Dear Member, Having Paul Burgess, our interim CEO, with us this month has been like having an efficient, non destructive tornado clearing all those areas that had been put on the back burner. He has been working in the office with Liz and Kris, putting the business side of BACN in order to allow us to move on more effectively with the bottom line of serving our members. The last year or so has been somewhat consumed with the Keogh report, installing ourselves politically as experts and ensuring that the aesthetic nurse voice is listened to and included in consultations. It has taken a long time to develop a change in the mind-set of those who thought aesthetic nurses were mavericks. We are a mixed group of professionals. We have expert level aesthetic practitioners and an equal number of less experienced aesthetic nurses developing their skills but with advanced skills in other areas. Sharing knowledge and surrounding ourselves with a team of expert advisors and support is essential. We work in an isolating profession and with few recognised training courses available the nurse is left vulnerable, and so too the patient. All this is slowly changing with the development of the HEE educational framework which BACN plays a large part of and we will be keeping you up to date with some plans we have in relation to higher education in aesthetics. A small group of us are working on re-editing the 2013 Competency Framework for Nurses in Aesthetic Medicine which is being led by Adrian Baker, who was part of the team last year. This will be completed in the next month or so and we have taken into consideration points from a post publication review and made amendments. We have been considering a BACN mobile App for some time now, which might be much easier for us all to access the website, forum, news, documents etc and so this is something to look forward to. "One click" access is the way forward. Interestingly we are receiving almost daily requests from overseas nurses or doctors and dentists to join us or to be associated. We are delighted that we are so highly thought of outside of the nursing fraternity. We do offer access to all conferences, workshops and regional groups for non members but it may be a time to think about different membership levels and forging partnerships. Food for thought.
The BIG WEEKEND AESTHETIC FEST! Conference this October 3rd 4th is going to be something quite fantastic and we are giddy with arrangements and final touches. Liz de Pass and Angela Rankin have surpassed themselves in the organisation. We have had incredible support from our industry, the exhibition area is full and we have a packed two day agenda of education from experts, so much CPD and updated information, and all with the backdrop of Brighton Sea front and Comedy week. More details on the conference are within this newsletter so please ensure you have marked it out NOW in your diary - then click the link and register and book your room.
CEN / BSI Last month the CEN aesthetic surgery draft standard was approved to be published as a European Standard. The actual publication will be later this year. What does that mean to us? Essentially not much as the standard addresses surgical procedures, having had the non surgical content lifted out and inserted into a potential new draft standard for the range of aesthetic treatments that we undertake. The non surgical draft standard also includes minimally invasive surgical treatments but is not an exhaustive list nor prescriptive and is at an immature stage with regard to this area. The drafted outline of the non surgical standard was presented to CEN and has not been approved as a working item which means ultimately that there might not be a CEN Non Surgical aesthetic standard. At present we are not certain what the next stage is for this document and there will be a meeting in Vienna in August with all CEN committees (the participating European standards organisations) to discuss it's future. I am reluctant to hazard a guess at this stage what will happen. As soon as there is any information I will pass this on. Roger Smallwood, Accountant, has kindly agreed to join us on the management board as Treasurer and he will be guiding us on all things related to finance. Some of you may remember him at the business workshop where he presented on VAT. He was so informative, hugely interested in aesthetics and in giving advice that it seemed an obvious move to invite him on board. Board positions are voluntary and unpaid and Roger will be steering us in a variety of areas and helping Liz and Kris in the office too. Hopefully we can arrange a workshop where he can present more extensively. We will post his bio shortly for all to see. Happily the holidays are almost upon us. I am looking forward to seeing my daughter who has been away studying at university in China since February, so I will be travelling to Thailand to meet up with her and absorb some decent levels of Vitamin D; not forgetting the Sun block of course! The capable Lou Sommereux will be in charge, and Liz and Kris around too. See you all in October at the conference of the year.
Sharon Bennett Interim BACN Chair
CRC Press now offer a 20% discount for BACN members on ALL publications on their website.
www.crcpress.com Search 'Cosmetic Dermatology' for the books relevant to our field. There will be a 'Book of The Month', every month going forward.
