Do you need to be CQC registered to treat Acne and Rosacea?

Do you need to be CQC registered to treat Acne and Rosacea?

Advice on whether a medical aesthetic practitioner must be CQC registered to treat acne and rosacea.

On behalf of the Acne and Rosacea Association UK.

If the treatment of the skin condition does not involve any of the following;

Therefore, according to the Decision Tool provided in the Care Quality Commission* (see diagram below) CQC registration is not required. This is based on our research and discussing with the Care Quality Commission Advisors.

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This website is supported by an educational grant by SkinMed

Stages of Rosacea

Stages of Rosacea

In the initial stages of Rosacea, occasional attacks of intense flushing occur around the nose, cheeks, chin and ears. This tends to occur in embarrassing or anxious situations or when drinking alcohol or eating hot or spicy foods.

Mild Rosacea

The flushing attacks tend to worsen becoming more prolonged, covering a wider area of skin. They are accompanied by the skin feeling hot and uncomfortable until eventually the skin on the forehead, cheeks and nose become persistently red.

Moderate Rosacea

In addition to redness, small raised bumps and small white blisters filled with pus start to develop on the skin. These spots look rather like acne and are the reason why Rosacea has been described as ‘adult acne’ or ‘acne Rosacea’. Small blood vessels in the skin become permanently enlarged, appearing as tiny spidery red lines under the surface (telangiectasia)

Severe Rosacea

Occasionally, Rosacea causes the nose to enlarge and redden, a condition called rhinophyma. This often starts at the tip of the nose, but may spread to the rest of the nose as well. The skin on the nose may thicken, becoming coarse and irregular. Rhinophyma is thought to be twelve times more common in men than in women. Other symptoms of Rosacea can include irritation of the eyelids, blood-shot eyes and swelling of the face, this can occur at any stage of Rosacea.

To learn about the types of Rosacea in more detail, please read our article by clicking here.

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This website is supported by an educational grant by SkinMed

Complications of Rosacea

Complications of Rosacea

Broken Veins (Telangiectasia)

If the blood vessels are visible, you may be able to treat these using special lasers designed to reduce them. They are very likely, however, to return if the skin continues to flush and redden, so it must only be seen as a temporary measure. Lasers commonly used for treating telangiectasia are either argon or pulsed dye lasers. They can be very successful for some people. The laser works by matching the wavelength or colour of its light as carefully as possible to that of the broken veins so that the energy from the laser beam is absorbed by the veins and converted to heat, destroying them.

As the destruction takes place in just a millionth of a second, there is not time for the heat energy of the laser beam to damage any of the surrounding tissue, ensuring that no scarring occurs.

Another method uses an electric current to destroy and remove the unwanted veins. This process is called electro-desiccation and is carried out by inserting a very fine needle or electrode into the blood vessels through which the electric current is passed.

Ocular Rosacea

Approximately 50% of people with Rosacea also have problems with their eyes. In many cases the ocular symptoms occur before the skin shows outward signs of Rosacea. The signs of ocular Rosacea can be irritated eyes and eyelids. If you believe you may be experiencing problems with your eyes as a result of Rosacea, you will need to see your G.P. who may refer you to an eye specialist. Ocular Rosacea can occur in any severity of facial Rosacea.

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This website is supported by an educational grant by SkinMed

What Causes Acne

What Causes Acne

There has been extensive research into this disease and dermatologists blame four main factors in the skin.

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This website is supported by an educational grant by SkinMed

Acne Myths

Acne Myths

The starting point of correct acne management should start from clearing up the myths:

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This website is supported by an educational grant by SkinMed

Assessing the Acne Patient

Assessing the Acne Patient

There are literally hundreds of ways that acne can be treated and many reasons for apparent failure of a product. To confidently recommend appropriate treatment, will depend upon answers to the following:

What does their acne look like to you? Acne is a visual disease and most commonly occurs on the face, although the back, neck, chest and shoulders may also be affected. You need to look for:

These will give you the clues to both how long they may have had acne (scarring and red marks left from recent spots), and what type of acne they have, as well as how severe it is.

