5 June 2018
Mariella Stewart, a CNHC registered Hypnotherapist, writes about her work with diabetic patients and the important role that complementary practitioners play in influencing the nation’s health...
The challenges facing the nation’s health today remain deep rooted and severe, and improving it is going to be essential to reducing the burden on our healthcare system. According to Public Health England, if current trends continue, 1 in 3 people will be obese and 1 in 10 will develop Type 2 Diabetes by 2034. Treatment for Type 2 Diabetes accounts for nearly 9% of the annual NHS budget, which accounts for £8.8 million a year. As complementary health practitioners, we are well placed to have healthy conversations with our clients and positively influence their health and wellbeing – as highlighted in the RSPH / PSA report ‘Untapped Resources: Accredited Registers in the Wider Workforce’.
In my work as a Hypnotherapist, I have come across many clients with persistent health problems, including Type 2 Diabetes. I have held many important conversations about overall health and wellbeing over the years, but there is more that can be done. By taking the time to encourage our clients to consider positive changes to their lifestyle and health overall, we can all play a larger role in helping improve the health of the nation.
When discussing the management of diabetes or other long-term conditions, you must always liaise with the patient’s GP, diabetic nurse or other health professional, to ensure properly integrated treatment and care for the patient.
Many people with Type 2 Diabetes are able to manage their condition through a variety of methods such as reducing excess weight, changing their diet, embarking on daily exercise, managing stress and minimising alcohol intake. Hypnotherapy may help with these positive changes in a variety of ways, including learning the art of deep relaxation or teaching someone self –hypnosis, which enables them to reach a calm, relaxed state relatively quickly. Recordings of the ‘live’ hypnotherapy sessions given to the client to relax with at home have proven very popular and extremely helpful.
For patients looking to make changes to their amount of physical activity, a personalised targeted treatment plan is important to help someone embark on an exercise regime when they haven’t exercised for years. For many clients, boosting their confidence and self-belief can help them feel they want to help themselves, and understand that they have the most to gain when investing time and effort into their health. Finding the motivation and feeling the motivation one needs to make those changes is very important and feeling positive with an increased sense of confidence and self -belief is a recipe for success.
Comments such as: “I feel pleasantly surprised at how calm and comfortable I feel, making the changes I needed to make to improve my health” are frequently heard. The fact the client is feeling positive with an increased sense of confidence and self -belief is a recipe for success.
Mariella Stewart, CNHC registered Hypnotherapist
9 May 2018
Anne-Lise Miller, a CNHC registrant, writes about the journey of adding a new therapy onto the CNHC Register...
Many of you may have been wondering what steps to take in order to add a new therapy onto the CNHC register. This blog covers the work done by CNHC, the Colon Hydrotherapy industry, myself and many others who worked tirelessly over the last two years to get Colon Hydrotherapy added as a new category on the CNHC register.
For those who are unfamiliar with Colonic Irrigation, it is a procedure with a long history of established traditions – like many other complementary therapies. Dating back to the 3rd century AD, the Colon has been regarded traditionally as both an organ that benefits from regular purging and a gateway for heightened awareness. Despite its long history, Colonic Hydrotherapy as we know it today is a relatively new therapy. It developed into an established complementary health practice in the UK largely through the work of The Association and Register of Colon Hydrotherapy (ARCH).
ARCH aims to promote colonic hydrotherapy as a safe therapeutic process, not just a bowel cleansing procedure. Prior to Colon Hydrotherapy being added to the CNHC register is its own right, it was incorporated on the register under Naturopathy. Following discussions between CNHC and the Professional Standards Authority for Health and Social Care, CNHC agreed to start the process of adding Colon Hydrotherapy as a new category on the CNHC register.
