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This is the nearest equivalent to the US model, and it is to be hoped that its standards will be high and not reduced to the lowest common denominator, although this remains to be seen. The example in the UK of osteopathic and chiropractic regulation should inspire the leaders of the
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profession to action. They might consider defining a scope of practice, along with a well thought out set of competencies (standards) which all therapists should reach. This would help define a basic core of knowledge and abilities which schools would have to teach. We might then begin to see the true value of massage therapy which has potentials beyond the imagination of many of its practitioners. The bottom line, of course, comes down to safety and efficacy, the ability to recognise what not to treat, what conditions and patients to refer (and where), and the competence to safely and beneficially handle neurological, or inflammatory, or post-surgical, or acutely traumatic, or chronically painful or fibrotic or psychologically induced conditions, among others. Research in the US – largely by the Touch Research Institute at the Miami School of Medicine – has validated the benefits of massage in a host of conditions ranging from AIDS to fibromyalgia, burns patients to premature babies. There are, of course,riiiddker patches of excellence in the gloom of UK massage therapy – for example the efforts made by the Fellowship of Sports Masseurs and Therapists which has painfully and efficiently hauled its membership standards to a level which bears some comparison with that of the best in the US (and which has been active in consultation with Government regarding national vocational qualifications). In addition massage therapy degree courses (BSc) now exist for nurses, which will help ensure that standards of massage provided by that important profession evolve and improve. So the answer to the question I am often posed as to comparisons, is that many British massage therapists practise to a high standard, and can compare favourably with the best anywhere, however, the majority have poor training and they and their patients deserve better. If massage therapy is ever to be incorporated widely into mainstream settings in the UK, NHS or private, criteria generally have to rise. For this to happen the profession has to set its own agenda – including establishing basic massage therapy competencies, standards (including compulsory continuing education), regulatory machinery and goals.

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