After the airing of BBC 3’s Botox Britain, the researcher contacted Cosmetica Training as they perceive us to be a reputable company who will work with them to provide information on important legislation within the industry. Cosmetica always welcome the opportunity to assist in reliable, informative documentaries to allow information to be imparted to the public which will enable them to make an informed decision on who they go to for their botox injections.
Due to the time scale of the information that was required and the approach that the new documentary was taking, we were unable to assist and suggested alternative contacts. The theme of the interview changed from “Botox gone wrong” to Nurses face being struck off the register for administering Botox. The change was due to the apparent lack of coverage of this topic in light of new NMC changes. We were pleased to inform the researcher that we have not seen any cases of Botox going wrong as our tutors are all highly experienced, all the delegates we train are all medically trained and during the practical sessions are all closely supervised to ensure their injection technique is undertaken safely and accurately.
The 5 Live interview featured a nurse who asked to remain anonymous stating that she had utilised remote prescribing and had to change her practice accordingly, although did not agree with the new NMC guidelines. Also featured were Sally Taber from the government’s self regulatory body, IHAS and Dr Mark Harrison a remote consultation service provider. Sally was in favour of the new guidelines and Dr Harrison opposed them, however stated that it will have an impact on his business.
Sally reported how the GMC are to release new guidelines also to clarify its position on remote consultations for botox treatments. We can only assume currently that they will concur with NMC guidelines from the information Sally was giving. We were astounded to hear that the nurse thought it was not as safe for a nurse prescriber to administer botox. The university level V300 qualifications is intense and covers all aspects of law, pharmacology, takes 6 – 8 months to complete and has a pass requirement of 80% rather than the usual 40% pass rate.
Whilst Sally may not have chosen the most appropriate arguement in support of face to face consultations, to ascertain asthma, we agree that face to face consultations are more appropriate as you can see whether the patient has any muscular atrophy, undiagnosed dermatological conditions or infections in the area and will enable the prescriber to make an informed decision on what is the most appropriate dose for the nurse to inject. It seems to be a little known fact that if the nurses tells the doctor what he/she is going to inject then the nurse is making an illegal prescribing decision.
Whilst the interview highlighted sensationalised concerns, it is true that if a nurse acts outside of NMC guidelines they do face disciplinary action which could include being struck off the register. A nurses’ condition of registration is to ensure the safety of the public and to work within all the legal and NMC guidelines.
Cosmetica has written to the NMC asking 8 specific questions on non prescribing nurses who administer botox, we will publish their answers when they are received.