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The extensive independent Review of Regulation on Cosmetic Interventions led by Sir Bruce Keogh (which issued its report earlier this year) highlighted problems within the nonsurgical cosmetic sector and called for urgent development of an accredited training framework by Health Education England. The recommendations of the Review were welcomed by specialist professional groups who emphasise patient and public safety must be put ahead of commercial interests. They continue to urge rapid Parliamentary approval in order to take the recommendations forward and ensure that proficient implementation and improved patient care is in place – but in the meantime, the public remain at risk. Dr Nick Lowe, President of BCDG states: ‘I was extremely disappointed to hear of the content of The Apprentice. The irresponsible promotion of a physician who is only just out of medical school and not trained in a relevant speciality, such as Dermatology or Plastic Surgery, entirely runs against the importance of public safety.’ Prof Chris Bunker, President of the British Association of Dermatologists states; “We are seeing more and more complications at the hands of inadequately trained practitioners and counterfeit products. These adverse events can be permanent and liferuining, and there are even reports of blindness being caused by inappropriate injection of fillers. Many patients require continued treatment and support on the NHS.” According to Rajiv Grover, consultant plastic surgeon and BAAPS President; “What this debate needs is a strong injection of common sense – if Dr. Leah Totton were training to be a GP she would not be able to work unsupervised for another four years after qualifying. Yet in the private sector she is setting herself up to train others. Having a stab at running a business shouldn’t be taken literally.” Mr Graeme Perks, President of the British Association of Plastic Reconstructive and Aesthetic Surgeons (BAPRAS) says; “At a time when all professionals are collaborating with Sir Bruce Keogh to improve cosmetic surgery practice and protect the vulnerable, it is a concern that a very junior doctor can make claims to be an authority in this field and provide the direction and clinical judgement that only comes with experience. The results of BBC Apprentice provide yet another demonstration of why Parliament must act fast.” According to Dr. Tamara Griffiths, dermatology representative on the European Committee for Standardisation (CEN) which has been developing EU-wide standards for cosmetic surgery; “Dr Totton is a very junior doctor and her claim to be an expert in the field of cosmetic procedures may not measure up to the review by the European Committee for Standardisation, where international consensus has been reached regarding the imperative of adequate and accredited training.” *The Twitter storm rages on… Dr Ellie Cannon @Dr_Ellie17 Jul Disappointed an expert in his field chose an "expert" in her field who's been qualified as a doctor for under two years @bbcapprentice Sue Ibrahim @SkinSpecialist17 Jul @DrLeahTotton @Consulting_Room @Lord_S ugar Just get some dermatology experience before you claim to be an "expert" Leah. James McDiarmid @woodestate17 Jul (Plastic surgeon) @Lord_Sugar best of luck in the hypersaturated unregulated nonsurgical aesthetic 'industry' it's not as easy as Dr Leah thinks... Dr Christian Jessen @DoctorChristian19h I wonder if you know that there was a recent case of a patient rendered completely blind in one eye after having facial fillers...? Dr Christian Jessen @DoctorChristian19h Alan Sugar has certainly not done patient safety and medical aesthetics any favours by promoting very junior doc 2 run Botox/filler clinics! Nigel Poole @NigelPooleQC1h The irony. Key to raising standards in cosmetic procedures industry is to put an Apprentice in chargehttp://nigelpooleqc.blogspot.co.uk/20 13/07/should-apprentice-runcosmetic.html … Nigel Mercer @NigelMercer22h (Plastic surgeon, former BAAPS President) @JAestheticNurse @bbcapprentice If Lord Sugar is interested in regulation of the Aesthetic Industry he needs to know the harm he has done. Nigel Mercer @NigelMercer22h @JAestheticNurse @bbcapprentice All Europe agrees his Apprentice is in adequately trained to be an aesthetic doctor Nigel Poole @NigelPooleQC21h Keogh called for ban on giving cosmetic procedures as competition prizes. BBC gives cosmetic clinic as prize #ApprenticeFinal Nigel Mercer @NigelMercer15h @DrLeahTotton @Lord_Sugar You 2 have single handed my destroyed all the work we have done to improve regulation in this market thro the BSI. Val Ely@ValEly1 (Principal Lecturer, Head of NHS CPD, Non-medical Prescribing Lead and Accreditation of Prior Learning Coordinator) @DrLeahTotton @Lord_Sugar You have got it so wrong!... @Lord_Sugar @curetheNHS Please don't let Botox doctor Leah be the apprentice winner. The NHS trained her for NHS not private practice. - The Final Report on the Review of Regulation on Cosmetic interventions has now been published. The committee noted a person having a non-surgical cosmetic intervention has no more protection and redress than someone buying a ballpoint pen or a toothbrush. Dermal fillers are a particular cause for concern as anyone can set themselves up as a practitioner, with no requirement for knowledge, training or previous experience. Nor are there sufficient checks in place with regard to product quality – most dermal fillers have no more controls than a bottle of floor cleaner. It is the view of the committee that dermal fillers are a crisis waiting to happen. Several BAD/BCDG members notabluy Dr Tamara Griffiths and BAD President Professor Chris Bunker have worked extremely hard to put forth dermatologists' viewpoints. It was the pilot and then extended audit on filler complications which Chris Bunker presented to the Keogh panel that really informed their decision to crack down on prescribers and practitioners. They have also contributed to the report with the complications Appendices on fillers and lasers. We hope they have now positioned dermatologists as the experts who should now, under HEE, lead the framework for training.