Like so many of us in the industry I saw the publication of the Keogh Report as a great opportunity for reform. The industry is almost completely unregulated and while that remains the case the NHS will pay for mistakes.

However since the report was released in April last year the recommendations have been abandoned and a voluntary register proposed instead. Here are my thoughts published in an article in the Aesthetics Journal.

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NO to voluntary registers. Firstly there is a recognised financial benefit to those who set them up, nurse secondly they do not have the power to strike off sub-standard practitioners and clinics and thirdly they confuse the public.

YES to a new compulsory register for practitioners carrying out the injectable treatments Botox and dermal fillers. This should be open to those who are medically trained and overseen by a new  internal regulatory body comprising of the British College of Aesthetic Medicine (BCAM), prescription the British Association of Cosmetic Nurses (BACN) and the British Association of Aesthetic Plastic Surgeons (BAAPS).

YES to the re-regulation of lasers and a register of practitioners with a BTEC in laser treatments as the minimum qualification.

YES to a new minimum standard for training courses.

YES to obtaining proper, informed consent from patients. Consentz enables practitioners to record consultations in detail and encrypts and stores the information, including signatures, on a secure cloud.

YES to a register of implantable devices including breast implants and dermal fillers. Consentz includes a facility for recording lot numbers which could be part of an implantable devices register in the future.

Dr Natalie is keen to discuss improving standards within the industry with interested individuals or organisations, contact