National Council for Osteopathic Research Annual Report and Accounts for the year ended 30 April, 2023 University College of Osteopathy Registered charity number 1157217
Contents NCOR Trustees information...................................-.........-.......................................................................... NCOR Team................................................................................................................................................. NCOR stakeholders..................................................................................................................................... NCOR Policies and objectives..................................................................................................................... Activity Report for the year end to 30 April 2023...............-..............-....-.................................................. Foreword.................................................................................................................................................. Activity. NCOR governance................................................................................................................................. Professional collaboration and contribution........................................................................................ Outreach, education, promotion and dissemination of research............................................................ Special projects.......................................................................................................................................10 Practice-Based Research Network . .10 CUTIES trial .10 Patient Reported Outcome Measurement: PROMs...........................................................................11 Pho update- using Al to disseminate research evidence..................................................................11 Current grants.. .11
NCOR Trustees information Maurice Cheng (Chairl Glynis Fox Duncan Empey Steven Vogel Matthew Redford NCOR Team Jerry Draper-Rodi (Director) Carol Fawkes Isenior Research Officer) Daniel Bailey (Research Fellow) Amandine Senequier (Research Associate} NCOR stakeholders I. BCNO group.. British College of Osteopathic Medicine IBCOMI and European School of Osteopathy IESOI 2. College of Osteopaths ICOI 3. General Osteopathic Council IGOSC) 4. Institute of Osteopathy lio) 5. International College of Osteopathic Medicine IICOMI at NESCOT 6. London School of Osteopathy ILSOI 7. Osteopathic Alliance10A1 8. Sutherland Cranial College ISCCI 9. Swansea Universlty 10. University College of Osteopathy IUCOI
NCORAmnual Revi andTrts fortheyear ended aoAwl 2013 NCOR Policies and objectives The Trustees present their Annual Report together with the financial statements of the National Council for Osteopathic Research (the charity) for the year ended l May, 2022 to 30 April, 2023. The Trustees confirm that the Annual Report and financial statements of the charity comply with the current statutory requirements, the requirements of the charity's governing document. the Charities Act 2011 and the Accounting and Reporting by Charities: Statement of Recommended Practice ISORPI applicable to charities preparing their accounts in accordance with the Financial Report standard applicable in the UK and Republic of Ireland IFRS1021 (effective l January, 20151, as amended by update Bulletin I (effective l January, 20161. In setting objectives and planning for activities. the Trustees have given due consideration to general guidance published by the charity commission relating to public benefit. The role of NCOR is to promote for the public benefit the advancement of education and the promotion of good health in particular but not exclusively by: l. Leading and facilitating osteopathic research development in the UK. including developing a comprehensive and cohesive research strategy providing both direction and coordination of osteopathic research. 2. Representing the osteopathic profession on matters relating to the osteopathic evidence base and research development. Acting on behalf of the profession, in a research context, to the media. the public and patients, policymakers, the inter-professional research community, other health professions and healthcare regulators. 3. Providing a forum for osteopathic educational institutions IOElsl through which to forge consistent standards in research governance, to share expertise, achieve economies of scale, and foster undergraduate and postgraduate research collaboration. Promotin8 research capacity and scholarship. 4. Providing osteopaths, the public and patients, healthcare professionals, and the research and academic community with a recognised, high quality and accessible resource of research-related information concerning the distinctive body of knowledge within osteopathic practice. S. Improving awareness of osteopathic research development amongst osteopaths and the wider community. Establishing links and building networks within the research fraternity. nationally and internationally. with a view to development through collaboration. Formulating and fostering Strategies for attracting funding for osteopathic research development. 6. Providing systems relevant for grants governance and research governance for the benefit of all stakeholders. 7. Fostering and disseminating outputs from osteopathic audit. evaluation, and research activities.
