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Tighter restrictions on cosmetic surgery urged Tighter restrictions on cosmetic surgery urged
(about 1 hour later)
People responding to a public consultation on cosmetic surgery have called for a ban on cut-price deals and aggressive sales techniques. Responses to a public consultation on cosmetic surgery have shown strong support for a ban on cut-price deals and aggressive selling.
Responses from patients, the public and industry, are being published as part of the review set up after the PIP breast implant scandal last year.Responses from patients, the public and industry, are being published as part of the review set up after the PIP breast implant scandal last year.
A final report, by Sir Bruce Keogh, the NHS medical director, is due in March.1 A final report, by Sir Bruce Keogh, the NHS medical director leading the English review, is due in March 2013.
A spokesman for cosmetic surgeons said procedures should not be sold as "a commodity". Cosmetic surgeons said procedures should not be sold as "a commodity".
The health secretary asked Sir Bruce to look at the regulation and safety of products used in cosmetic surgery and the care given to patients both during and after their treatment.The health secretary asked Sir Bruce to look at the regulation and safety of products used in cosmetic surgery and the care given to patients both during and after their treatment.
'Time to think' The review comes after concerns over health risks associated with Poly Implant Prothese (PIP) implants made by a French company surfaced last December. It is thought up to 40,000 British women have the silicone implants, mostly done privately rather than on the NHS.
Among the href="https://www.wp.dh.gov.uk/publications/files/2012/12/Call-for-evidence-summary-report.pdf" >180 responses to the consultation were calls for less aggressive selling of cosmetic procedures and tighter restrictions on advertising, for example a ban on two-for-one and time-limited deals - and on offering cosmetic surgery as competition prizes. 'Price over quality'
Providing patients with photos of expected bruising and scarring, as well as more detail on the risks associated with surgery should be standard procedure too, a respondent said. Of the 180 responses to the consultation, the majority were said to be in favour of tighter restrictions on the advertising of cosmetic surgery.
"The proliferation of advertising for cosmetic surgery and its use in TV make-over programmes was felt to trivialise surgery and its risks, while making excessive claims of its impact on people's emotional wellbeing," a review of the responses said.
There was also "very strong support" for the banning of financial inducements or time-limited deals, it said.
The review said the practice was seen as "unethical, placing undue pressure on the patient and emphasising price rather than quality".
Providing patients with photos of expected bruising, as well as more detail on the risks associated with surgery should be standard procedure too, some respondents said.
There was a "strong sense" that consultations should be with the person performing the procedure - or at the very least a medical professional - rather than a sales adviser, the review said. While some respondents believed there should be a ban on free consultations.
Sabrina Elliott says she was put under "pressure" to sign up to a breast implant operation within 48 hours, so as to be entitled to a "lifetime guarantee".Sabrina Elliott says she was put under "pressure" to sign up to a breast implant operation within 48 hours, so as to be entitled to a "lifetime guarantee".
Ms Elliott took up the offer but the company later went into liquidation and she says her PIP implants are causing a range of health complications, including a slow silicon bleed which means she is in pain on a daily basis. Ms Elliott took up the offer but the company later went into liquidation and she says her PIP implants are causing a range of health complications, including a slow silicone bleed which means she is in pain on a daily basis.
"There was pressure. The pressure was to get that lifetime guarantee because it was really put to us that it was only with this company," she told BBC Radio 4's Today Programme."There was pressure. The pressure was to get that lifetime guarantee because it was really put to us that it was only with this company," she told BBC Radio 4's Today Programme.
She went on: "Unfortunately I paid nearly £4,000 to have harmful chemicals put in my body to which to date I am still suffering [from]."She went on: "Unfortunately I paid nearly £4,000 to have harmful chemicals put in my body to which to date I am still suffering [from]."
Sally Taber, director of Independent Healthcare Advisory Services, a trade body for the independent healthcare sector, said aggressive sales techniques were "totally inappropriate" and "all NHS members have signed up to the fact that they don't do that now".Sally Taber, director of Independent Healthcare Advisory Services, a trade body for the independent healthcare sector, said aggressive sales techniques were "totally inappropriate" and "all NHS members have signed up to the fact that they don't do that now".
She agreed with the review panel that prospective cosmetic surgery patients should not have free consultations and the industry had "looked at policies and procedures to ensure this does not happen".She agreed with the review panel that prospective cosmetic surgery patients should not have free consultations and the industry had "looked at policies and procedures to ensure this does not happen".
Good medical practice clearly states that consultations should take place with a medical professional - and the industry has been told that, she said.Good medical practice clearly states that consultations should take place with a medical professional - and the industry has been told that, she said.
"It's totally inappropriate to see someone that isn't qualified and gives pressurised advice," she said in an interview with the Today Programme."It's totally inappropriate to see someone that isn't qualified and gives pressurised advice," she said in an interview with the Today Programme.
She said there are some "rogue providers out there" but there are also "plenty of providers that do things correctly".She said there are some "rogue providers out there" but there are also "plenty of providers that do things correctly".
'Safer environment''Safer environment'
GP Dr Rosemary Leonard, the BBC Breakfast doctor and review committee member, said patients should always talk to a doctor first.GP Dr Rosemary Leonard, the BBC Breakfast doctor and review committee member, said patients should always talk to a doctor first.
"It is wrong that the first consultation is with a sales person rather than a medical professional. "It is wrong that the first consultation is with a sales person rather than a medical professional," she said.
"Surgery - indeed any cosmetic intervention - is a serious step, and a patient must be told about the immediate side effects after surgery as well as any potential long term effects on their health.""Surgery - indeed any cosmetic intervention - is a serious step, and a patient must be told about the immediate side effects after surgery as well as any potential long term effects on their health."
Rajiv Grover, president of the British Association of Aesthetic Plastic Surgeons (BAAPS) welcomed the call to end the practice of sales people holding consultations. Rajiv Grover, president of the British Association of Aesthetic Plastic Surgeons (BAAPS) also welcomed the call to end the practice of sales people holding consultations.
He said: "We're pleased that the report - and public opinion - so strongly reflects our own views.He said: "We're pleased that the report - and public opinion - so strongly reflects our own views.
"We have made the comparison between cosmetic surgery being sold as a commodity, much as a washing machine or off-the-shelf beauty products, many times before."We have made the comparison between cosmetic surgery being sold as a commodity, much as a washing machine or off-the-shelf beauty products, many times before.
"Medical procedures simply cannot continue to be promoted in this manner and although it is tragic that it has taken a crisis of the magnitude of PIP to make the world sit up and take notice, it seems we're finally making headway towards a safer environment for patients."Medical procedures simply cannot continue to be promoted in this manner and although it is tragic that it has taken a crisis of the magnitude of PIP to make the world sit up and take notice, it seems we're finally making headway towards a safer environment for patients.
"It's time to scrub up and take action to restore confidence in our sector.""It's time to scrub up and take action to restore confidence in our sector."
Respondents to the consultation were asked a series of questions about the way the current regulatory system functions.
The review panel said they would be used to inform their final recommendations.
Have you had cosmetic surgery? Do you think more needs to be done to make cosmetic surgery safer? Please send in your comments and stories using the form below.Have you had cosmetic surgery? Do you think more needs to be done to make cosmetic surgery safer? Please send in your comments and stories using the form below.