ON Chiropractic Winter 2014 - Page 27

FEATURE STORY Public/Private Mashup: The Global Trend IN NORWAY: 14 weeks of chiropractic treatment is funded. The progression of chiropractic into mainstream health care systems around the world is continuing. The recent policy changes in Ontario are yet another example of how chiropractors are demonstrating the greater role they can play in individuals’ health care teams as their conservative care MSK specialists. As in the evolution of any profession, there is bound to be some uncertainty and some growing pains. In Ontario, challenges associated with the details and impacts of chiropractors joining primary care teams, such as Family Health Teams and Nurse Practitioner-Led Clinics, will need to be managed collectively by the profession. When it comes to patient satisfaction and outcomes and the net impact on the reputation and credibility of the profession, though, the international data does show that chiropractic is quite well served by partnerships in the delivery of primary health care. 26 WINTER 2014 United Kingdom: In 2012, the United Kingdom’s National Health The VA now provides STUDY: Service (NHS) began the implementation of the Any Qualified Provider (AQP) program. Designed to provide increased choice to patients, AQP allows individuals to choose from a list of pre-qualified practitioners reduction in when referred for secondary care for specific conditions by their family orthopaedic physician. “Muskulo-skeletal services for back and neck pain” are included in the list of services to be provided in the AQP model. referrals. Dr. Mark Gurden, a chiropractor working in Colchester, Essex, completed the process of becoming a registered AQP provider. The process ensures that practitioners meet several requirements of the AQP program, including being licenced by Monitor, the health sector regulator in England, complying with the terms and conditions of the NHS Standard Contract and reaching agreements with the local commissioners on supporting schedules to the Standard Contract. When a practitioner applies to join the AQP an extensive review is conducted, including ensuring that appropriate integrated care pathways have been described and that the details of clinical governance leads, processes and reporting have been worked out. Switzerland has Dr. Gurden joined a group of several manual therapists to create the North East Essex Primary Care Trust (PCT) in his application to join the AQP, which included extended chiropractic chiropractors, osteopaths and physiotherapists. The PCT was committed from the coverage to include outset to measuring the impact of their work. During a one-year pilot phase, PCT Military and Disability evaluated their services based on s