NCORAmnual Revi andTrts fortheyear ended aoAwl 2013 Activity Report for the year end to 30 April 2023 Foreword This has been another busy and exciting year. Whilst working on growing the NCOR team, we have also been successful in several grant applications towards the development of the first osteopathic Practice-Based Research Network IPBRNI in the UK. In parallel of this, we have worked closely with our stakeholders and have developed a strategy to maximise the benefits of our involvement with and support to them. We have also continued to provide our services to the profession. including PROMS in the UK and internationally, facilitating research hubs in the UK, attending professional meetings and conferences, disseminating our work through different mediums to maximise impact and interaction. This was helped with the launch of NCOR'S new website which provides streamlined access to updated content. Mr Maurice Cheng Chair of NCOR Board of Trustees
NCORAmnual Revi andTrts fortheyear ended aoAwl 2013 Activity Report NCOR governance NCOR policles Following the governance review conducted last year. we developed several policies including Conflict of Interests, and a register; Complaints, EDI, and Reserve. The Reserve Policy enabled to fund two 2-year part-time contracts= Research Fellow and Research Administrator. NCOR Trustees Following a skills audit of the Board of Trustees, it was decided to invite a fifth trustee to join the Board. The current Chair. Maurice Cheng, is planning to step down. Glynis Fox will be the Trustee representing the io, and to ensure a smooth transition, Maurice is continuing to chair the Board whilst looking for another Chair. NCOR'S team growth Following discussion with the Trustees. it was agreed to increase the Director's time from 0.2 FTE to 0.4 FTE, and to increase Carol Fawkes's salary. In April 2023, Dr Daniel Bailey PhD joined NCOR'S team as Research Fellow. His work will mostly be to set up and manage our PBRN. His bio: Daniel graduated from the BCNO in 2002 and has since worked in his own private practice in the Midlands, this has included a five-year spell in the medical department for the local premier league football club. In addition, Daniel has worked at multiple osteopathic education institutions since 2004, with varying responsibilities from clinic tutoring to course development. He has been a registrant member of the General Osteopathic Council IGOsC} since 2020 and also sits on the Policy and Education Committee. Daniel has a masterfs degree in Neuromusculoskeletal Healthcare from Keele University's School of Physiotherapy and a Postgraduate Certificate in Academic and Clinical Education. Daniel's PhD was awarded from Keele University's School of Medicine for developing and testing a new measure of adherence to exercise for musculoskeletal pain. His research interests include survey methodology, exercise, and adherence. Click here to view Daniel's research- httPs://www.researchgate.neVprofilelDaniel-Bailey-17 Following a successful grant application to the OF. NCOR shortlisted 3 applicants lout of >30 strong applications). Amandine Senequier was successful. and she's been in post since April Ifor 8 months, 0.2 FfEI. She's making good progress. She completed the Cochrane training in systematic review and meta-analysis. manages a big team lof experts and reviewers). Her bio.. Amandine graduated in 2021 with a Masters in Osteopathy IM.Ostl degree from the British College of Osteopathic Medicine in London. With a keen interest in sports, she enrolled on an MSC in Sport and Exercise Medicine at the University of Exeter
NCORAmnual Revi andTrts fortheyear ended aoAwl 2013 and graduated in September 2022. Since graduating. Amandine has been working as an Osteopath in a private clinic and is a Research Associate at the University of Exeter. Currently, she is working on a project aiming to improve healthy lifestyle behaviours in adolescents with low socioeconomic status and a study investigating the use of digital physical activity materials in young people suffering from cystic fibrosis. Amandine joined the NCOR in April 2023 to contribute to a study investigating the trustworthiness of osteopathic tria15 methodology. She started a PhD at QMUL in September 2023. NCOR'S host tontract Due to the growth of the team. the contract was updated accordingly. The host have charged for the salary, NIC and pension but have only increased the Provision of physical resources and Ifby £400 as the team works mostly from home. Professional collaboration and contribution Ongolng collaboratlon5 NCOR continues to be involved with Osteopathy Europe (previously known as the European Federation and Forum for Osteopathy IEFFO)), the 05teopathic Development Group IODGI, and the General Osteopathic Council's IGOSCI Policy Education and Advisory Committee. The NCOR Director's chairin8 With the OM Osteopathy Subject Benchmark is on80in8. Stakeholders meetin8$ We have run three stakeholder meetin8s: one on what basis we teach what we teach Imay 221, the AGM with general updates on NCOR'S activity and the stakeholders Ioct 231, and one on research supervision IFeb 23}. We also ran one evidence summary, following our pilot last year in November 22 on cauda equina syndrome and low back pain management. This was available live for our stakeholders, members, faculty and students, and put online for anyone to watch IVODI. We have noted a decrease in stakeholder engagement during our meetings. This may be due to the increased offer from NCOR. with the addition of evidence summaries. We have planned to survey the stakeholders to understand this phenomenon and find solutions to increase engagement. Outreach. education. promotion and dissemination of research Hub5 The hubs remain active, and meetings have included: Bristol= th 16 June 2022 looking at osteoporosis: nd 22 September 2022 looking at musculoskeletal conditions presenting in children,.
