The Society of Homeopaths aims to publish within seven working days of a decision the names of those members in respect of whom it has investigated allegations and found the allegations to be well founded. It will also publish alongside the finding both the section(s) of the Code of Ethics and Practice of which they were found to be in breach, and the steps (if any) taken by the Adjudication Panel in respect of the member so named.
Orders imposed by the Adjudication Panel have been made to:
- Fulfil the Society’s role to protect members of the public
- Maintain public confidence in the profession of homeopathy
- Uphold the standards and conduct expected of Members
What the orders mean
Formal First Warning (F) – A member if given a formal warning which will remain on their file for a specified time agreed by the Panel.
Action Plan (A) – The member should agree upon an action plan to improve practice with the Professional Conduct Officer. Checks will ensure that the action plan is then followed.
Interim Suspension Order (I) – An allegation is serious enough for the member to be suspended pending an investigation and the outcome of the case.
Conditions of Practice (C) – conditions have been imposed on the member’s practice to enable him/her to take steps to remedy any deficiencies in their practice. Restrictions may be placed on the types of work that they may undertake. Conditions of practice judgements are sometimes imposed where there is evidence of incompetence or significant shortcomings in a member’s practice, but where the Committee is satisfied that there is potential for the member to respond positively to re-training and supervision.
Suspension (S) – the Panel has ordered that the member may not practise as a member of the Society of Homeopaths for a specified period of time. During this time he/she forgoes all rights and privileges of Society membership.
Termination (T) – this is the most severe sanction. The individual is no longer a member of the Society of Homeopaths.
Adjudication Panel decisions
This section contains details of homeopaths who have recently been the subject of a decision by either the Preliminary Investigation Panel or the Adjudication Panel and the sanction imposed. The committee has the power to issue a formal first warning and create an action plan, impose conditions of practice, suspend the homeopath’s registration for a set period, or permanently remove the homeopath’s name from the Register.
|Trevor Gunn||491||C||An Adjudication Panel was convened on 24th November 2014 to hear a complaint that had been brought by the Society of Homeopaths against Trevor Gunn RSHom. The complaint was partly upheld and the Panel found that Mr Gunn’s behaviour had breached the Code of Ethics and Practice in respect of the following Sections.|
|Section 1 – Key principles for practice:
s1.4 Work to foster and maintain the trust of individual patients and the public.
Section 6 – Practice Issues
s59 Where the conduct of any registered, or student clinical member may have an adverse impact on their reputation as a homeopath and or the reputation of homeopathy such matters may be brought to the attention of the Professional Conduct Committee for their consideration.The Panel recommended that Trevor Gunn’s interim suspension order should be lifted. That as a condition of Mr Gunn’s continued membership of The Society he should;
Mr. Gunn should inform the chair of the Panel, of the name of the supervisor he intends to see by the end of January 2015. The supervisor should be selected from the list of supervisors approved by The Society.
||2007||T||An Adjudication Panel was convened on 21st May 2014 to hear a complaint that had been brought by a member of the public against Carole Ingram RSHom. The complaint was upheld and the Panel found that Ms Ingram’s treatment of the complainant’s son had breached the Code of Ethics and Practice in respect of the following Sections:|
|Key principles for practice:
s1.7 Comprehensively record any history the patient may give and the advice and treatment the registered or student clinical member has provided.s1.8Provide comprehensive clear and balanced information to allow patients to make informed choices.s1.15 Practise in accordance with the Core Criteria for Homeopathic Practice and the Complementary and Natural Healthcare National Occupational Standards for Homeopathy.
Consent: s3 Where another therapy is offered, they must inform the patient prior to treatment about the other therapy and indicate their relevant qualifications, registration with any relevant registering body and adherence to a separate Code of Conduct. Consent should be obtained for every component of treatment before commencement.The Respondent failed to follow:CORE CRITERION 3: “Affective Awareness” The monitoring, understanding and effective management of the emotional state of oneself and others.The Panel felt that the following paragraphs of the Complementary and Natural Healthcare National Occupational Standards for Homeopathy 2011 (CNHNOS) needed to be considered in their decision:1.This allows the practitioner to consider whether it is appropriate to offer the service to the client, the type of service that should be offered and any required modifications to that service.
