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Checking dentists, pharmacists and HCPC registered professionals

Registers11 min read
A run of filing spines. Three registers, three different questions, no overlap between them.

A run of filing spines. Three registers, three different questions, no overlap between them.

The short answer

Dentists and dental care professionals are on the General Dental Council register, and the title on the entry limits what that person may lawfully do. Pharmacists are on the General Pharmaceutical Council register, which also shows independent prescriber status. Paramedics and fourteen other professions are on the Health and Care Professions Council register, which protects the title rather than approving any procedure. In every case the register records the profession, not the aesthetic work.

Doctors and nurses are not the only regulated professionals working in UK aesthetics. Dentists, dental hygienists and dental therapists, pharmacists, and Health and Care Professions Council registrants including paramedics all appear in this field. Each has a statutory register, each register is public and free, and each answers a slightly different question.

The General Dental Council register

The GDC maintains registers of dentists and of dental care professionals. The second group includes dental hygienists, dental therapists, dental nurses, dental technicians, clinical dental technicians and orthodontic therapists. An entry shows the registrant's name, registration number, the title they are registered in, registration status and any published action.

The title on the entry is the field that carries the most information, because in dentistry the scope of practice attached to each title is defined, and the titles are not interchangeable. A dental nurse and a dentist are both on a GDC register and are not doing the same job. When a clinic describes a team member as being GDC registered without naming the title, ask which title.

Register check 01That a dental professional is registered, and in which title
Open
The General Dental Council register search
olr.gdc-uk.org
Type in
The registration number if you have it, otherwise the full name. Then read the registered title on the entry, not just the fact of registration.
A good result looks like
One entry with a current registration, showing the title the practitioner told you they hold, with no published action against it.
An ambiguous result looks like
An entry showing a dental care professional title where you were told you were seeing a dentist, or the reverse. Registration lapsed or expired. Multiple similar names with no number given to you.
What it does not prove
That the person may prescribe, that they are trained in aesthetic procedures, or that any premises registration exists for the room you will be treated in.

Dental titles and prescribing

Dentists are appropriate practitioners for the purposes of prescribing prescription only medicines. Dental care professionals are not dentists, and the arrangements that allow them to supply or administer medicines are narrower and structured differently. If a prescription only medicine such as botulinum toxin is involved, the question of who prescribed it does not go away because a dental practice is involved. Ask who prescribed, what their registration is, and when they assessed you.

The GDC also publishes standards for the dental team, and those standards apply to registrants when they are carrying out cosmetic work as well as dentistry. That is useful to you: it means there is a written yardstick against which conduct can be measured if you ever need to complain.

The General Pharmaceutical Council register

The GPhC registers pharmacists and pharmacy technicians in Great Britain, and registers pharmacy premises. Northern Ireland has a separate pharmaceutical regulator, which is a distinction to remember if you are checking a practitioner there.

Two features of the GPhC register are directly relevant to aesthetics. First, it shows whether a pharmacist is annotated as an independent prescriber. Pharmacist independent prescribers are appropriate practitioners and can prescribe prescription only medicines within their competence. Second, the register of premises is a genuine premises register, though it registers pharmacies as pharmacies, not aesthetic clinics as clinics. A registered pharmacy premises is not a registered cosmetic clinic and the two should not be confused.

Where a pharmacist prescriber is involved in an aesthetic service, the same central question applies as anywhere else. Did the prescriber assess you personally before prescribing, and can you name them. A prescriber who has never met you and never spoken to you has not carried out an assessment, whatever paperwork exists.

