gimpy’s blog

inane witterings and badscience

Homeopathy and the NHS in Scotland

Posted by gimpy on September 13, 2010

There is a BBC documentary showing tonight in Scotland (BBC One Scotland 1930 or channel 971 for non-Scottish viewers) titled ‘Magic or Medicine – Homeopathy and the NHS’.  You might think that this documentary was treading old ground and that issues of homeopathy in the NHS were already well understood.  However, healthcare is a devolved matter in Scotland, and thus healthcare spending is controlled by the Scottish government so arguments have to be fought anew north of the border.  In fact the dynamics of electoral politics in Scotland are such that The Scottish Green Party bear some considerable responsibility for homeopathy on the NHS, unlike in England where they are an irrelevance.  This is why this BBC Scotland documentary is to be welcomed.

According to this BBC article by the lead reporter Scotland spends disproportionately more than England on homeopathy, as FOI requests show. Scottish lay homeopaths are also shown to be as stupid as their English cousins in offering homeopathic versions of vaccines.  This is something that the professional homeopathic societies have been ignoring, or even endorsing, for some time and now something that the medical homeopaths are creeping towards.

The Scotsman carries a piece by Dr Brian Kaplan, a medical homeopath, Harley Street physician and Member of the Faculty of Homeopathy, today defending homeoapthy on the NHS in response to the documentary, that opens with the following statement:

NO DOCTOR who uses homeopathy would support the use of such treatment as a vaccination. This may be supported by some non-doctors using homeopathy, but it is not something the medical community would advocate.

Sadly Dr Kaplan views are more conservative than those of his professional society.  The journal Homeopathy, is published by the Faculty of Homeopathy and edited by Peter Fisher, the head of the, soon to be renamed, Royal London Homeopathic Hospital.  This journal recently described a homeopathic vaccine as Similar to a conventional vaccine” before going on to argue that homeopathic vaccines have a place in medical care:

“Homeoprophylaxis with nosodes could be a bridging device in a serious epidemic for the period until a fully effective vaccine is available. In less serious diseases, it could be the only prophylaxis offered. The lack of side effects, low cost, and rapid speed of manufacture and deployment would make it acceptable for use in large populations. Coverage of animal vector populations with the nosode may also be feasible.”

and

Infectious diseases are still the bane of humanity, particularly in the developing world. Effectively reducing their morbidity and mortality using homeopathic nosodes could have immediate practical and economic impacts.

I recommend you read apgaylard’s excellent analysis of this editorial and surrounding issues. Brian Kaplan would also do well to read this before making statements that are easily shown to be untrue.

It seems the only thing that separates medical homeopaths from lay homeopaths these days is not their ethics or their reluctance to use dangerously ineffective treatments, it is NHS funding and it’s time to bring that to an end.

14 Responses to “Homeopathy and the NHS in Scotland”

  1. warhelmet said

    Nosodes have been outlawed in the Netherlands. Their legal status in the UK is questionable.

  2. Gib said

    Bugger – I missed it, and it’s not available on BBC iPlayer.
    Any idea of how to view again ?

  3. Zeno said

    Gib

    It is on iPlayer – we watched it late last night – but you have to change your region to Scotland to get the BBC Scotland. I think you have to change your location on the BBC home page than go to the iPlayer page.

  4. Gib said

    Thanks, I’ll try again. When I tried it, soon after it was broadcast, the message said that it wasn’t available for iPlayer, because of rights issues. But perhaps their error messages were mixed up, and it was just due to me being too early. I did set my region to Scotland.

    Aha – just tried it, and it works. Cheers!

  5. Maybe I’m reading too much into this but I note that saying “NO DOCTOR who uses homeopathy would support the use of such treatment as a vaccination.” is a bit ambiguous.

    It doesn’t exclude the possibility that a homeopathic doctor would recommend homeopathy as an alternative “protection” for someone who doesn’t want a vaccination. Yet this is dodgy in itself, as it gives the false sense of security and makes the decision to refuse vaccination seem less of a big deal…

  6. Dr B. Kaplan said

    I think it’s appropriate to mention here that you kindly wrote to me in relation to this piece and I replied as below – albeit too late to be included in your post. I think that my reply is particularly important in relation to what Neuroskeptic has reasonably stated in his/her comment above:

    “I apologise for the delay in reply. I haven’t been able to get to my email for a few days.

    I can certainly see what you are getting at and have to say that I stand by my original statement that I don’t use any form of ‘homeopathic immunization’ or ‘homoeprophylaxis’ (a neologism to me). In the article in The Scotsman to which you refer I did indeed say that no doctor in the Faculty of Homeopathy would support doing this and I do believe this to be true. However in the context of the article and recent discussions about this matter in the media, it is clear that what was being discussed was the prescription of ‘homeopathic immunization’ instead of recognised orthodox vaccinations and even homeopathic prophylaxis against malaria – which I consider and have always considered utterly reprehensible and simply wrong.

    Dr Peter Fisher, in the quote you have cited, is (and it is clear in the quote) referring to epidemics of disease for which no orthodox vaccine has been developed. This is a slightly different matter because at least in this situation patients are not being induced directly or indirectly in any way to abandon orthodox prophylaxis. However this is still an area of controversy about which homeopaths should be most cautious because even this practice may not always be ethical. For example: While I don’t think it was unethical at all to try to a ‘homeopathic immunisation’ against mastititis of a herd of cows by putting a remedy in the drinking water, as homeopathic veterinarian, Chris Day did (Christopher Day, “Clinical Trials in Bovine Mastitis: Use of Nosodes for Prevention,” British Homeopathic Journal, 75 (January 1986): 11-15.), to prescribe a ‘homeopathic immunisation’ against HIV or AIDS in any circumstances (even though conventional immunisation does not yet exist) would in my opinion, be horrendously unethical and even criminal.

    I hope this answers your question and sorry if this only reached after your deadlne.

    Yours sincerely,

    Brian Kaplan.”

    Thus I don’t personally see my statement to The Scotsman as ‘easily shown to be untrue’. This is an important discussion and it remains my belief that no doctor who is a member of the Faculty of Homeopathy should ever use a ‘homeopathic vaccination’ instead of an orthodox vaccination. I think this is important for your readers to know this. Faculty regulations make this very clear and these guidelines and the Faculty’s official position on this since 2005 are published here :http://www.facultyofhomeopathy.org/media/position_statements/immunisation.html

  7. 0lbollix said

    “The NHS is spending about £40m a year on religious chaplains” (http://news.bbc.co.uk/1/hi/health/7988476.stm)

    Seems to me that the above refers to an analogous situation that should be addressed at the same time using the same criteria.

  8. I disagree with the concept that vaccinations should not be used. Why should one consider homeopathy if it exists only for itself. What about holistic health? Has it no place or role?

    I think that thought should be reconsidered.

  9. metin2 said

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  10. nioma said

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  11. Homeopathy is a good subject for getting knowledge.It is a very good medical science.Now a days it is very preferable by the patients.

  12. Gib said

    So, “No Win No Fee Scotland”, I see you are an ambulance chaser, who sues people to get money.

    Perhaps you should also look to sue homeopaths for pretending to help people, when they cannot.
    Homeopaths should try to get some knowledge themselves, but I don’t think that’s what you mean. It’s not a medical science – it’s fantasy. The only patients who prefer homeopathy are those that don’t want to get better or those that are confused by things such as the placebo effect.

  13. please look into this one

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