Policy

Duty of Candour Policy

Being open, honest and transparent with patients when something goes wrong, and meeting the statutory and professional duty of candour in aesthetic practice

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  • Editable Microsoft Word (.docx)
  • Mapped to the CQC standards
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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 and principles
  • 4. Definitions
  • 5. The statutory duty of candour: when it applies
  • 6. Harm thresholds and aesthetic-relevant examples
  • 7. The duty of candour procedure: step by step
  • 8. Providing reasonable support to the patient
  • 9. The professional duty of candour on individual registrants
  • 10. Links to incident reporting, complaints, governance and Care Quality Commission notifications
  • 11. Supporting staff: a no-blame, learning culture
  • 12. Roles and responsibilities
  • 13. Training and awareness
  • 14. Monitoring, audit and compliance
  • 15. Related policies
  • 16. Review and version control

Legislation & standards it maps to

  • Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 - Regulation 20 (Duty of candour)
  • Care Quality Commission (Registration) Regulations 2009 - Regulation 18 (Notification of other incidents) and Regulation 16 (Notification of death of a service user)
  • Compensation Act 2006 - Section 2 (an apology does not of itself amount to an admission of negligence or breach of statutory duty)
  • Health and Social Care Act 2008 - the Care Quality Commission's enforcement powers in relation to Regulation 20 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014
  • Data Protection Act 2018 and the UK General Data Protection Regulation (UK GDPR)
  • General Medical Council and Nursing and Midwifery Council, 'Openness and honesty when things go wrong: the professional duty of candour' (joint guidance, with the equivalent standards of the General Dental Council and the General Pharmaceutical Council)

Who it applies to

All registered managers, nominated individuals, prescribers, practitioners (medical, nursing, dental and non-medical injectors), clinical support staff, reception and administrative staff, locums, students and contractors of [Organisation Name]