Education. The work of Health Education England post the Keogh review. Andrew Rankin, Board member and Chair of the Education committee is representing the BACN in this important work. As a member of the HEE Expert Reference Group, he was chosen as group leader for the treatment modalities of Botulinum toxins and dermal fillers for the initial phase. This has placed him in an ideal position to represent the interests of BACN members in defining outcomes. Phase one of the work has been recently completed, with outcomes concerning the academic levels of the eventual qualification and in general terms, what should be taught at these levels. Briefly, on completion of the foundation level (which we feel nurses will be able to APEL to a greater extent), the practical and academic training then starts (for Botulinum toxins and dermal fillers) at level 6. This means that the modules will be taught at Bachelors degree level, but not that it will necessarily lead to a full degree. Level 6 represents, in essence, what we might consider ‘basic’ botulinum toxins and fillers, with advanced procedures at level 7 (masters). Phase two has just begun and will develop the content of what is taught, forming more recognisable academic modules. Andrew will continue to lead for dermal fillers but as the workload is expanding, he has handed over Botulinum toxins to BCAM. Further to module development, we will pin down requirements for supervision, decide who can supervise and what this will mean. The foundation level of the qualification is open to all. The extent to which any of the various interested groups can progress up the ladder of each treatment modality, particularly relating to Botulinum toxins and dermal fillers, has yet to be formally agreed. Regulatory issues are not within the remit of HEE. However, where the integrity of the qualification may be compromised by a lack of regulation, we may make recommendations (to the Department of Health, via HEE) to this end. Rest assured that the BACN are forthright in making such recommendations, where we feel the industry, BACN members, or the qualification would be undermined. Other notable news – the Department of Health has stated its decision to not make dermal fillers a prescription only device. However they have expressed their commitment to passing legislation which will ensure dermal fillers can only be given after a face to face consultation and by a suitably qualified person. Finally, BACN are also working hard with educational providers, not only to ensure that relevant qualifications are developed for its members, but also to ensure that there are options in place which enable us to evidence our experience against future qualification requirements. For further information - articles have been prepared for the Journal of Aesthetic Nursing (June) and the Aesthetics Journal (July). Also, the HEE website will provide continuous updates: http://nwl.hee.nhs.uk/our-work/non-surgical-cosmetic-interventions/ Finance – who is Roger Smallwood? Some of you might recognise the name from the BACN conference in London earlier this year. I am a qualified Accountant who came to give an insight into the joys of Accounting and VAT. I tried to bring you some understanding how accounting plays a big part of your business, and how getting things right initially can save you time in the later on. As well as running my own business Avondale Medical, I am also assisting BACN finance and acting as an overseer of their accounts. A small tip for your business: Expenses – keep the Receipts neat and tidy. Set up a file, and file them by month. At the end of your Tax Year either you or your Accountant will find it easier to compile your accounts.
FACE Conference - What’s New? The Queen Elizabeth II Conference Centre set in the heart of busy Westminster was once again the venue for FACE. It was the second time that FACE had been staged at the QE2 moving from the smaller Royal College of Physicians. There seems to have been an explosion of new technologies, devices, fillers, over the past twelve months and FACE conference gave practitioners the chance to see what’s been going on in the industry catch up with manufacturers and with some interesting lectures this year, a great opportunity for peer to peer debate and CPD. This Year’s after party had a strong Latino theme and everyone seemed to thoroughly enjoy themselves. We’re all going on a summer holiday! Lots of our patients at this time of year will be heading off to foreign parts or pottering around in the garden back home and hopefully we are all doing our best to educate on the effects of UV damage and the benefits of sun protection damage when our patients attend clinic not only does UV damage cause premature aging it is known this skin cancer is one of the most common cancers in the world1. Non-melanoma skin cancer (NMSC) refers to a group of cancers that develops in the upper layers of the skin. Exposure to ultra-violet (UV) light is a main factor in causing NMSC2. I was therefore really interested to see the launch at FACE of Actinica® from Galderma Actinica® Lotion has been developed especially for people who are at a higher risk of developing skin cancer due to UV exposure. Apart from chronic UV exposure, patient-specific risk factors include patients with a weakened immune system. People who have received organ transplants are usually given medicines that weaken their immune system to prevent their body from rejecting the new organ (immune- suppressants) resulting in them being at increased risk. People with HIV/AIDS and those with a previous occurrence of skin cancer are also at increased risk, as well as people who have had chemotherapy for malignant disease, or