Policy

Lone Working Policy

How [Organisation Name] assesses and, so far as is reasonably practicable, controls the risks to staff who work alone in fixed, host-clinic, mobile and home-visit aesthetic settings, or who open up, lock up or handle deliveries, cash and stock without a colleague present

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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. Legal duties and the absence of a lone-working statute
  • 6. Hazards of lone working in aesthetic practice
  • 7. Risk assessment of lone working
  • 8. Lone-working scenarios and controls
  • 9. Check-in (buddy) systems and raising the alarm
  • 10. Clinical emergencies and back-up arrangements
  • 11. Mobile and home-visit working
  • 12. Security of premises, medicines, stock and cash
  • 13. The right to refuse or withdraw without detriment
  • 14. Welfare and support of lone workers
  • 15. Roles and responsibilities
  • 16. Training and awareness
  • 17. Incident reporting, monitoring, audit and compliance
  • 18. Related policies
  • 19. Review and version control
  • 20. Disclaimer

Legislation & standards it maps to

  • Health and Safety at Work etc. Act 1974 - sections 2 and 3 (duties of employers to employees and to others)
  • Management of Health and Safety at Work Regulations 1999 - Regulations 3 (risk assessment) and 5 (health and safety arrangements)
  • Health and Safety Executive (HSE) guidance INDG73 'Protecting lone workers: How to manage the risks of working alone'
  • Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013 (RIDDOR)
  • Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 - Regulation 12 (Safe care and treatment), Regulation 13 (Safeguarding service users from abuse and improper treatment) and Regulation 18 (Staffing)
  • Care Quality Commission single assessment framework (key questions Safe and Well-led, and their associated quality statements)
  • Misuse of Drugs Regulations 2001 and Misuse of Drugs (Safe Custody) Regulations 1973 (where Controlled Drugs are held)
  • Data Protection Act 2018 and the UK General Data Protection Regulation (UK GDPR)

Who it applies to

All registered managers, the nominated individual, medical director / lead clinician, prescribers, practitioners (medical, nursing, dental and non-medical injectors), clinical support staff, reception and administrative staff, locums, students, contractors and room-renters working at or on behalf of [Organisation Name], whenever they work alone or without immediate access to a colleague

Glossary

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

Adrenaline
The emergency medicine given to treat a severe allergic reaction (anaphylaxis).
Adverse event
Any unexpected or unwanted occurrence linked to a treatment that harms, or could harm, a patient.
Anaphylaxis
A severe, life-threatening allergic reaction needing immediate emergency treatment.
Botulinum toxin
A prescription-only medicine, often used for anti-wrinkle treatments, that relaxes muscles by blocking nerve signals.
Care Quality Commission (CQC)
The independent regulator of health and social care services in England.
Chaperone
A trained person present during an intimate examination to support and protect the patient and the clinician.
Check-in (buddy) system
An arrangement where a lone worker confirms they are safe to a named contact at set times, so an alarm is raised if they do not check in.
Controlled Drug
A medicine whose supply, storage and records are tightly restricted by law because of its potential for misuse.
Cosmetic Practice Standards Authority (CPSA)
The body that sets the clinical standards for safe cosmetic practice that the Joint Council for Cosmetic Practitioners oversees.
Data Protection Act 2018
The UK law that governs how organisations handle people's personal information, sitting alongside the UK General Data Protection Regulation.
Dermal filler
An injectable gel, often hyaluronic acid, used to smooth lines or add volume to the face.
Duty of candour
The legal duty to be open and honest with a person and their family when something goes wrong with their care.
Dynamic risk assessment
The continuous on-the-spot judgement a lone worker makes about whether a situation is safe as it unfolds.
Escalation procedure
The pre-agreed steps a named contact takes when a worker misses a check-in or raises an alarm, ending in calling the emergency services.
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 pharmacies in the UK.
Health and Safety at Work etc. Act 1974
The main UK law placing duties on employers to protect the health and safety of their workers and others affected by their work.
Health and Safety Executive (HSE)
The national body responsible for regulating and enforcing health and safety at work in Great Britain.
Health and Social Care Act 2008 (Regulated Activities) Regulations 2014
The regulations setting out the fundamental standards a registered care provider must meet, enforced by the Care Quality Commission.
Host clinic
Premises run by another business where a practitioner rents or uses a room to treat their own patients.
Hyaluronidase
A medicine used to dissolve hyaluronic-acid dermal filler, including as an emergency treatment for a blocked blood vessel.
INDG73
The Health and Safety Executive's published guidance on managing the risks of working alone.
Informed consent
Agreement to treatment given freely after the risks, benefits and alternatives have been clearly explained.
Joint Council for Cosmetic Practitioners (JCCP)
The voluntary register and standards body for practitioners who provide non-surgical cosmetic treatments in the UK.
Locum
A practitioner who works temporarily to cover for, or alongside, the regular team.
Lone worker
Anyone who works by themselves without close supervision and without a colleague immediately available to help.
Lone-worker alarm
A dedicated device or phone application that lets a worker raise an alarm discreetly, often sharing their location with a monitored response service.
Management of Health and Safety at Work Regulations 1999
The regulations requiring employers to assess workplace risks and put arrangements in place to control them.
Manual handling
Lifting, moving or supporting loads or people by hand, which can cause injury if done unsafely.
Medical aesthetics
Non-surgical cosmetic treatments delivered by trained practitioners, such as injectables and skin procedures.
Misuse of Drugs (Safe Custody) Regulations 1973
The law setting out how certain Controlled Drugs must be stored securely.
Misuse of Drugs Regulations 2001
The law governing how Controlled Drugs may lawfully be possessed, supplied and recorded.
Near miss
An event that could have caused harm but did not, by chance or because it was caught in time.
Needlestick injury
A wound caused by a needle or other sharp item, which can risk passing on a blood-borne infection.
Nominated Individual
The senior person responsible to the Care Quality Commission for supervising how a service is provided.
Notifiable event
An incident a provider is legally required to report to the regulator, such as a death or serious injury.
Nursing and Midwifery Council (NMC)
The body that registers and regulates nurses and midwives in the UK.
Occupational health
A service that supports and advises on the health and wellbeing of staff in relation to their work.
PECR
The Privacy and Electronic Communications (EC Directive) Regulations 2003, the rules covering electronic marketing and similar communications.
Practising privileges
An arrangement allowing an external practitioner to work at a provider's premises under agreed terms.
Prescription-only medicine (POM)
A medicine that may lawfully be supplied only on the instruction of an appropriate prescriber.
Registered Manager
The person registered with the Care Quality Commission 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 Care Quality Commission to deliver.
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.
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.
Sharps
Needles, blades and other items that can cut or puncture the skin.
Single assessment framework
The structure the Care Quality Commission uses to judge a service, built around quality statements and five key questions (safe, effective, caring, responsive, well-led).
So far as is reasonably practicable
The legal standard requiring an employer to weigh a risk against the time, cost and effort of controlling it, and to take all reasonable measures unless they are grossly disproportionate to the risk.
Statement of Purpose
A required document describing who a service is, what it does and where, shared with the regulator.
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 an emergency because it can cut off the blood supply to skin or other tissue.
Vasovagal collapse
A faint caused by a sudden drop in heart rate and blood pressure, often triggered by pain, fear or the sight of a needle.
Whistleblowing (speaking up)
Raising a concern about wrongdoing, risk or malpractice at work, protected by law.

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  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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