Do you need to be CQC registered to treat Acne and Rosacea?

Advice on whether a medical aesthetic practitioner must be CQC registered to treat acne and rosacea.

On behalf of the Acne and Rosacea Association UK

The requirement for CQC registration is based on the type of treatments/procedures offered and not the specific patient condition.

So If the treatment of the skin condition does not involve any of the following;

  1. Treatment carried out under anaesthesia or intravenously administered sedation, other than:
  • nail surgery and nail bed procedures on the foot and which are carried out using local anaesthesia.
  • surgical procedures involving curettage (scraping), cautery (burning) or cryocautery (freezing) of warts, verrucae or other skin lesions carried out using local anaesthesia.

2. Medical services provided in connection with childbirth;

3. The termination of pregnancies;

4. Cosmetic surgery, with the exception of the following:

  • the piercing of any part of the human body or tattooing
  • subcutaneous injections to enhance appearance
  • removal of hair or minor skin blemishes by application of heat using an electric current;

5. Haemodialysis or peritoneal dialysis;

6. Endoscopy, other than using a device which does not have a lumen or other channel for the purpose or design of passing fluid or instruments through, or removing body tissue or fluid or any other item from, a person’s body;

7. The provision of hyperbaric therapy, being the administration of oxygen (whether or not combined with one or more other gases) to a person who is in a sealed chamber which is gradually pressurised with compressed air, where such therapy is carried out by or under the supervision or direction of a medical practitioner;

8. Intravenous, intrathecal or epidural administration of medicines or diagnostic agents;

  • the therapeutic or diagnostic use of x-rays, radiation, protons or magnetic resonance imaging;
  • invasive cardiac physiology tests

Therefore, according to the Decision Tool provided in the Care Quality Commission* (see diagram below) CQC registration is not required for the treatment of acne and rosacea unless the modality chosen includes any of the above, which is unlikely. This is based on our research and discussing with the Care Quality Commission Advisors.

*Care Quality Commission, Registration under the Health and Social Care Act 2008, Scope of registration: Independent medical practitioners working in private practice (changes from October 2013), Page 5

A practice may need to be CQC registered for other aspects of the treatments they offer, however, to reiterate, unless the treatment of acne or rosacea involves any of the above, CQC registration is not required for treating these skin conditions.

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