have leukaemia, lupus and rheumatoid arthritis3. How does it work? Actinica Lotion contains a combination of modern photostable UV filters, which absorb, reflect and scatter a broad spectrum of UV radiation. It is highly effective in protecting skin from ultraviolet B (UVB) as well as from ultraviolet A (UVA) radiation. Its UVB and UVA protection level meets the highest category, “very high UV protection”, as established by the European Commission recommendation. Galderma tell us that it is the first and only medical device with proven effectiveness in the prevention of various forms of NMSC demonstrated in a clinical study4. Two years of regular use of Actinica Lotion led to a 53% reduction of actinic keratoses lesions and prevented the development of new squamous cell carcinoma (Types of NMSC)4. References 1 NHS website. Skin cancer (non-melanoma) http://www.nhs.uk/Conditions/Cancer-of-theskin/Pages/Introduction.aspx Last accessed October 2013 2 The British Association of Dermatologists. Squamous cell carcinoma patient information leaflet. http://www.bad.org.uk/site/876/default.aspx Last accessed October 2013 3 Skin Cancer Foundation. Immunosuppression and skin cancer facts. http://www.skincancer.org/skin-cancerinformation/skin-cancer-facts/weakened-immune-system-can-lead-to-skin-cancer Last accessed October 2013 4 Ulrich C et al. Prevention of non-melanoma skin cancer in organ transplant patients by regular use of a sunscreen: a 24 months, prospective, case-control study. British Journal of Dermatology. 2009. 161:78-84. ACT/010/0214 Date of preparation: February 2014
BACN board member Julie Brackenbury attended the NMC's Code Review and revalidation stakeholder summit in Cardiff on the 26th June. Here she is reporting back…. The main focus of the summit:
Information on revalidation, key aspects of the model and how a revised Code will underpin it The draft revised Code How revalidation could apply to nurses and midwives working in different settings An opportunity to explore key aspects of the draft revised Code
Some interesting statistics from Jackie Smith NMC, CE and registrar: o o o
678,000 registrants on NMC register 80% of the budget is delegated to fitness to practice hearings 22 hearings take place each day
Revalidation structure: Revalidation will compromise of a 3 year renewal system; 450 hours clinical practice and 35 hours CPD NMC fees: The current registration will increase to £120.00 from March 2015 Important dates: The NMC aims to start revalidation from the end of 2015 The BACN and NMC: The BACN are in the process of building a collaborate relationship with the NMC to provide aesthetic nurses on guidance about revalidation in their practice. We will keep you updated as much as possible so please bear with us. There are a number of focus groups taking place involving aesthetic nurses to assist in the research for the changes, so we may well need to call upon you for assistance. Consultation on a draft revised Code and our proposed approach to revalidation – Have your say! Part two of the consultation is now open. This is part two of a two-stage, six-month public consultation, which will run from January until August 2014. The consultation as a whole will address revising the Code (the standards of good nursing and midwifery practice) and implementing revalidation. In part one, which ran January–March, the NMC focused on how the proposed model of revalidation can be implemented in a variety of employment settings and scopes of practice. This will help ensure the model that is launched in December 2015 is flexible and fit for purpose. Part two of the consultation concentrates more on the draft Code and focused engagement. The Code is central to nursing and midwifery practice and will therefore be a key part of revalidation. The NMC are also consulting on key themes in the revalidation guidance. This stage of the consultation will involve focus groups run by Ipsos MORI and an online survey for everyone to take part in. Part two will run for 12 weeks and closes on 11 August 2014. If you would like to take part, please click on the link here - http://www.nmc-uk.org/code-survey Alongside the consultation the NMC are holding engagement events in England, Northern Ireland, Scotland and Wales for nurses and midwives to help us shape a revised Code and draft guidance for revalidation. To reserve your place to the next summit by emailing mrevalidation@nmc-uk.org Your help is needed to work with Julie with the focus groups in guiding the NMC for the future of aesthetic nurses within the private and self employed sector. Please email the office and let us know if you can help.
Regional Groups The regional group meetings are highly regarded by our peers and sponsoring companies our 14 leaders work hard to organise an interesting educational and professional meeting. Attendance and commitment of these meetings is erratic across the country we recommend a minimum of 3 or 4 meetings a year which are planned ahead for your diaries by your group. The meetings are expensive to hold if sponsored by a company and involve their considerable time and effort. Which is why we ask for an on line attendance deposit which is returnable on your attendance. The groups serve many purposes just a few are:
Sharing experiences Offering peer support to each other, Net working Create a learning environment Learning new techniques and keeping up to date Evidence of CPD for NMC revalidation and appraisal
The board is aware of the geographical distances some areas incur and would love to have more groups in these areas but can only do this is members come forward as leaders. Please support your leaders and groups and make your attendance a priority!
