Alberto Costa
MP for South Leicestershire · Conservative · United Kingdom
“Sue Mitchell confirmed with me only a few hours ago that the Home Office has not engaged with her or her team, post broadcast, about the evidence that they gathered during their painstaking and thorough investigation.”
“I hope the whole House can agree—surely it can—that public confidence in our immigration system depends on the principle that those who seek to undermine our borders, exploit vulnerable migrants or, worse still, profit from illegal migration are identified, apprehended and removed wherever possible.”
“Twana Jamal was exposed as an illegal asylum seeker apparently working in my constituency in Blaby—and worse still, in a mini-mart right next door to my constituency office.”
“Why was the effectiveness of the high streets organised crime unit completely lacking when, two weeks ago, BBC journalist Sue Mitchell and her excellent team exposed the case of Mr Twana Jamal working in such a high street business right next door to my constituency office?”
“We have talked about large and small businesses being affected, but my constituent Joe, who is a sales director in an SME likely to be affected, is deeply concerned about his livelihood.”
“On a point of order, Madam Deputy Speaker. I would like to apologise to the House for failing to declare an interest during a debate on 16 July 2025 about the Committee on Standards’ third report of the 2024-25 Session, which concerns the Register of Interests of Members’ Staff.”
The complete record
Every one of 600 lines we hold for Alberto Costa, in date order, each linked to its source. Free to read, in full, without an account. Page 10 of 12.
“Friend made a moment ago, if we were to have a regulatory body that somehow was able to delegate to others, we would have to ensure that those to whom the administration of the procedure was delegated were suitably trained to administer the procedures. It is evident that these procedures are becoming more popular, and social media has an influence: so many young people are having procedures such as dermal fillers and Botox that that is almost normalising them. Given that the procedures are so widely seen on social media, they are being viewed by young people as equivalent to, for example, having one’s hair cut, as they are just as accessible.”
“I am certainly up for having the debate on whether they should be regulated by the General Medical Council, the overarching regulator of healthcare professionals or some other regulatory body, but regulation is the key. I would also like to highlight the distinct difference between Botox and dermal fillers. Botox is a prescription-only medicine that can be prescribed only by a regulated healthcare professional, such as somebody regulated by the GMC. However, there is a loophole. At present, the prescriber is able to delegate the administration of the injections to another person, which unfortunately creates a way for people who are perhaps not regulated at all to administer the product. On the point my hon.”
“My hon. Friend, in his time as the relevant Minister in this area, contributed enormously to this field, and I pay tribute to the work he has done in pushing for regulation of the industry. I am not sure how to answer my hon. Friend’s point, because regulation takes many different forms. I think we would all argue that we want a healthy, thriving, competitive beauty industry. We do not want to strangle it or place an unnecessary obstacle before the business. We seek to achieve a safe beauty industry, where our constituents can approach any beautician of their choice, safe in the knowledge that these individuals have been properly trained and are qualified and regulated.”
“I invite the Government to consider age restrictions. The other point I will make is about the content of many dermal fillers. There is a total lack of regulation on the content—that is, the chemical ingredients. According to the British College of Aesthetic Medicine, there are more than 60 dermal fillers available in the UK market alone. It should shock us that we often do not know the content of those fillers and what poisons they may well contain that might have a negative impact on someone’s body. I believe that urgent regulation is required to protect consumers—our constituents. The steps that the Minister and her Department have taken today are very welcome indeed, but we must do more. I look forward to the Minister’s comments, because I am confident that she is looking into this.”
“I argue that that should not be the case: education on those matters should ideally be face to face when someone is having the procedures, with a trained and regulated practitioner. Rather surprisingly, there is no age restriction on cosmetic procedures, and I argue that we should have one. The Nuffield Council on Bioethics recommended that children under 18 should not be able to have these procedures unless there was an overriding medical reason for them to do so. As a comparison, the law as it stands in England is that if someone wants to use a sunbed, they must be over 18. I mentioned unregulated vets earlier; we would not consider taking a valued pet to an unregulated vet to have an injection, so why would anyone let, for example, their 16-year-old daughter have someone unregulated inject something potentially poisonous into her face?”