If you have enquired about how you go about getting a new category onto the CNHC register, you will know there is a rigorous process and certain criteria that must be met before consideration. Most importantly, that each category must have specific National Occupational Standards (NOS) that are developed in conjunction with the Sector Skills Council, Skills for Health. At the start, Colon Hydrotherapy did not have a distinct set of National Occupational Standards, so this required a significant financial investment from the industry to fund the necessary involvement of Skills for Health, and time commitment from CNHC and the Colon Hydrotherapy PSB members.
Once the NOS were established, CNHC then required a Core Curriculum. This is separate and distinct from a detailed course syllabus, in that it specifies, for example, the ratio of theory and practice and the number of hours of face to face teaching and assessment needed to ensure the safety of the public. The work for the Colon Hydrotherapy Core Curriculum was structured by the CNHC and then consulted with and approved by the Professional Board Specific (PSB) appointed representatives - Angela Beasor, Linda Ternent, Victoria Cooper and myself - after thorough consultation with the rest of the industry.
Overall, the process took over two years with a considerable investment in time and money. Achieving a specific entry on the CNHC register means that Colonic Hydrotherapy exists on its own merit. This will undoubtedly raise the profile and awareness of the treatment, and it will also give it a nourishing space from which to grow and develop in tune with research and the needs of health care providers.Anne-Lise Miller, CNHC registrant and Colon Hydrotherapy Profession Specific Board (PSB) Member
4 April 2018
Janice Barclay, a CNHC registered Hypnotherapist, writes about the Kool to be Kind Initiative in Primary Schools...
Kids participating in the Kool to be Kind Initiative
I have been practising Hypnotherapy since 2015 and Meditation for over 10 years, but it wasn’t until May 2017 that I started offering classes in my local village hall, which led to a wonderful opportunity to help school children in the local community. Following one of my classes, I was contacted by the local radio station Moray Firth Radio on behalf of their charity Cash for Kids. They asked if I would be interested in going around to schools to support a new programme called ‘Kool to be Kind’. This initiative was designed to help children learn coping strategies if they got angry or frustrated at home or at school.
For the Kool to be Kind initiative we visited 3 local primary schools who were willing and eager to participate. We scheduled dates to visit and had a full day at one of the schools, working with 5 groups of children in their classrooms for 20 minute sessions. To engage with the children, I started by asking them what they would do to be kind to someone, and while answering they got to cuddle a Care Bear. I then taught them about hypnotic anchors, so that if they ever felt insecure all they needed to do was take a deep breath and blow out their frustrations and the lovely feeling of calm would return to them. The sessions were a great success and I received many positive responses from the children and their teachers.
I felt it was important to work on the Kool to be Kind initiative, so these children may be less likely to get angry or stressed as they grew up, which is why I offered my services free of charge. Whilst my time was on a voluntary basis initially, my involvement in Kool to be Kind has led to paid opportunities and new clients.
Following the Easter holidays, I will start working with Central Primary School where I am leading a case study of a group of 6 children and a teacher. It will be a group activity which will aim to see how effective different meditation styles work on the children, and we will be encouraging them to help and support each other. Their teacher and I will then record and discuss any change in their attitude before and after. My fees have been funded by a local business man who donated money to the school. And just recently Moray Firth Radio Station has contacted me about collaborating with them again, and this time funding would be offered to me through their charity Cash For Kids.
My registration with CNHC gave confidence to the charity, teachers and radio station for these initiatives, and I very much look forward to working on more activities like these for the community.
8 March 2018
Vidhi Sodhi, a CNHC registered Yoga Therapist and Yoga Therapy Profession Specific Board member, writes about the Yoga Therapy Service Evaluation at the London North West NHS Trust...
Vidhi, centre, with Imperial Medical students involved in the study
I recently collaborated with a leading Rheumatologist to design a service evaluation of Yoga-Therapy for patients with Rheumatoid Arthritis (RA) at the Central Middlesex Hospital, part of the London North West NHS Foundation Trust. This was a very exciting undertaking, as from my understanding, this was the first time that a one-to-one Yoga Therapy was delivered in an NHS hospital setting. My registration with CNHC gave confidence to the Rheumatologist, Rheumatology staff, and patients to participate in this service evaluation.