1.1 - The concept of health and well-being that is consistent with the practice, principles and theory underlying your discipline
1.3 – How the client’s previous and present care may affect their health and well-being in relation to your discipline
1.7 – How to select and use different methods for exploring clients’ needs
1.9 - The potential risks (relevant to your discipline) of various courses of action for the client
1.16 – The procedures for record keeping in accordance with legal and professional requirements
2 – Develop and agree plans for complementary and natural healthcare with clients
2 Performance Criteria
15 – Explore and evaluate with individuals factors relating to their health and well-being within the context of homeopathy
15.7 – The nature of disability and the role of the practitioner in working with individuals who have disabilities
15.8 – The relevant legislation, professional standards and codes of conduct
15.9 – How to obtain consent from individuals in accordance with legal and professional standards
15.12 - Approaches and techniques for eliciting information (eg open questions) and appropriate combinations/sequence of approaches at different times during consultation
15.19 - How to record information accurately for assessment and treatment purposes
15.24 – The procedures for record keeping in accordance with legal and professional requirements
15.25 – The principles and consequences of treating like with like and using minimum dose
15.26 – The importance of getting full information on both presenting problems and relevant contextual factors for effective homeopathic treatment
15.27 – The scope and significance of the physical, mental, emotional, social, spiritual and environmental factors which should be explored with individuals, including:
15.29 – Homeopathic criteria against which to evaluate information given by individuals in order to focus further questioning and discussion
15 Performance criteria
16 – Integrate and evaluate information about individuals’ health and well-being within the context of homeopathy
16.5 - Principles and methods of categorising symptoms, including:
16.6 - The relative value of symptoms and patterns in terms of:
16.7 – The nature, purpose and importance of prognosis in homeopathy, and how this differs from conventional medical prognosis
16.8 – Factors to consider when evaluating a case, including:
16 Performance criteria
2. encourage individuals to provide further information and/or agree how such information can be obtained if necessary
3. evaluate the information using strategies which are:
4. use appropriate homeopathic strategies to analyse and integrate all of the information available to prioritise the most characteristic symptoms and patterns in the case
17 – Prescribe homeopathic treatment for individuals
17 Performance criteria
19 – Review and evaluate homeopathic treatment, case management and practice development
19 Performance criteria
||2192||C||An adjudication Panel was convened on 11th September 2012 to hear a complaint which had been brought by a member of the public. The complaint was upheld and the Panel found that Ms Jetvic’s treatment of the complainant had breached the Code of Ethics and Practice in respect of the following paragraphs:|
|Section 1 – Key principles for practice
1.1 Put the individual needs of the patient first.
1.2 Respect the privacy and dignity of patients.
1.3 Treat everyone fairly, respectfully, sensitively and appropriately without discrimination.
1.4 Work to foster and maintain the trust of individual patients and the public.
1.5 Listen actively and respect the individual patient’s views and their right to personal choice.
1.7 Comprehensively record any history the patient may give and the advice and treatment the registered or student clinical member has provided.
1.8 Provide comprehensive clear and balanced information to allow patients to make informed choices.The Patient/Practitioner Relationship – Provision of Information
2.1 To ensure that the patient is always able to make informed choices with regard to their healthcare, registered and student clinical members must give full and clear information about their services when commencing homeopathic treatment. This will include written information about the nature of the treatment, charges, availability for advice, confidentiality and security of records.2.11 Records and record keeping
The homeopath must record the patient’s name, address, date of birth and telephone number, and the contact details of their GP on their record. If the patient is not registered with a GP this should be recorded.All case notes, whether a result of electronic, telephonic or face-to-face consultations must be clear, legible, current, kept up to date and contain all the relevant information relating to the progress of the case, for example, treatment and any advice that has been given, whether the patient’s condition has improved, been maintained or deteriorated since they were last seen. This is important for patient care and essential should the registered or student clinical member at any time be involved in complaints or legal proceedings. All notes should be contemporaneous or completed promptly after a consultation (generally on the same day).The notes should be kept for a minimum of eight years after the last consultation and, in the case of children, until their twenty-fifth birthday. [current NHS guidance]Confidentiality and Disclosure
2.14 Confidentiality must be maintained at all times except where the practitioner is compelled by an order of court or other legal authority. Only the information required under the order should be released.It is necessary in the public interest. In such circumstances the duty to society overrides duty to the patient. This will usually happen when a patient puts themselves or others at serious risk.