NCORAmnual Revi andTrts fortheyear ended aoAwl 2013 I" December 2022 looking at biopsychosocial interventions and musculoskeletal pain: 23, February 2023 looking at migraine; Leeds.. th 10 May 2022 involving case-based discussions,. th 26 September 2022 continuing with case-based discussions,. 5, December 2022 looking at Functional Neurological Disorder; th 20 February 2023 looking at dysautonomia. Haywards Heath.. 7 June 2022 looking at mood and mental state in patients with chronic pain; th 11 October 2022 looking at the management of intermittent claudication; th 10 January 2023 looking at patients. expectations and their influence on outcomes,. Exeter- th 28 May 2022 looking at scoliosis diagnosis and management; th 15 October 2022 looking at vertigo; 21, January 2023 looking at lasers and intervertebral differential dynamics; CPD NCOR delivered four CPDS on its PBRN this year, in three of the home nations: Oxford.. 19th November. 2022,. Glasgow.. 21st April, 2023- Swansea.. 24th June. 2023. Manchester: 1st July, 2023. Weblnars Carol Fawkes held a webinar with osteopaths in Greece to explain the use of PROMS in their practices prior to starting a national pilot of the PROMS app. Carol Fawkes held a webinar with osteopaths in Spain to explain the use of PROMS in their practices prior to starting a national pilot of the PROMS app. Mentorship An online mentorship service has been developed in conjunction with the io, providing fortnightly online drop-in sessions where osteopaths can discuss any issues or concerns they have. The service is free to all osteopaths and two sessions have been conducted to date. Conference Jerry Draper-Rodi presented the protocol for a single case experimental design ISCEDI on the Effects of standard and biopsychosocially-informed osteopathic management for patients with non-specific low back pain. at the society for Back Pain Research conference in July 2022 (Warwick. UK). Jerry Draper-Rodi delivered a keynote presentation for Danske Osteopater on 'Patient Reported Outcome Measures IPROMs)- European and Danish data & Evidence Based Practice" in Copenhagen in April 2023.
NCORAmnual Revi andTrts fortheyear ended aoAwl 2013 Jerry Draper-Rodi had a keynote presentation at the ROE conference in Majorca in 2023 on "how can we support osteopaths to take part in research?" Artlcles We continue to write for Osteopathy Today. This year we have published 5 papers in peer reviewed journals.. Bailey D, Bishop A, Mccray M. Foster NE, Holden MA lin press) A New Measure of Exercise Adherence.. The ATEMPT IAdherence To Exercise for Musculoskeletal Pain Tool). British Journal of Sports Medicine http'.//dx.doi.orgllO.11361bjsports- 2022-106347. Hope-Bell, J.. Draper-Rodi. J. and Edwards. D.J. 2023. Applying an osteopathic intervention to improve mild to moderate mental health symptoms: a mixed- methods feasibility study protocol. BMJ open. 13161, p.e071680. Draper-Rodi, J., Abbey, H., Brownhill, K. and Vogel, S., 2023. OSCAR (Osteopathic Single CAse Researchl-Assessing the effect of standard and biopsychosocial osteopathic management for patients with non-specific low back pain.. Protocol for a Single Case Experimental Design ISCED). International Journal of Osteopathic Medicine, 48, p.100660. Hohenschurz-schmidt. D.. Vase, L., Scott, W., Annoni, M., Ajayi, O.K., Barth, J., Bennell, K., Berna, C., Bialosky, J., Braithwaite, F. and Finnerup, N.B., 2023. Recommendations for the development, implementation, and reporting of control interventions in efficacy and mechanistic trials of physical. psychological, nd self-management therapies.. the COPPS Statement. bmj, 381. Macmillan. A. and Draper-Rodi. J. 2023. Osteopathic education.. A scoping review. International Journal of Osteopathic Medicine. 