The study examined the impact of Yoga Therapy on improving a patient’s quality of life, through management of stress and other comorbidities such as anxiety & depression. We developed the objectives for the study based on feedback from a patient support group at Central Middlesex Hospital. These patients expressed a need for Mind-Body interventions in the management of their long-term conditions (LTC), such as Yoga Therapy.
Yoga Therapy sessions were funded by the NHS and held in the Rheumatology department of the Central Middlesex Hospital. Patients received one-to-one sessions on a weekly basis initially, and then on a bi-weekly basis. Each session comprised of tools that are offered within yoga and are applied and tailored to the needs of each participant.
The results have been outstanding with improvements in all the study objectives. Verbal feedback in the form of semi-structured interviews is captured by the researchers at the University of Westminster and is being currently analysed for a full report. A post study meeting with the CMH patient group was held where the results were discussed and further need of this service to be an integral part of our healthcare system was discussed.
The success of this pilot service evaluation can offer a holistic, integrated form of treatment that matches with the NHS’s Five Year Forward View and I hope it can offer a guide for secondary rollout to other clinics responsible for management of LTCs.
Feedback from a patient involved in the study:
“Since starting yoga therapy in May, my overall health is a lot better compared to before the yoga therapy. My pain levels have improved, being from regular pain to minimal pain. Over the course of the yoga therapy the movement in right wrist is far more than what it was before. The exercises that she tailored to suit me have been really good and easy to follow. She has always been accommodating with regards to times of the sessions and has worked around me. Yoga Therapy has helped me relax and remain calmer; my mind is less active and doesn't feel overworked. I feel Yoga Therapy should be an integrated service offered to assist patients as it has been beneficial to me.”
Vidhi after receiving second place in the ‘Inspiration Award’ from Holistic Therapist Magazine
1 February 2018
Mike Murphy, CNHC registrant, tells us about training he provided to Therapists at the Merlin Multiple Sclerosis Centre in Cornwall...
I was recently approached by a private client, Melissa King, a high performance Triathlete and the Lead Neurological Physiotherapist at the Merlin MS Centre, about a training opportunity. Melissa was looking to collaborate with a local therapist with specialist skills to provide further training for the Centre’s therapists.
A wide range of patients visit the Centre on a regular basis, many with Multiple Sclerosis and other long-term conditions. Many have limited mobility and Melissa wanted the Centre to be able to provide more support to these clients. I devised a programme including a mix of theoretical and practical ‘hands-on’ training to specifically aid those with mobility limitations.
On 7th December 2017, I delivered a full day of training to a group of 6 staff including a Neurological Physiotherapist, Melissa King, and several Therapy Assistants including Ash Smith, Sam Williams, Jackie Baigent, Kerry Barrett and Ali Lochri. I taught safety considerations and contraindications to treatments. I then focused on Manual Therapy and Massage approaches to address musculoskeletal imbalances caused through incorrect posture for MS and post-stroke patients. Knowing that many patients are often in wheelchairs, I also included methods for adapting these treatments for seated patients.
(The photo above shows me observing taught techniques)
It was a real pleasure to be able to offer advice on the beneficial effects and the differing approaches to massage/manual therapies for these patients. Melissa and her team were excited following the training and said they couldn’t wait to start putting the new skills they learned into practice.
When we all work together, we can share knowledge to benefit patients and the public. I am so pleased that the skills and approaches used for Sports Massage and Sports Therapy can be used to support other healthcare therapists and professionals in different areas of expertise, and it demonstrates how those with different core training can complement each other in providing care and support to individuals with long-term conditions.
My registration with CNHC demonstrates that I have met a set of standards and agreed to a code of conduct, ethics and performance, which was a strong consideration when Mel approached me for support. I am very keen to continue my efforts and I hope to be able to offer similar training to other organisations in the future.