“The medical director at NHS England, Professor Stephen Powis, has said that professionals who provide procedures such as fillers should be encouraged to join the new Joint Council for Cosmetic Practitioners. That is very sensible, as it has been set up to assist members of the public, although it is not obligatory. We also face the surrounding issue of body dysmorphia and mental health. Professor Powis has also argued that practitioners should be officially registered and trained to identify people who may be suffering from a body image or other mental health-related issue. Social media is a powerful tool for young people to look at and to share their experiences. Platforms such as Instagram and Facebook are often used as a principal source of information when people are researching fillers and Botox.”
“Surely, anyone carrying out these procedures should be able to identify when things have gone wrong and remedy them immediately. The British Association of Aesthetic Plastic Surgeons would like to see the development of clinical guidelines on the use of dermal fillers. The Royal College of Surgeons has also expressed that it would like to see dermal fillers classified as a prescription-only medicine. Serious complications of cosmetic procedures can include infection, nerve damage, blindness, blood clots and scarring. That links to what the Government have helpfully announced today, as the campaign will help to inform consumers of those risks. They are also recommending that consumers go to a regulated healthcare professional.”
“As the Keogh review concluded: “Dermal fillers are a particular cause for concern as anyone can set themselves up as a practitioner, with no requirement for knowledge, training or previous experience.” In February 2014, it was made illegal to offer dermal fillers without training, but the training has not been clearly defined, and some of those who may be qualified to give lip fillers may not have the necessary training to be able to dissolve them or identify when something has gone wrong. We have met or heard from beauticians who would argue that they are properly trained or qualified, but in some instances they can be trained or qualified only for one part of the procedure, and not necessarily for when things go wrong.”
“I agree entirely, and I encourage the hon. Gentleman to join both the excellent APPG of the hon. Member for Falkirk (John Mc Nally), and that set up by the hon. Members for Swansea East and for Bradford South (Judith Cummins) and me. They are complementary APPGs and we would welcome the hon. Gentleman’s interest and expertise. I mentioned a moment ago that this debate should not centre on the conversation about medics or non-medics carrying out these procedures; I believe it is fine for properly qualified and regulated beauticians to be able to offer them. I also highlight the fact that people who receive botched fillers often end up having to go to our national health service to pick up the pieces, as my hon. Friend the Member for Ribble Valley mentioned a moment ago, so that ultimately the taxpayer has to foot the bill.”
“The hon. Gentleman makes an important point, because this goes to the heart of what professional indemnity insurance is. One of the principal points of regulation is that a consumer knows that, if the professional is negligent, as people often are—people make mistakes—they will not be suing a man or woman of straw; that professional will have professional indemnity insurance behind them. That is the right form of protection in our society, in addition to qualifications and training. I am pleased to champion this issue, along with the hon. Members present. I once again encourage the Government to continue doing the right thing, and to lead us to a situation in which we have a properly functioning and regulated beauty industry.”
“May I take this opportunity to congratulate my hon. Friend on securing this important debate? Blaby District Council and Harborough District Council, led respectively by Councillor Terry Richardson and Councillor Neil Bannister, are both excellently run. Does my hon. Friend agree that any proposal for unitarisation of the Leicestershire area is not welcomed by the district councils?”
“I thank my hon. Friend for his generosity in giving way again. The district councils in my constituency have highlighted the ever-increasing cost of waste and recycling services. Proposals to scrap a charge on green waste collection and introduce weekly food waste collections, although laudable, are likely to put significant financial burdens on district councils. Does my hon. Friend agree that, should district councils implement those changes, proper and full support is needed from central Government?”
“Yesterday, Jane Golding, who chairs British in Europe, which represents more than 1.3 million British nationals in the EU27, reminded me that Michel Barnier’s letter in response to the House’s requirement that we carve out the citizens’ rights element of the withdrawal agreement is almost one month old. Given the absence of the passage of a withdrawal agreement, will my right hon. Friend inform the House of what actions the Government have taken since they received Michel Barnier’s letter?”
