Professional Standards for Cosmetic Practice

Professional Standards for Cosmetic Practice

Cosmetic Surgical Practice Working Party

This is a timely document which outlines the ethical and clinical standards that cosmetic surgeons should adhere to. In the case of female cosmetic genital surgery, the majority of these operations are undertaken outside of the NHS, often for little or no medical benefit.

Women and girls sometimes find themselves pressured by marketing campaigns compelling them to achieve a certain aesthetic that was never intended by nature. We support the recommendations of this report and the way in which women have been placed firmly at the centre of care. Dr Tony Falconer President of the Royal College of Obstetricians and Gynaecologists

Good cosmetic practice covers a range of activity from provision of information, communication, informed consenting, through appropriate education and training of the physician/surgeon and other members of the team to use of properly maintained equipment and premises, documentation, collection of data and regular audit These aspects are all elucidated in the document. Professor Harminder S Dua President of The Royal College of Opthalmologists

Cosmetic surgery is an increasing area of healthcare in which the public is at particular risk of suffering substandard treatment and potentially unpleasant and irreversible complications. This report outlines the standards, behaviours and competencies that practitioners of these procedures should follow. It is therefore most welcome. Sir Richard Thompson President of the Royal College of Physicians

Contents

Acknowledgements

2

Chair's foreword

3

Executive summary

4

1. Introduction and background

6

2. The state of cosmetic healthcare practice in the UK

10

3. Standards for all cosmetic practitioners

12

4. Training, experience and CPD

20

5. Process of patient care

26

6. Appraisal and regulation

34

7. Organisational support for professional standards

36

8. Appendix

38

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PROFESSIONAL STANDARDS FOR COSMETIC PRACTICE

Acknowledgements

Cosmetic Surgical Practice Working Party members ? Association of Breast Surgery ? The British Association of Aesthetic Plastic Surgeons ? British Association of Oral and Maxillofacial Surgeons ? British Association of Plastic, Reconstructive and Aesthetic Surgeons ? ENT UK ? Training Interface Group in Reconstructive Cosmetic Surgery ? Faculty of Dental Surgery ? Faculty of General Dental Practice (UK) ? The Royal College of Obstetricians and Gynaecologists ? The Royal College of Ophthalmologists ? The Royal College of Surgeons of England ? Patient Liaison Group of The Royal College of Surgeons of England ? The British Association of Dermatologists

Working party observers ? General Medical Council ? Care Quality Commission

Contributors The working party would like to thank the following for their contributions: ? Dr Justin Shute, Liaison Psychiatry Consultant ? Dr Alex Clarke, Consultant Clinical Psychologist, Plastic and Reconstructive Surgery; Honorary

Professor, Department of Clinical, Educational and Health Psychology, University College London ? Professor Nichola Rumsey, Research Director of the Centre for Appearance Research, University

of the West of England ? Dr David Veale, Consultant Psychiatrist in Cognitive Behaviour Therapy ? Royal College of Nursing

Acknowledgements The working party would like to thank the following for their comments on the standards ? Independent Healthcare Advisory Service ? British Academy of Cosmetic Practice

2

CHAIR'S FOREWORD

Chair's foreword

In the United Kingdom cosmetic practice is unique in that it sits almost entirely outside the National Health Service (NHS) and encompasses practice that spans several medical specialties and healthcare disciplines. This means that the standards of practice are, in comparison with other areas of healthcare, relatively unclear. The Cosmetic Surgical Practice Working Party was, as its name suggests, established to consider cosmetic surgical practice. However, this remit was broadened by the Working Party to consider cosmetic practice as a whole in order to reflect the role of the wider surgical team. This document therefore draws on expertise from the medical, dental and nursing professions to produce clear, widely applicable professional standards. The purpose of this document is to bring together and build on a number of existing standards documents that cover or specifically address cosmetic surgical practice. This document is not intended to replace or change the existing regulatory requirements of the professions but instead aims to draw out and harmonise some of the common standards across the three healthcare professions that have previously varied in content or detail. The medical royal colleges and professional organisations are not regulators. Nor are they legislators. It is for the government to decide if it would like to regulate the sector more closely. However, the medical professions have a responsibility to highlight the issues and to provide the standards that we would expect both ourselves and our colleagues to meet. Mr Stephen Cannon Chairman

3

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