49, 100663 Professlonal meetlngs Carol Fawkes attended the MSK data meeting in December, 2022 and June, 2023. Jerry Draper-Rodi attended meetings with the Arthritis and Musculoskeletal Alliance to share good practice and intelligence on Equity, Diversity and Inclusion. Webslte The NCOR website continues to be our outward face to the osteopathic community. Following the strategy review conducted last year. one of the priorities set was to update NCOR'S website which looked old. Another problem was that the amount of information was large but quite disorganised. We worked with a webmaster to use a modern website template and reorganise the website in two sections- osteopaths and other healthcare professionals,. and Patients. You can now visit the new website here (same URL) www.ncor.org.uk The task took longer than anticipated due to the amount of information that we had to audit. update (when required), or create {mostly for the patient section). Part of the work included changing hosts as our previous ones (which we were very happy with) have stopped offering h05ting only options. NCOR'S website 15 now hosted by the
NCORAmnual Revi andTrts fortheyear ended aoAwl 2013 webmaster we used for the website update (Webscape Gardener https'.//webscapegardener.co.uk/} Soclal medla As a result of increased social media, NCOR has experienced a significant surge in its follower count and overall visibility. For illustration. over the course of one-month NCOR attained a 20% increase with 60 new followers on Linkedln. In summary, our Twitter/X account has 2,113 followers. Facebook 3.100. Linkedln 444 followers. Instagram 334 followers. Special projerts Practice-Based Research Network The PBRN logo and name were created after extensive stakeholder consultation. Ongoing efforts are being made to raise awareness of the project through regular social media posts. 55 osteopaths have expressed interest in joining the PBRN via the NCOR website. A research study focused on the development of a Practice-Based Research Network IPBRNI is underway. This study aims to gather osteopaths, perspectives on the benefits, barriers and facilitators of this initiative. Three focus groups were conducted in two different locations,. in Oxford119th November, 20221 and Glasgow121st April, 20231. Two more meetings are planned: in Swansea124th June, 20231 and Manchester Ilst July, 20231. A digital interface is being developed in collaboration with an IT specialist to automate data collection from osteopathic patients. This interface will integrate with Cliniko and other clinical software programs, streamlining the data collection process for future PBRN studies. The interface is in the final stages of development and will soon undergo initial testin8. Funding was received from the UCO, from the UK Research Innovation Grant for Higher Education Innovation Funding Ic. £50,000). In addition, the Osteopathic Foundation has provided an annual grant of £26,500 for this initiative that will be paid across next year. CUTIES trial The CUTIES trial testing the effectiveness of osteopathic care for infants with colic has finished, the results have been shared at the Danish Conference in Copenhagen at the end of last year. The trial protocol is published and available in the IJOM Icrying Unsettled and disTre5sed Infants Effertiveness Study of osteopathic care (CUTIE5 tri311.. Pragmatic randomised superiority trial protocol - International Journal of Osteopathic Medicinel. The final result5 manuscript is currently available to view on a pre-peer review platform= research Square l Usual Light Touch Osteopathic Treatment Versus Simple Light Touch Without Intent in the Reduction of Infantile Colic Crying Time= A Randomised Controlled Trial l Research Squarel
NCORAmnual Revi andTrts fortheyear ended aoAwl 2013 and is under review with IJOM, we expect a response soon. Patient Reported Outcome Measurement.. PROMS New languages have been added to the app this year including Italian and Brazilian Portuguese. Discussions have been held with osteopathic groups in Portugal, Austria, Israel, and New Zealand. Carol has been working with the osteopathic course team based at Ara University in New Zealand to prepare an ethics application for their institution. Presentations including summary data reports have been delivered to osteopaths in Denmark123.01.20231 and Sweden111.03.20231. Presentations of summary data have also been