending the regulation of training in CAM we specifically exclude training in the asserted modes of action of many CAM therapies. We do so because regulation could lead to a misleading public perception of improved status; such regulation is in fact an attempt to safeguard the public. (My emphasis)

It looks like our vestigial feudal wing of government can duly show wisdom and insight when required, even in the face of their overlord, Prince Charles. Magna Carta rocks.

Despite Prince Charles FIH’s stated commitment to evidence based alternative medicine being ‘integrated’ with real medicine they avoid the evidence base like the plague. They embrace nonsense healing rituals like homeopathy and reflexology without appearing embarrassed about the utter lack of credibility for these techniques. Just check out their site. Can you spot any alternative medicine that Prince Charles says to avoid because of its lack of a credible scientific evidence base? I can see no reason why the claims of nutritional therapists will not be treated in exactly the same manner. As long as they can claim to hold some sort of training they well get the Ofquack seal of approval. The content of that training will not be important.

Andy Burman, in my opinion, is making the same mistake that everyone in the sorry tale of Ofquack is making - that the way to protect the public is to regulate the trades of alternative medicine in the same manner that you might regulate real medicine. The flaw with this idea is that you cannot regulate nonsense. Professor David Colquhoun has demonstrated the central weakness of Ofquack in the THES and on his own blog (1) (2). Is a homeopath a safer practitioner because they have successfully completed the modules that teach them that illness is caused by imbalances in the Vital Force and that a medicine's effectiveness increases with more dilution? Does a Nutritional Therapist, after completing professional development courses in Hair Mineral Analysis or Allergy Testing offer a better service to their punters or allow them to fleece the public better with fraudulent pill selling techniques?

We do not provide astrologers and psychics with state money to set up their own self-regulatory bodies. Instead we allow existing mechanisms to ensure the worst of their practices are curbed by using the Advertising Standards Authority and Trading Standards to warn and prosecute where necessary. And it does not matter if a quack genuinely believes that reflexology foot massages can help you with constipation (or whatever). Many people genuinely believe pyramid selling schemes can get you rich. We do not offer accreditation and state regulation to the owners of pyramid schemes - no, we educate the public about their dangers and prosecute those who profit.

If we believe the public should have some protection from quacks, the answer is two-fold: public education and prosecution. Not accreditation and meaningless self-regulation that only serves to aggrandise. And in anycase, Ofquack is a dead duck and is doomed to whither, mainly because the quacks do not want to be regulated by any sort of outside body and self-regulation cannot compell them to become registered. In short, a monumental folly.

The BDA could and should be offering more public education. Every time there is some self-appointed and under-educated nutritionist on the day time television couches, the BDA should be ensuring the producers know what unstable ground they are on. In Germany, they fire TV nutritionists who spout nonsense and self-servingly promote their own quack products. We should be doing the same here. The BDA should be ensuring that the public see dietitians as the first port of call for dietary advice - not the last, after the nutritionists nuts have filled peoples' heads with dietary nonsense. And the BDA should be assisting the authorities where necessary to enforce existing advertising and trading standards legislation. The legislation is not perfect, but is a damn good start.

Can Andy Burman do an about turn and work with his colleagues at the BDA to this end? Let's hope so.

Labels: Natural Healthcare Council, nutritionist, ofquack, Prince Charles

 

Barbara Nash is a nutritionist based near Oxford. Dawn Page was overweight and sought the advice of Nash. It is alleged she was put on a 'detox diet' which included drinking lots of water and consuming no salt. If true, the result was very predictable.

Mrs Page suffered 'uncontrolled vomiting and a fit' and was rushed to intensive care. The Oxford Mail now reports she has brain damage. Her husband sued Dawn Nash and her insurers have paid out £810,000 in a settlement for compensation.

It is worth noting that Nash's barrister said she was a.

"privately trained nutritionist", and emphasised she continued to deny she was in any way to blame for what happened.

Barbara Nash appears not just to offer detox diets but also sells on her web site kitchen smoothie makers, blenders and juicers that cost more than a thousand pounds.