“Most Members of this House will have at the forefront of their mind the issue of citizens’ rights. Although I welcome the Prime Minister’s pledge to respect the rights of EU nationals here and the reciprocal rights given by some member states, in the absence of a withdrawal agreement those rights are not underpinned by international law. Will she help arrange a meeting between me, British in Europe, which represents more than 1 million British citizens in Europe, the3million and the Secretary of State for Exiting the European Union to discuss these issues?”
“The media have started calling this place a failing Parliament; there was nothing failing about this place three weeks ago when we unanimously voted to protect the rights of citizens—British and EU nationals here. Aside from the letter the Secretary of State has written to Michel Barnier, can the Prime Minister update this House on what she has personally done? For example, has she phoned Merkel or Macron or President Tusk to help protect British citizens in the EU and EU nationals here?”
“Does my right hon. Friend agree that the successful Vote Leave campaign of which he was part made clear that one of its primary objectives would be to deliver an exit from the EU with a deal, in an orderly fashion?”
“I spoke to Professor Smismans, professor of EU law at Cardiff University, this morning, and he said it is correct that the European Commission has not been mandated to negotiate a separate agreement on citizens’ rights, but that the European Council can revise that mandate at any time. There is no legal hurdle at all. I would like to hear from the Government exactly what measures the Prime Minister will take to ensure that this amendment, which has been adopted by the Government, is complied with. Will she be writing a letter to President Donald Tusk? If so, when will she write it? What other measures can the Government take to ensure that the Council gives that mandate to the Commission to carve out citizens’ rights as quickly as possible?”
“I have backed the Prime Minister’s deal and will continue to, but with the spectre of uncertainty hanging over the heads of over 5 million people, it is right that this House has positively coalesced around a good message to send not just to the country and to EU citizens, but to President Donald Tusk and the European Council, which is carefully listening to our proceedings. The time for ring-fencing these rights was at the outset of the UK’s decision to leave the EU, and it is now imperative that the Government do everything they reasonably can to seek consensus from the European Council and get a legal mandate for the European Commission to carve out those rights. The Prime Minister said yesterday that the EU Commission does not have the legal authority.”
“My amendment does not deal in goods or services, backstops or borders, but people—living and breathing, skin and bone. That such an amendment is needed is in itself a sad state of affairs. The rights and freedoms of over 1 million UK citizens in the EU and over 3 million EU citizens in the UK should never have been used as a bargaining chip during the negotiations for our withdrawal from the European Union. That such rights were placed on the table in the first place was wrong. While I welcome the Government’s unilateral undertaking, it does not go far enough, and we need to do more.”
“Thank you, Mr Speaker, for selecting my amendment (b). As all Members will probably know, I have been a loyal Conservative Member. I have never rebelled and have scarcely spoken out of turn. I believe and continue to believe that, as Members of various political parties, we are at our best when we stick together and promote the political policies upon which we were elected. However, when an amendment attracts such broad consensus across the House, including from the leaders of every Opposition party and, importantly for me, the support of right hon. and hon. Friends across the Brexit debate on the Government Benches, a sensible Government must accept that reasonable amendment. I am therefore grateful that the Government have acted reasonably in accepting my amendment in full.”
“Yes. As I said earlier, I entirely agree that this matter should have been dealt with at the outset of the United Kingdom’s decision to leave the EU.”
“I do not have time, but I thank the hon. Lady and all her colleagues for supporting my amendment. It is time we sent a clear message. There has been some discussion about my position in the Government. There is a convention that a Parliamentary Private Secretary is expected to resign if they table an amendment, which is all I would say on the matter. Finally, I thank all hon. and right hon. Members on both sides of the House who have graciously and very kindly offered to support my amendment. We can all take pride in informing our constituents and fellow British citizens in the EU that we put citizens’ rights at the very front. I thank the campaigning groups the3million, which supports the rights of EU nationals here, and British in Europe, which supports the rights of British nationals in the EU.”
