Online Safety Bill — House of Commons, 2022-07-12
Topic: Health
Kevan David Jones (Labour, Centre-left): I rise to speak to my new clause 8, which would place a duty on all internet site providers regulated by this Bill to prevent individuals from encountering adverts for cosmetic procedures that do not contain disclaimers as to health risks of the procedure or include certified service quality indicators I have been campaigning for a number of years for better regulation of the non-surgical and cosmetic surgery industry, which is frankly a wild west in terms of lack of regulation, only made worse by the internet. I pay tribute to my constituent Dawn Knight, who has been a fierce campaigner in this area. We are slowly making progress. I thank the former Health Minister, the hon. Member for Charnwood (Edward Argar), for his work in bringing amendments on licensing to the Bill that became the Health and Care Act 2022. That is now out for consultation. It is a first, welcome step in legislation to tame the wild west that is the cosmetic surgery sector. My amendment would enhance and run parallel to that piece of legislation Back in 2013, Sir Bruce Keogh first raised the issue of advertising in his recommendations on regulation of the cosmetic surgery industry, saying that cosmetic and aesthetic procedures adverts should be provided with a disclaimer or kitemark in a manner similar to that around alcohol or gambling regulation. Years ago, adverts were in newspapers and magazines. Now, increasingly, the sector’s main source of advertising revenue is the internet People will say, "Why does this matter?" Well, it links to some of the other things that have been raised in this debate. The first is safety. We do not have any data, for which I have been calling for a while, on how many surgical and non-surgical aesthetic procedures in the UK go wrong, but I know who picks up the tab for it—it is us as taxpayers as the NHS has to put a lot of those procedures right. The horrendous cases that I have seen over the years provide just cause for why people need to be in full control of the facts before they undertake these procedures This is a boom industry. It is one where decisions on whether to go ahead with a procedure are not usually made with full information on the potential risks. It is sold, certainly online, as something similar to buying any other service. As we all know, any medical procedure has health risks connected to it, and people should be made aware of them in the adverts that are now online. I have tried writing to Facebook and others to warn them about some of the more spurious claims that some of the providers are making, but have never got a reply from Facebook. This is about patient safety. My amendment would ensure that these adverts at least raise in people’s minds the fact that there is a health risk to these procedures. Again, people will say, "Why does this matter?" Well, the target for this sector is young people. As I said, a few years ago these adverts were in newspapers and magazines; now they are on Facebook, Twitter, Instagram and so on, and we know what they are selling: they are bombarding young people with the perfect body image We only have to look at the Mental Health Foundation’s report on this subject to see the effect the industry is having on young people, with 37% feeling upset and 31% feeling ashamed of their own body image. That is causing anxiety and mental health problems, but it is also forcing some people to go down the route of cosmetic surgery—both surgical and non-surgical—when there is nothing wrong with their body. It is the images, often photoshopped and sadly promoted by certain celebrities, that force them down that route Someone has asked me before, "Do you want to close down the cosmetic surgery industry?" I am clear that I do not; what I want is for anyone going forward for these procedures to be in full control of the facts. Personally, if I had a blank sheet of paper, I would say that people should have mental health assessments before they undertake these procedures. If we had a kitemark on adverts, as Sir Bruce Keogh recommended, or something that actually said, "This is not like buying any other service. This is a medical procedure that could go wrong", people would be in full awareness of the facts before they went forward.