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National Occupational Standards for Naturopathic Practitioners

KNOWLEDGE AND UNDERSTANDING
You will need to know and understand:
Naturopathic principles and philosophy

1. The development of naturopathic medicine and key naturopathic pioneers
2. The similarities and differences between orthodox (conventional) medicine and naturopathic medicine
3. The naturopathic principles and philosophy of health and disease
4. The principles of:
a) the healing power of nature
b) identifying and addressing the causes
c) first do no harm
d) the naturopath as educator
e) treating the whole person
f) prevention
Anatomy and physiology
5. Anatomy and physiology which are essential to the understanding of the foundation of disease as understood by orthodox (conventional) medicine and
relevant to naturopathic practice
6. The function of water, key macro and micronutrients and their metabolic processes and interactions
7. Naturopathic perspective of the homeostatic and web-like interactions of physiological processes
8. The functioning and interaction among the following bodily systems at the molecular, cellular and systemic levels:
a) skeletal
b) muscular
c) nervous
d) sensory
e) endocrine
f) respiratory
g) digestive
h) urinary
i) excretory
j) reproductive
k) circulatory
l) lymphatic and immune
m) integumentary

The integration of the above systems and their role in detoxification pathways

Pathophysiology
10. The aetiology and clinical features of a broad range of common diseases in all bodily systems
11. The clinical signs and symptoms generated by the body’s response to stress or injury through exposure to toxins, chemicals, physical and infectious agents,
other environmental factors, genetic predisposition, emotional and psychosocial factors
12. The impact of stress on bodily systems
13. The processes which lead to the breakdown of bodily function and subsequent
disease
14. Common terminology used in pathology

Pharmacology
15. The actions and side effects of the major classes of orthodox (conventional)
drugs and how to access information about pharmaceuticals 16. Recognised interactions between food, drugs and supplements within a naturopathic context

Consultation
17. How to take a naturopathic case history and conduct clinical examinations encompassing lifestyle, physical, emotional, nutritional assessment and
biochemical aspects
18. The types of diagnostic tests and their application to support decision making
19. How to form a naturopathic assessment and evaluation

Treatment planning and review
20. How to put naturopathic principles and philosophy of health and disease into practice
21. How the results of naturopathic assessment and consultation inform treatment planning
22. How to support the client to make informed choices within a wide range of naturopathic approaches
23. How to recognise red flag symptoms which require urgent or non-urgent referral to orthodox (conventional) care

The application of naturopathic treatments
24. How to advise clients concerning what to expect after treatment, possible discomforts and the reasons for these
25. How to support the client during change and recognise progress in health
26. How to decide on appropriate actions following review

Naturopathic nutrition
27. The naturopathic approach to food and diet as a primary means to maintaining and restoring good health
28. The naturopathic perspective on the use of food supplements

Detoxification
29. The naturopathic perspective of detoxification
30. The various detoxification techniques
31. How to identify individual situations where detoxification techniques would be appropriate or contra-indicated

Physical therapy
32. The use and application of physical therapies such as touch therapies, body work and exercise within a naturopathic context
33. The physiological mechanisms that underpin the principles of physical therapies
34. The effects, indications and contraindications of physical therapies

Hydrotherapy
35. The physiological mechanisms that underpin the principles of hydrotherapy
36. The use and application of external and/or internal hydrotherapy
37. The effects, indications and contraindications of a broad range of hydrotherapeutic techniques

Psychosocial support
38. The role of emotions in health and disease processes
39. The various consultation techniques and natural approaches for addressing
emotional issues
Lifestyle advice
40. The importance of the basic lifestyle requirements for health
41. The impact of the following on health and disease: environment, disposition, behaviour and attitude
42. How to advise on stress management
43. How to advise on healthy eating

PERFORMANCE OUTCOMES
You must be able to do the following:
1. conduct a naturopathic assessment, evaluate the approach to be taken and plan the treatment
2. ensure that the environment meets the client’s needs
3. ensure that any equipment and materials are ready for use
4. position the client for effective naturopathic treatment and to give as much comfort as possible
5. implement the naturopathic treatment safely, correctly and in accordance with professional codes of practice, legal and organisational requirements
6. make appropriate adjustments to the naturopathic treatment to meet any changing needs
7. check the client’s well-being throughout and give reassurance where needed
8. provide clear and accurate advice with regard to the naturopathic treatment, and any relevant aftercare and self-care
9. evaluate the outcomes and effectiveness of the naturopathic treatment to inform future plans and actions
10. complete and maintain records in accordance with professional and legal requirements
42. How to advise on stress management
43. How to advise on healthy eating