delivered to osteopaths in the Irish Republic by Dr Julie Ellwood (January and May, 20231. Currently, baseline data have been submitted by 2509 osteopaths in the United Kingdom IUKI and 954 in other European countries including Greece, Germany, Belgium, Spain, Sweden, Denmark. France, Switzerland and the Irish Republic. Piloting of the PROMS app will be taking place in Italy and Brazil next year. A summary description of the development and implementation of the PROMS app ha5 been prepared for CAHPR under its Yechnology and Innovation" section it is preparing relating to AHP'S activities. Further AHP-related activities include attending the NIHRIHEE research day for AHPS in November, 2022, and being interviewed by a researcher concerning osteopaths and AHPS use of outcome measurement and clinical audit activities in January, 2023. PhD update - using Al to disseminate research evidence This PhD project is nearing completion. The final submission deadline is the 281h November 2023, Austin Plunkett has not applied for an extension. Austin is currently writing up and myself and Megan Clinch, as supervisors. are commenting on draft chapters. Two external examiners have been approached Dylan Morrissey and Robert Froud and agreed to act as examiners, they were expecting to receive the thesis early 2023 this will now realistically be early 2024. Prof Carnes is waiting for the final submission to be deposited with Post graduate studies before re-confirming their availabilitv. The research has been completed, there are various findings within this that will be relevant to the profession going forward, however the rapid evolvement of Al throughout the duration of the PhD has meant some of the initial Al ideas have been superseded and are now redundant. The final chapter of the PhD will review the role of Al in research dissemination going forward. Current grants Mental health and osteopathy This project is now completed. The protocol manuscript is published in BMJ Open Ihttps=//bmjopen.bmj.com/content/13161e071680.abstract}. the meta-analysis is under
NCORAmnual Revi andTrts fortheyear ended aoAwl 2013 review, and the proof-of-concept manuscript is under preparation. Experience of osteopaths working in the NHS An application was made to the Osteopathic Foundation to investigate osteopaths, experiences of working in the NHS. Funding was awarded in April 2023. Scholarly work The manuscript on the project conducted with Swansea University is under preparation. Scoping reviews Both scoping reviews, led by Carol Fawkes and Jerry Draper-Rodi, on prevention and care for older patients are now completed. Manuscripts are being prepared. Trustworthiness NCOR applied for funding to the Osteopathic Foundation, and were successful in January 2023 to develop a Research Assistant post for 8 months to be trained in systematic reviews methods, develop a team of researchers and assess the trustworthiness of osteopathic clinical trials in the literature. Dr Jerry Draper-Rodi NCOR Director 2611012023
Statement of Financial Activities for the year ended 30 April 2023
| Income from Membership and donations Charitable Activities Total Income Expenditure on Charitable Activities Total Expenditure Net Income/ (Expenditure) and movement in funds Reconciliation of funds Total funds brought forward Total funds carried forward |
Note 2 3-5 6 |
Unrestri cted funds 2023 £ 74739 0 74739 68337 68337 6402 90837 97239 |
Total Funds 2022 £ 78534 0 |
||
|---|---|---|---|---|---|
| 78534 | |||||
| 110675 | |||||
| 110675 | |||||
| (32141) | |||||
| 122978 | |||||
| 90837 |
Balance Sheet as at 30 April 2023
| Current Assets Debtors Cash at bank and in hand Total Current Assets Creditors:amount falling due within one year Net Current assets Net Assets funds Unrestricted funds Total Funds |
Note 7 8 |
£ 0 115118 115118 (17879) |
2023 | £ 97239 97239 97239 97239 |
£ 318 95735 96053 (5216) |
2022 | £ 90837 |
|---|---|---|---|---|---|---|---|
| 90837 | |||||||
| 90837 | |||||||
| 90837 |
Notes to Financial Statements
| 2. Income from donations Membership fees Other donations Total donations and legacies |
