Summary of Content
Click on the links below to jump to each section:
- Who can prescribe BOTOX®?
- Who can administer BOTOX® injections?
- Do you have to be a nurse to do BOTOX®?
- Medical practitioners specialising in aesthetics offer the best results
- Checking the qualifications of your practitioner
- What degree do you need to give BOTOX® injections?
- Insurance
- Checklist
There is a wide range of practitioners out there offering anti-wrinkle treatments, but how do you ensure that the one you choose is safe, and how do you identify which ones have adequate training or experience?
Below is a guide that will answer some commonly asked questions and deliver facts to make your decision as concern-free as possible.
Who can prescribe BOTOX®?
BOTOX® is a prescription-only medicine; therefore, it is licensed and regulated under current UK drug legislation.
Botulinum Toxin should only be prescribed following a consultation with one of the professionals below. During this process, it is important that your medical history is reviewed in order to assess suitability for treatment.
- Doctors
- Nurse prescribers
- Pharmacist prescribers
- Dentists
Who can administer BOTOX®?
Botox injections in the UK can legally be given by anyone. BOTOX® can only be prescribed by a medical professional such as a Nurse Prescriber but there are no regulations around this treatment which means the actual treatment can be performed by anyone no matter what their level of training is, if any! It is also the prescriber’s responsibility to make sure the anti-wrinkle treatment is delivered safely.
At The Cosmetic Skin Clinic, only nurse prescribers and doctors prescribe BOTOX®. All our injecting team are qualified doctors, RGN nurse prescribers or RGN nurses. For more information on who can give anti-wrinkle/ filler injections, either e-mail an enquiry or ring 0330 134 7268 for our Buckinghamshire office or for our London office.

To help you navigate around some of the terminology used in this sector, we have included a list of professional titles alongside a brief explanation of their roles:
Cosmetic Doctor | A qualified doctor specialising in cosmetic medicine |
Nurse Prescriber | A qualified nurse specialising clinically in cosmetic medicine, who assesses, diagnoses and manages a patient and who is responsible for prescribing medicine for certain conditions |
Pharmacist Prescriber | Unlike a dispensing pharmacist, this professional is licensed to prescribe medicine for conditions that are covered by their training |
Aesthetic/Cosmetic Nurse | A registered nurse who works in the field of cosmetic medicine |
Medical Aestheticians | Someone who delivers non-surgical cosmetic treatments under the supervision of a trained professional |
At The Cosmetic Skin Clinic, none of our aesthetic practitioners perform injections. This procedure is only undertaken by qualified doctors and nurses.
Do you have to be a nurse to do BOTOX®?
In the UK, you do not legally have to be a nurse or doctor to perform BOTOX® injections, as there is currently no formal statutory regulation specifically restricting who can administer botulinum toxin in non-surgical aesthetics.
However, because BOTOX® is a prescription-only medicine, it must be prescribed by a qualified healthcare professional, and safe administration requires thorough medical knowledge.
Unfortunately, this regulatory gap means some non-medical practitioners without formal clinical training may offer Botox treatments, which can increase risks related to safety and results.
At The Cosmetic Skin Clinic, your safety and satisfaction are our highest priorities. That’s why all injectable treatments, including BOTOX®, are performed exclusively by fully qualified doctors or nurses with advanced training and extensive experience in facial aesthetics.
We strongly believe these procedures should only be carried out by medical experts who understand:
- Facial anatomy in detail
- Potential risks and how to manage complications
- How to deliver natural-looking, balanced results
Choosing a medically led clinic ensures you receive safe, professional care and expert support before, during, and after your treatment.
Medical practitioners specialising in aesthetics offer the best BOTOX® results
There are a number of medical professionals who are able to prescribe BOTOX®; however, the best results are achieved when the prescriber has trained and specialised in medical aesthetic procedures. In almost all cases, the Botox practitioner will be either a doctor or a nurse prescriber.
What to look out for:
- Training. It is advisable that your treating doctor or nurse has received training through a recognised body. Ask to see their training certificates.
- Experience. It is important to know that your doctor or nurse is experienced in non-surgical cosmetic procedures and for how long they have been injecting. Look for consumer feedback or personal recommendations before agreeing to any work.
- Ask to see ‘before and after’ images of their work as this is also a good way to gauge the proficiency of a practitioner.
- Authority. All UK medical professionals are registered with a medical body such as the General Medical Council, British College of Aesthetic Medicine (BCAM), British Association of Cosmetic Nurses (BACN). How to find out if a practitioner is registered with a professional body is outlined below.
Signs to be wary of:

- Prescriber refuses to go into detail about the substance they will be injecting as part of the procedure
- The prescriber is reticent to fully detail the average benefits or standard risks involved
- You feel that you are being pressured into a certain type of treatment against your wishes or you are being incentivised with cut-price deals
- They are not registered with a professional body
Prescribing professionals are now required to have a face-to-face consultation with the patient before treatment can begin. The practise known as ‘remote prescribing’ is no longer acceptable.
What degree do you need to give BOTOX® injections?
BOTOX® is a prescription-only medicine (POM), which means it must be prescribed and overseen by a qualified, regulated healthcare professional. Only certain professionals are legally allowed to prescribe and administer BOTOX®:
- Doctors (GMC registered)
- Dentists (GDC registered)
- Nurses/Nurse Prescribers (NMC registered)
- Pharmacist Prescribers (GPhC registered)
- Physiotherapist or Paramedic Prescribers
Non-prescribers, such as some nurses or dental hygienists, can only administer BOTOX® if a qualified prescriber has first carried out a face-to-face consultation and issued a personalised prescription.
Checking the qualifications of a practitioner
It is important to check the qualifications of any healthcare professional you are considering using. Trained practitioners bring experience and expertise to the procedure, and operate within professional codes of conduct under a statutory organisation. Such professionals are also more likely to keep up with the latest developments in the sector, be it new products or training, and will be able to guarantee that their products are from reputable and trusted suppliers.
There are a number of professional registers available to the public that can be used to check the qualifications of medical practitioners:
Profession |
Online Register |
---|---|
Doctors and surgeons | General medical Council (GMC) |
Nurses | Nursing and Midwifery Council (NMC) |
Cosmetic doctors | British College of Aesthetic Medicine (BCAM) |
Cosmetic nurses | British Association of Cosmetic Nurses (BACN) |
Pharmacists | General Pharmaceutical Council (GphC) |
Dentists | General Dental Council (GDC) |
Insurance
One significant benefit of choosing a consultant who is registered with a recognised UK health regulator, such as the General Medical Council (GMC), is the assurance of both professional competency and adequate medical indemnity insurance.
The GMC requires that all licensed doctors practising in the UK must have the appropriate indemnity or insurance to cover the full scope of their practice. This ensures that, in the unlikely event of a complication or claim, patients are protected.
Under strengthened GMC powers, the Council can now:
-
Request evidence of appropriate insurance or indemnity if there are concerns about a doctor’s coverage
-
Refuse or withdraw a licence to practise if a doctor cannot demonstrate they have the correct insurance in place
-
Take regulatory action, including removing a licence, if a doctor is found to be practising without adequate cover
This is part of wider efforts to enhance patient safety and accountability in both NHS and private practice settings, including aesthetic medicine.
Checklist
Here is a checklist that should be completed before agreeing to choose a practitioner for any non-surgical cosmetic treatments:
Things to check |
Tick box |
---|---|
The practitioner’s identity is genuine |
✓ |
They are registered with the GMC and another regulated body |
✓ |
They have the appropriate training |
✓ |
Their qualifications are genuine |
✓ |
They are up-to-date with the latest training, procedures, products and trends |
✓ |
The premises are health and safety compliant |
✓ |
They have the correct insurance |
✓ |
The products and equipment used are licensed and genuine |
✓ |
Is the product a prescription medicine and is a medical professional required in the assessment |
✓ |
The Cosmetic Skin Clinic is Care Quality Commission (CQC) registered. In November 2022, CQC (Care Quality Commission) rated our London and Stoke Poges, Buckinghamshire clinics as GOOD across the board.
It is important that you feel completely comfortable with your choice of practitioner and procedure. Always thoroughly research your options and never rush into a decision. For the best results, choose a practitioner that you trust and who you can easily talk to about the procedure and any other concerns.
At The Cosmetic Skin Clinic, all consultations are conducted by one of our experienced doctors or nurses trained in aesthetics. During this time, a thorough medical consultation will be carried out. The patient may then go on to have the prescribed treatment that same day, or may decide to reschedule the treatment for a time in the future. We offer anti-ageing injectable treatments in both our clinics in London, near Harley Street and Buckinghamshire. Our Botox Bucks treatments and Botox London treatments have been rated as some of the best in the industry in Tatler’s annual Cosmetic Surgery guide.
How to find our clinics?
The Cosmetic Skin Clinic in London
The Cosmetic Skin Clinic in London is located in Harley Street and within walking distance of Baker Street, Oxford Circus and Bond Street tube stations. We’re also conveniently located and just a quick train ride away from Paddington or Kings Cross St Pancras Train Stations.
The Cosmetic Skin Clinic in Buckinghamshire
The Cosmetic Skin Clinic in Buckinghamshire is situated in Stoke Poges and near Gerrards Cross (Chiltern Railway) and Slough’s (First Great Western) station. If you’re travelling by car, the M25, M4, M40 and A40 roads, makes it very convenient to reach from Kingston upon Thames, Wembley, Richmond, and from the Surrey area.
The Cosmetic Skin Clinic in Bournemouth
The Cosmetic Skin Clinic Bournemouth is situated in the centre of Bournemouth, the golden strand of the South Coast. Our Bournemouth location is a stone’s throw away from award-winning beaches and a short drive from luxurious Sandbanks, home to ‘Millionaires Row’.
The Cosmetic Skin Clinic in Northampton
The Cosmetic Skin Clinic Northampton is situated in a charming period building called The Gatehouse within St Andrew’s Hospital grounds on the outskirts of Northampton city centre where we are co-located with our surgical sister clinic – The Private Clinic, providing a peaceful and discreet setting for your skin treatment or consultation.
The Cosmetic Skin Clinic in Lymington
The Cosmetic Skin Clinic Lymington can be found in a beautiful mews on Gosport Street, Lymington.
The Cosmetic Skin Clinic in Kent
The Cosmetic Skin Clinic Kent is located within Barham Court, a beautiful English country house in the village of Teston, Maidstone.
For more details about our clinic’s locations and the best way to reach us based on your means of transportation, please take a look at our dedicated clinic location pages.