CONTINUING THE PHILOSOPHY OF REGINALD O. KAPP

9.50 Letter to GPs and £50 voucher for NICE-recommended complementary treatment

SOCIAL ENTERPRISE COMPLEMENTARY THERAPY (SECT) COMPANY FOR BRIGHTON AND HOVE


Directors: Anne Pether (finance) Terry Rixon (technical) John Kapp (secretary)
Officers: Cllr Ayas Fallon-Khan (President), Penny Kinton (chairman) Christine Kavanagh (deputy chairman)
Committee members:Julie Alce, Barbara Bishop, Lyn Clark, Roy Haitzin, Patricia Holden, Carolyn Jikieni, Stuart Macey, Tom Sydenham, Shirley Ward.
Registered address: c/o secretary: John Kapp, 22, Saxon Rd Hove BN3 4LE johnkapp@btinternet.com, 01273 417997
Website: section 9 of www.reginaldkapp.org
Representing 140 complementary therapists in the city of Brighton and Hove, as listed in part 5 of paper 9.39 of website
Mission:To provide patients’ rights under the NHS constitution to NICE-recommended complementary treatments free in Brighton and Hove city.

To all Practice Managers and GPs in Brighton and Hove                             27.7.10

Dear Practice Manager

We enclose 5 copies of this letter. Please give a copy to each of your GPs. If you have more than 5 GPs, please photocopy it.


Dear GP

INVITATION TO REGISTER TO PROVIDE FREE NICE-RECOMMENDED COMPLEMENTARY THERAPY TO YOUR PATIENTS

This letter is an update of our previous letter dated 16.6.10. It is an invitation to you to register with SECTCo individually, so that you can ‘prescribe’ vouchers to your patients for the following complementary therapies, which have the ‘gold standard’ of evidence base for them, as they are recommended by the National Institute for Clinical Excellence (NICE). Your patients have the right to these under the NHS constitution, which became law in Jan, provided that you say that they are clinically appropriate.

1 For low back pain (LBP) under NICE CG88 (May 2009): box D ‘Consider offering:
a) Course of manual therapy including spinal manipulation up to 9 sessions over up to 12 weeks by chiropractic, osteopathy.
b) Course of acupuncture needling up to 10 sessions over up to 12 weeks’.
c) Alexander Technique has subsequently (16.11.09) been added.

2 For irritable bowel syndrome(IBS) under NICE CG 61 (Feb08) paragraph 1.2.3.1 ‘Referral for psychological interventions (cognitive behavioural therapy [CBT], hypnotherapy and/or psychological therapy) should be considered for people with IBS who do not respond to pharmacological treatments after 12 months and who develop a continuing symptom profile (described as refractory IBS)’.

3 For depression under CG23 (Dec 2004): Mindfulness Based Cognitive Therapy (MBCT) courses (8 weeks) Under CG88, the MBCT course should also be considered for patients with low back pain for whom the above treatments have not succeeded. Also, under CG61 for IBS the MBCT course could be considered as a psychological treatment. You should therefore consider the MBCT course for all the above conditions, which may be a high proportion of your case load.

4 Patients have the right to NICE-recommended treatments under the NHS constitution
Your patients have the right to the above treatments under the NHS constitution, which became law last January. Implicit in this law is that the treatment should be free at the point of use to your patients, and that the therapists providing those treatment should be paid the going rate under the NHS tariff.

SECTCo is a new (4.5.10) company created to provide NICE-recommended complementary therapy to patients in the city of Brighton and Hove as a pilot project. It is an agency between you and your patients. We supply you with vouchers for these treatments which you can give to your patients like prescriptions. Yours patients can trade them in exchange for treatment with therapists registered with us. The used voucher enables the therapists to be paid in arrears. Our business plan is published on website section 9.39 www.reginaldkapp.org

5 Registration with us to prescribe vouchers
We invite you to register individually with us to prescribe these vouchers on a voluntary basis. Your practice as a whole does not need to register. We know that complementary therapy is contentious, and that some of you will not want to prescribe it. Furthermore, some of your patients will not want a prescription for it. Whether or not you decide to register, and whether or not you decide to prescribe our vouchers having registered, should be a matter for your individual conscience, and your patients’ choice to exercise their rights under the NHS constitution.

