This award recognises the important role that both patient-focused and professional campaigns play in promoting consumer education and patient safety. It was open to associations, companies and individuals. In selecting finalists, the Aesthetics team has looked for evidence of activity designed to benefit the specialism as a whole, and tangible outcomes. The winner will be selected from the finalists using a combination of Aesthetics reader votes and judges scores. Voting will constitute a 30% share of the final score. Finalists may not vote on their customers' behalf.
We should get this award as recognition to those who were inspired and motivated, not by an opportunity for commercial gain or glory, but by a genuine desire to do something of value in the best interests of their professions and their patients. It seems patients are suffering complications and poor outcomes due to their mismanagement. Current training does not adequately prepare practitioners to properly diagnose and manage complications. Social media forums and a growing number of ‘experts’ offer conflicting advice, sometimes in a haphazard manner on social media forums. The ACE Group was the first to recognise the need for a proper review of the evidence base and to produce accessible, user friendly, consensus guidelines to support practitioners in their decision-making process. These serve as a sound reference to support clinicians should claims arise. Further, the community established provides peer to peer support, reflection and the opportunity to share and discuss cases. The ACE Group has also published information for members of the public to access, to support them to identify problems for which early and expert advice and management should be sought. The ACE Group has produced a draft workshop which it will roll out nationally in the near future which will also include resuscitation and anaphylaxis training as well as producing electronic learning modules on the management of complications that practitioners can complete as evidence at appraisal.
We have been overwhelmed with the spirit and appetite of professionals to support and engage with this group and its initiatives to learn and ensure safety for their patients. At the time of submission of this entry (June 2017), there are currently 585 members of the group with an average of 10 new members per week joining.
Complications following cosmetic procedures can happen, blindness is one of the most serious complications that can occur following the injection of a dermal injectable implant. This has serious implications to both the patient and the practitioner.
The Aesthetic Interventional Induced Visual Loss (AIIVL) Consensus Group includes National and International experts who have been looking at this particular issue to develop a consensus guideline. The group members are:
Mr Dalvi Humzah, Consultant Plastic Surgeon (UK)
Mr Saj Ataullah, Consultant Ophthalmic Surgeon (UK)
Dr Andy Chiang Plastic Surgeon (China)
Dr Robert Goldberg, Chief Orbital and Ophthalmic Surgeon UCLA (USA)
Mr Raman Malhotra, Consultant Ophthalmic Surgeon (UK)
Working together over the last year it became clear that there is no consistent management pathway for this rare but life changing complication. Many practitioners will not be aware of any management pathways for this problem that is an extreme emergency.
The suggested guideline covers general advice as well as specific interventions to help both the practitioner and patients. Advice for the practitioner, the patient and also specific suggested guidelines that can be provided to the specialist emergency services (A&E / Eye Departments) have been developed and included in the guidance document.
We will make this consensus guidance document freely available to all practitioners and hope this will be kept in clinics and is readily accessible if ever required. It will remain an open source document and
We continue to review the current literature and cases in order to develop our recommendations.
The newly launched BCAM Academy is an exciting and forward thinking initiative intended to: help promote education in the field of Aesthetic Medicine; increase the numbers of Doctors represented by BCAM, thereby enabling more new Doctors to gain help, support, networking opportunities and a forum for discussion in the Aesthetic industry; increase education in patient-focused safety issues, safeguarding and management of complications for new Doctors entering the field of Aesthetic Medicine; provide approved and accredited CPD sessions and Aesthetic training for new Doctors; and encourage established and experienced Aesthetic Doctors, who are BCAM members, to support new Doctors coming into the Aesthetic industry, thereby passing on their experience and professional knowledge of the Aesthetic industry. In so doing, BCAM hopes to raise the bar for Aesthetic Medicine in the currently challenging and changing climate of our industry.
It is vital that as the shape of Aesthetic Medicine is being moulded and debated, we can offer a solid and united, strong base in our professional college to help steer the discussions and the decisions being made about the future of Aesthetic Medicine, and the impact on Aesthetic Doctors in the coming months and years as the JCCP is set up and as Government policy regarding Aesthetic Medicine is established.
