Tough new standards set for North East cosmetic surgeons
As our campaign Scratching The Surface continues to fight for better regulation in the cosmetic industry, strict new rules have been published for surgeons.
Doctors who carry out cosmetic procedures anywhere in the UK are being issued with new guidance by the General Medical Council (GMC) to make sure they provide the best possible care for patients.
The guidance makes clear the ethical obligations doctors have towards patients and the standards of care they need to provide.
It has been produced following a review of the cosmetic industry in England by Professor Sir Bruce Keogh. His report highlighted the risks associated with cosmetic interventions and how patients needed greater protection.
It comes just weeks after our campaign, Scratching The Surface, was heard in parliament.
Dawn Knight, from Stanley, says she was ‘mutilated’ and ‘abandoned’ when an eyelift went wrong 2012. She says the new guidance is a positive step forward. She said:
“It turned out that my surgeon was indefinitely bankrupt, uninsured and more recently the part of the company that I contracted with is actually liquidated. Am I shocked? Yes I was at the time but now knowing what I know… I’m not shocked.
“I’m receiving counselling for post traumatic distress disorder, as are a lot of other women that have had cosmetic surgery go wrong. They’re also being given counselling to try and deal with the whole raft of emotions and the devastating effect that it has on their lives. “There are positive steps that came from taking the Scratching The Surface campaign down to Ben Gummer. He’s given me some reassurances. His department, I believe, are looking into the areas of major concern that we’ve come across and brought to his attentions.”
The new GMC guidance comes into force from June, and covers both surgical (such as breast augmentation) and non-surgical (such as Botox) procedures.
The guidance says that doctors must:
Advertise and market services responsibly – any advertising must be clear, factual, and not use promotional tactics, such as ‘two-for-one’ offers to encourage patients to make ill-considered decisions. It also includes a ban on offering procedures as prizes. Doctors must not allow others to misrepresent their services.
Give patients time for reflection – make sure they have the time and information about risks, to decide whether to go ahead with a procedure. Patients should not feel rushed or pressured.
Seek a patient’s consent themselves – the doctor carrying out a cosmetic procedure is responsible for discussing it with the patient, providing them with the information and support they need, and for obtaining their consent. This responsibility must not be delegated.
Provide continuity of care – the doctor must make sure patients know who to contact and how their care will be managed if they experience any complications, and that they have full details of any medicines or implants.
Support patient safety – making full and accurate records of consultations, using systems to identify and act on any patient safety concerns, and contributing to programmes to monitor quality and outcomes, including registers for devices such as breast implants.
Professor Terence Stephenson, Chair of the GMC, said:
“Cosmetic interventions should not be entered into lightly or without serious considerations. Above all, patients considering whether to have such a procedure need honest and straightforward advice which allows them to understand the risks as well as the possible benefits.
“It is a challenging area of medicine which deals with patients who can be extremely vulnerable. Most doctors who practise in this area do so to a high standard but we do sometimes come across poor practice, and it is important that patients are protected from this and that doctors understand what is expected from them.
“Our new guidance is designed to help drive up standards in the cosmetic industry and make sure all patients, and especially those who are most vulnerable, are given the care, treatment and support they need.”
Health Minister Ben Gummer said:
“Anyone who chooses to have a cosmetic procedure should expect to have high quality and safe clinical care. This new guidance for doctors is an important step forward in improving standards and ending the lottery of poor practice in parts of the cosmetic industry.’
Professor Sir Bruce Keogh, National Medical Director, NHS England, said:
“The GMC’s new guidance will play a pivotal role in raising standards and protecting people who choose to have a cosmetic procedure. The independent review I chaired, following the PIP breast implant scandal, highlighted major problems with unsafe practices in the cosmetic sector, including poor follow-up care and record keeping, and misleading and inappropriate advertising and marketing techniques.
“This addresses these issues and will drive safer care, more ethical practice and, overall, a better experience for people undergoing cosmetic procedures. It will also help ensure doctors are seen to be open and honest, that they work within their competence and seek appropriate training and advice where necessary. This marks an important step forward for patient protection across a wide range of cosmetic and lifestyle procedures, including areas such as laser eye surgery.’
Stephen Cannon, Vice President of the RCS and Chair of the Cosmetic Surgery Interspecialty Committee, said:
“Our professional standards for cosmetic surgery, coupled with the GMC’s new guidance, will raise the bar and make absolutely clear what we expect of all surgeons working in the private sector.
“The message to surgeons and doctors working in the cosmetic surgery industry is simple: if you are not working to the surgical standards we have set out today, you should not be treating patients at all. We, and regulators including the GMC, will do everything in our powers to protect patients and to stop unscrupulous individuals from practising.”
Later this year the RCS will also launch a new certification scheme, allowing patients to more easily search for a surgeon who has the necessary skills and experience to perform the procedure they are considering.