Policy

Practitioner Competency Policy

Assessment, assurance and ongoing maintenance of clinical competence for aesthetic practitioners

For Aesthetic ClinicRef BS-AES-POL-008See a sample (PDF) →
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  • Editable Microsoft Word (.docx)
  • Mapped to the CQC standards
  • Optional 3-monthly updates

What's inside

This policy is fully drafted and structured, ready to brand and complete for your service. It covers:

  • 1. Purpose
  • 2. Scope
  • 3. Policy statement
  • 4. Definitions
  • 5. Competency assessment and sign-off framework
  • 6. Roles and responsibilities
  • 7. Training and continuing professional development
  • 8. Records, monitoring and audit
  • 9. Managing competence concerns
  • 10. Related documents
  • 11. Version control and review
  • Appendix A - Practitioner competency sign-off form
  • Appendix B - Pre-procedure competence and readiness checklist
  • 12. Disclaimer

Legislation & standards it maps to

  • Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 - Regulation 12 (Safe care and treatment), Regulation 17 (Good governance), Regulation 18 (Staffing) and Regulation 19 (Fit and proper persons employed)
  • Care Quality Commission (Registration) Regulations 2009
  • Care Quality Commission single assessment framework (introduced 2023 and operating in 2026) - its five key questions and quality statements
  • Medicines Act 1968 and the Human Medicines Regulations 2012 (the prescribing, supply and administration of prescription-only medicines, including botulinum toxin)
  • Professional standards and revalidation or continuing fitness-to-practise requirements of the relevant regulator for each practitioner, namely the General Medical Council, the General Dental Council, the Nursing and Midwifery Council, the General Pharmaceutical Council or the Health and Care Professions Council
  • Health and Safety at Work etc. Act 1974 and the Control of Substances Hazardous to Health Regulations 2002
  • Data Protection Act 2018 and the UK General Data Protection Regulation (competency and training records)
  • Health and Care Act 2022, section 180 (the power to introduce a licensing scheme for non-surgical cosmetic procedures in England) and any associated regulations once commenced in the relevant local authority area

Who it applies to

All clinical and non-clinical staff at [Organisation Name] who deliver, supervise, prescribe for, delegate or oversee non-surgical and minor surgical aesthetic procedures, including employed practitioners, the Registered Manager, the Clinical/Medical Director, bank and locum staff, and contracted or self-employed practitioners working under the clinic's governance.

Glossary

Plain-English explanations of the technical terms and legislation used in this document.