6 Change from SHA/PCT Based Commissioning to GP/Patient Based Commissioning
Under the White paper published on 12.7.10, the commissioning powers of the PCT are to be transferred to you GPs and your patients jointly. The Health Secretary (Andrew Lansley) said ‘The NHS must be responsive to patients, and patient safety is the top priority. Patients must be in the driving seat, informed and engaged. Patient experience will drive up standards. Targets will be focused on quality, innovation, productivity and safety required to improve patient outcomes.‘

The Strategic Health Authorities (SHAs) are to go, together with most of the Primary Care Trusts (PCTs) Under the new regime you and your patients have the joint authority over what treatments you commission and pay for under GP/Patient Based Commissioning (GPPBC). Out of the total NHS budget of £105 bn pa, £80 bn pa will be given to you 35,000 GPs to spend, so on average each of you will hold an annual budget of over £2 m. (£10,000 per working day) With that public money you will be able to fund those evidence-based treatments (NICE-recommended) that your patients request and you agree.

Patients/taxpayers’ money will follow the patient, to get the best value for it. Polls show that 3 out of 4 patients want free complementary therapy on the NHS, and they now have the right to the 6 treatments listed above which are NICE-recommended. Block contracts, (such as that with Sussex Partnership Foundation Trust (SPFT) for mental health services) will go, and monoply of provision will be terminated, so that you can choose other providers, such as SECTCo.

About half of all you GPs already recommend your patients to have complementary therapy. However, at present your patients have to pay for it, which some cannot afford, so it is inaccessible to them. This is a health inequality which the government has pledged to eliminate, and you now have the means to implement that objective.

7 Who will pay for the vouchers?
This has been the sticking point hitherto. We have been campaigning for this scheme for over a year, and the SHA advised the Primary Care Trust (PCT) not to fund these vouchers. Ann Foster of the PCT e mailed you on 8.7.10:

Dear colleague,
I previously wrote to you on 20 May regarding the launch of a Social Enterprise in the City known as SECTC (copy message attached). I just want to re-iterate that this scheme is NOT endorsed by the PCT. You may well receive correspondence in the post containing complementary therapy vouchers so please do not issue the vouchers to your patients as they will not be reimbursed by the PCT. If you have any further queries in connection with this issue then please let us know.

Our therapists understand and accept that the SHA, PCT and you GPs are in a transitional state following the change of government. It will take some time before funding arrangements can be put in place to pay therapists for providing these treatments. However, your patients should not be penalised by having to wait for treatments to which they have a legal right, because the administrative details of funding them are not yet in place.

Accordingly, our therapists are willing to treat your patients now in exchange for vouchers, and accept payment for them retrospectively as and when it is arranged in the future. They will therefore start providing these treatments as soon as your patients book with them and give the vouchers you have prescribed in exchange. We enclose the voucher, which lists the therapists who have registered with us to date.

When we receive your registration form we will e mail you the voucher for you to print off and issue to your patients. As further therapists register with us, we will amend the voucher to add them to the list and send you the new one.

Yours sincerely

John Kapp
(SECT company secretary and Sussex LINk representative on the National Association of LINk Members (NALM)

Please find enclosed: GP Registration form (blue) Voucher (yellow)


GP REGISTRATION FORM FOR VOUCHER SCHEME TO PROVIDE FREE NICE-RECOMMENDED COMPLEMENTARY THERAPY ON THE NHS

I, GP in this practice, hereby register with SECTC to give SECTC vouchers to my patients as described in SECTC’s letter of 27.7.10.

Name of GP in block letters

Signature of GP

E mail address of GP to receive vouchers

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of practice………………………………………………………………………………

Address of practice…………………………………………………………………………..

Name of practice manager………………………………………………………………..

Phone number of practice manager ………………………………………………………..

E mail address of practice manager ………………………………………………………..

Date of registration………………………………………………………………………………..
Please complete and return to John Kapp, (secretary of SECTC) 22, Saxon Rd Hove BN3 4LE,
or e mail to johnkapp@btinternet.com


£50 VOUCHER FOR NICE-RECOMMENDED COMPLEMENTARY THERAPY

I promise to pay the bearer on demand the sum of fifty pounds (£50) on the following main conditions. Additional minor conditions are stated on 9.39 of www.reginaldkapp.org.

1 Legal basis for this voucher: Patients have the right under the NHS constitution to NICE-recommended treatment if their doctor says it is clinically appropriate. Implicit in this is the right that it shall be free at the point of use, and that the therapist providing the treatment should be paid for it at the going rate by the NHS according to the tariff.

2 SECTCo is an agent enabling GPs to provide their patients with NICE-recommended treatments free on the NHS at registered complementary therapy centres with qualified complementary therapists in Brighton and Hove.

