Journal of Aesthetic NursingVol. 5, No. 10 EditorialsFree AccessIt has been a year of loss, dissonance and divisionCheryl BartonCheryl BartonSearch for more papers by this authorCheryl BartonPublished Online:6 Dec 2016https://doi.org/10.12968/joan.2016.5.10.473AboutSectionsPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InEmail One could not fail to have been moved by the sense of loss we have all experienced in 2016. A number of our best loved and iconic names have gone: Bowie, Prince and Cohen had given us the soundtracks of our youth, and Rickman, Wilder and Wogan adorned our screens with their grace and wit. This Christmas, some of our favourite household names, BHS, Banana Republic and Austin Reed, are missing from the UK high streets. All this in one single year that will be marked down as a historic yet tumultuous one, when we went to the polls on a sunny June day to vote on a binary choice—‘in or out’ of Europe. That subsequent Brexit result has now opened up huge cracks and divisions in the UK and this dissonance has been compounded and reinforced by the recent election of Donald Trump in the US.We are also experiencing a loss in aesthetic nursing too and I am acutely aware that there is more division within the sector at this time than I have ever experienced in almost 20 years of practice. This time last year, my editorial in the Journal of Aesthetic Nursing, ‘A truly memorable year for aesthetic nursing’ (Barton, 2015), was written with optimism—aesthetic nurses from separate organisations had put aside their differences, coming together with one voice on patient safety at both the Nursing and Midwifery Council (NMC) and Health Education England (HEE) meetings. The future looked bright for aesthetics; however, today, 1 year on, sadly I do not share that very same optimism.Despite the regulation, registers and guidance introduced this year, there are deep, cavernous and gaping flaws opening up. There is also palpable resentment, a growing hostility and a ‘them and us’ culture developing within the non-health movement. The very public argument between the plastic surgeon and the beautician, as recently reported in the press, reflects this antagonism (Bartlett, 2016). The story left me really quite cold and patients may well have been baffled by it.Having attended a recent Joint Council for Cosmetic Practitioners meeting, the low level of understanding and analysis of the HEE guidance by those representing the non-health cohort was an enormous elephant in the room, and this continues to be sidestepped over, walked around and avoided. For those of you that don't know, I boycotted the HEE expert meetings—I believed the non-health groups should not be sitting at any ‘expert’ table joining those of us on mandatory registers, when they have no such systems in place, no codes of practice, and no supervision of their ‘practices’ that are ambiguous in nature, ill-defined and without an evidence base. Needless to say, I was dismissed with a ‘they are there anyway’, so we must be seen to be inclusive.At our 6th annual national aesthetic nursing conference on 20 January 2017, my colleague Lynn Warren will be presenting a keynote speech on whether beauty needs rejuvenating. I would say yes, it most certainly does. I didn't sign up for inclusivity with beauticians, hairdressers and those who study the mysteries of reiki when I first attended training on botulinum toxin and tissue expanders back in 2000; neither do I buy into the premise that patients will be any safer because beauticians are pledging to clean up the sector. Aesthetic nurses must now closely examine their relationships with the non-health and beauty sectors, and ask themselves why they are facilitating them through training and prescribing services, before this becomes even more ugly. References Bartlett S (2016) Surgery expert calls Chloe Goodman ‘laughable’ to suggest she'll bring quality to fillers. http://tinyurl.com/jkfyfps (accessed 21 November 2016) Google ScholarBarton C (2015) A truly memorable year for aesthetic nursing. Journal of Aesthetic Nursing 4(10): 475 Link, Google Scholar FiguresReferencesRelatedDetails 2 December 2016Volume 5Issue 10ISSN (print): 2050-3717ISSN (online): 2052-2878 Metrics History Published online 6 December 2016 Published in print 2 December 2016 Information© MA Healthcare LimitedPDF download