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Smallwood Report
200px The Smallwood Report, officially entitled ''The Role of Complementary and Alternative Medicine in the NHS: An Investigation into the Potential Contribution of Mainstream Alternative Therapies to Healthcare in the UK'', was a 2005 report promoting the use of so-called " alternative medicine" in Britain's taxpayer funded National Health Service, as a cost-effective and efficate alternative to evidence-based medicine. The report was written by economist Christopher Smallwood, commissioned by Charles, Prince of Wales, and funded by disgraced Tory politician Dame Shirley Porter. The report recommended that a number of treatments be made available on the NHS, including acupuncture, homoeopathy, manipulation therapies and herbal remedies. Graeme Catto wrote the introduction. Smallwood is an economist with no background in healthcare. Criticism The report was criticized by alternative medicine academic researcher Edzard Ernst, who wrote that it was inaccurate, misleading and th ...
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Smallwood Report Cover
Smallwood may refer to: People * Denis Smallwood (1918–1997), British RAF commander * Ed Smallwood (1937–2002), American basketball player * E. Mary Smallwood (born 1919), classical historian * Fred Smallwood (1910–1965), Welsh footballer * Gerald Smallwood (1889–1977), British Army general * Joey Smallwood (1900–1991), Canadian politician * Jonathan Smallwood (born 1975), British psychologist * Kathy Smallwood-Cook (born 1960), British sprinter * Neil Smallwood (born 1966), English professional footballer * Richard Smallwood (musician) (born 1948), American gospel music artist * Richard Smallwood (footballer) (born 1990), English footballer * Rod Smallwood (medical engineer) (born 1945), British medical engineer * Rod Smallwood (born 1950), English music manager * Tom Smallwood (born 1977), American ten-pin bowler * Walt Smallwood (1893–1967), baseball player * Wendell Smallwood (born 1994), American football player * William Smallwood (1732–1792), American gener ...
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Alternative Medicine
Alternative medicine is any practice that aims to achieve the healing effects of medicine despite lacking biological plausibility, testability, repeatability, or evidence from clinical trials. Complementary medicine (CM), complementary and alternative medicine (CAM), integrated medicine or integrative medicine (IM), and holistic medicine attempt to combine alternative practices with those of mainstream medicine. Alternative therapies share in common that they reside outside of medical science and instead rely on pseudoscience. Traditional practices become "alternative" when used outside their original settings and without proper scientific explanation and evidence. Frequently used derogatory terms for relevant practices are ''new age'' or ''pseudo-'' medicine, with little distinction from quackery. Some alternative practices are based on theories that contradict the established science of how the human body works; others resort to the supernatural or superstitious to explain ...
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National Health Service
The National Health Service (NHS) is the umbrella term for the publicly funded healthcare systems of the United Kingdom (UK). Since 1948, they have been funded out of general taxation. There are three systems which are referred to using the "NHS" name ( NHS England, NHS Scotland and NHS Wales). Health and Social Care in Northern Ireland was created separately and is often locally referred to as "the NHS". The four systems were established in 1948 as part of major social reforms following the Second World War. The founding principles were that services should be comprehensive, universal and free at the point of delivery—a health service based on clinical need, not ability to pay. Each service provides a comprehensive range of health services, free at the point of use for people ordinarily resident in the United Kingdom apart from dental treatment and optical care. In England, NHS patients have to pay prescription charges; some, such as those aged over 60 and certain state ben ...
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Evidence-based Medicine
Evidence-based medicine (EBM) is "the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients". The aim of EBM is to integrate the experience of the clinician, the values of the patient, and the best available scientific information to guide decision-making about clinical management. The term was originally used to describe an approach to teaching the practice of medicine and improving decisions by individual physicians about individual patients. Background, history and definition Medicine has a long history of scientific inquiry about the prevention, diagnosis, and treatment of human disease. The concept of a controlled clinical trial was first described in 1662 by Jan Baptist van Helmont in reference to the practice of bloodletting. Wrote Van Helmont: The first published report describing the conduct and results of a controlled clinical trial was by James Lind, a Scottish naval surgeon who conducted rese ...
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Charles, Prince Of Wales
Charles III (Charles Philip Arthur George; born 14 November 1948) is King of the United Kingdom and the 14 other Commonwealth realms. He was the longest-serving heir apparent and Prince of Wales and, at age 73, became the oldest person to accede to the British throne following the death of his mother, Elizabeth II, on 8 September 2022. Charles was born in Buckingham Palace during the reign of his maternal grandfather, King George VI, and was three when his mother ascended the throne in 1952, making him the heir apparent. He was made Prince of Wales in 1958 and his investiture was held in 1969. He was educated at Cheam and Gordonstoun schools, as was his father, Prince Philip, Duke of Edinburgh. Charles later spent six months at the Timbertop campus of Geelong Grammar School in Victoria, Australia. After earning a Bachelor of Arts degree from the University of Cambridge, Charles served in the Air Force and Navy from 1971 to 1976. In 1981, he married Lady Diana Spencer, ...
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Dame Shirley Porter
Shirley, Lady Porter (''née'' Cohen; born 29 November 1930), styled between 1991 and 2003 as Dame Shirley Porter, is a British politician who led Westminster City Council in London, representing the Conservative Party. She is the daughter and heiress of Sir Jack Cohen, the founder of Tesco supermarkets. She was appointed Dame Commander of the Order of the British Empire in 1991 by John Major after delivering victory in Westminster for the Conservatives in the 1990 elections, but was stripped of this title in 2003. While leader of Westminster City Council, Porter oversaw the "Building Stable Communities" policy — later described as the " homes for votes scandal" — and was consequently accused of gerrymandering. The policy was judged illegal by the district auditor, and a surcharge of £27m levied on her in 1996. This was later raised to £42 million with interest and costs. She eventually settled in 2004, paying a final settlement of £12.3 million. Porter moved to Herz ...
