Adjudication findings

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.

Homeopath’s name

Registration number

Order/s

Order/s

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
Complaints:
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;

  • receive a formal warning about his conduct. This warning to remain on file for three years. During this three year period, this conduct will be considered in the event of any future allegations or complaints relating to Mr. Gunn.
  • receive regular supervision from a supervisor approved by the Panel. He should commit to 12 sessions within an 18 month period. Mr. Gunn should reflect and address issues highlighted by this complaint within these sessions.

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.
Mr. Gunn should submit a reflective piece at the end of this period, to the Chair of the panel, identifying the learning that has occurred. This should be submitted by May 2016.
The panel should also receive a report from the supervisor on how Mr. Gunn has utilized the sessions by May 2016.

Carole Ingram
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
2.1 –
The range, purpose and limitations of different methods or approaches which may be used for clients’ individual needs
2.2 – How to determine the most appropriate method(s) for different clients and their particular needs
2.6 – How to support and advise the client to make informed choices
2.11 – The procedures for record keeping in accordance with legal and professional requirements

2 Performance Criteria
4.
discuss the approach to be taken, the level of commitment required and the potential outcomes and evaluation with the client
5. check the client understands and support them to make informed choices
6. obtain the client’s consent and complete records in accordance with professionaL and legal requirements

15 – Explore and evaluate with individuals factors relating to their health and well-being within the context of homeopathy
15.5 –
Medical terms and disease processes sufficient to maintain a dialogue with other health care practitioners and to assist in exploring the following for the purpose of homeopathic assessment, prognosis and treatment

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:
a) onset, duration and intensity/severity of symptoms
b) current physical, mental/emotional/spiritual and general states and modalities of a general or particular nature
c) personal medical history
d) family medical history
e) significant life events and reactions to them
f) lifestyle, work and home situation including any stressors
g) reaction to environmental and social factors

15.29 – Homeopathic criteria against which to evaluate information given by individuals in order to focus further questioning and discussion

15 Performance criteria
6
. facilitate the individual to explore the significance of the symptoms and to identify any emerging patterns or themes
8. assess the potential risk for the individual associated with the course of any presenting condition
10. obtain any relevant information from other health care practitioners in an appropriate manner
12. discuss with individuals their aims and priorities for homeopathic treatment
13. record the outcomes of the consultation completely and accurately to allow other practitioners to take the treatment forward if necessary

16 – Integrate and evaluate information about individuals’ health and well-being within the context of homeopathy
16.2 –
The relevance and relative importance of the different aspects of the case for treatment planning and prescribing

16.5 - Principles and methods of categorising symptoms, including:
a) physical/emotional/mental/general/particular
b) concomitant
c) complete/incomplete
d) common
e) characteristic
f) striking, individualising symptoms (‘strange, rare and peculiar’)
g) symptoms of ‘indisposition’
h) symptoms of miasms
i) exciting and maintaining causes
j) pathognomonic symptoms
k) iatrogenic symptoms

16.6 - The relative value of symptoms and patterns in terms of:
a) intensity
b) level of detail
c) completeness
d) frequency and duration
e) rhythm/periodicity/onset
f)aetiology
g) characteristic nature
h) susceptibility
i) persistence
j) expressions of a major theme
k) summaries or symbols of the individual as a whole

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:
a) vitality
b) age
c) nature and duration of symptoms
d) medical history (individual and family)
e) aetiology
f) miasmatic influences
g) suppressive factors
h) exciting and maintaining causes
i) current conventional prognoses, treatment and any medication being taken
j) other treatments the individual is undertaking
k) experience and effectiveness of previous treatment (homeopathic and other)
l) the individual’s expectations and preferences

16 Performance criteria
1. ensure the information is full and accurate

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:
a) appropriate to the symptom picture
b) appropriate to the goal and stage of treatment
c) consistent with principles and practice of homeopathy

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
5. note future reference symptoms and patterns which are not included in the initial prioritisation
6. explain the outcomes of the evaluation to the individual in an appropriate manner, level and pace
7. review with the individual their priorities and goals for homeopathic treatment in the light of the evaluation
8. record the outcomes of the evaluation
9. complete and maintain records in accordance with professional and legal requirements
10. seek advice and support promptly from an appropriate source if it becomes apparent that professional discussion and supervision is needed

17 – Prescribe homeopathic treatment for individuals
17. 1 –
principles of different prescribing methodologies and their application
17. 2 – the links between case evaluation and selection of a prescribing methodology
17.3 – the connections between the vitality and circumstances of the individual and appropriate treatment planning
17.4 – ways of building review, reflection and evaluation into treatment planning
17.10 – how to interpret, analyse, evaluate and synthesise the patterns and essential characteristics of remedy pictures from materia medica, provings and clinical observation
17.14 – principles of differential diagnosis and remedy selection
17.15 – the importance of taking a critical approach in relation to remedy selection
17.17 – factors to consider when choosing potency and dose tailored to the individual’s needs

17 Performance criteria
1. evaluate remedies and differentiate between those which are indicated in the case
8. accurately record information on the remedy chosen and the rationale for its choice

19 – Review and evaluate homeopathic treatment, case management and practice development
19.7 –
Discerning the appropriate information to include in recording the content and outcomes of the review process
19.8 – Ways of managing cases over varying periods of time

19 Performance criteria
2. evaluate and reflect on progress towards agreed goals in the light of homeopathic principles
3. explain and explore with the individual the outcomes of this evaluation
7. keep accurate, legible and complete records of the review process
The Panel recommended to the Board of The Society of Homeopaths that Carole Ingram be expelled from The Society with immediate effect. The Board ratified the recommendation of the Panel and the decision will take effect from the 10th June 2014.

Maria Jevtic
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
Competence and Continuing Professional Development
3.18
Evidence of continuing professional development will be taken into account when hearing allegations regarding a registered or student clinical members’ professional conduct or competence.The following was also compromised – (NOS) Performance  Criteria in CNH2, CNH15, CNH16 and CNH19 as well as Knowledge and Understanding in CNH15 and CNH19.The Panel recommended a conditions of practice order.
 The recommendations of the Panel were ratified by the Board of Directors on
 20th September 2012.Ms Jetvic later resigned from the Society of Homeopaths and is no longer a member.

Alex Christie
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:

  • Beyond the present limits of their clinical competence and expertise
  • Likely to receive more immediate, effective benefit from another form of treatment
  • Showing signs and symptoms suggestive of an underlying condition which requires referral for investigation and other medical diagnosis

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
All case notes should be clear and legible, and contain all the 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 the time of a 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.

Publicity and Advertising: Para 48.
All advertisements should conform to the British Code of Advertising Practice.

Legal Obligations: Para 72.
To avoid making claims (whether explicit or implied; orally or in writing) implying cure of any named disease.

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.

David Evans
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.