The Prince's Foundation for Integrated Health

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The Foundation for Integrated Health (FIH) was a controversial charity run by Charles, Prince of Wales and founded in 1993. The Foundation promoted alternative and complementary medicine, preferring to use the term "integrated health", and lobbied for its inclusion in the National Health Service. The charity closed in 2010 after allegations of fraud and money laundering led to the arrest of a former official.

History[edit]

Prince Charles established the charity in 1993 to explore "how safe, proven complementary therapies can work in conjunction with mainstream medicine".[1]

Dr Michael Dixon was appointed the Foundation's medical director. From 2005 to 2007, FIH received a grant from the Department of Health 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.[2] The result was the formation of the Complementary and Natural Healthcare Council (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 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.[3]

Controversy[edit]

The Prince of Wales has demonstrated an interest in alternative medicine, the promotion of which has occasionally resulted in controversy.[4] 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,[5][6] and in May 2006, The Prince made a speech to an audience of health ministers from various countries at the World Health Assembly in Geneva, urging them to develop a plan for integrating conventional and alternative medicine.[7]

In April 2008, The Times published a letter from Edzard Ernst 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."[8] Ernst has recently published a book with science writer Simon Singh condemning alternative medicine called Trick or Treatment: Alternative Medicine on Trial. The book is ironically dedicated to "HRH the Prince of Wales" and the last chapter is very critical of his advocacy of "complementary" and "alternative" treatments.[9]

The Prince's Duchy Originals produce a variety of CAM products including a “Detox Tincture” that Professor Edzard Ernst has denounced as "financially exploiting the vulnerable" and "outright quackery".[10] 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.[11]

Funding[edit]

Between 2005 and 2007 the charity's annual turnover was about £1.2 million.[12] In 2007 it received significant funding from The Prince's Charities Foundation, and a £300,000 grant from the Department of Health for the regulation of complementary medicine.[13]

Lobbying allegations[edit]

The Prince personally wrote at least seven letters[14] to the Medicines and Healthcare products Regulatory Agency (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.[15]

On 31 October 2009 it was reported that Prince Charles had personally lobbied Health Secretary Andy Burnham regarding greater provision of alternative treatments on the NHS.[10]

Charity Commission complaint[edit]

In March 2010, the political organisation Republic, which campaigns for an elected head of state, registered a complaint with the Charity Commission for England and Wales over a possible breach of charity regulations, suggesting that the foundation's staff had pursued a public vendetta against Edzard Ernst, a professor of complementary medicine and prominent critic of the Prince of Wales' support for alternative medicine.[16]

Fraud allegations and closure[edit]

In 2010, following accounting irregularities noted by the auditor, it was reported that the Metropolitan Police Economic and Specialist Crime Command had begun an inquiry into alleged fraud.[17]

On 30 April 2010, just four days after the arrests, the FIH announced[18] that it would close, dubiously claiming that it "has achieved its key objective of promoting the use of integrated health."[19] The Foundation later stated that its plans to close had been brought forward by the fraud allegations.[20]

Rebranding as "The College of Medicine"[edit]

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, with which the Prince of Wales was not overtly involved. Several commentators writing in The Guardian and The British Medical Journal, have expressed the opinion that the new organisation is simply a re-branding of the Prince's Foundation,[21][22][23][24][25] describing it as "Hamlet without the Prince".[26]

In support of this connection with Prince Charles, alternative medicine critic and pharmacologist David Colquhoun has argued that the College (originally called "The College of Integrated Health") is extremely well-funded[27] 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".[28]

These claims have been contested by the College.[29]

References[edit]

