The Procedures that are Regulated by the JCCP

The JCCP is committed to raising public awareness of the risks associated with various non-surgical and hair restoration treatments. As part of this process the JCCP will publish regular ‘Information Sheets’ in key areas.

On this page

Introduction to non-surgical aesthetic treatments and hair restoration surgery

There has been a huge growth in non-surgical treatments and hair restoration surgery in recent years. For many members of the public this leads to great confusion. The JCCP has published a series of information sheets to give a brief explanation of each procedure and the risks involved.

The JCCP currently recognises the following five procedural modalities that are performed by our Registrant Practitioners:

The five treatment modalities

These procedural modalities are simply the treatments that we regulate currently according to a set of prescribed practice standards (as determined by the Cosmetic Practice Standards Authority) and formal educational qualifications that are set down by the JCCP.

Background

In 2013 Sir Bruce Keogh presented his Government commissioned report into the cosmetic/aesthetic industry, which outlined a range of failings that present a risk to patients and service users.

In response, the Government commissioned Health Education England (HEE) in 2013 to work with industry stakeholders and professional regulators to develop a framework of agreed qualifications and standards, to address practitioner failings, to improve public protection and to mitigate risks that might occur as the result of harmful practice.

What the HEE work achieved

Under the umbrella of HEE, multiple industry stakeholders and experts:

Identified the highest-risk modalitiesIdentified the modalities which were known to cause greatest concern and where risk is highest in relation to patient harm/safety.
Developed a qualifications frameworkDeveloped a qualifications framework for the five modalities noted above which set out the education and practice requirements necessary to undertake cosmetic medicine safely.
Defined clinical oversightDefined the requirements for clinical oversight, paying attention to the role of the statutory regulated professional and, in particular, those professionals with a license to prescribe.
Agreed an over-arching authorityAgreed for the need (in the absence of statutory regulation) for an over-arching authority - the JCCP and its sister organisation the CPSA - which would further develop these standards and oversee their implementation, under a mechanism of voluntary self-regulation.

New treatments in the future

Whilst 5 modalities are currently recognised by both the JCCP and by the CPSA, these are likely to increase in number in the future as new risks to person/patients are identified. It is the specific role of the CPSA to review new treatments as they emerge, to assess risk and where necessary to develop new standards.

Your JCCP registered practitioner

For each of the modalities your JCCP practitioner is registered to provide, you can be sure that they:

QualifiedAre qualified at the appropriate educational level.
Independent or supervisedAre permitted to practise independently or otherwise subject to a clear process of delegation with prescribed oversight/supervision.
Safe and ethicalPractise safely and ethically according to a robust set of standards/code of practice.
AccountableAre subject to stringent fitness to practice rules where standards are not met.

Things to consider for all treatments

Qualifications, Competence & Safety

Competence is the combination of training, skills, experience and knowledge required to perform a task safely. Qualifications are a key part of competence and, for your safety, the JCCP recognise qualifications within this wider definition of competence.

The qualification and level we record may not be the same as the modality a practitioner is registered for, but it is important we record it because it forms a substantial part of their competence. For example, nurses and doctors with a degree (level 6) in nursing or medicine have met many of the competencies required for level 7 cosmetic procedures. These individuals close the gap by virtue of the skills and experience they have gained over time, and we record them on Category 2 of the register for the level 7 procedures they perform.

It is helpful to know that, alongside qualifications, the application of professional standards of practice provides another pillar of assurance for your safety. Category 2 is only available to specified healthcare professionals who are also regulated through a statutory body that commits them to work within the limits of their competence.

The Treatment Modality Table below sets out the levels of education, gained either through regulated qualifications (Category 1) or demonstrated by other means (Category 2), expected for each procedure.

Treatment Modality Table

LEVEL7

Education pathway

Successful completion of a course with knowledge & competence assessment enables the practitioner to:

HRSPerform hair restoration surgery
LIPLEDDeliver fully ablative (non-fractional) treatment

Restriction

GMC registered practitioners only
BT’sAdminister botulinum toxins
DF’sAdminister temporary/semi-permanent dermal fillers
CPSRDeliver mesotherapy using topical agents as per BNF guidance *
CPSRDeliver medium depth chemical peels and localised or diluted phenol peels *

Restriction

Subject to oversight of independent prescriber
LIPLEDDeliver laser treatments of any sort within the periorbital rim (excludes treatments on or within the eyeball)

Restriction

Subject to oversight of GMC registered supervisor
LEVEL6

Education pathway

Successful completion of a course with knowledge & competence assessment enables the practitioner to:

CPSRDeliver mesotherapy with/without licensed topical treatment
CPSRDeliver superficial chemical peels to the Grenz zone in all skin types
CPSRDeliver up to 1.5mm micro-needling to the face and up to 2.0mm to the body
LIPLEDDeliver ablative fractional laser treatments (excluding within the periorbital rim)
LIPLEDUse lasers and IPL treatments for generalised and discrete pigmented lesions (excluding within periorbital rim)

Restriction

Subject to oversight of clinical professional
LEVEL5

Education pathway

Successful completion of a course with knowledge & competence assessment enables the practitioner to:

LIPLEDUse laser treatments for tattoo removal (excluding within periorbital rim)
LIPLEDUse lasers and IPL treatments for benign vascular lesions (excluding within periorbital rim)
CPSRDeliver superficial chemical peels to the mid-epidermis in skin types 1 and 2
CPSRDeliver up to 1.0mm micro-needling to face and up to 1.5mm to body

Restriction

Subject to CPSA supervision standards
LEVEL4

Education pathway

Successful completion of a course with knowledge & competence assessment enables the practitioner to:

LIPLEDUse lasers and IPL for hair removal/reduction (excluding within periorbital rim)
LIPLEDUse non-ablative lasers, IPL and LED for photo rejuvenation including sun induced benign dyschromia (excluding within periorbital rim)
LIPLEDUse LED for clinically diagnosed acne vulgaris
CPSRDeliver 0.5mm micro-needling to face and up to 1.0mm to body
CPSRDeliver very superficial peels to stratum corneum

Restriction

Subject to CPSA supervision standards

* Competencies to be agreed. Restrictions: see also CPSA standards.

Parts and categories of the register

NextRaising an issue of concern