Download Complementary Therapies Policy for Adult Patients with Cancer

COMPLEMENTARY THERAPIES POLICY FOR ADULT PATIENTS WITH CANCER AND THEIR
CARERS
Version
4
Name of responsible (ratifying) Committee
Macmillan Centre Steering Group
Date ratified
13 January 2015
Document Manager (job title)
Macmillan Centre Manager
Date issued
03 February 2015
Review date
01 January 2018
Electronic location
Clinical Policies
Related Procedural Documents
Nil
Key Words (to aid with searching)
Complementary therapies, cancer
Version Tracking
Version
Date Ratified
Brief Summary of Changes
Author
4
November
2014
Policy updates to reflect needs of service users &
national policies
Sinead Parry
3
September
2012
Updated according to CSCCN guidelines
Sinead Parry
Complementary Therapies Policy
Version: 4
Issue Date: 03 February 2015
Review Date: 01 January 2018 (unless requirements change)
Page 1 of 20
CONTENTS
Quick Reference Guide
3
1. Introduction
4
2. Purpose
4
3. Scope
5
4. Definitions
5
5. Duties and responsibilities
6
6. Process
6
7. Training Requirements
9
8. References and Associated Documentation
9
9. Equality Impact Statement
10
Complementary Therapies Policy
Version: 4
Issue Date: 03 February 2015
Review Date: 01 January 2018 (unless requirements change)
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QUICK REFERENCE GUIDE
For quick reference the guide below is a summary of actions required. This does not negate
the need for the document author and others involved in the process to be aware of and
follow the detail of this policy.
1. The policy applies to all complementary therapists recruited by the Macmillan
Information Centre practicing on Portsmouth Hospital premises and to all adult
patients with cancer, carers of cancer patients and staff, receiving complementary
therapies within Portsmouth Hospitals.
2. Volunteer therapists must be appointed in accordance with PHT volunteer policy
and attend all mandatory training.
3. The therapist should provide written evidence of a qualification in their area of
practice agreed recognised by the Complementary and Natural Healthcare Council
(CNHC) - the sector regulator - or the relevant professional association (see
appendix ii).
4. The Macmillan Information Centre Manager /deputy will be responsible for ensuring
therapists are current members of their relevant professional body and have up to
date personal liability insurance.
5. The Macmillan Centre Manager will maintain a register of Complementary Therapy
practitioners who meet the agreed criteria to practice on NHS premises.
6. All therapists must have the necessary knowledge or skills to treat individuals with
cancer.
7. The Macmillan Centre Steering Group is responsible for the ratification and
monitoring of the policy.
8. Individual therapists are responsible for - ensuring confidentiality of client
information; maintaining adequate up to date indemnity insurance; ensuring a
current knowledge base of both cancer treatments and their own area of therapy.
9. Documentation of consent must be recorded by the practitioners in the client’s
records and stored in a locked filing cabinet in the Macmillan Centre in accordance
with Information Governance requirements.
10. Written information on the complementary therapies is provided to clients to help
inform their decision.
Complementary Therapies Policy
Version: 4
Issue Date: 03 February 2015
Review Date: 01 January 2018 (unless requirements change)
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1. INTRODUCTION
Complementary therapies have become an increasing feature of services provided for
cancer patients alongside conventional medicine. NICE Improving Outcomes
Guidance on Supportive and Palliative Care for Adults with Cancer (2004) and
Complementary Therapy (Safeguarding Practice) Measures (2011) recommend that
providers of complementary therapies in NHS settings conform to policies designed to
ensure best practice.
In accordance with the above guidelines for complementary therapies, the therapy:
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Must work along side existing medical treatment without compromising existing
care.
Must be based on current evidence and best practice.
Must be based on consultation, planning, education and demonstrable
competence.
Must comply with local policies.
The main purpose in the use of these therapies is to help:
 Promote relaxation.
 Reduce anxiety.
 Ease symptoms such as pain, nausea, poor sleep patterns.
 Help the patient find coping mechanisms and strategies.
Portsmouth Hospitals NHS Trust offers a selection of complementary therapies to
patients with cancer and carers provided by volunteer therapists.
Massage
Aromatherapy
Reflexology
Indian head massage
Hand & Foot Massage
Relaxation
Reiki
Yoga
Hypnotherapy
Two dedicated Complementary Therapy Suites have been established within the
Macmillan Information and Support Centre at Queen Alexandra Hospital.
Currently any funding necessary to provide therapies is obtained from charitable funds.
2. PURPOSE

