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{\author Richard Denoon}{\operator Richard Denoon}{\creatim\yr2004\mo10\dy23\hr12\min52}{\revtim\yr2004\mo10\dy23\hr13\min26}{\printim\yr2004\mo8\dy27\hr20\min33}{\version4}{\edmins43}{\nofpages3}{\nofwords934}{\nofchars4956}{\*\company home}
{\nofcharsws0}{\vern8269}}\margl1797\margr1797\margt964\margb1191 \widowctrl\ftnbj\aenddoc\noxlattoyen\expshrtn\noultrlspc\dntblnsbdb\nospaceforul\hyphcaps0\horzdoc\dghspace120\dgvspace120\dghorigin1701\dgvorigin1984\dghshow0\dgvshow3
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\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\fs20 Continuation \endash  Letter to GCC dated 27 August 2004
\par }}{\footer \pard\plain \s19\qc \li0\ri0\widctlpar\tqc\tx4153\tqr\tx8306\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\fs16\lang1033\langfe1033\langnp1033 Page }{\field{\*\fldinst {
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\par Megan Corner
\par Westereleigh Road, Westerleigh, Bristol BS37 8QP
\par Tel 01454 325 424           www.chirovictims.org.uk
\par }}{\*\pnseclvl1\pnucrm\pnstart1\pnindent720\pnhang{\pntxta .}}{\*\pnseclvl2\pnucltr\pnstart1\pnindent720\pnhang{\pntxta .}}{\*\pnseclvl3\pndec\pnstart1\pnindent720\pnhang{\pntxta .}}{\*\pnseclvl4\pnlcltr\pnstart1\pnindent720\pnhang{\pntxta )}}
{\*\pnseclvl5\pndec\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}{\*\pnseclvl6\pnlcltr\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}{\*\pnseclvl7\pnlcrm\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}{\*\pnseclvl8
\pnlcltr\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}{\*\pnseclvl9\pnlcrm\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}\pard\plain \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {
\f1\fs20\lang1033\langfe1033\langnp1033 
\par }\pard \qc \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f31\fs48\cf1 A}{\f31\fs32\cf1 CTION   FOR  }{\f31\fs48\cf1  V}{\f31\fs32\cf1 ICTIMS   OF    }{\f31\fs48\cf1 C}{\f31\fs32\cf1 HIROPRACTIC}{\f32\fs22 
\par }\pard \qc \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\f32\fs22 Founded 20}{\f32\fs22\super th}{\f32\fs22  March 2001
\par }{\f1\fs20\lang1033\langfe1033\langnp1033 
\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\f1\fs20 
\par 27 August 2004
\par 
\par }\pard\plain \s2\ql \li0\ri0\keepn\nowidctlpar\faauto\outlinelevel1\rin0\lin0\itap0 \b\f1\fs20\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {Margaret Coats \endash  Chief Executive and Registrar}{\lang1033\langfe1033\langnp1033 
\par }\pard\plain \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\fs20\lang1033\langfe1033\langnp1033 General Chiropractic Council
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{\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn lTxid}{\sv 65536}}{\sp{\sn fLayoutInCell}{\sv 1}}{\shptxt \pard\plain \s24\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 
\fs24\cf6\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\animtext2 The GCC\rquote s response is extracted and in red for ease of reference. See GCC letter 14 October 2004 for full letter.
\par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8192\dptxbx\dptxlrtb{\dptxbxtext\pard\plain \s24\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \fs24\cf6\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\animtext2 The GCC\rquote 
s response is extracted and in red for ease of reference. See GCC letter 14 October 2004 for full letter.
