Policy responses and statements

Name of organisation:
Scottish Government
Name of policy document:
The Public Health etc. (Scotland) Act 2008 (Sunbed) Regulations 2009
Deadline for response:
17 September 2009

Background: This letter invites comments on the above draft regulations made under the powers contained in Part 8 of the Public Health etc. (Scotland) Act 2008. The regulations prescribe the information on the health effects of sunbed use to be provided to customers of sunbed premises (and the form and manner in which it is to be provided) and the information on the health effects of sunbed use to be displayed in sunbed premises (and the form and manner of display). The Regulations also prescribe the documents which may be used to establish that a user is over 18 years of age. A draft Regulatory Impact Assessment is also attached for comment.

Background:

Section 8 of the Public Health etc. (Scotland) Act 2008 prohibits operators from allowing the use of sunbeds by under 18s in commercial premises; prohibits the sale or hire of sunbeds to under 18s; prohibits operators from allowing unsupervised use of sunbeds; places a duty upon the operator of a sunbed premise to display a public information notice; and requires operators to provide customers with information on the health risks associated with sunbed use. The information to be provided to customers (and the form and manner in which it is to be provided) and the information to be displayed in sunbed premises (and the form and manner of display of the notice) are to be prescribed by Scottish Ministers. The Act can be accessed here.

Draft regulations prescribing this information are attached at Annex A for consideration. The content was developed with the assistance of a wide-ranging working group including representation from sunbed operators, health professionals, environmental health colleagues, the Health & Safety Executive, the Federation of Small Businesses, COSLA, Cancer Research UK and Kenneth McIntosh MSP. An important consideration in the development of the Regulations was that they can only contain information on the health effects of sunbed use. Issues such as the precautions which should be taken when using a sunbed, e.g. to follow the recommended exposure times or to wear suitable eye protection, fall outwith the scope of these Regulations and are the responsibility of the Health and Safety Executive. Consultees should therefore bear this issue in mind when responding to the consultation. Consultees should also note that initial supplies of the notice to be displayed in sunbed premises and the information leaflets to be provided to users will be provided to sunbed operators by the Scottish Government free of charge. Thereafter supplies will be available to download from the Scottish Government website, also free of charge.


COMMENTS ON
SCOTTISH GOVERNMENT
THE PUBLIC HEALTH ETC. (SCOTLAND) ACT 2008 (SUNBED) REGULATIONS 2009

The Royal College of Physicians of Edinburgh is pleased to respond to the Scottish Government on The Public Health etc. (Scotland) Act 2008 (Sunbed) Regulations 2009.  The College has taken advice from Fellows who are consultant dermatologists and welcomes the provisions within the proposed Regulations.  Specific comments are as follows:

Prescribed documents

The form of photographic identification seems satisfactory and should be inspected at each session.

Provision of health information and display notice 

It is essential that display notices are in bold print and of an appropriate size to be readily visible to sunbed clients, as laid out in the regulations.  The College considers it would also be helpful if guidance was provided to sunbed clients, requiring a signature to evidence receipt on each attendance.  This would reinforce the health risks associated with inappropriate use.

The College understands that Regulations can only refer to the health effects of sunbed use and that health and safety issues are the responsibility of the HSE and beyond the powers of Scottish legislators.  However, the nature of expanded guidance could include the same health messages in a more consumer focused way and may be more effective, including alerting consumers to the harmful effects of combining cosmetics and/or medication with UV radiation and when to seek advice from a doctor. 

Regulatory impact

The College believes the “do nothing” option is not sustainable, as consumers need health advice before electing to use sunbeds.

Enforcement will be critical and the compulsory licensing of sunbed parlours could be linked to regular inspections already carried out by the HSE for out-put measurements to be made on machines and to ensure they are complying with the prescribed regulations.  If Environmental Health Officers already carry out such health and safety inspections on behalf of the local authorities then the cost implications should not be significant.

Other comments

Staff in sunbed parlours should have adequate training to understand the health risks of excessive exposure and the provision of trained staff on site could be written into the Regulations.

Sample Guidance for sunbed clients

Customer information

As with exposure to natural sunlight, too much exposure to ultraviolet (UV) radiation from tanning equipment can damage your skin and sometimes your general health.

Short-term damaging effects

  • The short-term damaging effects of excessive exposure to UV radiation include:
  • sun burnt skin, which becomes painful, red and may blister and peel;
  • skin dryness and itching;
  • bumpy itchy rash;
  • eye irritation or conjunctivitis (if suitable goggles are not worn).

Long-term health risks

There may also be long-term health effects including:

  • premature ageing of the skin which will then look coarse, leathery and wrinkled;
  • skin cancer - the more exposures, the greater the risks;
  • increased risk of cataracts (clouding of the lens of the eye) later in life, (if suitable goggles are not worn).

Precautions

Don’t use cosmetic tanning equipment if your skin is particularly sensitive.

Some people are more prone to skin damage caused by UV radiation than others.  You are advised not to use cosmetic tanning equipment if:

  • you are under 18;
  • you have fair sensitive skin that burns easily or tans slowly or poorly;
  • you have a history of sunburn, especially in childhood;
  • you have a large number of freckles and/or red hair;
  • you have a large number of moles;
  • you are taking medicines or using creams which may sensitise the skin to sunlight;
  • you have a medical condition that is worsened by sunlight;
  • you or anyone in your family has had a skin cancer in the past.

If you have any doubts, ask your doctor if it is safe for you to use tanning equipment.

Don’t use cosmetics before tanning

Some cosmetics, deodorants and similar preparations for use on the skin can increase sensitivity to UV radiation.  It is best not to use them immediately before a tanning session and to wash off any that are on the skin, before using the equipment.

Seek advice about any problems

If you notice any abnormal skin reactions developing during the tanning session, stop the exposure at once and do not use tanning equipment again before consulting a doctor.  If you develop any abnormal skin reaction after a tanning session, do not use such equipment again before consulting a doctor.  Seek medical advice if you notice any change in the appearance of a mole.

Don’t rely on your tan for protection

The tan obtained from cosmetic tanning equipment can give some mild protection from burning when you go into the sun, but it never gives complete protection.   Nor does it provide much protection against the long-term health risks mentioned earlier.  You should still follow sensible advice on safety in the sun such as that published by cancer charities (eg Cancer Research UK).

Know your skin

No matter whether you get your tan from the sun or tanning equipment, you should learn to recognise the early warning signs of serious damage.  Most skin cancers are completely curable if detected in the early stages.  Look for progressively changing moles or other skin discolorations.  If you have any doubts, consult your doctor.

 

Copies of this response are available from:

Lesley Lockhart,
Royal College of Physicians of Edinburgh,
9 Queen Street,
Edinburgh,
EH2 1JQ.

Tel: 0131 225 7324 ext 608
Fax: 0131 220 3939

[7 September 2009]

 

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