The Academy will be a huge benefit to Aesthetic Medicine as a specialty as it will aim to grow our College numbers by adding new BCAM Academy affiliates to our current members and associates and thereby increasing our power to stand up for Doctors’ education, clinical standards, patient-safety, consumer education and for the maintenance of our professional standards.
Our professional campaign, via the launching of the BCAM Academy, reaches out to current and future professional Aesthetic Doctors who are not yet BCAM members. BCAM’s message is one of increasing professional education, highlighting patient-safety, educating consumers and the general public, and raising awareness of the topical issues surrounding Aesthetic Medicine.
By encouraging new Doctors, who are interested in the field of Aesthetic Medicine, to join the BCAM Academy, we can help to educate these new Doctors in the important issues surrounding appropriate Aesthetic training, patient-safety, management of complications, CPD sessions, appraisal and audit work and professionalism within our field so that they can graduate through BCAM to join our members who are already committed to excellence in the Aesthetic industry. In this way we help to grow the Aesthetic industry in a safe and professional way, helping to mould new Doctors and support them in the best way to help them find their feet in an increasingly challenging professional environment.
Nurses working in aesthetics on a large scale is a recent phenomenon. How they practice comes in many shapes and sizes – Full time/Part Time, Doctor led clinics, Nurse led clinics, clinic owners, sole traders and multi chain operators. The British Association of Cosmetic Nurses (BACN) was formed in 2009 to look after the interests of nurses working in aesthetics.
There are well over 5000 nurses working in aesthetics in the UK – by far the biggest group of practitioners. The revalidation of nurses was recently introduced by the NMC and this presented a major issue for the NMC, the BACN and the aesthetic nurses.
The BACN has worked for many years to establish the ‘specialist aesthetic nurse’ as a category within the nursing profession. It developed its own ‘Competency Framework’ for its members working within the NMC Code of Practice. Health Education England (HEE) used this work when designing its ‘Framework of Education and Qualifications for the non-surgical sector in England’.
Revalidation has been heralded as the biggest milestone in modern nursing. The unique nature of this new category of aesthetic nursing presented many challenges when it came to revalidation. The BACN was approached by the NMC who recognized the complex changes for Aesthetic Nurses in the proposed pilot study for revalidation. This was a major recognition by the NMC of the BACN’s work for safe practice.
The BACN is nominating its ‘Aesthetic Nursing Revalidation Mentor Programme’ as the ‘Professional Initiative of the Year’ for the following reasons:
• It represents a highly innovative approach to revalidation for nurses in aesthetics.
• It is about ensuring that Aesthetic Nurses demonstrate to the public and their regulatory body safe practice.
• It has worked in partnership with the NMC to develop a unique approach to revalidation.
• It has used the internal resources and members of the BACN to deliver a support programme for each other at ‘nil cost’.
• It has been rolled out across the UK.
• It has put a permanent structure and resource in place for all aesthetic nurses seeking revalidation.
The BACN and its members believes passionately in-patient safety as the ‘bedrock’ of aesthetic treatments and that these services should only be provided by medically trained and qualified practitioners. This project exemplifies this ethos by ensuring that all BACN nurses go through a thorough and recognized process led by its regulatory body (NMC) to demonstrate competence and safe practice to the public.
A unique Professional Initiative has been developed between Dalvi Humzah Aesthetic Training (DHAT) and the Medical & Aesthetic Training Academy (MATA) that allows cosmetic practitioners to develop and evidence competence and proficiency in the safe delivery of injectable therapies. An innovative approach to medical training and education has produced a unique qualification designed to address the concerns raised in the publications by Health Education England (HEE)  and the Joint Council of Cosmetic Practitioners (JCCP)  about training provision in this unregulated sector.
The synthesis of the clinical teaching of DH Aesthetic Training and the educational acumen of MATA, has resulted in a new postgraduate qualification (Level 7) in Applied Clinical Facial Anatomy for Cosmetic Interventions. This qualification is designed to equip cosmetic practitioners with the necessary knowledge, skills, confidence and competence expected of those delivering non-surgical interventions.
