Today the chair of the Joint Council for Cosmetic Practitioners (JCCP) Professor David Sines and aesthetic nurse prescriber Sue Ibrahim took part in a debate regarding the regulation in the aesthetics specialty on the BBC Radio 4’s consumer affairs programme You & Yours.
On the programme, Ibrahim expressed her concerns of allowing beauty therapists to join the JCCP's register of approved aesthetic practitioners.
Professor Sines acknowledged these concerns, stating, “The situation is quite simple. Legally, beauty therapists are able to inject. In 2013 Sir Bruce Keogh, medical director for NHS England, made it very clear that regulation was a requirement to protect the sector,” he said, adding, “By that he meant, anyone who was practising legally should be regulated and it’s a result of that that we have brought in very high standards."
Ibrahim told BBC Radio 4 that she is one of around 800 doctors, nurses and dentists that are concerned that the JCCP is not doing enough to promote patient safety.
She stated, “We have been calling for a long while for the UK government to produce mandatory legislation on this issue. They have thrown money at this voluntary register and we think the public are going to be put at risk. The set of guidelines and standards that they [the JCCP] have adopted just don’t go far enough. That is why we are considering forming our own register.”
This register is called The British Association of Aesthetics Nurses, Doctors and Dentists (BAANDD) and Ibrahim is currently heading the steering committee of this new group.
Professor Sines told BBC Radio 4 that he is aware of the concern surrounding beauty therapists injecting dermal fillers and botulinum toxin and stated that, "I don’t agree with Sue about them [the standards] falling short.”
He explained that the standards, which have been put together by the Cosmetic Practice Standards Authority (CPSA), state that injectable treatments performed by beauty therapists can only be administered under the supervision of a JCCP-registered professional statutory regulatory body (PSRB) prescriber.
Professor Sines added, “We have made it clear in our standards that any beauty therapist administering such injections [botulinum toxin] can only do so under the direct supervision of a clinical prescriber, who must remain personally accountable. It’s clear that until we change the legislative framework, or the law to prohibit such practitioners, then we must do our absolute best to regulate and to bring people to account. The bottom line is that no beauty therapist is able to inject unless they have the clinician supporting them and prescribing that medication. But, in the absence of a statutory legislative framework to regulate these practitioners, then I agree with Sue that we fall short of achieving our aim of complete patient safety and assurance."
Ibrahim added that if BAANDD were to create their own register, they would firstly make sure that every applicant was on a mandatory professional register.
She added, “If we hear of any malpractice, then those doctors, dentists and nurses can be reported to their professional bodies and they could lose their licence to practice. There is no way that other non-healthcare professionals can be struck off.”
In the CPSA's Supervision Matrix, it states, 'Healthcare professionals who are regulated hold a license to practice and they are subject to sanctions or removal of their license if the Code of Practice is breached. Without a license to practice, these professionals are unable to continue to their professional capacity. The JCCP is able to freely share information about practitioners to PSRBs and vice-versa'.
Professor Sines has also stated, “The JCCP is currently at the final stages of agreeing a memorandum of understanding with the CEO of the GMC. Those registered will be advised that the JCCP will always refer to the PSRBs.”
To listen to the whole debate, go to BBC Radio 4’s consumer affairs programme You & Yours by clicking here.