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To ensure that patients and carers receive and benefit from complementary
therapies in an informed and appropriate way.
To provide a robust framework to support practitioners to provide
complementary therapies safely and appropriately.
Complementary Therapies Policy
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Issue Date: 03 February 2015
Review Date: 01 January 2018 (unless requirements change)
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3. SCOPE

The policy applies to all complementary therapists recruited by the Macmillan
Information Centre practicing on Portsmouth Hospital premises and to all adult
patients with cancer, carers of cancer patients and staff, receiving
complementary therapies within Portsmouth Hospitals.

All therapists will be issued with a copy of the policy and be required to sign to
indicate understanding and adherence.
Cancer Patients who are not registered with PHT will be accepted with the
consent of their Consultant, GP or Clinical Nurse Specialist.

4. DEFINITIONS
Complementary therapies
Complementary therapies are used alongside orthodox treatments with the aim of
providing psychological and emotional support through the relief of symptoms’
NICE Supportive and Palliative Care Improving Outcomes Guidance (2004)
The following therapies may be practiced, this list however is not exhaustive, but is in
line with those registered by the Complementary and Natural Health Council (CNHC).
Massage – Massage therapy is a system of treatment of the soft tissue of the body. It
involves stroking, kneading or applying pressure to various parts of the body, with the
aim of alleviating aches, pains and musculoskeletal problems.
Aromatherapy – is the use of pure essential oils generally applied in the form of
massage, but can also be used in special aromatherapy diffusers. Their main use in
this situation is to calm and relax the individual, but they can also ease some of the
side effects of the cancer treatment. Blends, usually of three different oils are chosen
in conjunction with the client, which take account of their preferences and medical
history.
Reflexology- Reflexology is based on the principle that certain points on the feet and
hands, called reflex points, correspond to various parts of the body and that by
applying pressure to these points in a systematic way, a practitioner can help to
release tensions and encourage the body’s natural healing processes.
Indian Head Massage - has been practised for over a thousand years, easing tension
and promoting a sense of relaxation and well being. Other parts of the body may
respond to this relaxed state. A head massage takes 30-40 minutes and covers the
upper back, shoulders, neck, face, scalp, arms and hands.
Hand and Foot Massage- see massage
Relaxation – is offered to individuals, or small groups; to help cope with treatments and
to promote a feeling of relaxation and general well being.
Reiki - Reiki (pronounced ray-key) is a simple energy balancing technique developed in
Japan
in the early 1900’s. Reiki can produce a feeling of deep relaxation, a
Complementary Therapies Policy
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boost in energy levels and a reduction in tension and anxiety. During a treatment a
reiki practitioner lays their hands on a recipient in a series of positions over head, torso
and legs, gently drawing energy through the practitioner to the recipient helping to
produce a state of balance.
There are different levels of reiki practitioners; level one is for people who have learnt
reiki to treat themselves, or use informally with friends; level two is practitioner level, to
give reiki treatments to patients; level 3 is reiki master or teacher. Practitioners should
have attained level 2 as the minimum to practice in the centre.
Yoga – Is an ancient tradition of mental and physical exercises, which started in India
over 5,000 years ago and is now widely practiced in the UK. There are many different
styles of yoga. It includes physical exercises, breathing techniques and relaxation.
Hypnotherapy - Hypnosis describes an interaction between a therapist and client. The
therapist attempts to influence perceptions, feelings, thinking and behaviour by asking
the client to concentrate on ideas and images that may evoke the intended effect.
Hypnotherapy can help reduce stress and anxiety, improve quality of sleep and help
prepare for investigations and treatments.
5. DUTIES AND RESPONSIBILITIES
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All therapists should conform to all Portsmouth Hospital Trusts Policies.
Volunteer therapists must be appointed in accordance with PHT volunteer
policy and attend all mandatory training. This will be supervised by the
Macmillan Centre Co-ordinator in conjunction with the Trust Volunteer Coordinator.
The Macmillan Information Centre Manager /deputy will be responsible for
ensuring therapists are current members of their relevant professional body and
have up to date personal liability insurance. A photocopy of the insurance
document should be taken and placed on the therapist’s personnel file. This
should be reviewed at an annual review meeting.
Overall responsibility for complementary therapy services will lie with the
Macmillan Centre Steering Group. Delegated responsibility for the service rests
with the Macmillan Centre Manager.
The Macmillan Centre Steering Group is responsible for the review of the
policy.
Individual therapists are responsible for promoting comfort and well being of clients
ensuring confidentiality of client information
maintaining adequate indemnity insurance
maintaining accurate records
ensuring a current knowledge base of both cancer treatments and their own
area of therapy
6. PROCESS
6.1 Referrals