  1. ^ Robert Booth (26 April 2010). "Prince Charles's aide at homeopathy charity arrested on suspicion of fraud". London: guardian.co.uk. 
  2. ^ Regulating complementary therapies - Prince's Foundation for Integrated Health
  3. ^ [1]
  4. ^ Barnaby J. Feder, Special To The New York Times (9 January 1985). "More Britons Trying Holistic Medicine — New York Times". Query.nytimes.com. Retrieved 2008-10-12. 
  5. ^ Carr-Brown, Jonathon (14 August 2005). "Prince Charles' alternative GP campaign stirs anger". London: The Times. Retrieved 11 March 2009. 
  6. ^ Revill, Jo (2004-06-27). "Now Charles backs coffee cure for cancer". London: The Observer. Retrieved 2007-06-19. 
  7. ^ Cowell, Alan (2006-05-24). "Lying in wait for Prince Charles". The New York Times. Retrieved 2009-10-15. 
  8. ^ Henderson, Mark (17 April 2008). "Prince of Wales's guide to alternative medicine ‘inaccurate’". London: Times Online. Retrieved 2008-08-30. 
  9. ^ Singh, S. and Ernst, E. (2008). Trick or Treatment: Alternative Medicine on Trial. Corgi. 
  10. ^ a b Tim Walker (2009-10-31). "Prince Charles lobbies Andy Burnham on complementary medicine for NHS". London: Daily Telegraph. Retrieved 2010-04-01. 
  11. ^ "Duchy Originals Pork Pies". 11 March 2009. 
  12. ^ The Prince's Foundation for Integrated Health, Registered Charity no. 1026800 at the Charity Commission
  13. ^ The Prince's Foundation for Integrated Health - 2007 accounts, Charity Commission, retrieved 2010-04-30 
  14. ^ "HRH "meddling in politics"". DC's Improbable Science. March 12, 2007. 
  15. ^ Nigel Hawkes and Mark Henderson (September 1, 2006). "Doctors attack natural remedy claims". London: The Times. 
  16. ^ Booth, Robert (19 March 2010). "Prince Charles health charity accused of vendetta against critic". London: The Guardian. 
  17. ^ Delgado, Martin; Young, Andrew (4 April 2010). "Police probe into missing £300k at Prince Charles' charity after bosses fail to file accounts". Daily Mail (London). 
  18. ^ Prince of Wales's health charity wound up in wake of fraud investigation
  19. ^ FIH (30 April 2010). "Statement from the Prince's Foundation for Integrated Health". 
  20. ^ Laura Donnelly (15 May 2010). "Homeopathy is witchcraft, say doctors". London: The Telegraph. 
  21. ^ Ian Sample (August 2, 2010). "College of Medicine born from ashes of Prince Charles's holistic health charity". London: The Guardian. 
  22. ^ Jane Cassidy (15 June 2011). "Lobby Watch: The College of Medicine". British Medical Journal 343. doi:10.1136/bmj.d3712. PMID 21677014. 
  23. ^ David Colquhoun (12 July 2011). "The College of Medicine is Prince’s Foundation reincarnated". British Medical Journal 343. doi:10.1136/bmj.d4368. PMID 21750061. 
  24. ^ James May (12 July 2011). "College of Medicine: What is integrative health?". British Medical Journal 343. doi:10.1136/bmj.d4372. PMID 21750063. 
  25. ^ Edzard Ernst (12 July 2011). "College of Medicine or College of Quackery?". British Medical Journal 343. doi:10.1136/bmj.d4370. PMID 21750062. 
  26. ^ Nigel Hawkes (2010). "Prince’s foundation metamorphoses into new College of Medicine" 341. British Medical Journal. p. 6126. doi:10.1136/bmj.c6126. 
  27. ^ David Colquhoun (July 25, 2010). "Buckinghamgate: the new "College of Medicine" arising from the ashes of the Prince’s Foundation for Integrated Health". DC's Improbable Science. 
  28. ^ David Colquhoun (29 October 2010). "Don’t be deceived. The new "College of Medicine" is a fraud and delusion". 
  29. ^ George T Lewith, Graeme Catto, Michael Dixon, Christine Glover, Aidan Halligan, Ian Kennedy, Christopher Manning, David Peters (12 July 2011). "College of Medicine replies to its critics". British Medical Journal 343. doi:10.1136/bmj.d4364. PMID 21750060. 

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