“I have two questions for my right hon. Friend. Given that the Government have accepted my amendment in full, will he confirm at the Dispatch Box whether the Prime Minister will be writing to President Tusk and the European Council requesting that the European Council give legal authority to the EU Commission to seek to enter into discussions with the UK to carve out the citizens’ rights deal? If so, when?”
“However, we in Parliament have a responsibility to the people, and our responsibility includes ensuring that those who wish to change their appearance and their body have all the information they need to make a fully informed and rational decision and, importantly, are able to trust those administering treatments and to have peace of mind that those treatments will be carried out correctly, with minimal risk to their health.”
“I beg to move, That this House has considered regulation of non-surgical cosmetic procedures. It is a pleasure to serve under your chairmanship, Mr Hollobone, and I am grateful to lead this debate on an issue that I believe affects all our constituents. We live in a time when there is a certain desire, especially among the young and impressionable, that one must always look one’s best, or in fact look different to how we may really be. There is nothing wrong with that; we live in a country that gives all citizens the ultimate freedoms over their choices and their own bodies.”
“I also thank Rachael for her tremendous bravery and willingness to talk openly about the terrible injury that she sustained as a result of a botched non-surgical cosmetic procedure. I think Rachael has been a role model for hundreds, if not thousands, of people across the country who have read the articles in the British media about her trauma. They responded with sympathy, but most crucially an understanding of her experience, because—sadly—experiences such as Rachael’s are not confined to the few. Many hundreds of our constituents have suffered such botched procedures.”
“I thank my hon. Friend for that intervention. Yes, that is one of the core issues that I wish to raise today. The mark of a professional in our society is somebody who is regulated, who is trained, qualified and licensed, and who has ongoing regulation and development. However, in addition to that, in the private sector they must carry professional indemnity insurance, so that people do not sue men or women of straw and so that they have someone to sue when things go wrong. My experience of non-surgical cosmetic procedures does not extend to Instagram celebrities or Kylie Jenner. Instead, I wish to inform you, Mr Hollobone, of the case of my constituent Rachael Knappier. First, I thank Rachael, her mother and her friend, who are all attending this debate here in Parliament.”
“I thank the hon. Gentleman for his intervention. I agree that regulation is required and that legislation should underpin that regulation; there should not be voluntary regulation. Indeed, I would go further and say that, although I do not profess to know what type of expertise somebody should have to carry out these procedures, the regulator should identify the training, the expertise and the qualifications required and what products should be permitted in the market.”
“I could not agree more with my hon. Friend. The idea that anyone who is wholly unregulated and without any medical expertise whatsoever can inject people with foreign substances is shocking, to say the least. Again, however, it would be for a regulator to determine what type of qualifications and expertise one should need, whether that is medical expertise or otherwise. I would leave that matter in the hands of an appropriate regulator.”
“Again, I commend Rachael’s bravery in talking so willingly about her experience, providing a multitude of younger people and others with a message of understanding and empowerment. These types of procedures, which have been popularised by Instagram celebrities and reality stars such as the Kardashians, have experienced a huge rise in popularity, with more and more people seeking them.”
“If hon. Members do not mind, I will make some progress and then give way again. My constituent Rachael told me that a beautician had attended a party intending to administer some treatments to those in attendance. The beautician in question did not have any medical training, nor, to the best of my knowledge, did she have any formal recognised training in administering this type of injection. Rachael received, as many thousands of our constituents do, a lip filler injection while she was attending a social engagement with friends. As a direct result of the beautician’s mistake—it was not Rachael’s mistake—lip filler was incorrectly injected into Rachael’s artery, causing her lips to swell severely, requiring her to seek urgent medical attention, before being treated privately after the NHS was unable to help.”
“We want a healthy, thriving industry in non-surgical cosmetics, where people can freely choose these procedures, but we have a duty as MPs to protect the health and safety of consumers, enabling them to make informed choices when seeking treatment from professional beauticians.”
