Aesthetics Licensing First Consultation Response Due After Easter

The eagerly anticipated update on the government’s aesthetics licensing first consultation for England is due after Easter.

We spoke to our special Licensing Advisor, Professor David Sines, CBE for more details. As the long-standing Chair of the Joint Council for Cosmetic Practitioners (JCCP), David is a well-respected campaigner for aesthetics regulation in England.

Scroll down to watch the video of his interview and to find out more about how you can future-proof your aesthetics training qualification now…

Where are we with new aesthetics licensing for England?

Before we get into it, it’s worth recapping where exactly we are in the plan for regulating non-surgical cosmetic procedures in England.

Currently little-to-no regulation for who can practise aesthetics

At the time of writing - March 2024 - there is minimal regulation when it comes to the aesthetic medicine sector.

Whilst other countries consider treatments such as botox and fillers to come under plastic surgery, the UK sees them more as ‘beauty’. As such, the UK is woefully under-regulated and has many untrained, under-trained and non-medic injectors.

There are, in fact, more advertising-related regulations, with regard to the marketing of botox treatments, than there are for who can administer it!

At present, the main restrictions as to who can be an aesthetics practitioner and carry out injectable treatments in England, are:

• In 2021, it was made illegal to offer a consultation for, or to administer cosmetic injectable treatments to under 18s in England
• Any prescription-only medications, such as botulinum toxin or hyaluronidase, must be prescribed by a suitably qualified doctor, dentist, nurse prescriber or prescribing pharmacist
• As an aesthetics practitioner, the premises you operate from must meet the appropriate local authority Health & Safety requirements.

Introduction of an aesthetics licensing scheme for practitioners and premises

The government’s Department of Health & Social Care (DHSC) confirmed its plans to introduce aesthetics regulations for England, in 2022. This followed various input from industry bodies, including the JCCP, and a dedicated All Party Parliamentary Group enquiry.

In January 2023, the DHSC outlined its plans to introduce various proposals for an aesthetics licensing scheme. Each would cover a specific topic and a public consultation period would be triggered following the release of every set of proposals.

They further noted that they would be introducing a licensing scheme whereby every aesthetics practitioner would require two separate licences in order to practice: one for themselves and one for their premises.

11,800 responses to initial DHSC aesthetics licensing consultation

The first of the DHSC proposals was released on 2nd September 2023. It related to using a ‘traffic light’ RAG - red, amber, green - system to categorise non-surgical cosmetic procedures based on their complexity and potential risk to patients.

The consultation on these proposals ended in October 2023. Harley Academy was one of many organisations and individuals who provided feedback to the government regarding its recommendations.

We are now awaiting the next step in this process, and this is what we spoke to Professor Sines about.

He tells us, “[These are] still being considered by the DHSC and we hope to receive their response to their proposals probably after Easter, by the end of April [2024]. There were 11,800 responses to that first consultation.”

He explains that he’s hoping to see “three very specific things” from the next DHSC announcement on the aesthetics regulations for England.

3 things Professor Sines would like to see from the next 2024 aesthetics licensing announcement

1. Defining which treatments will be covered by the aesthetics practitioner licence

“Firstly, I want to receive a definitive outcome from that [the September 2023] consultation that tells us all which procedures will be in the scope of the proposed non-surgical cosmetic practitioner licence for practitioners in England,” David advises.

2. Ensuring ‘high risk’ red-rated non-surgical procedures are defined and given specific consideration

Professor Sines hopes to see “a red line being drawn regarding those procedures that we all consider - I think all consider - to be very invasive and to present major risk to members of the public if not performed by appropriately qualified, registered and experienced practitioners.

“We mean those procedures that the DHSC has put in place, at the moment, in the red category. So they will be breast and buttock augmentation, liposuction, hair restoration surgery…”

He notes, “I believe we will receive definitive outcomes from DHSC about those procedures, which would move, in my opinion, many of those procedures to the oversight of the Care Quality Commission [CQC]. This will mean they will be given a very specific degree of attribution of risk assessment and governance.”

3. Standards for and supervision of amber category procedures such as botox and fillers

“The third thing, what I'm also expecting to see will be further confirmation of standards of supervision and oversight for those procedures that will end up in the amber category, if they're performed by a licensed practitioner in the future. But, if the practitioner is not a regulated or registered healthcare practitioner, we anticipate that there will be a degree of oversight or supervision standard determined by DHSC.

“Within that, there is one very specific point that, if the practitioner is using a prescription-only medicine in any part of the treatment process, then we would expect a prescriber to oversee the actual procedure itself. So that's going to be what we expect to see,” Professor Sines confirms.

The amber category is where treatments such as toxin, dermal fillers, skin boosters and some chemical peels sit within the RAG-rating system. We foresee this essentially being all the treatments covered in our Combined Level 7 course.

Gathering further evidence relating to non-surgical cosmetic treatments before categorising

Another point raised by David Sines during our interview relates to the RAG-rating of cosmetic procedures.

Aesthetic medicine is a new and constantly evolving field, with new treatments and devices being introduced regularly. As such, each of these will need to be fully investigated and properly understood, through evidence-based assessments, before it can be RAG-rated.

He highlights, “There will be a number of procedures that are currently in the amber and green categories - such as radiofrequency et cetera, some of the peels - that need further evidence before we can agree whether they will be in the amber or green category.

“So, it's absolutely right to say, we expect further evidence to be called for for some of those procedures… We'll get most of them defined but, some ongoing work around lasers and light, peels, radiofrequency et cetera, [will be needed] to determine their categorisation in the future. But it will be the spurring point, or the real point that takes us to the next stage of what we expect to see from the government.”

Future-proof your aesthetics training qualification ahead of the licensing scheme introduction

As part of this initiative to introduce a licensing scheme for aesthetics practitioners in England, a mandatory minimum standard of education will need to be set.

Whilst it is unlikely that this standard will be exactly the same as any aesthetics training courses currently available, this has not been confirmed. What we do know is that the guidelines the government already has in place for this - the Health Education England guidelines from 2016 - are the framework to which our Level 7 in injectables was mapped to from its inception.

Originated by our founder, Dr Tristan Mehta, our Level 7 Diploma in Botox & Dermal Fillers has only been improved since then. At Harley Academy, we are so confident in our Level 7 qualification that we are offering a guarantee. This also applies to our Fast Track Level 7 for more experienced practitioners.

Level 7 Licensing Guarantee

If you’re a doctor, dentist, nurse or clinical pharmacist considering training with Harley Academy and want to undertake your Level 7 Diploma in injectables but are concerned it may not meet the incoming licensing scheme education requirements for botox and filler, don’t be!

An exclusive blend of online theory, observed cases and one-to-one mentored hands-on, real-world clinical experience, our Level 7 is designed to meet rigorous standards and is regulated by Ofqual. As such, we will guarantee to fill in any gaps between our existing course and the DHSC requirements for education.

To find out more, contact our Course Advisors today and ask about our Level 7 Licensing Guarantee. They’ll be able to explain more about the terms and conditions as well as explore the best aesthetics training pathway that fits with your goals and your lifestyle.

All information correct at the time of publication