The Prince's Foundation for Integrated Health
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The Foundation for Integrated Health (FIH) was a controversial charity run by
King Charles III 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 a ...
(then
Prince of Wales Prince of Wales ( cy, Tywysog Cymru, ; la, Princeps Cambriae/Walliae) is a title traditionally given to the heir apparent to the English and later British throne. Prior to the conquest by Edward I in the 13th century, it was used by the rulers ...
) founded in 1993. The foundation promoted
complementary and 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 alt ...
, preferring to use the term " integrated health", and lobbied for its inclusion in the
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 " ...
. The charity closed in 2010 after allegations of fraud and money laundering led to the arrest of a former official.


History

The charity was established in 1993 to explore "how safe, proven complementary therapies can work in conjunction with mainstream medicine". Michael Dixon was appointed the foundation's medical director. From 2005 to 2007, FIH received a grant from the
Department of Health A health department or health ministry is a part of government which focuses on issues related to the general health of the citizenry. Subnational entities, such as states, counties and cities, often also operate a health department of their ow ...
to help organise the self-regulation of complementary therapies. There had been concern that with a large proportion of the public turning to complementary approaches, there were few safeguards in place to ensure that non-statutorily regulated therapists were safe, trained and would act in an appropriate way. FIH worked to bring together the representative bodies of many complementary professions to talk and agree standards. The result was the formation of the
Complementary and Natural Healthcare Council The Complementary and Natural Healthcare Council (CNHC) is a regulatory body in the United Kingdom which provides a voluntary register of complementary, rather than alternative medicine, therapists. The key purpose of CNHC is to act in the public in ...
(CNHC) which had hoped to register 10,000 practitioners of complementary medicine by the end of 2009 but which by September 2009 had succeeded in enrolling less than a tenth of that number due to lack of interest on the part of some of their professional associations. The Department of Health is currently continuing to fund the CNHC but future funding will be dependent on substantial progress being made towards the target (which has now been reduced to 2,000). Alternative medicine campaigners argued that the move toward regulation conferred undue respectability on unproven and possibly unsafe complementary &
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 alt ...
(CAM) approaches. FIH also worked with medical schools to increase the understanding of complementary approaches amongst new doctors and ran an annual awards ceremony for integrated health schemes both within the medical world and in the community. The papers of the Foundation for Integrated Health are held at the Wellcome Library, Archives and Manuscripts, and are available for consultation by appointment. Further details about the collection can be found on the Wellcome online catalogue.


Controversy

The Prince of Wales has demonstrated an interest in
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 alt ...
, the promotion of which has occasionally resulted in controversy. In 2004, the foundation divided the scientific and medical community over its campaign encouraging general practitioners to offer herbal and other alternative treatments to National Health Service patients, and in May 2006, The Prince made a speech to an audience of health ministers from various countries at the
World Health Assembly The World Health Assembly (WHA) is the forum through which the World Health Organization (WHO) is governed by its 194 member states. It is the world's highest health policy setting body and is composed of health ministers from member states. T ...
in
Geneva Geneva ( ; french: Genève ) frp, Genèva ; german: link=no, Genf ; it, Ginevra ; rm, Genevra is the List of cities in Switzerland, second-most populous city in Switzerland (after Zürich) and the most populous city of Romandy, the French-speaki ...
, urging them to develop a plan for integrating conventional and alternative medicine. In April 2008, ''
The Times ''The Times'' is a British daily national newspaper based in London. It began in 1785 under the title ''The Daily Universal Register'', adopting its current name on 1 January 1788. ''The Times'' and its sister paper ''The Sunday Times'' (fou ...
'' published a letter from Professor
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, alleged ...
that asked the Prince's Foundation to recall two guides promoting "alternative medicine", saying: "the majority of alternative therapies appear to be clinically ineffective, and many are downright dangerous." A speaker for the foundation countered the criticism by stating: "We entirely reject the accusation that our online publication ''Complementary Healthcare: A Guide'' contains any misleading or inaccurate claims about the benefits of complementary therapies. On the contrary, it treats people as adults and takes a responsible approach by encouraging people to look at reliable sources of information... so that they can make informed decisions. The foundation does not promote complementary therapies." In June 2008 Ernst and science writer
Simon Singh Simon Lehna Singh, (born 19 September 1964) is a British popular science author, theoretical and particle physicist. His written works include ''Fermat's Last Theorem'' (in the United States titled ''Fermat's Enigma: The Epic Quest to Solve th ...
book '' Trick or Treatment: Alternative Medicine on Trial'' was published. It is ironically dedicated to "HRH the Prince of Wales" and the last chapter is highly critical of his advocacy of "complementary" and "alternative" treatments. The Prince's
Duchy Originals Waitrose Duchy Organic (formerly Duchy Originals from Waitrose and earlier simply Duchy Originals) is a brand of organic food sold in Waitrose stores in the United Kingdom. The brand is a partnership between Waitrose and Duchy Originals Limited, ...
have produced a variety of CAM products including a “Detox Tincture” that Ernst has denounced as "financially exploiting the vulnerable" and "outright
quackery Quackery, often synonymous with health fraud, is the promotion of fraudulent or ignorant medical practices. A quack is a "fraudulent or ignorant pretender to medical skill" or "a person who pretends, professionally or publicly, to have skill, ...
". In May 2009, the Advertising Standards Authority criticised an email that Duchy Originals had sent out to advertise its Echina-Relief, Hyperi-Lift and Detox Tinctures products saying it was misleading. In Ernst's book ''More Good Than Harm? The Moral Maze of Complementary and Alternative Medicine'' he and ethicist Kevin Smith call Charles "foolish and immoral" and "conclude that it is not possible to practice alternative medicine ethically". Ernst further claims that the private secretary of the Prince contacted the vice chancellor of Exeter University to investigate Ernst's complaints against the "Smallwood Report" which the Prince had commissioned in 2005. While Ernst was "found not to be guilty of any wrong-doing, all local support at Exeter stopped, which eventually led to my early retirement."


