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| Version 5 | Version 6 |
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| Cosmetic surgery 'should be done by specialist surgeons' | Cosmetic surgery 'should be done by specialist surgeons' |
| (about 4 hours later) | |
| Doctors should be prevented from performing cosmetic surgery outside their speciality, according to the Royal College of Surgeons. | Doctors should be prevented from performing cosmetic surgery outside their speciality, according to the Royal College of Surgeons. |
| It told the BBC the current rules allowed "GPs to do nose jobs" and that was "a big problem" for patients. | It told the BBC the current rules allowed "GPs to do nose jobs" and that was "a big problem" for patients. |
| The organisation wants a new system to certify surgeons for each procedure. | The organisation wants a new system to certify surgeons for each procedure. |
| Bodies that represent aesthetic plastic surgeons say that they support the idea but it will only help patients if it is "mandatory and policed". | Bodies that represent aesthetic plastic surgeons say that they support the idea but it will only help patients if it is "mandatory and policed". |
| The whole industry has been under intense scrutiny since thousands of women were fitted with sub-standard breast implants made by Poly Implant Prothese (PIP). | The whole industry has been under intense scrutiny since thousands of women were fitted with sub-standard breast implants made by Poly Implant Prothese (PIP). |
| Ministers described it as a "cowboy industry" of "murky practices". | Ministers described it as a "cowboy industry" of "murky practices". |
| The Royal College of Surgeons has launched a consultation on ways of cleaning up the industry. | The Royal College of Surgeons has launched a consultation on ways of cleaning up the industry. |
| One suggestion is a register of certified surgeons to help the public make an informed decision about the quality of their surgeon. | One suggestion is a register of certified surgeons to help the public make an informed decision about the quality of their surgeon. |
| Doctors would have to be a proven specialist in their field and provide evidence about their success rates. | Doctors would have to be a proven specialist in their field and provide evidence about their success rates. |
| 'Cowboy behaviour' | 'Cowboy behaviour' |
| Stephen Cannon, the vice-president of the College, told the BBC News website: "Operating outside of speciality is a big problem in private practice as money is involved, so we hope to rectify that. | Stephen Cannon, the vice-president of the College, told the BBC News website: "Operating outside of speciality is a big problem in private practice as money is involved, so we hope to rectify that. |
| "There will be no concerns if you're already an established surgeon doing extremely well. | "There will be no concerns if you're already an established surgeon doing extremely well. |
| "But it'll stop the general practitioner doing the nose job, it'll stop the dermatologist lifting someone's breasts, it'll stop all that cowboy behaviour which goes on." | "But it'll stop the general practitioner doing the nose job, it'll stop the dermatologist lifting someone's breasts, it'll stop all that cowboy behaviour which goes on." |
| The College said these were not real-world examples, but theoretical worst-case scenarios that highlighted just how little regulation there was in the system. | The College said these were not real-world examples, but theoretical worst-case scenarios that highlighted just how little regulation there was in the system. |
| However, the certificate system will be voluntary. | However, the certificate system will be voluntary. |
| The British Association of Aesthetic Plastic Surgeons (Baaps) says the proposal is a step in the right direction, but does not go far enough. | The British Association of Aesthetic Plastic Surgeons (Baaps) says the proposal is a step in the right direction, but does not go far enough. |
| Rajiv Grover, a Baaps spokesman and former president, said: "This will only protect the public if the recommendations are mandatory and policed. | Rajiv Grover, a Baaps spokesman and former president, said: "This will only protect the public if the recommendations are mandatory and policed. |
| "It is essential that the public know who to go to when seeking a qualified cosmetic surgeon, but also, to be assured that the quality of their outcome will meet accepted standards, and particularly to meet their own expectations." | "It is essential that the public know who to go to when seeking a qualified cosmetic surgeon, but also, to be assured that the quality of their outcome will meet accepted standards, and particularly to meet their own expectations." |
| 'Recognising expertise' | 'Recognising expertise' |
| Gary Ross, a consultant cosmetic and plastic surgeon, told the BBC the new regulations were "a start" but that more needed to be done: | Gary Ross, a consultant cosmetic and plastic surgeon, told the BBC the new regulations were "a start" but that more needed to be done: |
| "We really need it to be mandatory; we need every plastic surgeon and cosmetic surgeon to be involved in it and be regulated and certified. | "We really need it to be mandatory; we need every plastic surgeon and cosmetic surgeon to be involved in it and be regulated and certified. |
| "I think the public and the surgeons and the providers, everyone, must strive for that." | "I think the public and the surgeons and the providers, everyone, must strive for that." |
| Nigel Mercer, the president of the British Association of Plastic, Reconstructive and Aesthetic Surgeons, said: "This tightening of existing regulations will go a long way to help prospective patients and employing clinics recognise high-quality surgical expertise, leading to improved patient safety." | Nigel Mercer, the president of the British Association of Plastic, Reconstructive and Aesthetic Surgeons, said: "This tightening of existing regulations will go a long way to help prospective patients and employing clinics recognise high-quality surgical expertise, leading to improved patient safety." |
| The Royal College of Surgeons advised people to look beyond the bill when picking a surgeon. | The Royal College of Surgeons advised people to look beyond the bill when picking a surgeon. |