NHS Digital has developed a Breast and Cosmetic Implant Registry (BCIR). This is expected to capture the details of all breast implant procedures completed in England by both the NHS and private providers. The Department of Health directed NHS Digital to carry out this work in response to Recommendation 21 of the Keogh Review of the Regulation of Cosmetic Interventions.
The primary purpose of the BCIR is to record the details of any patient, who has had breast implant surgery, so that they can be traced in the event of a product recall or other safety concern relating to a specific type of implant. This is subject to explicit patient consent. Should an implant recall arise, an agreed process will be followed.
The secondary purpose of the BCIR is to provide an 'early warning system'. A later phase of the registry is to introduce a facility to enter anonymised data, especially if consent rates prove to be low. This would then help provide a denominator for the total number of implant procedures, so if there was to be a recall in the future, the registry would indicate the full scale of the recall. More data on the registry would better inform an outlier process through the identification of any trends and complications related to specific implants.
NHS Digital may publish reports on the total numbers and types of implants, procedures and outcomes. These reports will only contain aggregated information (that is, data that has been grouped or combined) so that no individual patient will be identifiable.