Anti-vaccine chiropractor Ian Rossborough – world-famous for his video in which he cracked the back of a four-day-old, premature baby – has had conditions imposed on his registration:
Rossborough’s registration now includes the following conditions, published since a hearing was conducted into his professional conduct some days ago:
Limitations on practice
1.The practitioner must not undertake any chiropractic treatment of patients under age of 2 years and must meet the Chiropractic Board of Australia’s (the Board’s) specific requirements in relation to this condition.
For the purposes of this condition chiropractic treatment of patients under the age of 2 years also includes assessment, undertaking a diagnosis/clinical impression, formulating and implementing a management plan, monitoring or reviewing care and facilitating coordination or continuity of care.
2.The practitioner must not undertake any spinal manipulative therapy of the spine on patients between the age of 2 years and over and up to the age of 6 years.
3.In the event that the practitioner undertakes chiropractic treatment of patients between the ages 2 years and over and up to the age of 18 years, the practitioner must comply with the supervision conditions as set out below.
Attend for supervision:
4.The practitioner must be supervised by another registered chiropractor in relation to chiropractic treatment and must meet the Board’s specific requirements in relation to this:
For the purposes of this condition, ‘supervision’ is defined as a professional relationship in which a skilled registered chiropractor (the supervisor) reviews the practitioner’s (the supervisee’s) files relating to the treatment of patients between the ages of 2 and over and up to and to the age of 18 years, as chosen by the supervisor.
The supervisor and supervisee will discuss the supervisee’s diagnosis of these patients, selection of treatments and techniques applied to these patients, alternate treatment options, and provision of informed consent to these patients and/or their legal guardians.
5.The supervision should comprise a minimum of weekly sessions with each session being of a minimum of two hours duration.
6. The supervisor will be approved by the Board.
7. In the event that an approved supervisor is no longer willing or able to provide the supervision required the practitioner must cease providing care to patients between the ages of 2 and over and up to and to the age of 18 years immediately and may not resume treating patients between the ages of 2 and over and up to the age of 18 years until a new supervisor has been appointed and approved by the Board.
8. Within 7 days of the notice of the imposition of these conditions, the practitioner is to provide written acknowledgement that AHPRA may obtain information and/or reports from the supervisor for the purposes of monitoring compliance with this condition.
9. Within fourteen days of the notice of the imposition of these conditions, the practitioner is to provide to AHPRA, on the form provided, the details of any and all places of practice, together with, where relevant, confirmation from the Senior Practice Manager/Senior Partner/proprietor/owner (the senior person) at each and every place of practice that they have sighted a copy of these conditions.
10. With each and every subsequent place of practice the practitioner must, within seven days of the commencement of practice, provide to AHPRA the details of the subsequent place of practice together with written confirmation, where relevant, from the senior person at each and every subsequent place of practice that they have sighted a copy of these conditions.
11. With each and every subsequent alteration to these conditions the practitioner must, within seven days of the notice of alteration of these conditions, provide to AHPRA, written confirmation from the senior person, where relevant, at each and every place of practice that they have sighted a copy of the altered conditions.
12. Unless expressly provided for within a condition, all costs associated with compliance with these conditions are at the practitioner’s own expense.
Undertake an audit of practice
13. The practitioner must submit to an audit of his patient records (the audit), including any supporting records, within 7 days of the notice of the imposition of these conditions and thereafter on a 3 monthly basis, by permitting an auditor (the auditor) approved by the Board to attend any and all places of practice (public and private) for the purpose of the audit and permitting the auditor to provide a report in relation to the findings of the audit. The audit and the audit report are to focus on the practitioner’s compliance with the condition not to undertake any chiropractic treatment of babies and children up to the age of 2 years and not to undertake any spinal manipulative therapy of the spine on patients between ages of 2 years and over and up to the age of 6 years. The practitioner must meet the Board’s specific requirements in relation to this.
14. Within 7 days of the notice of the imposition of this condition, the practitioner must:
a. Make contact with a Board approved auditor and establish a written audit plan (the audit plan) outlining the form the audits will take and how the areas of concern for the Board will be addressed. The audits will take the form determined by the auditor.
b. Provide to AHPRA a copy of the audit plan, together with written confirmation from the approved auditor that they have read these conditions and agree to undertake the audits as outlined in the audit plan.
15. Within fourteen days of the notice of the imposition of these conditions, the practitioner is to provide written acknowledgement to AHPRA that AHPRA will seek reports from the auditor. These reports will be provided to the Board and will be obtained after each and every audit.
16. The costs of the audit(s) and subsequent report(s) are the responsibility of the practitioner.
Listen to ABC Radio National’s Background Briefing episode, The Chiro Wars: the thorough investigative report which forced regulators to take this seriously.
Some may recall Rossborough’s train-wreck interview on Network Ten:
So, ‘supervision’ of Rossborough consists entirely of having a chat with a Board-approved chiro (actually a ‘skilled registered chiropractor’ – how will they determine he/she is ‘skilled’?) for maybe only two hours a week to go over some the customers aged 2 to 18 he dealt with and not actual supervision of him treating those customers?
A good start, but (at least) 2 questions remain:
1. What body of evidence will the supervisor use to supervise or audit the diagnosis and practice of todlers and young children aged > 2yrs; and
2. Will this principle (not treating under 2 yrs) become a profession-wide principle?
All the chiro’s on the board Sue are evidence based. At the CBA/AHPRA conference on social media and advertising I talked to one of the board members and to say that they were annoyed and angry would be an understatement! The conference drew a line in the sand! This action is appropriate and sends a strong message. As for pediatric chiropractors, weekend seminars do NOT cut the mustard and there are no standards being enforced. There is a 3 year post grad course at NZCC that sounds promising but I have not looked into it in detail.
Any chiro who wants to see children should have it specified on their registration and standards monitored and enforces by AHPRA/CBA that advocate for the public not CAA who advocates for the profession and seems to be happy to accredit continuing education hours to just about every course submitted to it!
The chiropractors should also be held to the same high standards as everyone working in a children’s hospital. That means working with children checks and more importantly having all their immunization up to date! This should be checked as part of their yearly registration! Their response to this would be interesting!
I wouldn’t be promoting anything that comes out of the vitalist, antivax NZCC.
Always cynical and skeptical Hank!
I’m still confused. Are his restrictions because of the way he was treating a child aged X or simple because he was treating a child aged X?
A very good question. Anyone?
I imagine it’s directly because of the baby crack video. I’m not sure how many other of his videos contributed.
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