Register check 02That a pharmacist is registered, and whether they may prescribe
Open
The General Pharmaceutical Council registers
pharmacyregulation.org/registers
Type in
The registration number or full name of the pharmacist. If a pharmacy premises has been named to you, search that separately in the premises register.
A good result looks like
A current registration, and, where the pharmacist has said they will prescribe for you, an independent prescriber annotation visible on the entry.
An ambiguous result looks like
A current registration with no prescriber annotation where prescribing has been described to you. A pharmacy premises registration being offered as though it were a clinic registration.
What it does not prove
That the pharmacist assessed you, that a valid prescription exists for you, or that the treatment room is registered or inspected by anyone.
Note
The GPhC covers Great Britain. Northern Ireland has a separate pharmaceutical regulator.

The Health and Care Professions Council register

The HCPC regulates a group of professions and protects their titles. Paramedics are the group most often encountered in aesthetics, though others appear. An HCPC entry shows the registrant's name, registration number, the profession they are registered in, registration status and any published outcomes.

The HCPC model is title protection. It is an offence to use a protected title, such as paramedic, without registration. What the register therefore proves is precisely that: this person is entitled to use this protected title today. It does not approve any activity outside the profession, and aesthetic injecting is outside all of these professions as they are defined.

Prescribing rights across HCPC professions are not uniform. Some professions include annotations for independent or supplementary prescribing, and others do not. If a practitioner tells you they prescribe, ask which annotation they hold and check it on the entry rather than assuming that a registered professional is automatically a prescriber. The general principle is set out in which treatments legally require a prescriber.

Three registers, side by side
RegulatorWho is on itShows prescribing statusCovers
General Dental CouncilDentists and dental care professionals, by titleDentists are appropriate practitioners; other titles differUnited Kingdom
General Pharmaceutical CouncilPharmacists, pharmacy technicians, pharmacy premisesYes, independent prescriber annotationGreat Britain
Health and Care Professions CouncilFifteen professions including paramedicsVaries by profession, shown as an annotationUnited Kingdom

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

The pattern across all five registers

Once you have used two or three of these registers the pattern becomes obvious, and it is the same pattern every time.

Each register proves a professional status. None of them proves aesthetic competence, because none of them assesses it. Each may show a prescribing annotation, and that annotation determines who may write a prescription but never whether one was properly written for you. None of them says anything about premises, insurance, products or the company taking your money.

That is not a criticism of the registers. They were built to regulate professions, and they do that. It is a description of the shape of the gap, and the gap is where this site lives.

A note on titles you cannot check

Alongside the protected titles there is a wide vocabulary of unprotected ones: aesthetic practitioner, cosmetic practitioner, aesthetician, skin specialist, cosmetic doctor, aesthetic nurse. Some of these are used by people with substantial statutory registration. Some are used by people with none. The words themselves are not regulated and carry no legal weight.

The consequence is practical rather than dramatic. When you read a title, do not try to work out what it means. Ask the two questions that do have checkable answers: which statutory register are you on, and what is your number. If the answer is that there is no statutory registration, that is a lawful answer for a filler treatment on an adult in most of the UK, and it is information you are entitled to have before you decide.

Common questions

Can a dental nurse inject botulinum toxin?

The relevant questions are who prescribed the medicine, whether that prescriber assessed the patient, and whether administration is taking place on a lawful direction from that prescriber. Registration title alone does not answer it, so ask for the prescriber's name and registration and check it separately.

Is a registered pharmacy the same as a registered clinic?

No. The GPhC registers pharmacy premises as pharmacies. That registration relates to pharmacy services and is not a registration of a cosmetic clinic or an approval of aesthetic treatment carried out there.

What does HCPC registration prove?

That the person is entitled to use a protected title such as paramedic. The HCPC protects titles and regulates those professions. It does not approve aesthetic procedures, which fall outside the scope of the professions it regulates.

Are all pharmacists able to prescribe?

No. Only pharmacists annotated as independent prescribers may prescribe, and the annotation is shown on the GPhC register. Check the annotation rather than assuming.

Which regulator covers pharmacists in Northern Ireland?

Northern Ireland has its own pharmaceutical regulator, separate from the GPhC, which covers Great Britain. Check the correct body for the nation the practitioner works in.

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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