The cosmetic pathway
Jodie Callaghan · lip filler · enquiry to review, and the record each step has to leave behind
A cosmetic treatment is a sequence, not an appointment.
Each step produces a record, and the next step is not available until it exists. The clinic
was doing all of this already — on paper, in a drawer, discoverable only by the person
who filed it.
Pathway
EN–2214 · started 25 August 202625 Aug 22:10
Enquiry and first response
Transcript retained, phrases used recorded, two questions flagged for the clinician
Complete
25 Aug 22:31
Medical history
Completed by the patient before attending · latex sensitivity confirmed
Complete
6 Sep 09:30
Consultation and assessment
By the practitioner who will treat · suitability, options, risks, costs
Booked
6 Sep
Clinical photography
Consent for the record, sought separately from consent to publish
Not yet
After assessment
Written consent
Specific to what was assessed · cannot be taken before the consultation
Not yet
After consent
Reflection period
Time between deciding and treating, recorded rather than assumed
Pending
Earliest 13 Sep
Treatment
Product, batch, lot and volume recorded against the patient
Pending
+2 weeks
Review
Booked at the time of treatment, not left to the patient to arrange
Pending
The wedding on 19 September sits after the earliest treatment
date, which is the kind of thing that is obvious on this screen and invisible on a
calendar.
Across all live pathways
31 in progress| Stage | Patients | Oldest | Blocking |
|---|---|---|---|
| Awaiting consultation | 12 | 9 d | Nothing |
| Assessed, no consent | 6 | 21 d | Cannot treat |
| In reflection period | 4 | 5 d | Nothing |
| Treated, review not booked | 7 | 34 d | Follow-up missing |
| Photography consent unclear | 2 | 62 d | Images held, not usable |
Seven patients were treated and never had a review booked.
Nobody chose that — the review was the last thing on a busy day.
Product traceability
Last 90 daysTreatments recorded148
With batch and lot recorded148
Traceable to a single patient148
Prescriber recorded148
Time to answer a recall queryMinutes
This is the least interesting card on the site until the day a product is recalled, at which point it is the only one that matters. Before, the answer lived in handwriting across eleven months of day sheets.