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Consultation and consent

Asking for evidence of indemnity insurance without being awkward about it

Consultation11 min read
The edge of a manila folder. Insurance is the document nobody shows you unless you ask.

The edge of a manila folder. Insurance is the document nobody shows you unless you ask.

The short answer

Indemnity insurance is the arrangement that would meet a claim if you were harmed. No public register records it, so the only way to establish it is to ask, and the only way to check the answer is to name the provider and the policy type. Ask what indemnity covers this specific procedure, who provides it, and whether it covers the individual treating you or only the business. Ask in writing, before booking.

Of all the checks on this site, this is the one people find hardest to raise, and it is the one with no register behind it. There is no public database of who is insured for what. The information exists only if you ask for it.

What indemnity is, and what it is for

Professional indemnity insurance, or an equivalent indemnity arrangement, is what would respond to a claim if you were harmed by treatment and established that the practitioner was liable. Without it, a successful claim may be against a person or a small company with no means to meet it, and a judgment you cannot enforce is a piece of paper.

For statutory registrants there are professional obligations around having appropriate indemnity in place. But two things follow that patients rarely appreciate. An arrangement appropriate for one kind of work is not automatically appropriate for another, and cosmetic work may sit outside a policy written for a different scope of practice. And where the injector is not a statutory registrant at all, which is lawful for adult fillers in most of the UK, no professional obligation applies to them.

The wording, which you can copy

Send this by email or message before booking. It is deliberately plain, and it asks for facts rather than reassurance.

Before I book, could you confirm in writing what professional indemnity or insurance arrangement covers this specific procedure, who the provider is, and whether the cover is held by the individual treating me or by the business. Thank you.

That is one sentence and it is not an accusation. Clinics receive this question, and a well organised one answers it in a line. If asking still feels uncomfortable, consider that you are about to allow someone to inject a substance into your face, and the question is smaller than the act.

What a good answer contains

Three components, and the absence of any one of them is the useful information.

A named provider. Not insured, or fully insured, but the name of the insurer or indemnity organisation.

The scope. That the cover extends to the specific procedure being proposed. Aesthetic procedures are frequently rated separately.

Who is covered. The individual practitioner, the business, or both. If only the business is covered and the practitioner is self employed working from those premises, ask who would respond to a claim.

Register check 01That an insurance answer is a real answer
Open
Your own email, then Companies House for the entity
Ask in writing, then find-and-update.company-information.service.gov.uk
Type in
Ask for the provider name, the scope of cover for this specific procedure, and whether the individual or the business is insured. Then check that the business named matches the company on your quotation.
A good result looks like
A named indemnity provider, confirmation that the specific procedure is within scope, a clear statement of who is insured, and a company name matching the one you are contracting with.
An ambiguous result looks like
An answer naming no provider. Cover described as held by the clinic where the practitioner is self employed. A company named in the insurance answer that is different from the one on the quotation, with no explanation.
What it does not prove
That a claim would succeed, or that the cover is adequate for the harm in question. It proves an arrangement was described to you in writing, which is what you need to be able to rely on it.
Note
Keep the email. If cover was misrepresented, that message is the evidence.

Rent a chair and rooms let to practitioners

A common arrangement that patients almost never think about: the practitioner is not employed by the business whose name is above the door. They rent a room. The company you paid may not be the company responsible for the treatment, and the two may have entirely separate insurance positions.

The question to ask is short: am I contracting with the clinic or with the practitioner, and who holds the indemnity for the treatment. This links directly to the Companies House check in the entity article, because the answer determines against whom any claim would run.

Who might be liable, and what to establish for each
ArrangementWho you are likely contracting withWhat to establish
Employed practitioner in a clinicThe clinic companyCompany number, and cover held by the business
Self employed practitioner renting a roomPossibly the practitioner directlyWhich party the contract is with, and who holds cover
Mobile practitioner treating you at homeThe practitioner or their companyFull legal name, address, and cover for domiciliary work
Practitioner working at several sitesDepends on the bookingWhich entity took the payment, and whose terms apply
Treatment sold by one company, delivered by anotherRead the terms carefullyWhich company is responsible for the service

A framework written by this publication to organise the procedure. It is not a measurement, a guideline or a regulator's classification.

How far you can verify the answer

You cannot look up a policy, and you should not expect to be handed a full schedule, which contains commercially confidential information. What you can reasonably ask for is a certificate or confirmation naming the provider and the cover held. Many practitioners will show one, because it is a normal document.

What matters as much as the document is the character of the response. A practitioner who names their provider without hesitation is telling you they think about this. A practitioner who becomes irritated by the question has told you something too, and you have not yet paid anything.

Why it matters in the situations that actually arise

Consider what a claim needs. You must identify the person or company liable, which is the Companies House check. You must establish the standard of care and that it was not met, which is where your consultation and consent documents come in. And there must be someone able to meet the claim, which is indemnity.

The first two you can do yourself. The third you cannot, and it is the one you can only ask about beforehand. That is why this question belongs before the appointment rather than after the problem, and it is why it appears on the checklist.

If cover is misrepresented

If a business tells you in writing that it holds cover for a procedure and it turns out not to, that is a factual misstatement made in the course of selling you a service. Depending on the circumstances, that may engage consumer protection law, and trading standards services have a role in enforcement.

Where the practitioner is a statutory registrant, misleading a patient about indemnity is also a matter their regulator would take seriously. Which body handles what is mapped in who you complain to.

All of this depends on having asked in writing. A verbal assurance leaves you with two accounts of a conversation. An email leaves you with a document.

Common questions

Is there a register of insured aesthetic practitioners?

No. No public register records indemnity cover. The only way to establish it is to ask the practitioner directly, and the only way to make the answer checkable is to ask for the provider's name and the scope of cover in writing.

What should I ask about insurance before a treatment?

What indemnity or insurance arrangement covers this specific procedure, who provides it, and whether the cover is held by the individual treating you or by the business. Ask in writing before booking.

Is it rude to ask a clinic about insurance?

It is an ordinary commercial question and well run clinics answer it in a line. You are asking before allowing someone to inject a substance into your face, which puts the size of the question in proportion.

What if the practitioner rents a room in the clinic?

Then the business you paid may not be the party responsible for the treatment. Ask whether you are contracting with the clinic or the practitioner, and who holds the indemnity for the procedure.

Can I ask to see the insurance certificate?

You can reasonably ask for confirmation naming the provider and the cover held. A full policy schedule contains commercially confidential detail, but a certificate or written confirmation is a normal document to show a patient.

Sources and registers

Links to regulators, registers and published law. They are cited because they are public and checkable, not as endorsement of this publication. Open each one and read it yourself.

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