Download a PDF copy of Health activities in a public setting (77 KB,PDF)
The aim of this fact sheet is to help chiropractors in understanding the requirements of performing health activities in a public setting in a safe and responsible manner. Chiropractors carrying out these activities should be aware of, and comply with, the provisions of the Health Practitioner Regulation National Law1 that relate to advertising, the Code of conduct, the Guidelines for advertising a regulated health service (the Advertising guidelines), and the FAQ: Who needs to be registered under the National Law.
You are required to incorporate principles of public health into professional practice and participate in activities to promote public health in the community.
Health activities include chiropractic services such as assessing the health of another person and/or providing health information to another person in a public setting. These activities are normally conducted somewhere separate from your usual place of practice where paid clinical consultations are provided.
Health activities can support good practice by providing information from health screenings (including spinal screenings) and best available evidence to promote health literacy in the community and improve clinical decision-making in the profession.
It is your responsibility to ensure that, if required, all necessary permits are in place before starting the health activity. It is not necessary to advise the Chiropractic Board of Australia (the Board).
You should comply with the Code of conduct, in particular:
The content and materials associated with health activities should be consistent with the Advertising guidelines. The Board’s resources on Advertising a regulated health service and FAQ: Advertising for chiropractors may also be helpful to practitioners.
Before engaging in heath activities, you need to ensure:
You must also not charge a fee for the activity or make unsolicited contact with participants after a public health activity.
Health activities must be carried out for public benefit and must not be seen to have a direct promotional benefit to the chiropractor(s) carrying out the activity.
The public relies on your independence and trustworthiness when they seek health advice or treatment. To comply with the Code of conduct, good practice is supported when you consider any financial, professional and/or personal interests associated with the promotional activity and resolve any conflicts in the best interests of the public.
Examples of where public health activities may be perceived as promotional include the following:
More information on appropriate promotional and advertising practices, can be found in the Board’s Advertising a regulated health service and in the Code of conduct.
Amal is a chiropractor who has just started a new job at a private practice.
At a team meeting, the practice owner suggested a new marketing strategy to set up a spinal screening stand at a local shopping centre. The proposal sets out that the team of three chiropractors can spend two hours on a Saturday at the stand on a rostered basis to provide free spinal screenings to the public. The practice owner explained that apart from providing a health service to the community, they could have business cards and clinic brochures available to help people connect with services available at the practice.
Amal knows that there is relevant guidance from the Board as the activity included assessing a person’s health and providing them with health information in a public place. Although Amal was new to the practice, they highlighted the information on the Board’s fact sheet so that the team could make an informed decision about this proposal.
The team discussed that the spinal screenings could benefit the public by promoting the health of the community without fees. The information from the assessment may help people to understand more about their spine and musculoskeletal health. However, they agreed that the strategy had the main purpose of improving the practice’s patient base by advertising their chiropractic services.
This discussion prompted the team to read principle 8.10 of the Code of conduct and they explored recognising potential conflicts of interest that may arise if a patient initiated or continued a professional relationship after receiving a spinal screening. The secondary purpose of promoting the practice may cause people to question whether they were focused on putting patients first, before the interests of the practice.
Amal suggested that the team could consider whether there were other ways of promoting their chiropractic services, such as on their website, or partnering with local networks on upcoming community events to provide educational materials to the public. The team agreed to find out more about alternative options for further discussions at their next team meeting.