Non-surgical Aesthetic and Cosmetic Treatments

Bradley Thomas Excerpts

Thursday 11th September 2025 Westminster Hall

[Bradley Thomas (Bromsgrove) (Con)]

I beg to move,

That this House has considered regulations for non-surgical aesthetic and cosmetic treatments.

It is a pleasure to serve under your chairmanship, Sir Desmond. We are witnessing an emerging public health crisis. The cosmetic and aesthetic treatment industry is expanding rapidly, yet our laws have utterly failed to keep pace. In 2023 alone, around 7.7 million people in the UK underwent treatments and procedures, ranging from botox injections to facelifts. Every single cosmetic and aesthetic treatment or procedure is currently under-regulated, both surgical and non-surgical alike. Each year, more people undergo these treatments, and each year, more are left vulnerable to devastating complications because of a systematic failure in our legal system.

The statistics paint an indisputable picture. Without raising the baseline minimum level of clinical standards, millions across the country will continue to suffer, and some will pay with their lives. We live in a time when beauty standards are set at impossible heights. Every single day, people of all ages are bombarded, whether through social media, advertising, magazines, or messages telling them how they should look. Young women in particular are relentlessly targeted with new beauty trends, each one more unattainable than the last. Failure to follow them leaves many feeling ugly and unworthy in their own skin, but let us be clear: they are not ugly, unworthy or imperfect.

More and more people are victims of a culture that thrives on selling unattainable beauty standards. One day, you are too fat; the next, you are too skinny. Your lips are too thin, then suddenly they are too thick. Your forehead is too wrinkly. Your nose is too pointed. The list goes on and on. There is always something to make someone feel that they are not enough. The impact is undeniable. In 2020, a parliamentary report found that 61% of adults and 66% of children in the UK had negative body image.

What do people do? Many turn to cosmetic and aesthetic treatments, searching for confidence in a system that profits increasingly from their insecurity, but these so-called beauty standards do not just lightly shape how people perceive themselves; they create shame, pressure and, for some, a devastating impact on their mental health. A parliamentary report in 2022 revealed the scale of the problem: 80% of people said that negative views about their body had harmed their mental health.

As confirmed by the Mental Health Foundation, the two disorders most closely linked to poor body image are eating disorders and body dysmorphic disorder—the number of diagnoses for which are on the rise. Currently, an estimated 1.25 million people in the UK are living with an eating disorder. Between 2015 and 2021, hospital admissions for eating disorders rose by 84%, and over half of those admitted were aged 25 or younger. Body dysmorphic disorder, despite stigma and under-diagnosis, is thought to affect over 1 million people in the UK, and the true figure is almost certainly far higher. Most shocking of all, one in eight people experience suicidal thoughts and feelings because of body image concerns.

This is a crisis. More and more people across the country are suffering, and many are developing life-threating health conditions. However, the truth is that something can be done. The Mental Health Foundation found that 21% of adults said that advertising images had caused them body image concerns, and 40% of teenagers said the same about social media. Yet, right now, the cosmetic and aesthetic industry is free to advertise however it wants. Businesses can digitally alter images beyond recognition and present them as reality, and social media influencers are allowed to push cosmetic treatments straight at young people.

Currently, the Advertising Standards Authority and the Committee of Advertising Practice restrict the use of enhancements that make an image misleading and restrict cosmetic advertising from being targeted at under-18s, but that is evidently not enough. We need tougher regulations—tougher protections for young people on social media and tougher rules to stop the public being misled. The answer? Requiring all images and videos used in advertising on every platform to display a clear symbol showing if they have been digitally altered or enhanced.

That idea was first put forward by my  hon. Friend the Member for Hinckley and Bosworth (Dr Evans) in a private Member’s Bill, the Digitally Altered Body Images Bill, which sadly did not make it through all its parliamentary stages before the Dissolution of the last Parliament. That requirement, alongside stricter enforcement of the advertising ban for under-18s, would protect young people from harmful online content, expose the false promises of cowboy practitioners and help people finally see the reality behind the images.