Section 3 – Professional obligations
||2066||T||An Adjudication Panel was convened on 13th July 2009 to hear a complaint brought against Ms. Alex Christie RSHom by a member of the public. The complaint was upheld and the Panel found Ms. Alex Christie to have breached the Code of Ethics and Practice in respect of the following paragraphs:|
|Para 6. It is important that patients are given information in a way that they can fully understand, and for all matters that concern them to be clearly explained.
Working to clear contracts: Para 8.
Homeopaths practise with integrity and competence any skills other than homeopathy as they think appropriate, in the course of treatment. Prior to the first appointment, they shall make it clear to the patient concerned the nature of the treatment offered and indicate their relevant qualifications, membership of registering body and adherence to separate code of conduct for practice of such skills.
Avoiding Harm- Monitoring Competence: Para 12.
Homeopaths are responsible for monitoring their competence and becoming aware of the necessity to consult with colleagues or to refer a patient to a suitably qualified and experienced practitioner.
Provision of Treatment: Para 22.
When dealing with cases of a serious and possibly terminal nature, ensure that the patient is fully aware of the advisability of keeping their GP informed of their condition. Where possible and appropriate, ask the patient’s permission to write to their GP concerning progress.
Monitoring Competence: Para 27.
A competent homeopath identifies those occasions when a patient’s condition is:
Para 29. In that case the homeopath may provide the patient with sources of further information in order to encourage informed choice, and/or refer the case formally to another homeopath or other health care professional.
Patient Records: Para 35
Publicity and Advertising: Para 48.
Legal Obligations: Para 72.
The Panel recommended to the Board of The Society of Homeopaths that Alex Christie be expelled from The Society with immediate effect. The Board ratified the recommendation of the Panel to be effective from the 6th August 2009.
||727||T||An Adjudication Panel was held on the 13th February 2008 to hear a complaint brought against Mr. David Evans RSHom by a member of the public.The complaint was upheld and the Panel found Mr. Evans to have breached the Code of Ethics and Practice in respect of the following paragraphs:|
|Central Principles 2: Homeopaths practise their profession with integrity and dignity, being guided by ethical principles which inform their conduct towards, and care of, their patient.Central Principles 3: Homeopaths owe a duty of care to patients and have regard for their wishes.Central Principles 4: Homeopaths maintain the customary practice of keeping confidential all that the patient says, and all that is written in their case notes.Including Para 77: To avoid disclosing any information concerning a patient to a third party without the patient’s written consent.Para 81: Where contact is initiated by a member of the patient’s family, or a friend, or other person, to listen carefully to their concerns in an unprejudiced manner and act appropriately, without breaching confidentiality or contradicting the wishes of the patient.Para 14: Maintaining appropriate boundaries Homeopaths, are responsible for avoiding exploitation of their patients financially, emotionally, sexually; or in any other way.Para 17: Patients are entitled to a professional standard of practice and care. Essential elements of this are professional competence, good relationships with patients and colleagues, and observance of professional ethical obligations.Para 35: All case notes shall be clear and contain all relevant information relating to the progress of the case. They shall enable a third party to have an understanding of the patient’s state at time of consultation; whether the patient has improved, maintained or deteriorated in their condition since they were last seen. This is particularly important where the homeopath recognises the possibility of legal proceedings for e.g. child protection, medical neglect, or malpractice issues.Para 38: Maintenance of appropriate records
Para 49: Clear boundaries are to be observed by all parties to a therapeutic, educational, or supervisory relationship. Any form of emotional, intimate, or sexual encounter (however participants may regard it) is abusive; of the person, of power, and of trust. It is improper, unprofessional conduct not to be undertaken in any circumstances. It is never appropriate to enter into these categories of relationship with patient, student, or supervisee.Including Para 50: It is a professional duty to avoid putting oneself in such a situation, and avoid any form of behaviour which might be adversely misconstrued.
Para 52: Where a patient, student, or supervisee is expressing feelings towards the homeopath, tutor, or supervisor which cause problems for the maintenance of professional boundaries and the professional- for whatever reason- is unable to resolve the situation in an acceptable manner the professional relationship is to be ended.
The Panel recommended to the Board of The Society of Homeopaths that Mr. David Evans be expelled from The Society with immediate effect. The Board ratified the recommendation of the Panel to be effective from 11th March 2008.