Bob,

These guidelines were externally compiled by:
1. Surveying a sample of members
2. A review of current literature
3. A review of current best practice
4. Review by an expert panel
5. Independent legal advice

They are based on evidence.

Is operationalisation as much of a problem for those physio's who's insurance doesn't have rigid requirements on written consent? Are they the misinformed insurers you're referring to?