Policy

Chaperone Policy

Safeguarding patient dignity, privacy and safety, and protecting staff, during intimate and sensitive aesthetic procedures

For Aesthetic ClinicRef BS-AES-POL-017See 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 and principles
  • 4. Definitions
  • 5. The patient's right to a chaperone
  • 6. What a chaperone is - and is not
  • 7. Procedures where a chaperone should be offered
  • 8. The chaperone's role and conduct
  • 9. Consent and record-keeping
  • 10. When a chaperone is requested but not available
  • 11. When a patient declines a chaperone
  • 12. Lone and solo practitioners
  • 13. Cultural, religious and personal sensitivities
  • 14. Concerns, complaints and allegations
  • 15. Roles and responsibilities
  • 16. Training and awareness
  • 17. Monitoring, audit and compliance
  • 18. Related policies
  • 19. Version control and review
  • Appendix A - Chaperone Record (to file in the patient's notes)
  • Appendix B - Pre-Procedure Chaperone Checklist
  • 20. Disclaimer

Legislation & standards it maps to

  • Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 - Regulation 9 (Person-centred care), Regulation 10 (Dignity and respect), Regulation 11 (Need for consent) and Regulation 13 (Safeguarding service users from abuse and improper treatment)
  • Care Quality Commission (Registration) Regulations 2009
  • General Medical Council, Intimate examinations and chaperones (2024)
  • General Medical Council, Good medical practice (2024)
  • Nursing and Midwifery Council, The Code (2018, updated 2024)
  • General Dental Council, Standards for the Dental Team
  • General Pharmaceutical Council, Standards for pharmacy professionals
  • Joint Council for Cosmetic Practitioners (JCCP) Code of Practice and the Cosmetic Practice Standards Authority (CPSA) standards
  • Equality Act 2010
  • Sexual Offences Act 2003
  • Mental Capacity Act 2005 and the Mental Capacity Act 2005 Code of Practice
  • Data Protection Act 2018 and the UK General Data Protection Regulation (UK GDPR)

Who it applies to

All directors, registered managers, nominated individuals, prescribers, aesthetic practitioners (medical and non-medical), nurses, dermal therapists, healthcare assistants, trained chaperones, reception and administrative staff, bank and locum workers, contractors, students and volunteers engaged by [Organisation Name]

Glossary

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

Adult at risk
An adult who, because of needs for care or support, may be less able to protect themselves from abuse, harm or neglect.
Bank worker
A member of staff who works flexible or ad hoc shifts as and when needed, rather than to a fixed contract.
Best interests
A decision made for someone who cannot decide for themselves, choosing the option that is best for them.
Capacity (mental capacity)
Whether a person can understand and make a particular decision for themselves at the time it needs to be made.
Care Quality Commission (CQC)
The independent regulator of health and social care services in England.
Chaperone (impartial chaperone)
A trained member of the clinical team present during an intimate procedure to support the patient and act as an independent safeguard for both patient and practitioner.
Companion
A family member, friend, partner or carer the patient brings for personal reassurance, who is not a trained, impartial chaperone.
Cosmetic Practice Standards Authority (CPSA)
The body that sets the clinical standards for cosmetic and aesthetic practice that underpin the JCCP register.
Cryolipolysis
A non-surgical fat-reduction treatment that uses controlled cooling to break down fat cells under the skin.
Decolletage
The upper chest and neckline area, often exposed during certain skin treatments.
Disclosure and Barring Service (DBS) check
A criminal-records check showing whether a person is suitable to work with patients or vulnerable people.
Domiciliary setting
Care or treatment provided in a person's own home rather than in a clinic.
Duty of candour
The legal duty to be open and honest with a person and their family when something goes wrong with their care.
Equality Act 2010
The law protecting people from discrimination based on characteristics such as age, disability, sex, gender reassignment, religion or race.
Fundamental standards
The minimum standards of safety and quality below which care must never fall.
General Dental Council (GDC)
The body that registers and sets standards for dentists and dental care professionals in the UK.
General Medical Council (GMC)
The body that registers and sets standards for doctors in the UK.
General Pharmaceutical Council (GPhC)
The body that registers and sets standards for pharmacists and pharmacy technicians in Great Britain.
Health and Social Care Act 2008 (Regulated Activities) Regulations 2014
The regulations setting the fundamental standards that providers of regulated care must meet, enforced by the Care Quality Commission.
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 pulses for treatments such as hair removal and skin rejuvenation.
Intimate or sensitive procedure
Any examination, photograph or treatment that exposes or involves close contact with private areas of the body, or that a patient may reasonably find embarrassing or distressing.
Joint Council for Cosmetic Practitioners (JCCP)
The independent body that holds voluntary registers of cosmetic practitioners and sets a code of practice for the sector.
Local Authority Designated Officer (LADO)
The local-authority officer who oversees concerns or allegations that a person working with children may pose a risk to them.
Locum
A practitioner who stands in temporarily to cover the work of another, usually on a short-term basis.
Lone or solo practitioner
A practitioner working without other staff readily available on site to act as a chaperone.
Mental Capacity Act 2005
The law that protects and supports people who may be unable to make particular decisions for themselves.
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 sets standards for nurses and midwives in the UK.
Practising privileges
An arrangement allowing a self-employed practitioner to treat patients at a clinic without being directly employed by it.
Protected characteristic
A personal attribute, such as age, disability, sex, race or religion, that the Equality Act 2010 protects from discrimination.
Reasonable adjustments
Changes a service makes so that disabled people, or those with communication or language needs, are not put at a disadvantage.
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.
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.
Sexual Offences Act 2003
The law defining sexual offences in England and Wales, including those involving abuse of a position of trust or care.
UK General Data Protection Regulation (UK GDPR)
The UK's main data-protection law governing how personal information is collected and used.
Well-led
One of the regulator's five key questions, asking whether a service's leadership, management and culture deliver high-quality, safe care.
Whistleblowing (speaking up)
Raising a concern about wrongdoing, risk or malpractice at work, protected by law.

How it works

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  2. Download your editable Word file from the link we email you straight away.
  3. Complete the placeholders for your service, then have it approved before use.
  4. Add the optional updates subscription and we keep it current as guidance changes.

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