All patients may choose to access complementary therapies with the support of
the consultants of the Combined Haematology and Oncology Centre.
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Issue Date: 03 February 2015
Review Date: 01 January 2018 (unless requirements change)
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Patients may self refer through the Macmillan Information and Support Centre
at Queen Alexandra Hospital.
Referrals may be made by any health care professional within the Trust or local
CCG’s with the patient’s consent.
Clients who are not patients or carers of patients of the Trust will be accepted
with consent from their lead clinician.
Each client has the opportunity of 4 sessions in one year, after which the
therapist must review the situation with the centre manager to determine if
pressure on service allows more sessions.
Staff can be offered complementary therapies where appointments have been
cancelled.
Priority will be given to patients should the waiting time for appointments
exceed six weeks.
Information leaflets about the complementary therapies offered are provided to clients
to inform their choice of therapy.
6.2 Assessment
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The patient or carer will be assessed by individual therapists at the first visit to
ensure the referral is appropriate and any preferred choice of therapy is
suitable
Specific therapies may have contraindications relevant to them – these are
covered in treatment guidelines (appendix i).
Any concerns must be discussed with a health professional closely involved in
the patients care e.g. Clinical Nurse Specialist, Consultant Oncologist,
Radiographer or Chemotherapy Nurse.
6.3 Safe Practice

The practitioner should provide written evidence of a qualification in their area of
practice recognised by the Complementary and Natural Healthcare Council (CNHC) the sector regulator - or the relevant professional association (see appendix ii).

Therapists will be required to practice using guidelines based on the current
evidence of best practice. Any concerns that arise during treatment should be
referred to the appropriate health profession.

All therapists will be required to have indemnity insurance and be a member of an
appropriate professional body as described in ‘National Guidelines for the Use of
Complementary Therapies in Supportive and Palliative Care’, The National Council
for Hospice and Specialist Palliative Care Services and Complementary Therapy
(Safeguarding Practice) Measures, Manual for Cancer Services (2011).

Any essential oils used are required to be genuine, pure essential oils, of therapeutic
origin and preferable of organic origin. No perfume or oils of chemical mix or origin
are to be used.
Carrier oils are to be cold pressed and unrefined, preferably of organic origin.
We would expect that any complementary therapist using products and oils on
patients ensure that they have the up to date information as to whether the patients’
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Issue Date: 03 February 2015
Review Date: 01 January 2018 (unless requirements change)
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condition would be harmed or worsened as a result of their use. (For example this
could be in the form of contra indicators to patients and their disease. There are
many information sources available to obtain this advice.)
Each patient must have an individual blend made for them, and the strength is to be
in accordance with national guidelines.