Anyone can call themselves a nutritionist. Only Dietitians are guaranteed by their training and professional memberships to be fully competent in what they do. Sadly, the proliferation of under trained and badly trained nutritionists is growing unchecked. Universities are in on the act taking money from students to train them as 'nutritional therapists'. Such degrees, from the likes of the University of Westminster School of Magic, are a disgrace. Privately owned colleges appear to offer legitimate diplomas, but their standard of training is unchecked.

But the TV and the Sunday supplements are full of the stupid and dangerous advice about detox and vitamin pills and superfoods and allergy tests. It is quack nutritionists, rather than medical dietitians, who own the media and the attention of the public. It is a handy commercial partnership of supermarkets, quacks, health shops and pharmacies selling pills and tonics and books and over prepared foods.

And the government is not helping. Their new Prince Charles sponsored body Ofquack intends to regulate nutritional therapists. It will give them a veneer of professionalism without protecting the public one little bit. Ofquack refuses to regulate the practice of their members (what they believe and do) and only certify that they have been trained by other quacks and carry insurance.

Personally, I think the British Dietetic Association cannot escape some blame here for the growing rise of nutriquacks. This is the proper organisation that regulates real dietitians. They should be as mad as hell that their turf has been invaded by anti-science know-nothings. I am sure their members have to deal with the catastrophic results of patients who have been misinformed by nutritionists everyday. Where is the noise they ought to be making? Why are they not telling the public and government that something is terribly wrong here with they way we view food and the self-appointed gurus who profit from our confusion?

Until this is sorted out, I expect we will be seeing an ever increasing number of stories just like this.

Labels: barbara nash, detox, Natural Healthcare Council, nutritionist, ofquack, the law

 

Part of the wonderful new world of regulated alternative medicine is the insistence that all registered practitioners undergo Continuous Professional Development. Just like in real professions, quacks will be expected to attend a certain number of hours per year in keeping their skills up to date and learning about the latest developments in their field.

The Prince of Wales and his new Complementary and Natural Healthcare Council are right behind this initiative and, with the government, there are going to be lots of shiny new 'training standards' for their members. Existing non compulsory 'regulators', such as the Society of Homeopaths also insist in Continuous Professional Development.

So, what do we expect homeopaths to learn? The latest meta analyses and why scientific results do not support homeopathy? Basic chemistry lessons and why no atoms means no effect? No.

Let me show you an example. This evening, homeopaths can earn on of their CPD certificates by going to a talk in St Albans given by Myriam Shivadikar. The talk is entitled, MEDICAL ASTROLOGY FOR HOMEOPATHS.

Every ancient civilisation used astrology for forecasting events, promoting health and in the prevention of disease. The alchemists used astrology and based prescriptions on the patient’s planetary constitution. As a physician, we need to understand patients in order to treat them. The best physician can predict a disease before it occurs- Why wait for a person to get sick?

This simple yet effective system of astrology is based on ancient wisdom using Planetary Cycles and popularised by Robin Murphy. You do not need to have prior knowledge of ‘Western Astrology’ to use this system.

Western Astrology? I thought 'Western' was bad and allopathic? Fortunately, you do not need prior knowledge of anything before attending this course. Trainees need not have prior knowledge of the differences between their arse and their elbow.

What new skills will homeopaths pick up?

• Your constitutional 3 main planets based on your date and time of birth

• The 7 sacred planets

• 7 year cycles – How to predict and prevent diseases.

• Diseases and remedies associated with each planet

Marvelous. This is for real. Adults appear to believe this stuff.

The event is being put on by Gala Homeopathy (slow load). Gala appears to specialise in charging homeopaths to attend events in exchange for their CPD certificates. In a few weeks, you can hear a talk by Lionel Milgrom who believes quantum mechanics explains homeopathy. It's utter nonsense of course, but the homeopaths lap it up. You can also learn about Live Blood Analysis, a technique that I have discussed recently and has been described as 'High-Tech Hokum' and a 'money making scheme'.