Mike Murphy, CNHC registrant and Sports Therapy Profession Specific Board (PSB) Member
12 December 2017
Rosemary Pharo, a CNHC registered Aromatherapist, writes about her experience supporting Grenfell Tower residents by providing Aromatherapy...
It is another day in North Kensington after the Grenfell Tower fire.
Another local resident is sitting talking to the Complementary Support Teams UK (CST-UK) therapists. The resident is talking about an inability to sleep, memories of helplessly watching the tower burn, the anxiety, having to be signed off work, the difficulties with accommodation. “Overwhelm” is taking over.
Yet less than an hour later this resident is calm and beginning to have more control over their thoughts. Their body language is calmer. Their breathing has changed.
So what happened? The first step was to offer specific essential oils in a particular order to inhale. Essential oils are already being routinely offered via inhalation in some cancer centres as a way of combatting side effects of treatment and as anti-anxiety measures. Once calmer, the resident could be offered a one-to-one treatment by one of the multi-skilled team. Dignity, choice and respect are key words for local residents.
Mention aromatherapy and most people will probably think of a massage with candles in a pleasantly dark room. However professional aromatherapists are taught to use a wider variety of methods to deliver the benefits.
This is why the survivors and residents of North Kensington who are taking up the services provided by CST-UK’s experienced therapists are finding the aromatherapy offered so helpful.
It doesn't require talking, which can potentially trigger painful memories. It does act directly on the body’s primitive fear response systems, which can loop into an unending nightmare.
Some of the local volunteers who are working tirelessly to support residents have been given standard, pre-made trauma support inhaler sticks. They can now hand out what is a helpful first aid response to residents who are struggling to get through the dark days and nights. The inhalers or ‘sniffy sticks’ are a low cost (£2-3 each) and empowering self-help tool that we would love to be able to get out to even more people.
It was through one of my friends that I got involved with helping people around Grenfell who had been affected. There is so much work to do. Our vision as a group is to offer a multi-disciplinary complementary therapy service with trauma specialists of many kinds working as an integrated team and referring to a wide variety of therapies, depending on what is appropriate to the residents around Grenfell as their needs change. Because the after-effects of the worst peacetime disaster in recent times are not going to go away any time soon. That’s why our wish is to have a dedicated base where local residents can receive therapies they choose any day of the week from a team of experienced professional therapists.
Rosemary Pharo, CNHC registrant and Aromatherapy Profession Specific Board (PSB) Member
4 December 2017
Karen Shields, a CNHC registered nutritional therapist, writes about how she teaches healthy eating life skills to a class of learning disabled individuals in Hertfordshire...
Me on the left and with Liz McElroy, horticultural therapist
I qualified as a nutritional therapist in 2012 and joined CNHC that year and began practising at my own clinic. In June 2016 I started volunteering (in my capacity as a nutritional therapist) at the Triangle Community Garden in Hitchin.
Their Growing Health group is a guided-support group set up to help its learning disabled members to lead healthier, more active lives. Activities include walking, sport, cooking and learning about healthy eating. The group meets every Tuesday morning for three hours at the pavilion at Ransom's recreation ground.
Many of the members suffer with obesity or conditions such as type 2 diabetes, so every week we try to help them understand what sort of foods they should include in their diets that will help them balance their blood sugar levels. We also discuss nutrition related news such as the sugar tax or low fat versus high fat diets, and we look at food labelling and educate them about products that are not as healthy as they seem.
Initially, our kitchen equipment was sparse and so when demonstrating how to cook we were limited in our range of menus as we only had a kettle and a microwave. Luckily we were awarded some funding - £450 - and have been able to buy a variety of kitchen equipment, namely two induction hobs, chopping boards, knives, pots and pans.
We also bring in education in health and safety in the kitchen, as well as food hygiene. This has helped our participants learn how to read food labels and the relevance of best before and sell by dates on packaging, including how to store foods correctly.
Our three hour group consists of about 10 gardeners - we split the group into two with half going off to the allotment to tend to the crops with our gardener and support worker, and the other half in the kitchen with myself and the horticultural therapist to prepare lunch according to the seasonal recipe that we have planned the week before.