It is recognized that a rapport between therapist and client may develop and that
clients may wish to continue therapies with volunteer therapists outside of the
hospital. Whilst this is outside of the remit of Portsmouth Hospitals NHS Trust,
volunteers must not actively promote their private practice.
6.4 Consent
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Complementary therapy practitioners must be aware of, and abide by the Trust’s
consent policy.
Consent for the therapy must be obtained before the complementary therapy
practitioner carries out the complementary therapy.
Documentation of consent must be recorded in the client’s records and stored in a
locked filing cabinet in the Macmillan Centre in accordance with Information
Governance requirements. Copy of a Consent Form can be found in Appendix (V)
Written information on the complementary therapies is provided to clients to help
inform their decision.
6.5 Written Information
Written information is available including the following;
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A description of the therapy and what that entails for the patient.
A statement to the effect that the therapy is not an alternative to conventional
therapies.
A statement explaining that all therapists have completed relevant qualifications
appropriate to their practice.
The leaflet also states that while clients may want to make arrangements with
the complementary therapist privately this is outside the remit of Portsmouth
NHS Trust.
6.6 Record keeping
Therapists will keep all records of treatments/interventions provided and these will be
kept in secured storage within the Macmillan Information and Support Centre
according to information governance requirements. As part of the records information
on age, sex, ethnicity and post code of patient/carer will be documented.
6.7 Process for Ratification of New Therapies
1. New therapies will only be considered if they are endorsed the National Cancer
Peer Review Programme; Complementary Therapy (Safeguarding Practice)
Measures.
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2. Summary of prospective new therapy submitted to Macmillan Steering Group
for consideration.
3. The practitioner should provide written evidence of a qualification in their area
of practice agreed as acceptable by the Complementary and Natural
Healthcare Council (CNHC) - the sector regulator - or the relevant professional
association (see appendix ii).
4.
Once the Steering group has agreed to offer the new therapy, summary to be
forwarded to the Surgery & Cancer Governance Group. Only then, will the
new therapy be ratified.
5. Written Information on the therapy to be available for users to make an informed
decision.
7. TRAINING REQUIREMENTS
All complementary therapists volunteering in the centre should be either:
Health care professionals with oncology experience who have obtained a recognised
qualification in their therapy (see appendix ii)
Or
Therapists with recognised qualifications in their therapy, who have additional training on
adapting therapies to treat people with cancer as part of their induction,
Complementary Therapists are required:
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To attend Portsmouth Hospital Trust Induction and mandatory training.
Attended training such as Adapting Therapies to Cancer or equivalent.
To attend relevant training as identified at the annual review or at the request of
therapist or Centre manager.
To be assigned to a mentor for the first a six months of practice within the centre.
The mentor will be another volunteer complementary therapist who has been
practicing in the centre for at least a year. They will meet on induction and provide a
source of informal peer support.
Therapists have access to health care professionals within the Trust for support and
advice and are encouraged to attend the therapists meetings at the centre at least