Unrestricte d funds 2023 £ 67640 7099 74739 |
Total Funds 2022 £ 59600 18934 |
||
|---|---|---|---|---|
| 78534 |
3. Analysis of expenditure by activities
| activities | ||||
|---|---|---|---|---|
| Governanc | ||||
| Activities | e | |||
| undertake | and | |||
| n | support | |||
| Total | ||||
| directly | costs | Total | 2022 | |
| 2023 | 2023 | 2023 | ||
| £ | £ | £ | £ | |
| Expenditure | 63167 | 5171 | 68337 | 110675 |
4. Direct Costs
| 4. Direct Costs | ||
|---|---|---|
| Staff costs recharged Tuition fees PROMs project CUTIES- project research HEE SPEP Project |
Research activities 2023 £ 60057 0 3109 0 0 63167 |
Total 2022 £ 76814 14857 4601 1284 3430 |
| 100986 |
5. Governance and support costs
| Travel Expenses Consultancy & Legal Fees Insurance Bad debt Sundry costs Honoraria costs Accountancy & Bookkeeping Artwork Website design & Hosting Bank Charges Software Costs 6. Net income/ (expenditure) This is stated after charging: Independent Examination fee 7. Debtors Other debtors 8. Creditors: amounts falling due within one year Other creditors, including accrued expenses |
Support £ 0 70 381 0 1701 0 1931 0 738 62 288 5171 2023 £ 2023 £ 0 2023 £ 17879 |
Total 2022 £ 168 1810 308 0 1186 3000 1323 240 1093 0 561 9689 2022 £ 2022 £ 318 2022 £ 5216 |
Total 2022 £ 168 1810 308 0 1186 3000 1323 240 1093 0 561 |
||
|---|---|---|---|---|---|
| 9689 | |||||
| 2022 £ |
|||||
NCORAmnual Revi andTrts fortheyear ended aoAwl 2013 9. Related party transactions Unfveislty College ol OsteopaihvllOI W¢Y•lded lMIn0Sall0n SW•lces to NCOR. Totalcosis¥4ve £60250.12022:£53123 and COmlse ol iechatged sacosts. £5625012022.. E374391 support cost5: £400012022". £156841. A donation of £2650012022: £265001 was Ie1&Y tromtheGeneralOsteopalhi'¢ atrustee of NCOR Is anyemrloyee ol thls laN$"C. A donallon of £IIOO12022: EIIOOI was receive(J fromthe Geneialosleopalhic Councll fNth Concerns and COMty'nts reporL a trustee ol NCORis anyellWuJEe of UM'S organisats'on. A donation 01 £2650012022". £265001 wasiecel4d ftomthe Insthrte ol Osteopathy, a trustee OINCOR is anyeryloyee of tM'5 OrwisatM. Adonatt"on of £280012022: £2800lwas vecei1 fromlhe Lkniversitycfftofosteopalhy. atNstee ol NCOR Is olthls or8anlsatlon. Prriect: P8RN plui4n de¥eloprint. paid loVNaklt fvThJed tyUCOthrough thdr Al HEIFywt. Project.. PBRN CPD in Oxfoid. lunded ty L0 through fhwr UKRI HEIF grani. paid io Oord Rippon College. CoiFa%Vrtes. L¥Jeny Lkapei.Rodi. oe£h Mcsuafick and Helen Wlluams. Value.. E2922119111120221 Project: P8RN CPD in (Xasityv. lunOe(l ty LfOthioiighthw"f UKRI HEiFyant. pakl lo Hlllon Hotel ¢JasBryw. Carol FavlKes. Mi StebTn Vopl. CJefry DFaper.Acrfll. DelKrf* aKI HelenWIUlam5.Value'. £2598 121104120231
- Related party transactlons University College of 05teopathy IUCOI provided administration services to NCOR. Total costs were £60250,12022.'£53123 and comprised of recharged salary costs- £56250 12022- £374391 support costs.. £400012022: £156841. A donation of £2650012022.. É265001 was received from the General Osteopathic Council. a trustee of NCOR is any employee of this organisalion. A donation ol £110012022: £1100) was received from the General Osteopathic Council forlhe Concerns and Complainls report, a trustee of NCOR is any employee of this organisation. A donatlon of £2650012022.. £265001 was received from the Institute of Osteopalhy, a Irustee ol NCOR Is any employee of this organisation. A donation of £280012022- £28001 was received from the University College of Osteopathy. a tru51ee of NCOR is any employee of this organisalion. Proje¢i- PBRN plug-in development. paid to Vivakii SAS, funded ty UCO ihrough their UKRI HEIF grant. Projecl: PBRN CPD in Oxford, funded by UCO through their UKRI HEIF granl, paid to Oxford Rippon College, Dr Carol Fawkes, Dr Jerry Draper-Rodi. Deborah Mcstrafick and Helen William5. Value.. £2922119111120221 Project: PBRN CPD in Glasgow. funded by UCO through their UKRI HEIF grant, paid to Hilton Hotel Glasgow, Dr Carol Fawkes. Mr Steven Vogel. Dr Jerry Draper-Rodi. Deborah and Helen Williams. Value.. £2598 121104120231