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Acupuncture
Acupuncture is a form of alternative medicine and a component of traditional Chinese medicine (TCM) in which thin needles are inserted into the body. Acupuncture is a pseudoscience; the theories and practices of TCM are not based on scientific knowledge, and it has been characterized as quackery. There is a range of acupuncture variants which originated in different philosophies, and techniques vary depending on the country in which it is performed, but can be divided into two main foundational philosophical applications and approaches, the first being the modern standardized form called eight principles TCM and the second an older system that is based on the ancient Daoist '' wuxing'', better known as the five elements or phases in the West. Acupuncture is most often used to attempt pain relief, though acupuncturists say that it can also be used for a wide range of other conditions. Acupuncture is generally used only in combination with other forms of treatment. The global ac ...
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Homoeopathy
Homeopathy or homoeopathy is a pseudoscientific system of alternative medicine. It was conceived in 1796 by the German physician Samuel Hahnemann. Its practitioners, called homeopaths, believe that a substance that causes symptoms of a disease in healthy people can cure similar symptoms in sick people; this doctrine is called ''similia similibus curentur'', or "like cures like". Homeopathic preparations are termed ''remedies'' and are made using homeopathic dilution. In this process, the selected substance is repeatedly diluted until the final product is chemically indistinguishable from the diluent. Often not even a single molecule of the original substance can be expected to remain in the product. Between each dilution homeopaths may hit and/or shake the product, claiming this makes the diluent remember the original substance after its removal. Practitioners claim that such preparations, upon oral intake, can treat or cure disease. All relevant scientific knowledge about p ...
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Herbal Remedies
Herbal medicine (also herbalism) is the study of pharmacognosy and the use of medicinal plants, which are a basis of traditional medicine. With worldwide research into pharmacology, some herbal medicines have been translated into modern remedies, such as the anti-malarial group of drugs called artemisinin isolated from ''Artemisia annua'', a herb that was known in Chinese medicine to treat fever. There is limited scientific evidence for the safety and efficacy of plants used in 21st century herbalism, which generally does not provide standards for purity or dosage. The scope of herbal medicine commonly includes fungal and bee products, as well as minerals, shells and certain animal parts. Herbal medicine is also called phytomedicine or phytotherapy. Paraherbalism describes alternative and pseudoscientific practices of using unrefined plant or animal extracts as unproven medicines or health-promoting agents. Paraherbalism relies on the belief that preserving various substances ...
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Graeme Catto
Sir Graeme Robertson Dawson Catto FRSE, Hon FRCSE, FRCP(Lon, Edin & Glasg), FRCGP, FFPM, FAoP, FMedSci FKC (born 24 April 1945) is a Scottish doctor who was president, later chair, of the General Medical Council until April 2009. He is also currently Emeritus Professor of Medicine at the Universities of London and Aberdeen and was an honorary consultant nephrologist at Guy's and St Thomas' NHS Foundation Trust and Aberdeen Royal Infirmary. Early life Graeme Catto was born in Aberdeen, the son of a local general practitioner. He attended Robert Gordon's College (Aberdeen; 1950–63), becoming school captain and gaining the Otaki Shield for the pupil outstanding in character, leadership and athletics. The linked trip to New Zealand where he was an official visitor was made by ship through the Panama Canal. Returning to the UK, he obtained the first medical bursary to study medicine at the University of Aberdeen, winning a Carnegie scholarship to Northwestern University (Chic ...
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Edzard Ernst
Edzard Ernst (born 30 January 1948) is a retired British-German academic physician and researcher specializing in the study of complementary and alternative medicine. He was Professor of Complementary Medicine at the University of Exeter, allegedly the world's first such academic position in complementary and alternative medicine. Ernst served as chairman of Physical Medicine and Rehabilitation (PMR) at the University of Vienna, but left this position in 1993 to set up the department of Complementary Medicine at the University of Exeter in England. He became director of complementary medicine of the Peninsula Medical School (PMS) in 2002. Ernst was the first occupant of the Maurice Laing, Laing chair in Complementary Medicine, retiring in 2011. He was born and trained in Germany, where he began his medical career at a homeopathic hospital in Munich, and since 1999 has been a British citizen. Ernst is the founder of two medical journals: ''Focus on Alternative and Complementary Th ...
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The Lancet
''The Lancet'' is a weekly peer-reviewed general medical journal and one of the oldest of its kind. It is also the world's highest-impact academic journal. It was founded in England in 1823. The journal publishes original research articles, review articles ("seminars" and "reviews"), editorials, book reviews, correspondence, as well as news features and case reports. ''The Lancet'' has been owned by Elsevier since 1991, and its editor-in-chief since 1995 has been Richard Horton. The journal has editorial offices in London, New York City, and Beijing. History ''The Lancet'' was founded in 1823 by Thomas Wakley, an English surgeon who named it after the surgical instrument called a lancet (scalpel). Members of the Wakley family retained editorship of the journal until 1908. In 1921, ''The Lancet'' was acquired by Hodder & Stoughton. Elsevier acquired ''The Lancet'' from Hodder & Stoughton in 1991. Impact According to the ''Journal Citation Reports'', the journal has a 202 ...
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