Adverse drug reaction
An unwanted or harmful reaction experienced after a medicine is given at a normal dose.
Anaphylaxis
A severe, life-threatening allergic reaction needing immediate emergency treatment.
Asepsis
Working in a way that keeps an area free of germs so a procedure does not cause infection.
Bank staff
Staff who are on a list to be called in to cover shifts as and when they are needed, rather than working fixed hours.
Biostimulatory filler
An injectable product that works by prompting the skin to make more of its own collagen over time, rather than simply adding volume.
Body dysmorphic disorder (BDD)
A mental health condition in which a person is preoccupied with perceived flaws in their appearance that others often cannot see.
Botulinum toxin
A prescription-only medicine, often known by brand names, that is injected to relax muscles and soften lines.
Care Quality Commission (CQC)
The independent regulator of health and social care services in England.
Chemical peel
A treatment that applies a chemical solution to the skin to remove the outer layers and improve its appearance.
Cold chain
Keeping vaccines and certain medicines within a safe temperature range from delivery to use.
Competence
Having the knowledge, skill, judgement and behaviour needed to carry out a specific task safely and well.
Complication
An unwanted problem caused by a treatment, such as infection, tissue damage or a blocked blood vessel.
Continuing professional development (CPD)
Ongoing learning and training that keeps a professional's knowledge and skills up to date.
Control of Substances Hazardous to Health Regulations 2002 (COSHH)
The law for safely managing chemicals and other hazardous substances at work.
Cooling-off period
A set waiting time given to a patient between consultation and treatment so they can reflect before committing.
Data Protection Act 2018
The UK law that sits alongside the UK GDPR and governs how personal information must be handled.
Dermal filler
An injectable gel, often based on hyaluronic acid, used to add volume or smooth lines in the skin.
Direct Observation of Procedural Skills (DOPS)
A workplace assessment in which an assessor watches a practitioner carry out a procedure and judges whether it is done competently.
Disclosure and Barring Service (DBS) check
A criminal-records check showing whether a person is suitable to work with patients or vulnerable people.
Documented Assurance Review
A structured, written review the clinic carries out when there is evidence that a practitioner may not be meeting the required standard.
Energy-based device
Equipment that uses light, heat, sound or radio waves (such as a laser) to treat the skin.
Fitness to practise
Whether a professional has the skills, knowledge, health and character to do their job safely and to the standards of their regulator.
Fitzpatrick scale
A widely used scale that classifies skin types by how they respond to sun exposure, used to plan safe treatment.
General Dental Council (GDC)
The body that registers and regulates dental professionals in the UK.
General Medical Council (GMC)
The body that registers and regulates doctors in the UK.
General Pharmaceutical Council (GPhC)
The body that registers and regulates pharmacists and pharmacy technicians in Great Britain.
Health and Care Act 2022
A UK law that, among other things, gives the power to set up a licensing scheme for non-surgical cosmetic procedures in England.
Health and Care Professions Council (HCPC)
The body that registers and regulates a range of health and care professionals in the UK.
Health and Safety at Work etc. Act 1974
The main UK law setting out employers' duties to protect the health and safety of staff and others.
Health and Social Care Act 2008 (Regulated Activities) Regulations 2014
The regulations that set out the fundamental standards providers must meet to be registered with the Care Quality Commission.
High-intensity focused ultrasound (HIFU)
A treatment that uses focused sound waves to heat tissue beneath the skin to tighten or lift it.
Hyaluronic acid
A natural substance found in the skin that is also used in many dermal fillers to add volume and moisture.
Hyaluronidase
An enzyme injected to dissolve hyaluronic acid filler, used urgently if a filler blocks a blood vessel.
Indemnity insurance
Insurance that covers a practitioner against claims for harm or loss arising from their professional work.
Independent prescriber
A qualified professional, such as a doctor, dentist, nurse or pharmacist, who is authorised to prescribe medicines in their own right.
Infection prevention and control (IPC)
The measures used to stop infection spreading between patients, staff and visitors.
Informed consent
Agreement to treatment given freely after the risks, benefits and alternatives have been clearly explained.
Intense pulsed light (IPL)
A skin treatment that uses broad-spectrum light pulses to target concerns such as pigmentation or unwanted hair.
Laser Protection Adviser
A suitably qualified expert who advises a clinic on the safe use of lasers and intense pulsed light equipment.
Level 7 qualification
An advanced qualification at master's-degree level, often used as a benchmark for training in injectable treatments.
Local Rules
A clinic's own written safety procedures for using lasers or intense pulsed light equipment, kept and followed on site.
Locum
A practitioner who works temporarily to cover for another, for example during absence or to meet extra demand.
Medicines Act 1968
A UK law that governs the manufacture, supply and use of medicines.
Medicines and Healthcare products Regulatory Agency (MHRA)
The UK body that regulates medicines and medical devices and monitors their safety.
Mental Capacity Act 2005
The law that protects and supports people who may be unable to make particular decisions for themselves.
Mesotherapy
A treatment in which small amounts of substances are injected into the skin to improve its condition or appearance.
Microneedling
A treatment that uses tiny needles to make controlled micro-injuries in the skin, prompting it to repair and renew.
Near miss
An event that could have caused harm but did not, by chance or because it was caught in time.
Necrosis
The death of body tissue, which can occur if its blood supply is cut off.
Nominated Individual
The senior person responsible to the regulator for supervising how a service is provided.
Nursing and Midwifery Council (NMC)
The body that registers and regulates nurses and midwives in the UK.
Ofqual
The body that regulates qualifications, examinations and assessments in England.
Patch test
A small trial application of a product or treatment to a limited area of skin to check for a reaction before fuller use.
Polynucleotides
Injectable substances derived from purified DNA fragments, used to improve skin quality and stimulate repair.
Prescription-only medicine (POM)
A medicine that may lawfully be supplied only on the instruction of an appropriate prescriber.
Ptosis
Drooping of the upper eyelid, which can occur as a side effect of botulinum toxin treatment.
Radiofrequency
A treatment that uses radio-wave energy to heat the deeper layers of the skin to tighten or remodel it.
Registered Manager
The person registered with the regulator as responsible for the day-to-day running of a service.
Regulated activity
A type of care or treatment the law requires a provider to register with the regulator to deliver.
Remote prescribing
Prescribing a medicine without seeing the patient in person, which is not permitted for injectable cosmetic medicines such as botulinum toxin.
Revalidation
The regular process by which a registered professional confirms to their regulator that they remain fit to practise.
Risk assessment
A structured check identifying what could cause harm and what is being done to prevent it.
Safeguarding
Protecting people's health, wellbeing and rights and keeping them safe from abuse, harm or neglect.
Scope of practice
The range of procedures and patients a practitioner is trained, competent and authorised to deal with.
Skin booster
An injectable treatment that hydrates and improves the quality of the skin rather than adding volume or shape.
Sterile field
An area kept completely free of germs around a procedure site to prevent infection.
Thread lift
A procedure that uses dissolvable threads inserted under the skin to lift and support sagging tissue.
UK General Data Protection Regulation (UK GDPR)
The UK's main data-protection law governing how personal information is collected and used.
Vascular occlusion
A blockage of a blood vessel, which during filler treatment is a medical emergency that can lead to tissue death or blindness.
Well-led
One of the regulator's five key questions, asking whether a service has strong leadership, governance and a culture of improvement.
Yellow Card scheme
The UK system for reporting suspected side effects of medicines and problems with medical devices to the Medicines and Healthcare products Regulatory Agency.

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