Regional Events
North West Meeting - 8th July 2014 Liverpool - presenting Mr Austin McCormick Date: 08 July 2014 Time: 7pm Venue: Spire Hospital Liverpool Address: 57 Greenbank Road, Liverpool, L18 1HQ South Central meeting rolled over to - 15th July Sponsored by MERZ Date: 15 July 2014 Time: TBC Venue: Best Western Hotel Address: A421 Ring Road South, South Buckingham, Buckinghamshire, MK18 1RY
For more information on Regional Groups and to find the latest ones in your are visit www.cosmeticnurses.org/members/regions/Events
Minutes from Regional Group meetings held over the last month or so can be found by following links below:
West Midlands Regional Meeting - 3rd June 2014 Sponsored by Allergan Date: 03 June 2014 Time: 12.45pm - 4pm Venue: Beautifil Aesthetics Address: Bank Gallery, High Street, Old Kenilworth, CV8 1LY Wales Meeting - 2nd June 2014 - Sponsored by Aestheticare -Skin Rejuv & Skin Repair Date: 02 June 2014 Time: 10am - 4pm Venue: De Vere Village Hotel & Leisure Club, Cardiff Address: 29 Pendwyallt Road, Coryton, Cardiff, CF14 7EF Scotland - Glasgow Regional Meeting - 4th June 2014 sponsored by Aestheticare Date: 04 June 2014 Time: 2pm - 6pm Venue: Parklands Country Club Address: Ayr Road, Newton Mearns, Glasgow, G77 6DT East Anglia Meeting 11th June 2014 - Sponsored by MERZ Date: 11 June 2014 Time: 10am - 4pm Venue: The Cosmex Clinic Address: Maris Lane, Cambridge, CB2 9LG Northern Ireland Meeting - 2nd July Sponsored by Galderma Date: 02 July 2014 Time: 12pm - 4pm Venue: 5 Monaghan Court Address: Monaghan Street, Newry, Co.Down, Northern Ireland, BT35 8QW Classifieds The latest classified adverts are listed below, please click on the title to view. Botox & Dermal Filler Aesthetic Clinics based in South Wales – Aberdare, Cardiff & Newport Complete Business for Sale – A great opportunity for New or Expanding Aesthetic Practitioners
Private practice opportunity in Surrey Treatment room in multidisciplinary setting available on a flexible basis by half or whole day. Located in the town centres (Godalming and Guildford) Tinkable are looking to recruit Nurse Prescribers Nurse practitioners required with non medical independent nurse prescriber qualification, to work on a full or part time basis
Message from Paul Burgess, CEO I am delighted to take up the new post of Chief Executive at the BACN. I have been working with the Board for the last 12 months on a Business Strategy and Plan for the organisation for the period 2014 - 2017. You will be aware that there is a huge amount of activity at the moment with regard to regulating the sector, standards, qualifications and best practice. These things are critical for all Members and you may be assured that I am working with the Board and we are at the centre of this debate and doing our best for our Members. Of course I also know that as a Member Association it is absolutely vital to listen to your views as to the direction and remit of the BACN and also the type of benefits that you as a Member will appreciate and use. With this in mind I shall be carrying out a fundamental review of our Membership structure, the services being provided both now and in the future and how we involve you in the governance of the association. I will be contacting all Regional Group Leaders to ask for their views on these matters but I am very interested in hearing your individual views. I would therefore welcome any comments you have to be sent to me at my e mail address below and these will be treated in complete confidence by myself. Finally I would urge you all to book up for our Annual Conference in October 2014 in Brighton. We have a fantastic programme in place and myself and the Board will be delighted to meet you there and discuss your views on the BACN. The Board and I are more than happy to make changes to how the BACN operates and how it can be of more benefit to yourself so just let us know what you want and need. Over the coming months we will be announcing a series of improvements and additions to the Member Service Package so watch this space and the Website. Paul Burgess pburgess@cosmeticnurses.org
Journal of Aesthetic Nursing - Clinical Excellence in Cosmetic Medicine – 3rd November 2014 Have you heard about the premier event for aesthetic nurses taking place in 2014? The Journal of Aesthetic Nursing has brought more than 10 aesthetic nurses together to present on key clinical and professional issues in the field of medical aesthetics today. Highlights of the event include: