The current framework is a patchwork of device regulation, local council licensing, CQC registration in some healthcare contexts, and the expectations of insurers. This guide explains the position as it stands in 2025, with direct links to GOV.UK for reference.
Tattoo removal has grown quickly in the UK, yet the regulatory landscape has often felt inconsistent. Tattooing itself is regulated by local authority registration under the Local Government (Miscellaneous Provisions) Act 1982, but lasers and IPL devices fall under different rules.
The government has started introducing a new licensing system for non-surgical cosmetic procedures, which should eventually bring a clearer, uniform structure. Until then, practitioners must work through a mixture of national device law and local council rules.
- CQC Registration: In England, clinics using lasers or IPL only for cosmetic tattoo removal do not normally need to register with the Care Quality Commission (CQC). If, however, lasers are used as part of medical treatment by a registered healthcare professional, then CQC registration is mandatory. Practitioners should read the regulated activities guidance closely so they do not slip into healthcare territory without realising it.
- Local Authority Licensing: A number of councils, particularly in London and larger cities, require a Special Treatment Licence for work involving light, heat, or electricity. This covers tattoo removal in many boroughs. Councils usually set hygiene rules, training expectations, and will often inspect premises. Because requirements differ between authorities, the only safe approach is to check directly with your own council before offering services.
- Device Regulation: Every laser or IPL machine must meet UK medical device law. The MHRA oversees this area. Equipment must have a UKCA or valid CE marking and be registered with the MHRA by the manufacturer or UK Responsible Person. Practitioners are expected to hold device documentation, keep maintenance logs, and record any incidents as part of their governance.
- Health and Safety: Local councils expect risk assessments, protective eyewear policies, smoke extraction, and compliance with MHRA laser safety guidance. Most also want evidence of Core of Knowledge training delivered or verified by a Laser Protection Adviser (LPA).
There is no specific national law barring tattoo removal for under-18s. In England, 16 and 17 year olds are usually deemed able to consent. Under-16s can also give consent if judged to be Gillick competent. By contrast, injectables such as Botox and dermal fillers are explicitly banned for under-18s under the Botulinum Toxin and Cosmetic Fillers (Children) Act 2021.
The government's consultation has signalled tougher safeguards in future, which may extend to age restrictions for tattoo removal. In practice, many insurers and councils already expect an 18+ policy unless treatment is carried out under direct medical supervision.
There are no statutory qualifications that practitioners must hold. Even so, Level 5 qualifications are widely seen as the benchmark, and are recognised on the government's funding framework:
Qualification | Source | Level | Status / Notes |
---|---|---|---|
VTCT (ITEC) Level 5 Certificate in Laser Tattoo Removal | GOV.UK Qualifications Database | Level 5 | Approved, age 18+, eligible for Advanced Learner Loan |
Focus Awards Level 5 Diploma in Tattoo Removal (RQF) | GOV.UK Qualifications Database | Level 5 | Approved vocational qualification |
Insurers and councils also tend to look for:
- Level 3 Anatomy & Physiology for basic biology.
- Level 4 Laser & IPL as the bridge to advanced applications.
- Core of Knowledge Safety Training, updated every five years, ideally with oversight from an LPA.
While insurance is not imposed by law, in reality you will not be able to practise without it. Cover usually includes:
- Public Liability Insurance โ accidents or injuries on your premises.
- Treatment Risk (Professional Indemnity) Insurance โ claims linked directly to tattoo removal.
- Products Liability Insurance โ adverse reactions linked to creams, gels or aftercare supplied.
- Employers' Liability Insurance โ compulsory if you employ staff, under the 1969 Act.
Most insurers will only issue cover once you hold a Level 5 certificate and Core of Knowledge. They may also ask for treatment protocols, risk assessments and device records.
Training:
Complete Level 5 tattoo removal alongside Level 3 and 4 underpinning courses, plus Core of Knowledge safety.
Device checks:
Ensure your machine has UKCA or CE marking and that the manufacturer has registered it correctly with the MHRA.
Insurance:
Secure comprehensive cover before working with clients.
Licensing:
Contact your local council to confirm whether a Special Treatment Licence is needed. In London, it usually is.
Clinic governance:
Put in place eyewear rules, signage, emergency plans and incident logs in line with MHRA guidance.
The Health and Care Act 2022 gave government the power to introduce a national licensing scheme for non-surgical cosmetic procedures. The consultation confirmed that tattoo removal will be included.
When it comes into effect, practitioners will need a licence, must meet set training standards, and will face inspection. For now, compliance depends on a combination of local council rules, insurance terms, and device law.
No national qualification law
exists for tattoo removal, though Level 5 courses are standard in practice.
CQC registration
only applies when treatment is delivered in a healthcare setting.
Local councils
may demand a Special Treatment Licence, especially in London.
MHRA rules
cover device safety and registration.
Insurers expect Level 5
plus Core of Knowledge before granting cover.
18+ policy
is strongly advised except under medical supervision.
Always check the latest CQC, MHRA and local authority guidance.
By combining solid qualifications, compliant equipment, the right insurance and respect for local rules, practitioners can deliver tattoo removal safely and legally while keeping clients confident in their care.
Dr Majid Zarandouz
Majid holds a PhD in organic chemistry and has been working with laser systems for decades. His career began in the mid-1990s, when he started researching and developing laser-based technologies for medical and cosmetic applications. Over the years, he has combined scientific expertise with practical engineering to design machines that are effective, durable, and straightforward to use in real clinic settings. As director of the British Institute of Lasers, Majid continues to focus on producing equipment that meets professional standards while remaining accessible to businesses of all sizes.