“I thank the hon. Lady for her intervention. She is right to use the word “professional”, but the mark of a professional is somebody who is regulated, and in the private sector it is somebody who has professional indemnity insurance behind them. It is easy for someone to call themselves a professional, but a real professional is someone who is regulated. I am a solicitor and I am regulated by the Solicitors Regulation Authority, and behind me there is professional indemnity insurance. If I give advice negligently, a consumer has redress against the insurance product.”
“Many colleagues will be shocked, as I was, to find that anyone can carry out non-surgical cosmetic procedures, with no regulation or expertise whatsoever. A multitude of small businesses, and even individuals, spread across Facebook and, especially, Instagram, offer their services to impressionable young people. Many of them have no corporate responsibility or regulation and there are therefore absolutely no safeguards for consumers. Although I appreciate that many colleagues may have never seen an episode of “Love Island”—I confess to being in that category; I do not even have an Instagram account—”
“Although it is a person’s prerogative to undertake any treatment they wish, they should be able to do so through the prism of an informed decision, and with the peace of mind that the treatment they receive has been tried, tested and regulated by a professional body. Colleagues might have seen the news about Superdrug a week or so ago, in which NHS England’s medical director strongly criticised the trusted high street retailer for not conducting “medically responsible” checks before customers receive their treatment. Similarly, NHS England’s chief executive sternly warned ITV about screening advertisements for these types of treatment in breaks during programmes such as “Love Island”, which is hugely popular with young people.”
“The number of complaints about unregistered practitioners of treatments such as lip fillers and Botox reached almost 1,000 last year, showing that there is a large gap in safety and proper process that must be bridged. Further, there is a separate but inextricable link between the rise of non-surgical cosmetic procedures and the pressures that young people in our society feel. Members may have seen Sky News this morning about social media, selfies and changing one’s image. That is clearly a major issue, particularly among the younger generation. Social media also has a responsibility regarding advertisements for non-surgical cosmetic procedures that are particularly targeted at minors.”
“The hon. Lady is exactly spot-on. It is beyond belief that somebody can inject someone else with a foreign substance and have no medical expertise whatsoever. That is the nub of the problem. We see more and more young people seeking these types of procedures, and at younger ages. It is incumbent on the Government to act swiftly and decisively to ensure that proper regulation and protection are in place for our constituents, of all ages, before the situation spirals out of control. According to data from Save Face, a Government-approved voluntary register of accredited practitioners, there has been an alarming rise in reports of botched cosmetic procedures in the UK.”
“We also must ensure that, yes, those individuals are able to work in a thriving and competitive industry, but also that consumers have choice and that professional indemnity insurance is obligatory, so that our constituents are protected when things go wrong and the taxpayer is not burdened through the impact on the NHS.”
“I therefore ask both the Minister, who I know has been a champion of ensuring appropriate health and safety standards for consumers, and the Government to at least consider setting out a cohesive and comprehensive plan to properly regulate the non-surgical cosmetic industry. My constituent Rachael has been forthcoming, and willing to discuss her experience, but many hundreds out there have suffered botched treatments and are embarrassed or unable to come forward. As Members of Parliament, we have a duty to our constituents, and indeed to all others who may consider these treatments, to provide public information and to ensure that the procedures are administered by trained, qualified and regulated individuals.”
“Dermal lip fillers, as one of the more popular non-surgical cosmetic treatments, are a good case in point regarding the total lack of standards in respect of the administered products. I am mindful of time, so will make a few closing remarks. It was mentioned that the Keogh review, undertaken by the coalition Government, expressed huge concern that nothing prevented entirely unskilled practitioners from offering invasive treatments using unregulated products. The review stated that “dermal fillers are a crisis waiting to happen.” Despite the Minister at the time of the review’s publication advocating that its recommendations be taken forward, sadly this is, apparently, not happening.”