Ingredients: spring onions, cucumber, feta, cherry tomatoes, carrots, basil and lemon and cauliflower
We have taught the group how to use tools safely for preparing and cooking - something that we may take for granted but is actually quite a challenge for them. The group has made a range of meals from chickpea and chilli cakes, cottage pie with lentils and sweet potato, stir fry vegetables with noodles, tomato and basil bruschetta with homemade pesto, salad Niçoise, parsnip and carrot rösti served with poached eggs, and falafels made three ways with spinach and feta, chick peas and sweet potato.
Tricolore cauliflower rice salad
The outcome of this programme has been to show the members how to cook and prepare ingredients in order to take control of their own diets. We also discuss a concept known as "from farm to fork" - a direct link between cooking, eating and growing vegetables which helps the group reconnect with where food comes from and helping them to develop a healthier diet. Recognising what and where the ingredients in our food comes from can make us appreciate and enjoy food and will hopefully lead to better, healthier choices when choosing what to eat in the future.
Courgettes growing in the Triangle Community Garden
Every week we ask the members to offer feedback on what they have prepared, cooked and eaten - and each week we have seen positive feedback about foods that they thought they did not like or perhaps have never even tried. A case in point was with our salad Nicoise - everyone enjoyed the flavours - including the anchovies - and they all agreed that when they next visited Pizza Express they would order this as it is a healthier option. This is definitely progress.
Each week the members continue to lose weight and work towards their goals by adopting healthier lifestyles based on what they have learned in the group. We have also experienced a change in mood and behaviour in the individuals themselves - in some cases from a state of anxiety to a state of calm and happiness.
As a nutritional therapist it has been eye opening to see the local community come together to support one another to improve their health. The Triangle Garden is really a superb local community facility and is making a huge difference to people's lives in North Hertfordshire. It has also allowed me to learn new skills, by working with a different demographic and giving me the experience and confidence of working in a group. It has also exposed me to extra training in safeguarding adults, food safety and hygiene.
My only wish would be that the NHS saw our progress with these individuals and made use of it by referring further individuals to the group, which would increase our funding and enable us to provide more facilities to a wider community.
27 September 2017
"Why I love my Job"
Ana M Angarita, CNHC registered
Complementary Therapist- MacMillan Centre
Chelsea and Westminster Hospital
“Would I want to work in a hospital?” - That was the first question that crossed my mind when I initially thought about volunteering as a complementary therapist.
I thought long and hard about it and then decided to apply for a volunteering vacancy with the Macmillan Centre in Chelsea and Westminster Hospital which I saw advertised in the CNHC website.
Working as a volunteer is very rewarding. I help the patients live with cancer by trying to improve their quality of life and wellbeing.
There is no typical day as a complementary therapist volunteer. Every day is different. I work with the patients, their family members and their carers. My work is based either in the wards or in the Macmillan Centre therapy room.
Each patient is unique. Each patient is important to me. There are more smiles and laughs than you think!
You get to know the patients and work alongside the medical team. What matters here is seeing the patient as a whole.
Seeing satisfied patients, carers and family is so rewarding! Nice compliments give you the energy and motivation to come back week after week.
Hospitals are not as cold and clinical as some people think. They are full of human stories, they are busy places where there is always something happening.
At the end of a busy day, I leave with a sense of achievement. It’s like when you set yourself a personal goal at the gym and then after a lot of hard work and determination, you see the results.
The experience I’ve gained is invaluable. Each patient has taught me a lot and each patient is an inspiration to me.
Not only do you learn about other people’s life journeys but you learn about yourself.
I also work in the private sector but nothing compares to the sense of fulfilment of helping somebody facing cancer.
I’m a volunteer and I’m not here for money. I am here because I want to be here.
Now, I know that I love hospitals. I love Chelsea and Westminster Hospital and I love volunteering.