RELATED FUNCTIONS
Principles of Good Practice
CNH1 Explore and establish the client’s needs for complementary and natural
healthcare
CNH2 Develop and agree plans for complementary and natural healthcare with clients
General Naturopathic Council (GNC) Core Elements and Standards
Provide Naturopathy to clients
Final version approved July 2009
Page 6 of 6
ADDITIONAL INFORMATION
There are additional National Occupational Standards which may be relevant to
Naturopathy covering individual therapeutic techniques which link to the competences
described in this document. These may be useful for the future Continuing Professional
Development of Naturopaths and curriculum development.
This National Occupational Standard was developed by Skills for Health.
This workforce competence links with the following dimension within the NHS
Knowledge and Skills Framework (October 2004):

Generic NOS for all Complementary Practitioners
CNH 1

KNOWLEDGE AND UNDERSTANDING
You will need to know and understand:
1. The concept of health and well-being that is consistent with the practice, principles and theory underlying your discipline
2. The nature of the service provided and fee structures
3. How the client’s previous and present care may affect their health and well-being in relation to your discipline
4. How the psychological and emotional balance, as well as diet and lifestyle of the individual, can affect their health and well being
5. How the context in which people live affects their health and well-being
6. The importance of a suitable environment and making clients feel welcome
7. How to select and use different methods for exploring clients’ needs
8. How to establish valid and reliable information about the client, and determine the priority of need, in order to plan the service
9. The potential risks (relevant to your discipline) of various courses of action for the client
10. How to work with clients to determine the appropriate actions
11. The appropriate actions to take to suit identified needs
12. The conditions for which the discipline is appropriate and those where it must be used with caution
13. How to recognise conditions for which your discipline is unsuitable and for which the client should seek advice from other sources
14. How to judge whether self-care procedure(s) relevant to your discipline are appropriate for the client
15. The anatomy, physiology and pathology relevant to your discipline
16. The procedures for record keeping in accordance with legal and professional requirements

PERFORMANCE OUTCOMES
You must be able to do the following:
1. evaluate requests for complementary and natural healthcare and take the appropriate action
2. explain the nature of the service and fee structures to the client
3. provide an appropriate and safe environment for the service
4. make clients feel welcome and ensure they are as comfortable as possible
5. discuss the client’s needs and expectations, and ask relevant questions
6. encourage the client to ask questions, seek advice and express any concerns
7. establish the client’s needs in a manner which encourages the effective
participation of the client and meets their particular requirements
8. determine any contra-indications or restrictions that may be present and take the appropriate action
9. evaluate the information obtained and determine the appropriate action with the
client
10. complete and maintain records in accordance with professional and legal requirements

ADDITIONAL INFORMATION
This National Occupational Standard was developed by Skills for Health.
This workforce competence links with the following dimension within the NHS
Knowledge and Skills Framework (October 2004):
RELATED FUNCTIONS
Principles of Good Practice
CNH2 Develop and agree plans for complementary and natural healthcare with clients
The Complementary and Healthcare NOS specific to your discipline

CNH2
Develop and agree plans for complementary and natural healthcare with clients

Final version approved July 2009

KNOWLEDGE AND UNDERSTANDING
You will need to know and understand:
1. The range, purpose and limitations of different methods or approaches which may be used for clients’ individual needs
2. How to determine the most appropriate method(s) for different clients and their particular needs
3. How to recognise those occasions when your discipline may complement other healthcare which the client is receiving
4. The alternative options available to clients for whom your discipline is inappropriate
5. The role which the client (and others) may take, and may need to take, if the approach is to be successful
6. How to support and advise the client to make informed choices
7. How to work with the client and relevant others to plan the approach
8. Why evaluation methods should be determined at the planning stage and what the client’s role will be in the evaluation
9. The importance of encouraging and empowering the client to be as actively involved as possible
10. The relationship of the client’s involvement to the promotion of their health and well-being
11. The procedures for record keeping in accordance with legal and professional requirements

PERFORMANCE OUTCOMES
You must be able to do the following:
1. explain the available option(s) which meet the client’s identified needs and circumstances
2. explain any restrictions, possible responses and advise on realistic expectations
3. advise the client when your discipline is inappropriate and help them to consider other options
4. discuss the approach to be taken, the level of commitment required and the potential outcomes and evaluation with the client
5. check the client understands and support them to make informed choices
6. obtain the client’s consent and complete records in accordance with professional and legal requirements

ADDITIONAL INFORMATION
This National Occupational Standard was developed by Skills for Health.
This workforce competence links with the following dimension within the NHS




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