This event simply demonstrates that the whole approach of regulation by 'box ticking' is deeply flawed. The Complementary and Natural Healthcare Council (Ofquack) appears to believe that simply ensuring that homeopaths and other quacks are properly trained will protect the public. The important question is; what are they being trained in? No one wants to address this question. All Ofquack will be doing is endorsing nonsense. Once you have accepted that it is quite alright to accredit training in the nonsense foundations of most alternative medicine you loose the ability to sensibly decide what is good training and bad training. Offering training in delusion can only make quacks more efficient at fleecing their customers and engaging in meaningless or even dangerous practices.

I now think that the only way to tackle regulation of alternative medicine is by using prosecution under trading standards legislation. Everything else appears to legitimise the nonsensical, deluded and even fraudulent. Fortunately, despite the best efforts of Prince Charles and the many bodies representing alternative medicine, this is going to be the regime we will get. Time will tell if it is effective.

Labels: BPSDB, Natural Healthcare Council, ofquack, pseudoscience, regulation

 

The ambush by the Prince of Wales on the various factions of Alternative Medicine by announcing the set up of the Natural Healthcare Council, Ofquack, is starting to have effects. In the Guardian yesterday, Polly Toynbee ran an article entitled, Quackery and superstition - available soon on the NHS. She argues that we should,

Labels: Natural Healthcare Council, ofquack, regulation, Society of Homeopaths

 

Prince Charles' Foundation for Integrated Health and its new regulatory quango, the Natural Healthcare Council (or Ofquack, as it is bound to become known), is due to launch in April. Ofquack is designed to be an 'independent self-regulatory body for complementary therapists.

In 2000, the House of Lords Science and Technology Select Committee looked into the regulation of non-medically trained health workers. It asked the Prince of Wales Foundation to look into setting up a body to mop up all the 'harmless' CAM therapies, such as reiki, massage, aromatherapy, yoga and homeopathy. Alternative therapies that have the potential to have real effects on people such as osteopathy, herbalism and acupuncture have already been statutorily regulated or are soon set to be. Ofquack, The Natural Healthcare Council, will not be a statutory body; it will be voluntary (for now) and will involve representatives from each 'discipline' and lay people to help self-regulate.

The idea behind setting up this new body is to attempt to provide protection to the public from exploitative or dangerous practices. The Quackometer believes the structure of the body will mean that it will be impotent to carry out this role. For this reason, I am disappointed that Ofquack is being set up in its present from and I would hope Prince Charles team, headed by Professor Dame Joan Higgins, would stop and think again.

However, I need not worry. As is becoming increasingly clear, large swathes of the alternative medicine industry want nothing to do with this initiative. This was totally predictable and the consequences are going to be hilarious.

Let's start with the Homeopaths. The Society of Homeopaths has issued the following press release following yesterday's report on Ofquack in The Times,

As the UK's largest membership association and regulator of homeopaths, The Society of Homeopaths supports the establishment of an independent single register and regulatory body for homeopaths. Indeed, a recent survey of its membership indicated that at least 65% would support statutory regulation for homeopaths.

Registered members of The Society of Homeopaths (identifiable by the designation 'RSHom') have a recognised professional qualification, comprehensive insurance and have agreed to abide by a strict Code of Ethics & Practice.

The Society of Homeopaths has yet to assess the suitability and standards of the Natural Healthcare Council for the purpose of providing regulation of homeopaths.

Paula Ross
Chief Executive

Now, as with all press releases from SoH, you have to take great care in interpreting what they are saying. Let me do that delicate task for you and sum up their thoughts...

"Over our dead bodies."

The Alliance of Registered Homeopaths has been a little more straight talking over Ofquack. Karin Mont of ARH, wrote in their in house rag, Homeopathy in Practice:

Federal Voluntary Self Regulation [Ofquack] is a recently introduced concept that is intended to bring a diverse group of complementary therapies under one central control. The homeopathy profession has been unanimous in rejecting federalisation as an option for regulation.

