International Activities

International Regulation

Over the last few years the GCC has become active in international fora and been involved in a wide range of international activities that have contributed to our own work and supported the development of chiropractic regulation more widely.


International Standards

The GCC works with institutions and organisations outside the UK to promote high standards of chiropractic worldwide.  This includes being a founder member of the International Chiropractic Regulatory Society (ICRS) whose purpose is to:

  • promote the protection of the public interest as central and paramount to all chiropractic regulatory activities, functions and outcomes;
  • facilitate international cooperation and collaboration of chiropractic regulatory authorities and partners;
  • provide forums, and be a resource and reference for chiropractic regulatory authorities and partners;
  • discuss regulatory matters and their impacts as they arise; 
  • encourage international consistency in chiropractic regulatory policy development, being cognisant of differences in jurisdiction, law, requirements and culture; and 
  • advocate best practice in all aspects of regulation by chiropractic regulatory authorities and partners.

The ICRS holds an annual conference and AGM, details of which can be found at

In addition to exchanging regulatory information and best practice with international chiropractic regulators the GCC liaises and collaborates with chiropractic accrediting agencies, including The Councils on Chiropractic Education International and its respective Councils in Europe and Australasia, education institutions world-wide and the World Congress of Students. .

 European Standard for Chiropractic Services

The European Committee for Standardisation (CEN) is the recognised authority in Europe for standardisation.   In 2012, following three years of preparation and the consensus of the chiropractic profession in Europe, The Standard for Healthcare Provision by Chiropractors was published: EN16224:2012.  This CEN Standard sets out what the public should expect from a chiropractor: educationally, professionally and ethically. Importantly, it acts as a guide to those countries seeking statutory recognition and acts as a model template for legislators.

The European Chiropractic Union has adopted the CEN Standard for Healthcare Provision by Chiropractors and has incorporated its Code of Ethics as a dedicated ECU Code of Good Practice. The GCC took note of the CEN Standard when revising and developing the current iteration of The Code.



The GCC is part of the Alliance of UK Health Regulators on Europe (AURE), a network that facilitates cross-regulator collaboration to discuss European developments, develop common positions and jointly respond to EU proposals and consultations, for example, the recognition of professional qualifications and plans for EU Brexit

Memoranda of understanding: the Isle of Man and Gibraltar


The Isle of Man’s Health Care Professionals Act 2014 has put chiropractors on the same footing as the Island’s other healthcare professionals.  All chiropractors working on the Isle of Man must be registered with the GCC.  We signed a Memorandum of Understanding, which came into effect in October 2014, supporting the exchange of information between the Island’s Department of Health and the GCC.  This followed a meeting by GCC staff with officials and chiropractors based on the Isle of Man.


The GCC signed a Memorandum of Understanding with the Gibraltar Medical Registration Board in January 2015.  The Board is now responsible for registering chiropractors in Gibraltar who will also be required to be registered with the GCC.  The CEO attended the formal signing ceremony.