How does their acne affect them?

Some people will apparently be unbothered by a case of bad, inflamed acne and might appear to be genuinely unconcerned about treating it. Others can appear to be distraught over a few spots and might take up a lot of your time and ask many questions. What will often help put that person’s acne into perspective is to ask them how it affects them, not how you might think it affects them – the two could be different! The psychological impact of acne is covered later in Module 2, but understanding how acne affects them

How long have they had acne?

Some people will rush to their doctor, insisting upon strong treatments or referral to a dermatologist at the first signs of acne, whilst others may sit out their acne and literally wait to ‘grow out of it’. Acne on average lasts eight years and therefore acne should be treated as soon as it first appears.

What treatments have already been tried?

Some people contacting the Acne Support Group will claim to have tried ‘everything on the market’. This is almost impossible, for it depends upon which market they are referring to. Usually they will be talking about self medication; treatments bought off the shelf designed to help with ‘problem skin types’. It is likely that these products have been used and, if, after a couple of weeks, there is no improvement, they will consider the product ‘useless’ and it will be resigned to the back of the cupboard.

You will need to get an accurate idea of what they have already used to be able to assess what treatments should be used next.

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This website is supported by an educational grant by SkinMed

11 Reasons You Might Have Body Acne

11 Reasons You Might Have Body Acne

If you’re an acne sufferer and spend a lot of your time making sure your face is spot free, then you’re probably going to want to make sure you know how to get rid of body acne too.

Body acne, whether it’s on your back, chest or shoulders can be just as bad as facial acne, especially in the summer when you can’t hide under your high necks and long sleeves. Many sufferers often find themselves standing in front of the mirror pondering the causes of body acne, as well as what to do about it.

Body acne and facial acne have many of the same causes which include; hormonal sensitivity, bacteria, comedogenic products on the skin and genetics but there are some differences as to how it’s formed. Here are 11 reasons you might have body acne:

1. Shampoo Residue

If hair products are not washed away properly this can trigger a breakout as the ingredients clog your pores. Shampoo contains a lot of pore-clogging ingredients like sulphates, heavy moisturising agents, and silicones, according to experts. When it’s not washed away properly, you can get acne along the hairline, as well as on your back and shoulders. Shampooing before you wash your body can help avoid a bacne breakout.

2. Tight Clothing

Tight clothing can also be a result of a nasty breakout on your body. An expert dermatologist explains how body acne can be caused by acne mechanica which is a result of factors such as pressure, friction and rubbing on the back that may contribute to acne. For example, acne can be seen more frequently on the body under tight-fitting garments. In order to avoid this, keep tight clothing, such as tight sports bras, jeans, and exercise tops to a minimum.

3. Fabric Softener

The chemicals in fabric softeners can irritate your skin so be sure to wash your clothes regularly to keep dirt and oil away from your skin but avoid using fabric conditioner in case of an acne breakout.

4. Not Exfoliating

Experts explain how forgetting to wash or exfoliate your back is more common than you may think. In order to avoid anybody acne breakouts be sure to scrub and exfoliate your body just as you would your face.

5. Gym Sweat

It is important not to let sweat sit on your skin, if sweat and dirt are left to linger, this can result in a body acne breakout. Make sure to shower straight after exercising to avoid any breakouts on your back, chest and shoulders.

6. Dirty Sheets and Pillow Cases

If you’re showering before bed but sleeping in the same dirty sheet then you’re essentially rolling around in a bed full of dirt and oil and making your skin dirty again – another trigger for a body acne breakout. Washing your sheets regularly can avoid this problem and help with clearing up your body acne. Sleeping on natural fibres as these materials breathe better and transfer less oil according to expert.

