A complaint has been made

By a patient, directly or to the GCC, and you need something behind your response. Evidence built early always reads better than evidence assembled before a deadline.

A GCC investigation is open

Section 7 covers the investigation process, what can follow from it, and the remediation that answers a concern. The GCC’s own fitness to practise advice for registrants is linked below.

The concern involves a care plan or fees

Pre-paid blocks, unused sessions, or a patient who felt committed to treatment they no longer needed. The area most specific to your profession.

You are applying for restoration

You are off the register and working towards going back on it. What you did in the meantime is the heart of the application, and you do not need to be registered to take this.

You are building your CPD

Two CPD hours you can complete and log the same day, with a certificate showing the title, the hours and the date.

Care plans and pre-paid packages

Blocks of treatment agreed at the outset, unused sessions, refunds, and a patient who felt locked into care they no longer needed.

Consent for manual treatment

What was explained before an adjustment, whether risks were discussed, and whether consent was taken once or revisited as treatment continued.

Advertising and claims

What chiropractic is said to treat, in the clinic and online. The most scrutinised area of public communication in this profession.

Financial boundaries

Conflicts of interest, selling products alongside treatment, and the line the GCC now names explicitly between commercial activity and exploitation.

Professional boundaries

Hands-on treatment, the power imbalance in a manual therapy relationship, digital contact, and managing inappropriate behaviour in either direction.

Record-keeping

Notes too thin to show the findings, the reasoning behind a plan, or what the patient was told — and the difficulty of answering a complaint without them.

Ethics in chiropractic practice

Four lessons: what healthcare ethics is, how ethics in the chiropractic profession has developed, why it matters in care, and the GCC’s role in setting and enforcing standards.

The core ethical principles

Five lessons: autonomy and informed consent in chiropractic assessment and treatment, beneficence, non-maleficence in manual therapy specifically, justice and non-discrimination, and confidentiality.

GCC standards and guidance

Four lessons: an overview of the GCC Code, key professional behaviours around safety, communication and trust, the CPD and reflective practice requirements, and how the GCC handles complaints and investigations.

Integrity and duty of candour

Honesty in clinical advice and public communication, ethical advertising and marketing, and accurate documentation and record-keeping.

Patient-centred care and shared decisions

Four lessons: respecting individual needs and treatment preferences, communication in manual therapy settings, informed consent for ongoing treatment plans and care packages, and vulnerable patients and safeguarding.

Professional boundaries

Four lessons: appropriate patient–practitioner relationships, avoiding conflicts of interest and financial exploitation, digital and social media boundaries, and managing inappropriate behaviour from patients.

Breaches of ethical standards

Four lessons: the common breaches in chiropractic practice, their professional, legal and reputational consequences, the GCC investigation process, and remediation.

Conclusion and assessment

Conclusion and key takeaways, followed by a post-course assessment. Your certificate is issued on completion.

Plan of care

The course of treatment recommended after assessment. It is a clinical estimate rather than a finding: it says what you expect to be needed on today’s evidence, and it remains open to revision as the patient responds. Treating it as settled is what turns a plan into a commitment.

Financial boundary

The line between legitimate commercial activity and exploiting a clinical relationship for financial gain. The GCC’s boundaries guidance in force from 1 January 2026 names it explicitly for the first time, alongside emotional boundaries and boundaries of respect and dignity.

Principles and Standards

The structure of the current Code. Ten high-level Principles, each with Standards beneath it. The GCC is explicit that the number of Standards in a Principle, their order and their level of detail are not indicators of weight or priority.

Power imbalance

The difference in position between practitioner and patient, present in every clinical relationship and addressed directly in the current boundaries guidance. It is why apparent agreement at the time answers very little, and why holding the boundary remains your responsibility even where a patient initiates.

Duty of candour

The professional obligation to tell a patient promptly when something has gone wrong, apologise, and explain what happened and what you will do about it. It applies to an adverse reaction or an unexpected outcome as much as to a clear mistake.