Of course, advertising regulation changes are not the only changes that this industry is in desperate need of. Right now in the UK, anyone can perform non-surgical cosmetic and aesthetic treatments and anyone on the General Medical Council register can carry out surgical cosmetic and aesthetic procedures. We live in a regulated society, leading to a misconception on the part of many people that the industry is already regulated. After all, the rest of the medical sector is, so why would it not be? Many genuinely believe that the practitioners they visit have a medical background. They may see official-looking certificates on the wall, and they presume that the training claimed to have been completed is of the same rigorous standard as nurses and doctors go through.

The reality is that I could sign up to an online course, complete roughly 10 hours of coursework, attend two days of in-person training and call myself qualified to perform fat dissolution or botox injections. I could sign up to another course, watch a series of “specialist” videos and then be “qualified” to inject lip and dermal fillers. How on earth does watching a few videos or attending a two-day course qualify anyone to perform treatments that carry serious risks, including blindness, tissue necrosis, paralysis and even death?

If I were having a simple blood test, I would expect a nurse trained in phlebotomy to handle the needle. If I needed my appendix removed, I would expect a general surgeon to perform the operation. If I were having needles put into my face or my nose operated on, I would expect the person holding the needle or scalpel to have the medical qualifications required by the NHS, meaning specialist training and Care Quality Commission registration.

Today’s debate is about non-surgical treatments, but let us be clear: surgical procedures are also in desperate need of regulation. After my meeting with the Royal College of Surgeons, it is evident that we must tighten the rules on who is allowed to perform cosmetic and aesthetic operations, and we must amend the health and social care legislation, expanding the powers of the Secretary of State to introduce regulations on operations and making “surgeon” a protected title. I would welcome the chance to meet the Minister to discuss this further, because we must not allow non-surgical treatments to be regulated while surgical procedures are left behind.

There must be one overarching framework that encompasses all cosmetic and aesthetic treatments and procedures, and at the heart of that new framework must be a minimum baseline standard of practitioner training. The absence of such a standard has allowed low-quality, unsafe so-called clinics to spring up across the country. They decay our high streets, feed the black market with untested medication purchases and make access to dangerous treatments easier than any others in the medical sector.

These cheap, unregulated clinics, run by anyone who fancies giving aesthetics a go, are putting people’s health at serious risk. They buy cheap products that may never have been properly safety tested in order to undercut professionals with bargain prices, and it works. Young people in particular are increasingly drawn in. The clinics do not offer consultations involving discussion of alternatives or risks. They do not offer cooling-off periods. They do not adhere to safe environment standards to prevent infection. In far too many cases, someone can walk in off the street and undergo treatment on the spot, performed on a living room sofa.

What happens if something goes wrong during the treatment or afterwards? For many people, it does. In 2023, the Government-approved register for medical aesthetic treatments, Save Face, received more than 3,000 reports of complications and adverse outcomes. In July 2025, an ITV investigation revealed that more than 50% of women who had undergone non-surgical cosmetic procedures required medical assistance afterwards, with 15% requiring emergency support. Save Face confirmed that those findings matched its patient records. This demonstrates exactly what happens when unqualified practitioners are allowed to continue unchecked. People are suffering serious health complications. Many are left traumatised, and countless others never seek help at all, out of shame and stigma.

When help is required, it often falls to the NHS to provide corrective care, which costs time and money. There is currently no exact data on the costs. However, an NHS Scotland study found that over five years the average cost of correcting botched procedures and surgeries was £9,327. To put that into perspective, a study in The European Journal of Health Economics reported that the average cost of treating breast cancer is £9,450.

What do we want the Government to do? This is not a party political issue and not just a health crisis; it is an economic one, too, and is entirely avoidable. That is why regulations adopting a traffic-light system that categorises every treatment and procedure with a minimum baseline of standards is imperative: green for non-prescription treatments; amber for treatments involving prescribed medicines or that penetrate the skin; and red for surgical procedures requiring anaesthesia.

