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Thursday, 15 November 2007 |
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UK medical industry sources say that the regulatory body for nurses is to ban the administration of Botox where the prescribing doctor is not present.
Currently, Botox is administered to patients in the UK by nurses in cosmetic treatment clinics, where the Botox has been prescribed by a doctor elsewhere. The practice, known as remote prescribing, is commonplace in the industry, and is justified on the belief that a doctor should not be necessary for the actual administration of Botox injections. Supporters of the practice claim that it is sufficient for the doctor to assess the patient initially, and decide whether or not to prescribe Botox treatments.
But following talks last month between the Nursing and Midwifery Council (NMC), the Royal College of Nursing, and the UK's Healthcare Commission, the NMC is expected to announce that the current practice of remote prescribing and administration is a breach of professional rules that could invalidate a nurse's registration.
Liz Plastow, a professional advisor to the NMC, said that she believes that remote prescribing should only be carried out in "exceptional circumstances", such as when a patient would face a health risk in the absence of treatment.
A nurse administering botulinum toxin for a cosmetic treatment as the result of a remote prescription would not be doing so in exceptional circumstances. That would be considered a breach of the NMC Code of Professional Conduct. Liz Plastow, NMC If the ban is put in place, it is likely to increase the cost of Botox treatment for some UK customers. Under the current practice, the cost of providing Botox treatments is lower when the procedure is carried out only by a nurse. If the new recommendations are adopted, the requirement of a doctor to be present during treatment will almost certainly increase the cost of the procedure to customers.
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