Insight

Understanding what went wrong, why, and the effect it had on the patient and on confidence in the profession — together with what has changed as a result. It is what a response is read for, and it is shown rather than claimed.

Consent to a package is not consent to each treatment in it

Agreeing to a block of care at the outset cannot authorise the twelfth session, because the clinical need for it has not yet arisen. Each treatment still requires consent, and where the technique or region changes, a fresh discussion.

The need for session twelve cannot be known at session one

A plan of care is a clinical estimate, not a finding. Presenting it as settled — or pricing it as a commitment — is where a legitimate treatment plan starts to look like a sale of something not yet shown to be needed.

Say what happens if the patient improves early, or does not

Whether unused sessions are refundable, and what happens if the plan changes. A patient who feels locked into care they no longer need is the shape of a great many complaints in this profession.

Record the clinical reasoning, not just the agreement

Why this number of sessions, on what findings, and what would change the plan. Without that, a later complaint about financial pressure is answered only by the invoice.

It replaced The Code (2016)

The Code of Professional Practice came into effect on 1 January 2026. The GCC has published material comparing the two directly, which is linked above and worth reading if you learned the old structure.

Ten Principles, with Standards beneath them

A values-based structure. The GCC is explicit that the number of Standards within a Principle, their order, and their level of detail are not indicators of weight or priority.

The Principles were re-lettered

Not simply renamed — the letters moved. The GCC’s own comparison document records, for example, that the Principle on honesty and integrity which was B under the 2016 Code is now C. Quote the wording of the Principle you mean rather than a letter you remember, and check the letter against the current Code before it goes in a response.

Boundaries guidance rewritten

The 2016 guidance was narrowly focused on sexual boundaries. The version in force from 1 January 2026 also covers emotional and financial boundaries, and boundaries of respect and dignity, and it addresses power imbalance and grooming directly.

Write your response against the Principle engaged

A response addressing the particular Principle and Standard in question is considerably more persuasive than one written in general terms about professionalism.

Before anything else: do not rewrite the records

Not to clarify the reasoning behind a plan, not to add the discussion you know took place. This one is not merely good practice — the Code’s own standards on record-keeping require that retrospective amendments or additions to patient records are clearly identified as such. An entry quietly changed after a concern has been raised turns a records problem into a probity one. If something genuinely needs adding, take advice and add it openly as a new, dated entry.

Record why this many sessions, on what findings

The single highest-value change on this page. A plan of care with the clinical reasoning written beside it is a clinical document; the same plan with only a price beside it is an invoice. Which one your notes contain decides how a financial-pressure complaint reads.

Say the early-improvement position out loud, and write it down

What happens if the patient needs fewer sessions than planned, and whether unused sessions are refundable. Saying it at the outset costs nothing and removes the grievance that most often turns a care plan into a complaint.

Revisit consent as treatment continues

A sentence at the start of a session: what you propose today, why, and a check that the patient is still content. Where the technique or region changes, a fuller discussion. Consent taken once at assessment is the weakest position to defend.

Read the current Code and note what changed for you

Written down, with the date. Reading the Code that replaced the one you trained under, and recording which Principles bear on your own practice, is both remediation and CPD, and it is the most obvious thing to have done that most people have not.

Have somebody outside the practice read a sample

A peer or a colleague from another clinic, reading records against one question: can you tell why this plan, on what findings, and what the patient was told about it? Repeat it a few months later. Chiropractic is often single-handed, so there is no second reader by default, and your own account of your own notes is the weakest evidence available.

How you conducted yourself, where this one covers how decisions were reached.

Conflicts of interest and financial pressure in depth — directly relevant where care plans are sold.

Consent as a continuous process and the privacy around hands-on examination.

Boundaries in hands-on practice, drift, digital contact and conduct towards colleagues.

Being open when something goes wrong — an adverse reaction, an unexpected outcome, a mistake.

Records as evidence — where the clinical reasoning behind a plan of care either appears or does not.

The element assessed in almost every case, and the one most often described as lacking.

How to write reflection that reads as understanding rather than regret, in your own words.