City and Hackney:
https://gps.cityandhackneyccg.nhs.uk/topic/dermatology
Hospital referral
– Referral to hospital
– Telederm via photo
A&G
– lesions e.g. moles
– rash
Community GwPSI derm
– Routine refs only for 2nd opinion/biopsy – not for cryo
– Simple excision<5cm
– Skin biopsy
– Scalp biopsy
– Mycology analysis
– Viral/bacterial swabs
Community minor surgery (Lawson and Nightingale Practices)
– Low risk BCC
– Non malignant skin biopsy
– Cyst/lesion removal
– Joint injection/aspiration
– Gangion cyst drainage
– Cryotherapy
BHR
http://gp.barkingdagenhamccg.nhs.uk/Downloads/clinicalresources/Dermatology/BHR-Dermatology-pathways.pdf
Hospital Referral
Referral to DMC community derm
– benign lesions, rashes, must be >5years old and generally well
http://gp.barkingdagenhamccg.nhs.uk/Downloads/clinicalresources/Dermatology/BHR-DMC-com-dermatology-referral-guidelines-May-2017.pdf
Community minor surgery
– Aspiration, drainage and injections
– Removal of benign lesions that have causes symptoms or become inflamed >1
– Removal of foreign body if local anaesthetic needed
– Low grade BCC
– Chronic toe nail deformity e.g. ingrown
http://gp.barkingdagenhamccg.nhs.uk/BHR/downloads/services/Other/minorsurgery/Service-spec-Minor-surgery-DES-Scope-of-Services.pdf
Waltham Forest
https://www.pcds.org.uk/services/ess-primary-care-solutions-waltham-forest-community-dermatology-clinic
Hospital Referral
A&G
from Whipps Cross
Referral to community dermatology provided by ESS (GPwSI led clinic)
Clear referral criteria here:
https://www.pcds.org.uk/files/general/Dermatology-Referral-Criteria.pdf
Newham
Tower Hamlets
Hospital Referral
Teledermatology
Inclusions: Over 16, non-suspicious/malignant lesions, non-emergencies, not on immunosuppressants
https://www.northeastlondonhcp.nhs.uk/gps/clinical-services/telederm.htm
A&G
for NON pigmented skin lesions only – MUST have a photo attached
Inclusions:
Over 16, non-suspicious/malignant lesions, non-emergencies, not on immunosuppressants
https://www.northeastlondonhcp.nhs.uk/gps/clinical-services/dermatology-advice-and-guidance.htm
No community providers