“Turning to the industry itself, I have repeatedly said that non-health professionals who provide non-surgical cosmetic procedures are not regulated in an appropriate statutory manner. There is, however, an independent voluntary Joint Council for Cosmetic Practitioners, which has launched two new registers, one for practitioners who meet the clinical standards required to provide the treatments and another for accredited education providers. In the absence of an obligatory statutory register, as a minimum there should be clear public information about the need to seek a practitioner who is, at the very least, registered with that independent voluntary regulator. Nevertheless, a voluntary independent register, however laudable, does not go far enough.”
“That reveals the shocking ease with which our younger constituents can be exposed to these types of treatment, under the guise of their being the new norm in today’s society. In addition, young people’s physical access to the treatments is of tremendous concern. Although the law rightly restricts tattooing and the use of sunbeds for those under 18, there is no age-related restriction for either surgical or non-surgical invasive cosmetic procedures. The Nuffield Council on Bioethics recommends that children and young people under the age of 18 should not be able to access cosmetic procedures unless there is a medically relevant reason to do so. With the prevalence and exposure of the procedures specifically aimed at the young and impressionable in our society, action is required to protect children.”
“Dreadful, shocking. [ Interruption. ] Resign? With immediate effect. Members may also inexplicably not even know the different between their Kylie and Kendall Jenners, but there can be no doubt that most of our young constituents do. Those things are staples of the young generation, and are prevalent reminders, and in some cases advocates, of these types of non-surgical cosmetic treatment. The Times recently conducted an investigation in which an Instagram account was created purporting to be that of a 13-year-old. Almost instantly after the account had followed social media influencers and celebrities, posts promoting such procedures appeared in the app’s “explore” feature.”
“Does my right hon. Friend agree that the measures he is outlining will help Leicestershire County Council, which is involved in the business rate retention pilot scheme, as well as Harborough District Council and Blaby District Council? Those three local authorities are led by excellent Conservative administrations.”
“Q10. Non-surgical cosmetic treatments is an industry with no proper regulation. My constituent Rachael Knappier suffered a terrible injury after a Botox filler was administered incorrectly. Will the Prime Minister assure me and this House that her Government will look into appropriate regulation of non-surgical cosmetic treatments?”
“I thank the Prime Minister warmly for having listened to the concerns that I and other Members have raised on the issue of EU nationals. Given the good will that she has shown on the issue, will she remind the EU of its promises to reciprocate, and will she encourage the EU27 to remove any fees that its member states charge UK citizens?”
“I am so grateful to my right hon. Friend for giving way so early in her speech. Does she agree that, whether people voted leave or remain, at no point during the referendum campaign was there a suggestion that the rights of EU nationals who had been resident in this country, lawfully exercising their treaty rights prior to any prospective Brexit day, should be affected if the referendum resulted in a vote to leave?”
“I have heard colleagues ask the right hon. and learned Gentleman repeatedly about the Labour party’s proposals and whether it would work on a cross-party basis. He indicated at the Dispatch Box that he would enter into cross-party discussions. Is he speaking for the Labour party or as an individual, and what proposals does he have?”
“Mr Speaker, you will know that for the last two and a half years I have been championing the rights of EU nationals living in the UK and British citizens living in the EU27. I think I am one of the MPs most personally affected by the decision to leave the EU and its impact on citizens’ rights, because my mother, father and sister are EU nationals. I think everyone in the House believes that we should protect the rights of EU nationals living in Britain and British citizens living in the EU, and the only way of doing that in a smooth and orderly manner is with the Prime Minister’s proposed deal. It is the only deal that offers an absolute guarantee to my parents, to the more than 3 million EU nationals in Britain and to the more than 1 million British nationals in the EU.”
“I would like to touch on a couple of aspects of the deal that I think will help Members come to the same conclusion I came to and support this compromise. I have received many emails from constituents telling me to vote against the deal or for the deal. Even those who asked me to vote against it did so for different reasons. Some did so because they want no deal, and others because they want a second referendum or another outcome—perhaps no Brexit at all. Those who email to ask me to support the deal do so in a calm, rational and logical manner, whether they voted leave or remain. They explain that this deal, imperfect though it is, is a compromise that will allow the country to have a smooth and orderly exit.”