Integrated Health Care
How The Federation Of Integrated Medicine is Bringing Together
Orthodox Medicine and Complementary Therapies
This article appeared in Healthy & Natural Magazine
We would like to thank Sir Jason winters, who has expressed
his resolve to aid Healthy & Natural Magazine in interviewing supporters
of herbal, dietary and alternative therapies from around the world.
He will be speaking to some of the world's wealthiest and most powerful
people, and you might be surprised how many rely on natural remedies and
traditional local therapies that are considered "alternative"
here in the U.S. Sir Jason tells us that we can look forward to articles
from China, Singapore, Manilla, Kuala Lumpur; Argentina, New Zealand, Australia
and other countries. This should help our readers to judge how far we've
come in America in the fight for the “freedom of choice" in health
care, compared to the rest of the world. The following statement has been
presented exclusively (in the U.S.) to Healthy & Natural by the Offices
of His Royal Highness, Prince Charles. This material is reproduced by the
kind permission of the president of the Federation for Integrated Medicine, Sir Jason Winters, as well as all the directors of this wonderful organization.
The Federation for Integrated Medicine, a charity initiated
at the suggestion of His Royal Highness the Prince of Wales, has as its
purpose the comprehensive integration of complementary and orthodox medicines.
This will be achieved by the attainment of the following objectives:
- TO PROMOTE and support scientific research into complementary
medical treatments and their integration with orthodox medical treatments;
- TO PROVIDE educational programs and training support
for doctors, nurses and therapists in integrated medicine;
- TO PROMOTE wider awareness of the clinical and economic
benefits of effective integrated health and medical practices, both among
health care professionals and in the wider community;
- TO COLLECT, codify, disseminate and thereby protect the
knowledge of complementary medical practices and treatments for the benefit
of future generations of practitioners;
- TO COLLABORATE with other medical and complementary organizations
thus benefiting from all sources of knowledge.
THE GOALS OF INTEGRATED HEALTH CARE
A good health care system is much more than a means of
keeping people alive for longer. It must:
- promote health and well being in addition to treating
- deal with people as whole individuals, obtaining their
confidence and trust, building inner strength for the treatment of their
- restore to people their feeling of self worth and esteem
through active participation in their own treatment, which is often essential
DRAWING UPON THE WORLD'S EXPERIENCE
Over the centuries, vast experience has been gained all
over the world from the use of traditional treatments. Some of these treatments
will now be researched by the foundation so that the benefits can be enjoyed
by people everywhere. This will lead to wider acceptance and greater use.
LIMITATIONS IN OUR EXISTING HEALTH CARE SYSTEM
Modern medicine has achieved outstanding results. However,
there are increasing limitations and escalating costs. There are now real
fears that the demands being placed upon conventional health services may
generate burdens which could prove impossible to meet. There is also concern
about the potential side effects of treatment. More could be achieved in
our health care system, and often at a lower cost, if effective complementary
therapies were integrated with existing practice.
Existing health care systems are experiencing growing
difficulty in addressing 20th Century illnesses, many of which are due
to the effects of modern society. This is where the integration of orthodox
and complementary medicine can really help.
THE ROLE OF SCIENTIFIC RESEARCH
The objectives of the Federation Of Integrated Medicine
are to research complementary medical practices and their integration with
orthodox medical treatments. Cost benefit analysis and the efficacy of
treatments wilt be of prime importance. The research program will be the
responsibility of the Research Committee comprised of eminent members of
the professions with extensive experience in treatment and research. The
outcome of research studies will be subject to independent analysis.
This year-old baby girl caught an infection while on holiday abroad with her parents when she was five months old, which led to congestion of her immune system.
Since then she had suffered from recurring ear and bowel infections, tonsillitis, vomiting and general lethargy – although the original infection had been successfully treated. Her mother was told of the benefits of cranial osteopathy, and took her to registered osteopaths who had received postgraduate training with the Osteopathic Centre for Children. Their treatment enabled her to recover fully by helping the drainage within the body to flow naturally, and this was enhancing her immune system
This child listens attentively to specially chosen music
through headphones on specifically designed equipment, for 30 minutes
twice a day, as part of a 10-day course of treatment which includes counseling
and other training.
The treatment can help with disorders such as learning
disabilities, dyslexia, and attention deficit disorder.
One of the elderly patients at a major London teaching
hospital who has benefited from Marma therapy, an ancient form of deep
neuromuscular massage which has been used for physical and rehabilitation
therapy in India for several centuries.
