News ID: 251967
Published: 0714 GMT April 27, 2019

England’s firms warned over 'duty of care' in cosmetic procedures

England’s firms warned over 'duty of care' in cosmetic procedures

England's top doctor said practitioners offering cosmetic procedures should have training to help them protect vulnerable clients from ‘quick fixes’.

Professor Stephen Powis believes providers should be officially registered and trained to spot people with body-image or other mental-health issues, BBC wrote.

National Health Service (NHS) England said only 100 out of 1,000 practitioners are currently registered.

And a charity said procedures such as Botox can have a damaging effect on the mental health of young people.

Professor Powis, medical director at NHS England, wants professionals who provide procedures such as fillers and injections to join the new Joint Council for Cosmetic Practitioners.

He said too many providers are "operating as a law unto themselves".

He welcomed the move by some practitioners to undertake training on how suitable their customers are for cosmetic anti-aging treatments, calling it a ‘major step forward’.

But he said the numbers were still too low.


'Quick fix'


And he warned clients that they still needed to vet firms properly before having cosmetic procedures, which include botulinum toxin injections — such as Botox —   fillers, skin peels, lasers and hair restoration surgery.

Professor Powis said: "We know that appearance is the one of the things that matters most to young people, and the bombardment of idealized images and availability of quick-fix procedures is helping fuel a mental-health and anxiety epidemic."

But the NHS could not be "left to pick up the pieces", he added.

"We need all parts of society to show a duty of care and take action to prevent avoidable harm."

By registering with the council, a new professional body, practitioners will agree to undergo online training on:


● Recognizing the signs and symptoms of vulnerability and mental ill health

● The psychology of appearance

● Telling customers where to get help if they show signs of being vulnerable


Body dysmorphic disorder is a mental-health condition which can cause people extreme distress over their appearance and make them more likely to turn to quick-fix procedures, which do not help the underlying psychological condition.

It affects around one in 50 people.

Kitty Wallace, from the Body Dysmorphic Disorder Foundation, said: "Cosmetic procedures like Botox are now widely available on the high street, are putting people at risk and can have a damaging effect on the mental health of young people.

"It's great to see the NHS and professionals leading the sea change but we now need all parts of society to change their attitudes and take action to protect vulnerable individuals."

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