3 NICE-recommended treatments: This voucher may be used for the following National Institute for Clinical Excellence (NICE) recommended treatments: For low back pain: spinal manipulation by chiropractic, osteopathy, and acupuncture, and Alexander Technique, and MBCT course. For irritable bowel syndrome (IBS) hypnotherapy and MBCT course. For depression: Mindfulness Based Cognitive Therapy (MBCT) 8 week courses.

4 Payment disclaimer to therapists:The company will use its best endeavours to pay the value of this voucher, less the administration fee, to the therapist who provided the treatment as soon as possible after receipt of this voucher. However, this payment is conditional on the company being paid for it by the NHS commissioners, so is not guaranteed, and is at the therapist’s risk.

5 Clinical governance disclaimer to patients. The company will use its best endeavours to ensure that the registered therapists listed on this voucher are qualified to provide the stated treatments, and that the rooms used for the treatment are fit for purpose. However, the company is an agency, not a qualifying body, and is not certifying the appropriateness or efficacy of the treatment provided, or the ability of the therapist to cure the condition, or the suitability of the treatment room used, which are all at the patient’s risk.

This voucher is prescribed by…………………………………………………………………………..(doctor)

For…………………………………………………………………….(patient)

on…………………………..(date).

For: low back pain / depression (doctor to delete what does not apply)

Treatment provided by…………………………………………………………………………………(therapist)

On……………………..(date)

Patient satisfaction: very satisfied/ satisfied/ unsatisfied
(patient to delete what does not apply and sign …………………………………………………)

For company use: Voucher issued to GP on ………………………(date)
Received from therapist on………………………...(date)
Payment made to therapist on …………………….(date)


List of registered therapists with whom this voucher may be exchanged for treatment to the value of this voucher.

Treatment

Therapist

Centre

Address

Phone

Website

Email

Chiropractic

Paul Harris

Manos Chiropractic Clinic

34 Palmeira Square
Hove BN3

733469

Manosclinics.com

brighton@manosclinics.com

Chiropractic

Mark Yacoub

Chiropractic First

32 Goldstone Villas
Hove BN3 3RN

324466

chiripracticfirst.co.uk

Mark-Yacoub@hotmail.com

Chiropractic

Victor Bennett

Holistic Health Clinic

52 Beaconsfield Rd Brighton

696295

holistichealthclinic.org.uk

victorbennett@yahoo.com

Chiropractic

Morten Westergard

The Clinic

34 Dyke Rd Av
Brighton

560888

chiropractor-brighton.co.uk

mailtheclinic@aol.com

Acupuncture

Tom Sydenham

Pathway Clinic

28 Coombe Terrace Brighton BN2 4AD

693259

 

Thepathwayclinic@yahoo.co.uk

Acupuncture

Deborah Woolf

Annahata Health Clinic

119-120 Edward St Brighton BN2 0JL

698687

anahatahealth.com

dcwoolf@hotmail.com

Acupuncture

Roy Haitzin

Anahata Health Clinic

119-120 Edward St Brighton BN2 0JL

698687

anahatahealth.com

royhaitzin@gmail.com

Acupuncture

Manhi Son

Anahata Health Clinic

119-120 Edward St Brighton BN2 0JL

698687

anahatahealth.com

Manhi_tree@yahoo.co.uk

Acupuncture

Julia Hancock

Anahata Health Clinic

119-120 Edward St Brighton BN2 0JL

698687

anahatahealth.com

juliahanc@gmail.com
07800763104

Alexander Technique

Carolyn Nichols

Brighton Alexander Technique College

Unit 3 Hove Business Centre
Fonthill Rd
Hove BN3 6HA

562595

stat.org.uk

info@alexander-technique-college.com

MBCT course

John Kapp

Revitalise

86 Church Rd
Hove BN3 2EB

417997

reginaldkapp.org

johnkapp@btinternet.com

MBCT course

Elizabeth Masheder (Jiva)

Anahata Health Clinic

119-120 Edward St
Brighton BN2 0JL

698687

www.anahatahealth.com
www.mindfulnessbrighton.co.uk

yogajiva@yahoo.com
382947

Acupuncture

Barbara Bishop

Dolphin House

14 New Road
Brighton BN1 5AE

324790

www.dolphinhouseclinic.com

info@bishopacupuncture.co.uk
www.bishopacupuncture.co.uk

Issued by Social Enterprise Complementary Therapy Company (SECTC)
Directors Anne Pether (finance) Terry Rixon (technical) Company secretary John Kapp, 22, Saxon Rd Hove BN3 4LE 01273 417997
johnkapp@btinternet.com, www reginaldkapp.org section 9                     27.7.10

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