Professionalism, Law & Ethics

Question 1

What are the 5 R’s to describe types of aesthetic treatments?

Answer 1

Redraping (surgery)
Resurfacing
Retaining (skincare etc)
Relating (botox)
Refilling (filler)

Question 2

What are the 3 main responsibilities of the JCCP?

Answer 2

1. Oversee training organisations
2. Curate a register of qualified practitioners who are displayed on a public facing register
3. Oversee premises standards

Question 3

When did the JCCP launch in the house of lords?

Answer 3

Feb 2018

Question 4

What are the 3 things that the CPSA are responsible for?

Answer 4

1. Reviewing evidence + updating guidelines on existing defined modalities + future emerging modalities
2. Setting the standard for clinical + practice proficiency
3. Collect adverse event data + developing patient outcome + experience measures. Working in partnership with the JCCP on standards with regard to aesthetic treatments

Question 5

What guidelines must you follow for advertising to patients?

Answer 5

Must follow ASA and CAP guidelines of advertising + provide factual, clear information on expected results, complications and risks

Question 6

What feedback, audit + appraisal activities should you partake in?

Answer 6

1. Collect feedback from patients and reflect on
2. Collect written + verbal feedback from colleagues
3. Audit treatment outcomes to continually learn from and encouraged to share with professional community
4. Engage in annual appraisal and revalidation

Question 7

What do the CPSA say you should do with regards to adverse events?

Answer 7

1. Report to MHRA yellow card scheme
2. Record locally and discuss in MDT environment
3. Practitioner should be aware of national alerts cascaded down from CAS (central alerting system)
4. Periodic evaluation of legal changes, regulatory requirements and best practice should take place.
5. Completion of regular, formal and recorded review of currently offered procedures

Question 8

What are the key principles for dealing with complaints?

Answer 8

1. Take time to listen & understand issue
2. Explain to patient steps you are taking following complaint
3. Escalate & seek advice from a senior colleague & from indemnity provider
4. Offer an apology
5. Rectify the issue if possible
6. Investigation of the issue
7. Refining of processes to prevent further similar incidents

Question 9

To ensure consent is valid, what factors do you need to assess?

Answer 9

Informed
Voluntary
Capacity

Question 10

What is Bolam? What is Montgomery?

Answer 10

Bolam = consent obtained if doctor explained any dangers a reasonable doctor in their position would feel significant
Montgomery = doctors need to provide information on any dangers they think that specific patient would consider important knowing about

Question 11

What are some key situations which could justify breaking confidentiality?

Answer 11

1. Public protection
2. Child protection
3. Patient protection
4. If patient consents to you breaking confidentiality

Question 12

What is involved when creating an information governance framework?

Answer 12

1. Defining the scope of the framework
2. Roles & responsibilities
3. Information policies
4. Information procedures
5. Working with third parties
6. Disaster recovery, contingency & business continuity
7. Auditing, measurement & review

Question 13

How long should we keep medical records for?

Answer 13

GDPR says no longer than necessary
Department of health advises NHS records for no more than 30yrs - min of 8yrs for adults and 25yrs for children
Private medical records normally keep details for 10yrs (aesthetic comes under this)