Regulatory Approaches – Scotland vs England Scotland’s proposed model—requiring HIS-registered clinics operated only by healthcare professionals—may appear robust in theory but is unworkable in practice: • The Scottish Government has no data on the number of aesthetic-trained prescribers available to support practitioners. • Many prescribers do not work in aesthetics full-time and may be unable or unwilling to support additional clinics. • Increased movement of prescribers into private aesthetics may negatively impact NHS staffing levels, potentially conflicting with the Health and Care (Staffing) (Scotland) Act 2019. • Non-healthcare practitioners cannot register independently with HIS, creating dependency, bottlenecks, and significant geographical inequities.