In other words,

"Over our dead bodies."

It's not just the homeopaths that are hostile to Prince Charles' new quackery club. The Reiki practitioners (wave their hands around to 'channel healing energy') set up their own regulatory committee to 'respond' to the development of Ofquack.

On their web site they now note,

Following a meeting in November 07, The RRWG has now formally withdrawn from the Federal Working Group set up by the Princes Trust for Integrated Health. The Group is considering its options and the way forward in January 2008.

Further explanation is given in a letter from Anthony Perry, Chair of the Reiki Regulatory Working Group. He explains that no-touch Reiki practitioners are looking for 'light touch' regulation. Central to this is the desire that,

We believe the Regulator should have an overriding duty to regulate the practitioners, but not the practices or therapies themselves, e.g. such as the teaching of Reiki in its many diverse forms.

So, in short: you may keep a list of our members, but don't dare tell us how to wave our hands around and who we can wave them over.

The aromatherapists are not quite so well organised. They too have set up a regulatory body, but it looks still-born. Their web site http://www.aromatherapy-regulation.org.uk/ appears to be down. For some insight, we must look at the few aromatherapy bloggers around.

Tony Burfield on the aromaconnection blog writes that the 'sky fell in' with the announcement of the set up of Ofquack. He thinks it will be an "an unmitigated disaster for CAM". Tony then goes into a lot of conspiracy theories, describing Sense about Science as 'sinister'. He clearly believes there is some sort of corporate conspiracy to control aromatherapists. Tony smells a rat.

But tellingly, he says,

Within aromatherapy, the low educational entry requirements & abysmal course standards set in UK colleges are a national joke, so setting minimum standards for practitioners will presumably be a great source of material for satirical magazines such as Private Eye. The profession is starved of finance, so no substantial evidence-based aromatherapy data-base exists as such - anything that does exist is likely to consist of published (so-called) aromatherapy studies by non-practising academics, rather than tapping the massive collective experience of everyday practitioners

One would have thought that aromatherapists could have done with all the friends they needed, but it looks like one more case of,

"Over our dead bodies."

Tony concludes with a prayer:

Please pray with us that Prof. Edvard[sic] Ernst is not promoted to a position of adviser or authority within the National Healthcare Council. Ernst is a Corporate Science sympathiser who is working undercover as Director of Complementary Medicine at Exeter University, & whose sole purpose seems to be to rip the soul out of CAM, armed only with a Corporate Science device called "the meta-analysis". Ernst's stature & reputation is such that it has even over-awed normally sensible Herbalgram staff who worship & reproduce his every utterance, & who apparently haven't noticed that now HE'S WORKING FOR THE OPPOSITION. Wake up!

I think we can see a full picture now amongst the various proposed members of Ofquack. There is deep suspicion that they will not be allowed to practice the way they wish to practice. Homeopaths do not even trust each other to regulate themselves with at least ten different registering factions looking after the interests of different beliefs. And worse, heaven forbid that a scientist like Ernst should get involved and apply some reason and evidence to their regulation. (Fortunately for Tony, I doubt Ernst will get invited to this little party. Charley and Edzard are not the closest of friends.)

We also see fear of conspiracies. Ofquack will receive government funding and this lays it open to charges of being controlled by the enemies of quackery. Users and practitioners of alternative medicine have a strong anti-establishment streak about them. Asking them to trust in Ofquack will be like asking wildebeest to use crocodile endorsed river crossings.

But the biggest problems lie in the arrogance and independence of each faction. The homeopaths are the worst. They see themselves as a 'complete system of medicine' and holders of the true keys to healing. Other healing practices are wrong or corrupt. To lump homeopaths in with the smell sniffers, the crystal danglers, the foot ticklers and the bendy yoga lovers would be a deep humiliation for them and a completely unacceptable loss of autonomy and status.

Over their dead bodies.

Labels: CNHC, Complementary and Natural Healthcare Council, ofquack, regulation