The importance of clinical anatomy training in non-surgical facial rejuvenation cannot be overstated and in order to be competent and proficient, clinicians need a deep understanding of facial anatomy. However, many practitioners entering aesthetic practice have had limited exposure to anatomy from their previous clinical training and there is a concern, particularly amongst the surgical community, that practitioners are ill prepared for cosmetic practice. Until recently, facial anatomy training has not been ‘formalised’ in terms of meeting the exacting requirements of postgraduate academic qualifications. However, this initiative has allowed MATA to build upon six years of successful DHAT multi-award winning cadaveric courses offering delegates valuable continuous professional development, and apply the necessary effective, constructive educational strategies to produce a Level 7 qualification. The qualification is awarded by Eduqual , and endorsed by TQUK, an Ofqual-recognised awarding organisation. This initiative meets the aims of the JCCP and its sister organisation, the Clinical Practice Standards Authority (CPSA) to offer an educational pathway that offers clinical and practice based standards based upon defined level of competences that provides a cornerstone for the personal and professional development of all non-surgical cosmetic practitioners.
The qualification provides a timely, robust and ‘fit for purpose’ postgraduate programme of study, characterised by clear and appropriate entry requirements, high quality learning materials, interactive teaching and learning, explicit learning outcomes, valid and reliable assessment and a progression route to further postgraduate qualifications.
1. Health Education England, Qualification requirements for delivery of cosmetic procedures. Available via: https://hee.nhs.uk/news-events/news/new-qualifications-unveiled-improve-safety-non-surgical-cosmetic-procedures
2. Joint Council of Cosmetic Practitioners (JCCP). Available via: http://www.jccp.org.uk
3. EduQual. Available via: https://eduqual.org.uk
Harley Academy have launched a Fast Track™ programme for highly experienced professionals to complement their flagship Level 7 training programme in Injectables. This is the most progressive professional initiative of the year insofar as it allows all cosmetic practitioners to demonstrate that they can meet the same national standards as the new wave of level 7 course graduates.
The new Fast Track™ is a convenient pathway to the same level 7 qualification, but for those who already have the hands-on experience that a level 7 course teaches. In addition to a nationally recognised qualification, the initiative allows clinical professionals with over three years of experience in aesthetics to top up their knowledge with unbiased, peer-reviewed research, take rigorous postgraduate level examinations, and achieve the same qualification as the new trainees in a fraction of the time.
Specialising in corrective work and setting up The ESHO Initiative where I offer treatment, free of charge, to victims of botched procedures or those who have been born with congenital deformities is something that I always wanted to do. After 10 years in the NHS it became a passion of mine to use my skills and expertise to change lives and educate people about the risks associated with non-surgical procedures.
I believe that I should win professional initiative due to the contribution that I am making to the specialism evidenced by the tangible positive outcomes of my work (please see patient testimonials attached with this submission). I also believe that although I am only one doctor I am making a notable difference. There has been a lot in the news recently about how victims of botched procedures are putting pressure on the NHS as they end up in A&E units. Due to the sharp rise in underqualified practitioners administering dermal fillers, this has naturally increased the number of patients seeking treatment when things go wrong. By running this initiative and taking on as many cases as possible and running seminars to educate and prevent, I am contributing, even if it is only a small contribution, to alleviating the pressure on public services like the NHS who may not have the expertise to deal with some of the horrendous cases I see and deal with on a weekly basis.
Since the initiative began it has expanded as I have been adamant that we will treat whoever we can, whenever we can and that we will not discriminate if a case isn’t purely cosmetic or congenital. For example, when the acid attack happened in Mangle Nightclub and the recent London Bridge terror attack, I put a call out on social media for anyone affected to get in touch with a view to providing scar reduction treatment. I have a strong social media presence (the highest combined following of any UK cosmetic doctor/ clinic) and am aware that the tools I have at my disposal can be hugely powerful. Since putting those calls out I have treated one of the nightclub acid attack victims and a friend of one of the victims of the London Bridge terror attack has contacted me to say that their friend who is in hospital will be in touch once they are well enough to return home.