annually.
8. REFERENCES AND ASSOCIATED DOCUMENTATION
Improving Supportive and Palliative Care for Adults with Cancer: National Institute for
Clinical Excellence, March 2004. www.nice.org.uk
National Cancer Peer Review Programme. Manual for Cancer services 2011:
Complementary Therapy (Safeguarding Practice) Measure, Version 2. National
Cancer Action Team, October 2009. www.dh.gov.uk/publications/
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National Guidelines for the Use of Complementary Therapies in Supportive Palliative
Care
The National Council for Hospice and Specialist Palliative Care Services & The Prince
of
Wales’s
Foundation
for
Integrated
Health.
May
2003.
www.fih.org.uk/information_library/publications/health_guidelines/complementary.html
Complementary Therapies in Cancer Care: Abridged report of a study. Dr Michelle
Kohn, Macmillan Cancer Relief, 2000
Criteria for Complementary Therapists, Central South Coast Cancer Network, May
2012
www.csccn.nhs.uk/uploads/networkgrp/20120626075938-Comp-therapies-Guidelines-reviewed-June-2012-final.doc
Criteria for Complementary Therapists working on NHS Premises or endorsed/ cited in
the patient information offered by the Sussex Cancer Network Multidisciplinary Teams,
chemotherapy services and radiotherapy departments, Sussex Cancer Network,
March 2010
9. EQUALITY IMPACT STATEMENT
Portsmouth Hospitals NHS Trust is committed to ensuring that, as far as is reasonably
practicable, the way we provide services to the public and the way we treat our staff
reflects their individual needs and does not discriminate against individuals or groups
on any grounds.
This policy has been assessed accordingly.
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10. MONITORING COMPLIANCE WITH PROCEDURAL DOCUMENTS
This document will be monitored to ensure it is effective and to assurance compliance.
Minimum requirement to be monitored
Lead
Tool
Frequency of
Report of
Compliance
Reporting
arrangements
Lead(s) for acting on
Recommendations
Client documentation
Centre Manager
Audit
Annual
Therapist Meeting
Centre Steering
group
Centre Staff & volunteer
therapists
Record of Consent
Centre Manager
Audit
Annual
Therapist Meeting
Centre Steering
group
Centre Staff & volunteer
therapists
Register of complementary therapists detailing
qualifications and insurance (Appendix iii)
Centre Manager
Audit
Annual
Peer Review
Therapist Meeting
Centre Steering
group
Centre Staff & volunteer
therapists
Written information on complementary therapies
Centre Manager
Audit
Every 2 years
Peer Review
Therapist Meeting
Centre Steering
group
Centre Staff & volunteer
therapists
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Issue Date: 03 February 2015
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APPENDIX (i)
TREATMENT GUIDELINES FOR COMPLEMENTARY THERAPIES
1.0 AROMATHERAPY
Topical application with appropriate massage will be the normal method of treatment,
Essential oils are required to be genuine, pure essential oils, of therapeutic quality and
preferably of organic origin. No perfume oils or oils of chemical mix or origin are to be
used.
Carrier oils are to be cold pressed and unrefined, preferably of organic origin. Use 0.51% dilution of essential oils maximum.
Each patient must have an individual blend made for them, and the strength is to be in
accordance with professional guidelines.
1.1 Special Precautions for patients undergoing/just completed radiotherapy
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Be aware of appropriate oil choice. Use gentle oils following radiotherapy as skin
remains vulnerable. Citrus oils are not recommended.
Avoid entry and exit site of radiation beam for six weeks or until skin is healed.
Be aware of possible side effects of radiotherapy such as fatigue, soreness of
skin, digestive disturbance.
1.2 Special precautions for patients undergoing chemotherapy


