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Mr Stuart Smellie, Chiropractor

For Professionals

Chiropractic - A Regulated Healthcare Profession

The General Chiropractic Council (GCC) is an independent statutory body established by, and accountable to, Parliament to regulate the chiropractic profession. In the same way as medicine and dentistry, they protect the health and safety of the public by ensuring high standards of practice. The title 'chiropractor' is protected by law and it is a criminal offence for anyone to describe themselves as a chiropractor without being registered with the GCC. The General Medical Council and the Department of Health advise that GPs may safely refer patients to practitioners, such as chiropractors, who are on a statutory register.

the Skills and Competencies of Chiropractors

A chiropractor is a qualified healthcare professional who is trained to assess, diagnose, and treat a wide range of musculoskeletal conditions, such as back and neck pain, minor sports injuries and sciatica. As well as relieving symptoms of pain and discomfort, chiropractors can also improve mobility and reduce disability associated with muscle and joint problems. A useful resource that details the knowledge, skills and competencies of chiropractors is Outcomes for Chiropractic Graduates 2022. One of the purposes of this document is to help patients, health professionals, and commissioners understand and recognise what chiropractors know and are able to do. 

Clinical Approach at Chiropractic@BuckFarm

As a first contact primary care clinician, Stuart Smellie employs a biopsychosocial model to thoroughly assess every patient. Particular attention is given to the consideration of potential serious underlying pathology (red flags), the significance of non-physical factors, and specific risk screening for conditions such as osteoporosis, inflammatory arthropathies, hypermobility and vascular vulnerabilities. Referrals for further investigations are made where necessary, and we have good access to x-ray and MRI facilities.

Individualised care plans are formulated in partnership with patients (addressing risks, benefits, alternatives and prognoses), embracing the principles of patient-centred care and transparency. Stuart’s management typically consist of evidence-based, multi-modal care which many include manual therapies, exercise and rehabilitation, education and advice, pain management and psychosocial interventions. 

Patients with chronic MSK conditions are supported with self-management strategies and prophylactic care. Stuart will not hesitate to refer patients to their GP (or other healthcare professional) if he has any concerns about their health, or if he feels that co-management is in their best interest.

Stuart is the lead author of the Royal College of Chiropractors’ Quality Standards, and these documents typify the way in which he works, and the standards to which he holds himself.

Clinical Governance

Our practices, procedures and performance are regularly reviewed and assessed through clinical audit, outcomes measures, patient questionnaires and clinical safety initiatives. This enables us to monitor the quality of the service that we provide and make continual improvements.

Talks, Lectures and Expert Opinion

Stuart Smellie is very willing to talk to GPs, and other healthcare professionals, about the latest evidence and guidelines for a variety of different clinical conditions. Although he is happy to address any MSK-related subject, topics that he has lectured on in the past include:

  • Back Pain Management (including NICE Guidelines / National and Local Pathways)

  • Chiropractic Quality Standards

  • Lumbar and Cervical Radiculopathy

  • Osteoporosis

  • Axial Spondyloarthritis

  • Headaches

  • Chronic Pain

  • Psychosocial and Contextual Factors

Stuart also has significant experience as a clinical assessor and examiner, and is happy to provide second opinions or expert advice. Please do not hesitate to contact the clinic for further information.

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