Glossary

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

Adverse event
Any unexpected or unwanted occurrence linked to a treatment, product or device that harms, or could harm, a patient.
Anaphylaxis
A severe, life-threatening allergic reaction needing immediate emergency treatment.
Apology
A sincere expression of sorrow or regret for harm or distress caused; in law it is not an admission of legal liability.
Botulinum toxin
A prescription-only injectable used to relax muscles and soften lines, commonly known by brand names such as Botox.
Care Quality Commission (CQC)
The independent regulator of health and social care services in England.
Care Quality Commission (Registration) Regulations 2009
The rules setting out which incidents, such as a death or serious injury, a registered provider must formally notify to the regulator.
Chemical peel
A treatment that applies a chemical solution to the skin to remove damaged outer layers and improve its appearance.
Collagen induction therapy
A treatment, often using fine needles, that prompts the skin to make more collagen to improve its texture; also called microneedling.
Compensation Act 2006
The law which confirms, among other things, that saying sorry does not by itself count as admitting legal fault.
Contemporaneous record
A note made at the time an event happens, or as soon as possible afterwards, so it is accurate and reliable.
Data Protection Act 2018
The UK law that sets the rules for handling people's personal information, working alongside the UK GDPR.
Dermal filler
An injectable gel, often hyaluronic acid, used to add volume to or smooth the skin.
Duty of candour
The legal and professional duty to be open and honest with a person and their family when something goes wrong with their care.
Fitness to practise
Whether a registered professional has the skills, knowledge, character and health to do their job safely and lawfully.
General Dental Council (GDC)
The body that registers and regulates dental professionals in the United Kingdom.
General Medical Council (GMC)
The body that registers and regulates doctors in the United Kingdom.
General Pharmaceutical Council (GPhC)
The body that registers and regulates pharmacists and pharmacy premises in Great Britain.
Harm
Physical or psychological injury to a patient; its severity decides whether the statutory duty of candour applies.
Health and Social Care Act 2008 (Regulated Activities) Regulations 2014
The regulations setting out the fundamental standards providers must meet, including the duty of candour in Regulation 20.
High-intensity focused ultrasound (HIFU)
A device that uses focused sound waves to heat deeper layers of skin to tighten or lift it.
Hyaluronidase
An enzyme injected to dissolve hyaluronic acid dermal filler, used urgently to treat some filler complications.
Information governance
The framework for handling people's personal and health information legally, securely and appropriately.
Informed consent
Agreement to treatment given freely after the risks, benefits and alternatives have been clearly explained.
Intense pulsed light (IPL)
A device that uses broad-spectrum light to treat skin concerns such as pigmentation, redness or unwanted hair.
Intravenous (IV) therapy
Giving fluids, vitamins or medicines directly into a vein through a drip or injection.
Just culture
A workplace culture that supports honest reporting of mistakes and focuses on learning rather than blame.
Local anaesthetic
A medicine that numbs a small area of the body so a procedure can be carried out without pain.
Medicines and Healthcare products Regulatory Agency (MHRA)
The UK body that regulates medicines and medical devices and oversees their safety.
Microneedling
A treatment that uses very fine needles to create tiny channels in the skin to encourage repair and renewal.
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, for example skin, which can follow a blocked blood vessel after a filler injection.
Nominated Individual
The senior person responsible to the regulator for supervising how a service is provided.
Notifiable safety incident
An unintended or unexpected incident during care that, in a health professional's reasonable opinion, has caused or could cause death or significant harm, triggering the statutory duty of candour.
Nursing and Midwifery Council (NMC)
The body that registers and regulates nurses and midwives in the United Kingdom.
Platelet-rich plasma (PRP)
A treatment using a concentrated part of the patient's own blood, injected to encourage healing or skin rejuvenation.
Polynucleotides
Injectable substances derived from purified DNA fragments, used to improve skin quality and repair.
Prescriber
A healthcare professional legally authorised to decide on and order prescription medicines for patients.
Privacy and Electronic Communications (EC Directive) Regulations 2003 (PECR)
The rules governing electronic marketing and communications, such as emails, texts and calls, alongside data-protection law.
Prolonged psychological harm
Psychological harm a patient has experienced, or is likely to experience, for a continuous period of at least 28 days.
Radiofrequency
A device that uses radio-wave energy to heat the skin's deeper layers to tighten and firm it.
Registered Manager
The person registered with the regulator as responsible for the day-to-day running of a service.
Registered person
The provider or individual legally registered with the regulator and accountable for meeting its standards.
Registrant
A professional who is entered on the register of a regulatory body and bound by its standards.
Regulated activity
A type of care or treatment the law requires a provider to register with the regulator to deliver.
Relevant person
The patient, or where they have died, lack capacity or are a child not competent to decide, someone lawfully acting on their behalf.
Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013 (RIDDOR)
The law requiring certain workplace injuries, diseases and dangerous events to be reported to the Health and Safety Executive.
Safeguarding
Protecting people's health, wellbeing and rights and keeping them safe from abuse, harm or neglect.
Second victim
A member of staff who is themselves traumatised or distressed after being involved in a patient safety incident.
Severe harm
A permanent reduction in a patient's bodily, sensory, motor or intellectual function caused by an incident.
Single assessment framework
The structure the regulator uses to judge a service, built around quality statements and five key questions (safe, effective, caring, responsive, well-led).
Skin booster
An injectable treatment that hydrates and improves the quality of the skin rather than adding volume.
Statement of Purpose
A required document describing who a service is, what it does and where, shared with the regulator.
Statutory duty
A duty that is required by an Act of Parliament or its regulations, rather than being merely good practice.
Thread lift
A procedure that inserts dissolvable threads 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, a serious filler complication that can cause tissue death or, rarely, blindness if untreated.
Whistleblowing (speaking up)
Raising a concern about wrongdoing, risk or malpractice at work, protected by law.
Yellow Card scheme
The Medicines and Healthcare products Regulatory Agency's system for reporting suspected problems with medicines or medical devices.

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