Be aware of the side effects of chemotherapy such as fatigue, lowered immune
function, increased risk of infection and bruising, dry or peeling skin, digestive
disturbance, nausea, altered smell preferences, hair loss and skin sensitivity.
Consider using plain carrier oil and choose oils appropriately.
1.3 Permitted Essential Oils
There is no definitive list available of oils that are suitable for use with condition
specific patient groups, and opinion differs amongst aromatherapists themselves on
this issue. However, the lists below are oils which have been used as the basis of a
national research trial into the efficacy of aromatherapy in cancer care. It is the
aromatherapist’s responsibility to assess each client for contraindication before
choosing appropriate oil.
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Cedarwood
Eucalyptus (eucalyptus globules, and Citriodora)
Frankincense (boswellia thurifera)
Geranium (perlargonium graveolens)
Lavender (lavandula augustifolia)
May Chang
Sweet Marjoram (origanum marjorana)
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Roman Camomile (anthemis nobilis)
Rosemary
Rose Absolute
Petigrain
Please note the following contra-indications for using some of the above oils.
In brain tumours avoid the use of Rosemary.
In the case of hypersensitive or damaged skin avoid the use of: Eucalyptus (all
varieties), and citrus oils.
2.0 MASSAGE
Generally, gentle, non-invasive massage techniques should be employed so as not to
over-stimulate the patient’s system. Kneading, pummeling and deep massage are not
recommended.
2.1 Clinical checklist/contraindications
1)
Body Temperature
Do not treat patients with a high temperature.
2)
Fluid Retention/Swelling/Lymphoedema
Avoid the area. Never massage a swollen limb/trunk,
3)
Undiagnosed Lumps or Areas of Inflammation
AVOID THE AREA – report this finding.
Very hot areas can indicate an infection, inflammation or intense cellular activity.
Therapists should check with staff first to establish appropriateness of treatment.
(It may indicate a recent growth in cancer patients which has not yet been diagnosed.)
4)
Skin Problems/Rashes
These could be circulatory problems or reaction to medication/diet. AVOID THE AREA
OF ANY RASHES. Report this finding.
5)
Pinprick Bruising
These are indicators of a very low blood count. Check with nursing staff or medical
staff before treating.
Massage very gently with careful light strokes. It may be suitable to massage hands
and feet only in order to avoid affected areas.
6)
Radiotherapy
Radiotherapy treatment entry and exit sites should be avoided for up to six weeks
following treatment or while skin still sore.
Use very gentle strokes following radiotherapy as the skin remains vulnerable to
damage.
7)
Stoma Sites, Cannulas, Dressings and Catheters
AVOID THESE. Massage elsewhere, i.e.: hands and feet.
8)
Scar Tissue/Broken Skin/Lesions/Recent operation sites or wounds
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Avoid areas of recent scar tissue/broken skin or lesions.
9)
Tumour Site
Do not massage over the tumour site, near the tumour site or adjacent or affected
lymph glands.
10)
Deep Vein Thrombosis (DVT)
Do not massage feet or legs if the patient has a diagnosed or suspected deep vein
thrombosis in the legs, or arm/hand if a thrombosis is suspected in the arm.
11)
Areas of Infection
Avoid all areas of external infection. Employ appropriate infection control techniques
in line with PHT Infection Control Policy.
12)
Injury and Bone Metastases (secondaries)
Avoid areas of injury or bone metastases.
13)
Phlebitis (hot/inflamed veins)
Avoid areas of phlebitis. Work above the area affected.
14)
Hot or inflamed Joints
Avoid hot or inflamed joints, except to apply cooling oils where appropriate.
15)
Angina, Hypertension, Hypotension
Exercise caution with patients with these conditions, using gentle massage strokes
and appropriate oils.
16)
Jaundice
Exercise caution with patients with these conditions.
medical staff before proceeding.
Check with the nursing or
17) Low platelet counts
This will contra-indicate the use of massage using pressure techniques as there is a
greater likelihood of bruising.
3. 0 REFLEXOLOGY
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Avoid a limb or foot with suspected deep vein thrombosis and avoid varicose veins.
Be aware of any tender areas on the foot or hand that relate to new surgical wounds.
Avoid limbs affected by lymphedema and cellulitis
Avoid areas corresponding to colonic stimulation if there are any symptoms or risk of
intestinal obstruction due to causes other than constipation.
Adjust pressure for patients with a low platelet count, taking note of any existing
bruising and skin viability.
Be aware that peripheral sensation may be affected by a person’s psychological
state, or medication, such as steroids, opoids or chemotherapy.
Be aware that peripheral neuropathy may be a symptom of diseases such as multiple
sclerosis, certain tumours and a side effect of chemotherapy.
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General precautions
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Palpate gently and sensitively over the reflexes relating to tumour site(s).
Assess the condition of the reflexes and adapt treatment accordingly so that the feet
are not over stimulated in any way, especially in patients with altered peripheral
sensation or peripheral neuropathy.
Establish a working pressure that is comfortable for the patient at all times, and tailor
treatment to avoid strong reactions.
Use grapeseed oil if the skin is very dry.
4.0 CARERS
Any carers who have a contraindication to a therapy must obtain medical agreement
from their GP to undertake the relevant therapy. If there is no authorising letter from
the GP the carer must sign a consent form indicating that the GP has given permission
for the therapy to go ahead.
5.0 GENERAL GUIDANCE WHEN GIVING A SESSION

Therapists must adhere to any guidance on toxicity of substances contra
indicated for patients with cancer and other medical conditions advised by their
code of professional conduct and professional indemnity insurance.

Hands must be washed immediately before and after treatments are given, and
alcohol gel should be used in accordance with PHT policy.

When treating patients with MRSA or similar infectious illness, full protective
precautions should be used: wear disposable gloves and apron and treat as
last patient(s) of the day. Be aware of the Trust Infection Control Policy.

No jewellery or watches should be worn on hands or lower arms.

Adherence to the dress code should be carefully observed.

Aprons and gloves should always be worn when working with any immune
compromised patient.
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All therapists should establish a working pressure that is comfortable for the
patient at all times.

All therapists are expected to participate in client evaluation.
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Issue Date: 03 February 2015
Review Date: 01 January 2018 (unless requirements change)
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Appendix (ii)
Complementary Therapy Professional Organisations
1.0 Complementary Healthcare Regulation
Some complementary therapies are currently regulated by law, for example
osteopathy and chiropractic. This means they have statutory regulatory bodies, The
General Osteopathic Council (GOsC) or The General Chiropractic Council (GCC).
A number of the other complementary therapies are now regulated by the
Complementary and Natural Healthcare Council (CNHC), the new Government
supported voluntary regulator for the sector, which sets standards for a range of
therapies including massage, nutritional therapy, aromatherapy, reflexology, reiki,
shiatsu, Alexander technique, yoga, cranial sacral and Bowen.
Other complementary therapies that are not currently regulated may join one or more
of the existing professional associations listed below. The list of the organisations is by
no means comprehensive.
CNHC
The UK voluntary regulatory body for the complementary healthcare sector.
www.cnhc.org.uk or [email protected]
1.1 General Governing Bodies for Complementary Therapies
The CNHC is the main regulatory body for complementary therapists practicing
in healthcare settings. They hold a list of other therapy organisations including,
but not limited to the following:
The Federation of Holistic Therapists
www.fht.org.uk
British Complementary Medicine Association
www.bcma.co.uk
Complementary Therapists Association
www.complementary.assoc.org.uk
Specific Governing Bodies
1.2 Aromatherapy
Aromatherapy & Allied Practitioner Association
www.aapa.org.uk
International Federation of Aromatherapists
www.ifaroma.org
International Federation of Professional Aromatherapists
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1.3 Massage
Association of Holistic Massage Therapists
www.ahbmt.org
Institute of Sport and Remedial Massage
www.theisrm.com
London and County Society of Physiologists
www.lcsp.uk.com
Massage Training Institute
www.massagetraining.co.uk/index.php
1.4 Reiki
The Reiki Association
www.reikiassociation.org.uk
Reiki Healers and Teachers Society
www.reikihealersandteachers.net
UK Reiki Federation
www.reikifed.co.uk
The Reiki Guild
http://www.thereikiguild.co.uk/
1.5 Reflexology
The Association of Reflexologists
www.aor.org.uk
The British Reflexology Association
www.britreflex.co.uk
1.6 Hypnotherapy
National Council for Hypnotherapy
www.hypnotherapists.org.uk
British Institute of Hypnotherapy
www.britishinstituteofhypnotherapy-nlp.co.uk
Complementary Therapies Policy
Version: 4
Issue Date: 03 February 2015
Review Date: 01 January 2018 (unless requirements change)
Page 17 of 20
Appendix (iii)
Macmillan Information and Support Centre
Register of Complementary Therapists offering therapy and consulting with patients with cancer on PHT premises
NAME
QUALIFICATIONS
THERAPIES DBS
OFFERED
PROFESSIONAL
BODY
INDEMINITY
INSURANCE
Complementary Therapies Policy
Version: 4
Issue Date: 03 February 2015
Review Date: 01 January 2018 (unless requirements change)
Page 18 of 20
TRUST
INDUCTION
ADAPTING
THERAPIES
REVIEW
MEETING
Appendix (iv)
Complementary Therapist Agreement to comply with the Policy
I have received, read and understood the policy and will adhere it.
Complementary therapist …………………………………………
……………
Centre Manager……………………………………………………….
Dated:
Dated: …
Complementary Therapies Policy
Version: 4
Issue Date: 03 February 2015
Review Date: 01 January 2018 (unless requirements change)
Page 19 of 20
Appendix (v)
Macmillan Information Centre
Consent Form for Complementary Therapy
Patient Name ……………………………………………
Date of Birth ……………………………………………
Leaflet/Literature
Provided to the Patient …………………… (YES / NO)
I sign to confirm that:



I have received the information
provided by the therapist
YES
NO
I have understood this information
YES
NO

I consent to the therapy
YES
NO
I have an existing medical problem and my GP consents to the therapy
YES
NO
N/A
1. Signed
………………………
………………………………………..
(Patient)
Signed …………………………..
(Complementary Therapist)
Therapy
Offered
Therapy
Offered
…………Therapy
Offered
Date ……………..
2. Signed
………………………
………………………………………..
(Patient)
Signed …………………………..
(Complementary Therapist)
……
Date
Date
…………
Date ……………..
3. Signed
………………………
………………………………………..
Date
(Patient)
Signed …………………………..
(Complementary Therapist)
Date ……………..
4. Signed ………………………
………………………………………..
(Patient)
Signed …………………………..
(Complementary Therapist)
Date
………
Therapy
Offered
Date ……………..
Complementary Therapies Policy
Version: 4
Issue Date: 03 February 2015
Review Date: 01 January 2018 (unless requirements change)
Page 20 of 20