Funding

Between 2005 and 2007 the charity's annual turnover was about £1.2 million. In 2007 it received significant funding from
The Prince's Charities Foundation The Prince of Wales's Charitable Fund (PWCF) awards approximately £3 million to a range of charitable causes annually. It was founded by King Charles III (then Prince of Wales) in 1979, and is registered as The Prince of Wales's Charitable Found ...
, and a £300,000 grant from the
Department of Health A health department or health ministry is a part of government which focuses on issues related to the general health of the citizenry. Subnational entities, such as states, counties and cities, often also operate a health department of their ow ...
for the regulation of
complementary 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 alt ...
.


Lobbying allegations

The Prince personally wrote at least seven letters to the
Medicines and Healthcare products Regulatory Agency The Medicines and Healthcare products Regulatory Agency (MHRA) is an executive agency of the Department of Health and Social Care in the United Kingdom which is responsible for ensuring that medicines and medical devices work and are acceptably ...
(MHRA) shortly before they relaxed the rules governing labelling of herbal products such as the ones sold by his duchy, a move that has been widely condemned by scientists and medical bodies. On 31 October 2009 it was reported that the Prince had personally lobbied Health Secretary
Andy Burnham Andrew Murray Burnham (born 7 January 1970) is a British politician who has served as Mayor of Greater Manchester since 2017. He served in Gordon Brown's Cabinet as Chief Secretary to the Treasury from 2007 to 2008, Culture Secretary from 2008 ...
regarding greater provision of alternative treatments on the NHS.


Charity Commission complaint

In March 2010, the political organisation
Republic A republic () is a "state in which power rests with the people or their representatives; specifically a state without a monarchy" and also a "government, or system of government, of such a state." Previously, especially in the 17th and 18th c ...
, which campaigns for an elected head of state, registered a complaint with the
Charity Commission for England and Wales , type = Non-ministerial government department , seal = , seal_caption = , logo = Charity Commission for England and Wales logo.svg , logo_caption = , formed = , preceding1 = , d ...
over a possible breach of charity regulations, suggesting that the foundation's staff had pursued a public vendetta against
Ernst Ernst is both a surname and a given name, the German, Dutch, and Scandinavian form of Ernest. Notable people with the name include: Surname * Adolf Ernst (1832–1899) German botanist known by the author abbreviation "Ernst" * Anton Ernst (1975-) ...
.


Fraud allegations and closure

In 2010, following accounting irregularities noted by the foundation's auditor, it was reported that the Metropolitan Police Economic and Specialist Crime Command had begun an inquiry into alleged fraud. Within weeks, two former officials at the Prince's Foundation were arrested for fraud believed to total £300,000. Four days later, on 30 April 2010, the foundation announced that it would close. The foundation stated that its closure was the result of the fraud allegations. The charity's finance director, accountant George Gray, was convicted of theft totalling £253,000 and sentenced to three years in prison.


Rebranding as "The College of Medicine"

Following the disbanding of the Prince's Foundation, many of the individuals and organisations involved launched a new organisation in late 2010 called ''
The College of Medicine The College of Medicine (CoM) is a United Kingdom-based organisation founded in October 2010 that grew out of The Prince's Foundation for Integrated Health after it was shut down due to accounting fraud. It is chaired by Michael Dixon, a former di ...
,'' with which the Prince of Wales was not overtly involved. Several commentators writing in
The Guardian ''The Guardian'' is a British daily newspaper. It was founded in 1821 as ''The Manchester Guardian'', and changed its name in 1959. Along with its sister papers ''The Observer'' and ''The Guardian Weekly'', ''The Guardian'' is part of the Gu ...
and
The British Medical Journal ''The BMJ'' is a weekly peer-reviewed medical trade journal, published by the trade union the British Medical Association (BMA). ''The BMJ'' has editorial freedom from the BMA. It is one of the world's oldest general medical journals. Origina ...
, have expressed the opinion that the new organisation is simply a re-branding of the Prince's ''Foundation,'' describing it as "Hamlet without the Prince". In support of this connection with the then Prince, alternative medicine critic and pharmacologist
David Colquhoun David Colquhoun (born 19 July 1936) is a British pharmacologist at University College London (UCL). He has contributed to the general theory of receptor and synaptic mechanisms, and in particular the theory and practice of single ion channel f ...
has argued that the college (originally called "The College of Integrated Health") is extremely well-funded and seemed from the beginning to be very confident of the Prince's support; explicitly describing its mission as "to take forward the vision of HRH the Prince of Wales". These claims have been contested by the college.


References


External links

* {{DEFAULTSORT:Prince's Foundation For Integrated Health Health charities in the United Kingdom 1993 establishments in the United Kingdom Organizations established in 1993 Organizations disestablished in 2010 2010 disestablishments in the United Kingdom The Prince's Charities