Clinical observation suggests that
the massage works by increasing blood flow into the affected groups of
muscles, as well as by directly improving muscle tone. It is also believed
to improve the flow of information between the muscles and the brain, in
this way helping the brain to "re-learn" how to control the muscles
after brain damage such as a stroke.
RESULTS SO FAR
The first pilot research study is nearing completion at a major London
teaching hospital. The willingness of a unit there to collaborate in this
research reflects the interest shown in integrated medicine by one of the
most orthodox of establishments, with a world-wide reputation for leading
The first study is examining the use of neuromuscular
massage techniques-Marma therapy derived from traditional Indian health
care, for the rehabilitation of elderly patients who have had strokes.
Early results from this study are promising and planning is underway for
a further multi-centre, large scale, study.
We have come thus far with the aid of generous private donations.
We are now in a position to make real progress in achieving the objectives
set out in this document.
INITIAL RESEARCH PROGRAM
These are the first, fully-costed research projects planned by the
REHABILITATION FOR STROKE PATIENTS
(Two clinical trials are being planned.)
#1 - LATE STROKE REHABILITATON
This trial will build upon the Foundation's pilot study of Manna therapy,
the ancient Indian neuromuscular massage technique. A multi-centre randomized
controlled trial is being planned for 1995/6. This will assess the efficacy
of Marma therapy in late stroke rehabilitation, which is rehabilitation
of people who have had a stroke at least 6 months previously and who have
gained the maximum recovery possible using NHS rehabilitation techniques.
The trial will require a research team that includes a research registrar,
Marma therapist, physiotherapist, exercise therapist and an independent
assessor of patient outcome. (Projected Cost -£360,000)
#2 - ACUTE STROKE REHABILITATON
There is considerable anecdotal evidence that acupuncture can have a significant
effect on recovery from stroke in the acute phase (i.e., within the first
3 months after a stroke). A recently published clinical trial in Sweden
provides further evidence of this, but the results require confirmation
with larger; more sophisticated multi-centre randomized controlled trials.
Both Manna therapy and acupuncture will be evaluated. (Projected Cost -£280,000)
NATIONAL AUDIT FOR HERBAL MEDICINE
There are around 300 herbal practitioners who are members of the National
Institute of Medical Herbalists (NIMH). Preliminary work has begun to establish
a national network for clinical audit and research. A clinical information
analyst is now required for 3 years, to design and implement a computerized
database. This will be used by individual practitioners and local groups
to audit their clinical practice. It will also be used by the NIMH as a
means of monitoring nationally the use of herbs for particular conditions,
for assessing outcomes of herbal medical practice, and for more detailed
research projects. (Projectedcost - £175,000 over 3 years)
NATIONAL AUDIT FOR ACUPUNCTURE
There is a need to aid development of the profession of acupuncturists
and to spread knowledge of their work. Therefore a national service is
to be developed.
- To design an audit system (software, materials and a
training package) which will support acupuncturists in their clinical work;
- To establish a database of treatments and outcomes which
will influence policy and aid development of the profession.
The project will be carried out in collaboration with
acupuncturists organizations. (Projected Cost - £175,000 over 3 years)
OTHER RESEARCH PROJECTS UNDER CONSIDERATION INCLUDE:
Bronchial Asthma in Children
Chronic Brain Injury
Management of Irritable Bowel Syndrome
Improvement in Function of Autistic and Learning-Disabled Children
Chronic Back Pain
Acute Cardiac Illness
Evaluation of Different Models of Delivering Integrated Medicine
Examination of Techniques Used For Diagnosis in Complementary Medicine
Identification of Users of Complementary Medicine Who Would Benefit From
The Availability of an Integrated Medical Service
Evaluation of Different Delivery Methods of integrated Medical Services
Outline costs for these projects are of the order of £2.5
million. The initial research projects wilt cost £1 million. (Total
Costs - £3.5 million)
THE BOARD OF THE FOUNDATION
A small Board will oversee the policy and management of the Foundation.
Hugh van Cutsem,
Chairman of the Board
Director; Kicinwort Benson
Dr. Peter Fenwick,
Institute of Psychiatry,
The Maudvlcy Hospital
Ian Marks CBE,
Chairman of the Aim Foundation
Professor Richard Petty,
The Rt. Hon. the Baroness
For further information, please Contact: The Foundation for Integrated
Medicine, 7th Floor; Windsor House, 83 Kingsway Landon WC2B 6SD. Telephone:
0171 242 3355. Registered charity number: 1026800.