There must be clear rules. All treatments across the three categories must be performed by CQC-approved professionals, with at least professional indemnity and public liability insurance in a sterile, fit-for-purpose clinical environment. Any treatment involving prescription-only medications, such as botox or certain hormone replacement therapies for weight loss, must be performed only by a prescriber or a regulated professional with the prescriber on site at all times during the treatment.

All treatments involving injectables must be performed only by a medical professional registered with the relevant professional body, such as the Nursing and Midwifery Council or the GMC. Every consultation must include a discussion of all alternative options and potential side effects, followed by a mandatory cooling-off period before the procedure may go ahead. During this time individuals should feel under no obligation to commit, and any deposit paid should be fully refundable.

Every surgical operation currently required to be performed by anyone on the GMC register must be performed by a specialist surgeon. The United Kingdom is home to one of the best healthcare systems in the world, yet in this area we are falling dangerously short and it is time to put that right. This is not about banning or shutting down businesses, but instead must be viewed as introducing protections for patients, practitioners and public health. The Government’s announcement in July pledging to regulate was a welcome step forward, but real concerns remain about the timeframe. This cannot be a two or three-year project. The industry is growing far too fast for that and patients are suffering too frequently, with the NHS and society already paying too high a price. We need urgency and clarity, along with a firm timeframe.

Right now, because of failures in the law, the industry is instead risking lives. It preys on the vulnerable, particularly the young. It burdens the NHS and leaves countless people traumatised for life. That is the choice before us. We can allow the crisis to continue unchecked, or we can act with the urgency and courage needed to protect the public. Every day of delay is another life put at risk, and we cannot allow that to continue.

--- Later in debate ---

[Bradley Thomas]

I am grateful to hon. Members from across the House for attending. First and foremost in my mind remain Jan, Alice and anyone who has had a treatment that has gone wrong or, in Alice’s case sadly, been fatal.

I put on record my thanks to a constituent of mine, Nicky Robinson, who first brought this issue to my attention, around 12 months ago. Nicky is a CQC-accredited nurse and practitioner. She summed it up to me when she visited my surgery and said, “This is not about banning; this is about raising the baseline clinical standard, not just to protect patients but to protect the industry as a whole.” That is the fundamental point we have to bear in mind. We do not want to be in a society that prevents people from having treatments; we want to enable people to have whatever treatments they want in as safe a way as possible.

Let me acknowledge a few contributions from hon. Members. The hon. Member for Putney (Fleur Anderson) talked about Jan and the crisis that has taken place with regard to implants. The hon. Member for Strangford (Jim Shannon) talked about the importance of ensuring that any regulations apply throughout the United Kingdom, not just in England. The hon. Member for Calder Valley (Josh Fenton-Glynn) talked about the cost to the NHS. The hon. Member for North West Leicestershire (Amanda Hack) talked about confidence in practitioners and highlighted the horrific cases of botulism in the midlands and the north-east. The hon. Member for North Shropshire (Helen Morgan) emphasised the fact that most in the industry want there to be a standard that protects them, so that they can be confident that people who come to see them are not questioning whether the procedure will be conducted in a clinically safe way.

I am grateful to the Minister for responding. This is one topic that will not go away; it is only going to be on the increase, particularly as societal concerns around body image are exacerbated by the continued use of social media. When the Government introduce a regime around these treatments, it is critical that we work closely with local authorities, so that they have the confidence to administer it properly, with a baseline level of consistency across the country. We must be careful not to place burdens on local authorities that they cannot or do not have the confidence to enforce.

As the Government consult on this issue in the new year, the whole industry will be holding their feet to the fire. Although they have to go through a period of consultation, I encourage the Minister and the Government to work at the utmost pace to get whatever baseline level of clinical standard in place as swiftly as possible, so that we can give confidence not just to industry but to society at large.

Question put and agreed to.

Resolved,

That this House has considered regulations for non-surgical aesthetic and cosmetic treatments.