\par }}\dpx2424\dpy67\dpxsize6000\dpysize720\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\f1\fs20\lang1033\langfe1033\langnp1033 44 Wicklow Street
\par LONDON
\par WC1X 9HL
\par }\pard\plain \s15\ql \li0\ri0\nowidctlpar\tx284\faauto\rin0\lin0\itap0 \fs20\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\lang1033\langfe1033\langnp1033 
\par 
\par }{\f1 Dear Mrs Coats,}{\f1\lang1033\langfe1033\langnp1033 
\par }\pard\plain \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\fs20\lang1033\langfe1033\langnp1033 
\par }\pard\plain \s1\ql \li0\ri0\keepn\nowidctlpar\faauto\outlinelevel0\rin0\lin0\itap0 \b\f1\fs20\ul\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {Chiropractic Upper Cervical Manipulation and Chiropractic Practices}{\lang1033\langfe1033\langnp1033 

\par }\pard\plain \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\fs20\ul\lang1033\langfe1033\langnp1033 
\par }\pard \qj \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\f1\fs20\lang1033\langfe1033\langnp1033 We as a group are particularly interested in the research you refer to in your response to recent publica
tions such as the Guardian G2. Whilst some of the language of your press releases and letters\rquote  to publication editors is emotive and un-helpful, we, as the \'93victims\'94
 of the side effects of neck manipulation, feel that only proper evidence based research and study into adverse reactions to neck manipulation involving \'93thrust techniques\'94
 will settle the illusive conclusion of frequency and the cost/benefit of such treatment.
\par 
\par This subject is just not going to go away and be fudged with constant re-gurgitation
 of ageing statistics by all opposing parties and the GCC is in prime position to take the lead (if not in the world) and commission research that is beyond reasonable criticism.
\par 
\par Is it so difficult to collaborate with other practitioners (ie Oesteopaths) and NHS departments, complimentary organisations and, dare we say, have Ernst on the all-party committee setting the research parameters. 
\par 
\par Meanwhile, we have a few questions to understand the \'93research\'94 referred in your recent responses. In a recent letter to the Editor of }{\i\f1\fs20\lang1033\langfe1033\langnp1033 The Guardian G2}{\f1\fs20\lang1033\langfe1033\langnp1033 
, you mentioned that research was currently being undertaken by UK chiropractors on the subject of neck manipulation and stroke.  Please would you answer the following questions about that research:
\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\i\f1\fs20\lang1033\langfe1033\langnp1033 
\par }{\f1\fs20\lang1033\langfe1033\langnp1033 1.)\tab Who commissioned the research?
\par }\pard\plain \s22\ql \li720\ri0\nowidctlpar\faauto\rin0\lin720\itap0 \f1\fs20\cf6\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\'93The research was commissioned by the British chiropractic Association, on behalf of the profession.\'94
\par }\pard\plain \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\fs20\lang1033\langfe1033\langnp1033 2.)\tab What is the name of the person leading the research?
\par \tab }{\f1\fs20\cf6\lang1033\langfe1033\langnp1033 \'93The research is being supervised by Jenni Bolton, Professor of Chiropractic Education\'94
\par }{\f1\fs20\lang1033\langfe1033\langnp1033 3.)\tab What is the name and address of the research centre where the research data is being
\par \tab collected and analysed?
\par \tab }{\f1\fs20\cf6\lang1033\langfe1033\langnp1033 \'93The GCC does not hold the level of detail you request.\'94
\par }{\f1\fs20\lang1033\langfe1033\langnp1033 4.)\tab What type of research is it? (e.g., a prospective survey)
\par }\pard\plain \s22\ql \li720\ri0\nowidctlpar\faauto\rin0\lin720\itap0 \f1\fs20\cf6\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\'93The research is large prospective cohort study, documenting patient outcomes following cervical manipulation\'94

\par }\pard\plain \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\fs20\lang1033\langfe1033\langnp1033 5.)\tab What is the purpose of the research?
\par \tab }{\f1\fs20\cf6\lang1033\langfe1033\langnp1033 See 4) above
\par 
\par }{\f1\fs20\lang1033\langfe1033\langnp1033 6.)\tab What are the parameters of the research?
\par \tab }{\f1\fs20\cf6\lang1033\langfe1033\langnp1033 \'93see 4) above\'94
\par }{\f1\fs20\lang1033\langfe1033\langnp1033 7.)\tab When did the research commence?
\par \tab }{\f1\fs20\cf6\lang1033\langfe1033\langnp1033 \'93The research commenced in 2001 and is ongoing\'94
\par }{\f1\fs20\lang1033\langfe1033\langnp1033 8.)\tab What is  the current status of the research?
\par \tab }{\f1\fs20\cf6\lang1033\langfe1033\langnp1033 See 7) above.
\par }{\f1\fs20\lang1033\langfe1033\langnp1033 9.)\tab When will the results of the research become publicly available?
\par }\pard\plain \s22\ql \li720\ri0\nowidctlpar\faauto\rin0\lin720\itap0 \f1\fs20\cf6\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\'93It is anticipated that the results of the research will be published within two to three years\'94
\par }\pard\plain \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\fs20\lang1033\langfe1033\langnp1033 
\par In response to ongoing concerns about the potential dangers of chiropractic treatment, the GCC continues to insist that there is }{\i\f1\fs20\lang1033\langfe1033\langnp1033 "no evidence that neck manipulation causes stroke"}{
\f1\fs20\lang1033\langfe1033\langnp1033 .}{\i\f1\fs20\lang1033\langfe1033\langnp1033 
\par }{\f1\fs20\lang1033\langfe1033\langnp1033 
\par }\pard \qj \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\f1\fs20\lang1033\langfe1033\langnp1033 10.)\tab As you have previously stated in your 8th April 2004 letter to Action for Victims of 
\par }\pard \qj \li0\ri-999\nowidctlpar\faauto\rin-999\lin0\itap0 {\f1\fs20\lang1033\langfe1033\langnp1033 \tab Chiropractic that }{\i\f1\fs20\lang1033\langfe1033\langnp1033 "the protection of the public lies at the heart of the GCC's activities"}{
\f1\fs20\lang1033\langfe1033\langnp1033 , and 
\par }\pard \qj \li720\ri0\nowidctlpar\faauto\rin0\lin720\itap0 {\f1\fs20\lang1033\langfe1033\langnp1033 have further stated in your 17th June 2004 letter that }{\i\f1\fs20\lang1033\langfe1033\langnp1033 
"Current studies in the literature that seek to establish a relationship between high neck manipulation and stroke/injury are not of the quality required..."}{\f1\fs20\lang1033\langfe1033\langnp1033  would you agree that, instead of saying }{
\i\f1\fs20\lang1033\langfe1033\langnp1033 "there is no evidence that neck manipulation causes stroke"}{\f1\fs20\lang1033\langfe1033\langnp1033 , a more accurate and fair representation of the facts would be to say that "the true inc
idence of serious adverse events associated with spinal manipulation is currently not known" ?
\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\f1\fs20\lang1033\langfe1033\langnp1033 
\par \tab If you do not agree with this please explain why.
\par 
\par }\pard\plain \s22\ql \li720\ri0\nowidctlpar\faauto\rin0\lin720\itap0 \f1\fs20\cf6\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\'93The GCC remains of the view, as stated in its letter of 8 April 2004, that association does 
not equal causation and that currently there is no evidence that neck manipulation causes stroke\'94
\par }\pard\plain \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\fs20\lang1033\langfe1033\langnp1033 
\par }\pard \qj \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\f1\fs20\lang1033\langfe1033\langnp1033 In your 8th April 2004 letter to Action for Victims of Chiropractic you also state that }{\i\f1\fs20\lang1033\langfe1033\langnp1033 "the GCC would accep
t the findings of just such case control studies as the Lewis jury calls for" }{\f1\fs20\lang1033\langfe1033\langnp1033 as being evidence of stroke caused by chiropractic neck manipulation. [Ref. http://www.chirobase.org/15News/lewis.html]}{
\f1\fs20\cf2\lang1033\langfe1033\langnp1033 
\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\f1\fs20\lang1033\langfe1033\langnp1033 
\par }\pard \qj \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\f1\fs20\lang1033\langfe1033\langnp1033 11.)\tab Has  the chiropractic profession in the UK implemented any well-designed level 3
\par }\pard\plain \s17\qj \fi-709\li709\ri0\nowidctlpar\faauto\rin0\lin709\itap0 \b\f1\fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b0 \tab 
retrospective case control studies (of the quality which the Lewis jury recommends) in order to assess the relationship between high neck manipulation and stroke/injury and/or serious complication?
\par }\pard\plain \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\fs20\lang1033\langfe1033\langnp1033 
\par \tab If the profession has not done so, please explain why. 