7. Perfume Oils

Where you spray your perfume could be another reason for body acne, spraying it on your chest and neck could be the reason you’re breaking out in these areas. As the oils in perfumes can clog your pores, it is a better idea to spray your perfume of less-acne prone areas of the body.

8. Body Lotion

Switch to a non-comedogenic brand if you notice a breakout after applying your body lotion. This won’t clog your pores and trigger a breakout.

9. Hand Lotion

Applying hand lotion before bed and falling asleep on your hands or curling them up to your chest can be another reason for body acne. Wearing moisturising gloves at night can keep the lotion on your hands and avoid any acne breakouts on other parts of your body.

10. The Sun

With the warmer weather comes more sweat and this excess oil can trigger an acne breakout. Always make sure you’re wearing SPF and washing regularly.

11. Your Genes

According to experts, some people are just predisposed to body acne but there are topical treatments to help clear it up.

If you make these changes to your routine then it can make a difference to your skin, however we recommend visiting a skin specialist at your nearest Accredited Treatment Centre.

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This website is supported by an educational grant by SkinMed

Rosacea Myths

Rosacea Myths

Rosacea is a common skin condition that affects 1 in 10 people in the UK and contrary to popular belief, it isn’t caused by drinking a bottle of wine every night. It doesn’t only affect women over 60 and nor is it only characterised by redness or swollen veins. In order to separate the fact from the fiction, an expert dermatologist clears up some of the rosacea myths.


Despite the common rosacea heavy drinker stereotype, rosacea is actually most common between the ages of 30-60 years in fair-skinned individuals. It also affects women more than men. Alcohol can trigger flare-ups in some people but it doesn’t cause the skin condition.


Rosacea is more common after the age of 30. Usually, the symptoms are intermittent but over the years skin changes such as redness may become fixed until they are present all the time.


Other symptoms of rosacea can be spots, flushing, visible blood vessels and occasional burning or stinging sensation or skin sensitivity. The skin, particularly of the nose, may thicken with time. Approximately 50% of people with rosacea suffer from Ocular Rosacea which affects the eyes, causing irritation, styes or swollen eyelids.


Rosacea is a chronic, inflammatory skin disorder predominantly affecting the face. Rosacea can occur due to a number of different factors; eating spicy food and drinking red wine can trigger a flushing response as well as UV light and wind which act as reddening triggers. Poor hygiene doesn’t cause rosacea.


Rosacea was previously known as ‘acne rosacea’, however, acne and rosacea are two different unrelated skin conditions.


Rosacea isn’t considered contagious or infectious. You will not catch it from coming into contact with someone else that has it. Rosacea, can, however, run in families.

So there are some rosacea myths for you. If you would like to have your skin correctly and precisely assessed, we recommend visiting a skin specialist at your nearest Accredited Treatment Centre.

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This website is supported by an educational grant by SkinMed

Here’s Exactly How Salicylic Acid Helps Acne

Here’s Exactly How Salicylic Acid Helps Acne

Salicylic Acid helps Acne and is one of the most popular treatments for Acne sufferers. Especially for those who find themselves reaching for a product containing the magic ingredient as soon as a spot appears. But what exactly makes Salicylic Acid so special, what does it do and what type of Acne does it work best for?

· Salicylic Acid is a Beta Hydroxy Acid

According to experts, as Salicylic Acid is a Beta Hydroxy Acid, this structure allows Salicylic Acid to be more oil soluble. This means it can penetrate into the pores of the skin, making it great at unclogging pores and attacking pimples.

· It works by attacking your skin’s “glue.”

Experts explain how once the Salicylic Acid has penetrated the skin, the acid part of the molecule can dissolve some of the intercellular ‘glue’ that holds skin cells together. Whereas, Alpha Hydroxy Acids (Glycolic Acid) just exfoliate your skin when they touch the surface.

