How this clinic is run
Aesthetics in England is regulated unevenly, which means most of what keeps a clinic safe is decided by the clinic itself. Here is what we decided, including the parts that cost us bookings.
Who treats you
Injectable treatments are prescribed and administered by a doctor or an independent prescriber, in person, after a face to face assessment. There is no remote prescribing here, ever, and nobody administers a prescription only medicine that was prescribed by somebody who has not seen you. That practice is common in this sector and it is the single thing we would most like people to ask about before booking anywhere.
Laser and light treatments are run by a practitioner with core of knowledge certification, who sets the parameters and does the patch testing. Skin treatments are run by therapists qualified to Level 4 for advanced work. Everyone treating you is qualified for the specific thing they are doing, and if you want to know who will be in the room before you book, ring and ask.
What is a medical procedure and what is not
Injectables, prescription skincare, the weight programme and anything using a medical laser are medical procedures. They require a medical history, a consent process and a practitioner qualified to manage what happens when something goes wrong. Facials, peels below a certain depth, dermaplaning, massage and body treatments are not, and we do not describe them as though they were.
The distinction matters because the aftercare, the risk and the price all follow from it. A clinic that presents everything as medical is doing it to justify the price, and a clinic that presents an injectable as a lunchtime beauty treatment is doing something worse.
Consent
Written, on the day, after the risks have been said out loud rather than handed over on a form. For anything with a recovery period you get the consent document to read before the appointment rather than in the chair. Consent for treatment is separate from consent for clinical photography, and consent for clinical photography is separate again from consent to use an image in marketing. Those are three decisions and they are asked three times.
Complications
Every practitioner here carries their own indemnity and the clinic carries its own cover. Complication management is included and never charged for. If something happens after a treatment you had here, it is our problem to fix and there is no conversation about who pays for the fixing.
The emergency drugs a clinic needs for a vascular occlusion after filler are held on site, in date, and the people who might need them have practised using them. Ask that question everywhere you go. The answer tells you almost everything.
Who we will not treat
- Anyone under 18, for anything. This is law for injectables and policy for everything else.
- Anyone pregnant or breastfeeding, for injectables, most energy devices, and the weight programme.
- Anyone who has taken oral isotretinoin in the last six months, for resurfacing and microneedling.
- Anyone whose expectation is not achievable with what we own, which is the most common reason we decline.
- Anyone who appears to be making the decision for somebody else, or under pressure from them.
Hygiene and waste
Single use where single use exists. Sharps into a licensed bin collected under contract. Autoclave for what is reusable, with a printed cycle record kept. Rooms cleaned between patients rather than at the end of a list. None of this is remarkable and all of it is worth being able to describe when asked.
Where to raise a concern
Start with the complaints procedure, which is a real one with named stages and stated timescales. Concerns about an individual professional can also go to their regulator: the General Medical Council for doctors, the Nursing and Midwifery Council for nurses. Concerns about the handling of your data go to the Information Commissioner's Office. You do not need our permission to use any of those routes and using one does not affect your care here.
Where to start
Ask us the awkward questions.
Who is prescribing, have they seen me, what happens if this goes wrong, and what is in the emergency drawer. Any clinic that is comfortable answering those is probably fine, and any clinic that is not has told you what you needed to know.