\par 
\par }\pard \ql \li720\ri0\nowidctlpar\faauto\rin0\lin720\itap0 {\f1\fs20\cf6\lang1033\langfe1033\langnp1033 \'93}{\i\f1\fs20\cf6\lang1033\langfe1033\langnp1033 The Bone and Joint decade task force on Neck Pain and Associated Disorders}{
\f1\fs20\cf6\lang1033\langfe1033\langnp1033  is an international, multi0centre, mutli-disciplinary study. Academic institutions affiliated with the Task force include the World Health Orginisation for Neurotrauma Prevention and universities in France. Nor
th America and Sweden. Two of the research projects of the Task Force are:-
\par {\listtext\pard\plain\f3\fs20\cf6 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ql \fi-360\li1440\ri0\nowidctlpar\jclisttab\tx1440\faauto\ls1\rin0\lin1440\itap0 {\f1\fs20\cf6\lang1033\langfe1033\langnp1033 Risks Associated with the Treatment of Neck Pain. T
his is compromised of two epidemiological studies of adverse outcomes associated with common treatments of neck pain, these are
\par {\listtext\pard\plain\f1\fs20\cf6 \hich\af1\dbch\af0\loch\f1 a)\tab}}\pard \ql \fi-360\li1620\ri0\nowidctlpar\jclisttab\tx1620\faauto\ls2\rin0\lin1620\itap0 {\f1\fs20\cf6\lang1033\langfe1033\langnp1033 association of neck adjustment and stroke
\par {\listtext\pard\plain\f1\fs20\cf6 \hich\af1\dbch\af0\loch\f1 b)\tab}risk of gastrointestinal (GI) haemorrhage or death from GI haemorrhage associated with prescription of non-steroidal anti-inflammatory drugs for neck pain
\par {\listtext\pard\plain\f3\fs20\cf6 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ql \fi-1347\li2340\ri0\nowidctlpar\jclisttab\tx1418\faauto\ls2\ilvl1\rin0\lin2340\itap0 {\f1\fs20\cf6\lang1033\langfe1033\langnp1033 The Chiropractic Neck Study
 : a case control study to assess the risk of stroke associated with chiropractic neck adjustment}{\f1\fs20\lang1033\langfe1033\langnp1033 
\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\f1\fs20\cf6\lang1033\langfe1033\langnp1033 
\par }\pard \ql \li720\ri0\nowidctlpar\faauto\rin0\lin720\itap0 {\f1\fs20\cf6\lang1033\langfe1033\langnp1033 Chiropractic is currently a small profession in the UK, which cannot match the resources available to the examples of internatio
nal research mentioned above. It will clearly pay great attention to the outcomes of those studies as well as the current research commissioned by the Chiropractic Association\'94}{\f1\fs20\lang1033\langfe1033\langnp1033 
\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\f1\fs20\lang1033\langfe1033\langnp1033 
\par 
\par }{\f1\fs20\ul\cf1\lang1033\langfe1033\langnp1033 SUBLUXATIONS
\par }{\f1\fs20\cf1\lang1033\langfe1033\langnp1033 
\par In the recent past the GCC has stated that it }{\i\f1\fs20\cf1\lang1033\langfe1033\langnp1033 "values the provision of factual and accurate information to the public to enable patients to make informed choices about their healthcare" }{
\f1\fs20\lang1033\langfe1033\langnp1033 and yet, in your letter to Action for Victims of Chiropractic dated 17th June 2004, you }{\f1\fs20\cf1\lang1033\langfe1033\langnp1033 admit that }{\i\f1\fs20\cf1\lang1033\langfe1033\langnp1033 
"There is confusion over the term 'subluxation' because it has different meanings for different people"}{\f1\fs20\cf1\lang1033\langfe1033\langnp1033 .}{\i\f1\fs20\cf1\lang1033\langfe1033\langnp1033   
\par }{\f1\fs20\cf1\lang1033\langfe1033\langnp1033 
\par }\pard \qj \fi-720\li720\ri0\nowidctlpar\faauto\rin0\lin720\itap0 {\f1\fs20\cf1\lang1033\langfe1033\langnp1033 12.)\tab As subluxations have always been fundamental to the practice of chiropractic, p}{\f1\fs20\lang1033\langfe1033\langnp1033 lease }{
\f1\fs20\cf1\lang1033\langfe1033\langnp1033 explain why there appears to be no mention made of 'subluxations' on the GCC's website, in its General Information Leaflet ('What Can I Expect When I See A Chiropractor?')
, or in the Standard of Proficiency and Code of Practice.