· It’s a powerful exfoliator

Salicylic Acid is a chemical exfoliator, making it much more powerful at sloughing off dead skin than a granular scrub would be, as it uses chemicals to break cells that have bound together to cause spots. Experts explain how Salicylic Acid also loosens and breaks apart desmosomes (attachments between cells in the outer layer of skin). It’s this ‘desmolytic’ action that encourages exfoliation of the skin, unclogging of pores and dissolving blackheads.

· It can even give your skin cells a deep cleaning

Salicylic Acid can penetrate oily skin and clogged pores as it is lipophilic, giving your skin a deep clean. Salicylic Acid can also help to reduce Acne as it can reduce sebum secretion. Finally, Salicylic Acid is an anti-inflammatory, which helps with inflamed Acne.

· Salicylic Acid works best on blackheads and whiteheads

According to experts, there are three factors that contribute to Acne: An abnormal sloughing off of skin cells, excessive oiliness, and the action of P. acnes bacteria. Salicylic Acid works best on blackheads and whiteheads as it dissolves the type of skin debris that clogs pores and causes Acne. Salicylic Acid helps Acne by directly dissolving the keratin plugs and regulating the skin cells.

Due to its antibacterial activity, Salicylic Acid also has some effectiveness against Cystic Acne. Be careful as Salicylic Acid can irritate and dry your skin if your skin is sensitive or if overused.

So now you should have an understanding of how Salicylic Acid helps Acne. If you would like to have your skin correctly and precisely assessed by an expert, we recommend visiting a skin specialist at your nearest Accredited Treatment Centre.

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This website is supported by an educational grant by SkinMed

Autumnal Rosy Glow? 7 Tips to Ward off Rosacea Flare Ups

Autumnal Rosy Glow? 7 Tips to Ward off Rosacea Flare Ups

Many rosacea sufferers know how important it is to avoid triggers and stick to a routine to reduce the risk of rosacea flare ups due to the displeasing symptoms they cause. However, a change in weather can bring special challenges. Here are some tips to help ensure that your winter is flare-up free.

Start things off with a hat

It might seem like sunburn isn’t a concern anymore, but you shouldn’t let your guard down. Continue to use a facial sunscreen and shade your face with a ball cap or brimmed hat if you’re going to be spending an extended period of time outside. For sunscreen, choose a gentle formulation with an SPF of 30 or higher that contains zinc or titanium dioxide. But most importantly also delivers both UVA and UVB protection.

Layer clothing

As temperatures change and winds pick up, it’s a good idea to have jumpers and hooded jackets at the ready. We usually think of hot weather triggering rosacea symptoms, but cold weather and wind are also cited as triggers by many patients. Dressing in layers means you’ll be prepared no matter if the day is unseasonably warm or particularly chilly.

Avoid hot drinks

Coffee, lattes, cider, cocoa and tea are everywhere, but beware: liquids heated to 140 degrees have been found to cause facial flushing. Wait for drinks to cool a bit, or stick to iced varieties to avoid rosacea flare ups.

Take breaks

If you’re spending a couple of hours outside, whether you’re cheering at a football game, going ice skating or enjoying a scenic walk, think about taking a break to go inside every few hours. This will give you a chance to reapply sunscreen, grab extra clothing and check if you’re developing a sun or windburn.

Avoid hot spices

Chilli cook-offs and tailgate parties offer up steaming, spicy soups and other dishes that might be very tempting on a brisk autumn day. However, it’s important to know your rosacea triggers. In a survey, almost half of rosacea patients said hot spicy foods caused their symptoms to flare up.

Bring a scarf

Having a scarf handy is always a good idea. If it’s unexpectedly windy or cold, wrap the scarf around your neck and cheeks to protect your face from blustery irritation.

If you make these changes to your routine then it can make a difference to your skin, however we still recommend visiting a skin specialist at your nearest Accredited Treatment Centre.

2022Ⓒ| www.arauk.co.uk
This website is supported by an educational grant by SkinMed