\par 
\par \tab }{\f1\fs20\cf6\lang1033\langfe1033\langnp1033 \'93The term \'93 subluxation\'94 is not fundamentals to the overall practice of chiropractic in the UK, nor is it mentioned in the definition of chiropractic pub
lished by the World Federation of Chiropractic\'94
\par }\pard\plain \s15\ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 \fs20\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\lang1033\langfe1033\langnp1033  
\par }\pard\plain \qj \fi-720\li720\ri0\nowidctlpar\faauto\rin0\lin720\itap0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\fs20\lang1033\langfe1033\langnp1033 13.)\tab As you have admitted that }{\i\f1\fs20\lang1033\langfe1033\langnp1033 
"There is confusion over the term 'subluxation'"}{\f1\fs20\lang1033\langfe1033\langnp1033 , to what easily accessible and reliable source does the GCC expect the public to turn in order to find factual and a
ccurate information about all the different meanings of the term 'subluxation'?
\par 
\par \tab }{\f1\fs20\cf6\lang1033\langfe1033\langnp1033 \'93Subluxation has been defined medically as a partial abnormal separation of articular surfaces. Where the term is used by chiropractors it has been explained as meaning a complex of functional and/or 
structural and/or pathological articular changes that compromise neural integrity and may influence organ function and good health\'94.
\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\f1\fs20\lang1033\langfe1033\langnp1033 
\par }\pard \qj \fi-709\li709\ri0\nowidctlpar\faauto\rin0\lin709\itap0 {\f1\fs20\lang1033\langfe1033\langnp1033 14.)\tab In order to clarify the }{\i\f1\fs20\lang1033\langfe1033\langnp1033 "confusion over the term 'subluxation'" }{
\f1\fs20\lang1033\langfe1033\langnp1033 would you please define all the different meanings which the term could have for different people and the way in which each definition relates to the various styles of chiropractic practice in the UK.
\par 
\par \tab }{\f1\fs20\cf6\lang1033\langfe1033\langnp1033 See 13) above
\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\f1\fs20\lang1033\langfe1033\langnp1033 
\par }\pard \qj \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\f1\fs20\cf1\lang1033\langfe1033\langnp1033 In your 17th June 2004 letter to Action for Victims of Chiropractic you also state that }{\i\f1\fs20\cf1\lang1033\langfe1033\langnp1033 
"There is, however, scientific evidence for the many interpretations of this word }{\f1\fs20\cf1\lang1033\langfe1033\langnp1033 [subluxation]}{\i\f1\fs20\cf1\lang1033\langfe1033\langnp1033 
, especially those that point to dysfunction of the spine as a source of pain and disability"}{\f1\fs20\cf1\lang1033\langfe1033\langnp1033 .}{\i\f1\fs20\lang1033\langfe1033\langnp1033 \tab 
\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\f1\fs20\lang1033\langfe1033\langnp1033 
\par }\pard \ql \fi-720\li720\ri0\nowidctlpar\faauto\rin0\lin720\itap0 {\f1\fs20\lang1033\langfe1033\langnp1033 15.)\tab Please list the accepted scientific evidence that supports the many interpretations of the word 'subluxation'.  
\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\f1\fs20\lang1033\langfe1033\langnp1033 
\par }\pard \qj \li709\ri0\nowidctlpar\faauto\rin0\lin709\itap0 {\f1\fs20\lang1033\langfe1033\langnp1033 \tab Please include t
he scientific evidence that validates the practice of administering regular adjustments to the spine - including the cervical spine - to correct alleged subluxations in order to assist the expression of the body's "innate intelligence".  (As you will know
, this 'vitalistic' or 'philosophical' style of chiropractic is currently being practiced by several registered UK chiropractors whose patients can include infants as well as adults.)
\par 
\par }\pard\plain \s23\qj \li709\ri0\nowidctlpar\faauto\rin0\lin709\itap0 \f1\fs20\cf6\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\'93The legislative framework for the practice of chiropractic in the UK
 does not specify the scope or the style of practice. What is required is that all registrants of the GCC comply with the published Standard of proficiency and Code of Practice.\'94
\par }\pard\plain \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 \fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1\fs20\lang1033\langfe1033\langnp1033 
\par }\pard \qj \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs20 Yours sincerely
\par For and on Behalf of Action for Victims of Chiropractic
\par 
\par 
\par 
\par 
\par }\pard\plain \s15\ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 \fs20\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\f1 Frances Denoon}{\f1\lang1033\langfe1033\langnp1033 
\par }}