NCL Teledermatology: Dermoscopy

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The service enables the referring GPs to send a referral and images (photographs) to the provider and receive a timely diagnosis and management plan for patients with a skin lesion or rash of diagnostic uncertainty. This provides GPs with rapid access to a specialist opinion on diagnosis and management, thereby reducing unnecessary referrals to secondary care.

Video guides:

See Downloads section for further guides and resources.

For queries, please email your borough contact:

For equipment issues, email or telephone Patrick Beatty at Shucco.
e: patrick.beatty@schuco.co.uk
t: 01923 234 600


Image requirements for rashes and lesions

  • Patients with rashes can send their own images to the practice, avoiding the need for them to attend the practice.
  • Patients with lesions MUST attend an appointment at the practice so that dermoscopic images can be taken.

Eligibility criteria

Inclusions

  • aged 16+ and registered with an NCL GP

Exclusions

Lesions:

  • patients with suspected melanoma, squamous cell carcinoma or any other suspicious rapidly enlarging lesion within 4-8 weeks (includes rapidly increasing basal cell carcinomas) should be referred using the 2ww pathway

Rashes:

  • general rashes
  • all patients with acute onset and/or rapidly spreading severe rashes involving >50% of body surface area should be referred urgently to the on call SpR

The following patients should be referred routinely to the Dermatology service:

  • paediatric patients (15 years old and under) 
  • patients with immunosuppression
  • patients with anogenital skin lesions
  • patients without capacity to make informed decisions/consent to photography/understand the English language
  • patients previously diagnosed with melanoma and/or non-melanoma skin cancer (including BCC) and that would benefit for a total body face-to-face examination    
  • patients with a  severe skin disease or chronic dermatological condition previously seen in 20 care and known to require 20 care input
  • patients with >3 lesions for review (as these warrant a full body check) – this also includes  patients for mole mapping   
  • patients whose condition is not amenable to photographic imaging e.g. Hyperhidrosis

How to refer

The following clinicians can refer to this service: GPs, Nurses, All clinicians

EMIS form

Referral methods: e-Referrals, EMIS managed referral

Complete the Teledermatology Referral Form – NCL_APR2020 

This form allows practices to highlight whether patients would prefer a F2F appointment at NMUH following the initial virtual triage. Where necessary, the dermatology consultant will discharge the patient back to the practice following virtual triage, with advice, so that the practice can book the patient into the appropriate clinic at NMUH.

The EMIS referral form and images are sent via e-Referrals using the following steps:

  • Speciality: Dermatology
  • Clinic type: not otherwise specified
  • Click: ‘search primary care’

The available clinics are called:

  • Teledermatology – UCLH – RRV
  • Teledermatology – Royal Free London – RAL 
  • Teledermatology Service – Whittington Hospital - RKE

Where to find the form

In local EMIS global document library systems as follows:

  • Barnet: Bar Global Documents > Referral Forms (BAR GLOBAL) 
  • CamdenCamden EMIS Forms page
  • Enfield: ENF Global Documents > Dermatology
  • Haringey: HAR Global Documents > Dermatology
  • Islington: ISL Global Documents > Dermatology

Enfield practices

Please use the form called Telederm Referral Form – Enfield – NCL (an .rtf version of the form is available in Downloads).

This form allows practices to highlight whether patients would prefer a F2F appointment at NMUH following the initial virtual triage. Where necessary the dermatology consultant will discharge the patient back to the practice following virtual triage, with advice, so that the practice can book the patient into the appropriate clinic at NMUH. 


For Word version of the referral form, see Downloads.


Locations

UCLH dermatology service

Email Address

e: uclh.dermatology@nhs.net

Phone Number

t: 020 3447 9224
Whittington Health dermatology service

Phone Number

t: 020 7288 5331
Royal Free dermatology service

Phone Number

t: 020 7794 0500

Provided By


Commissioned By


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Related Services

Dermatology – UCLH

Camden Dermatology service at UCLH

Dermatology – Whittington

Camden Dermatology service at Whittington Hospital.

Dermatology: RF

Camden Dermatology service at Royal Free Hospital


General Services

Adult Safeguarding

Child Safeguarding

Community Services

Emergency, Rapid Access & Urgent Care Services

Emergency, Rapid Access & Urgent Care Services for Children

Hospitals

Self-refer


Last updated: Jul 14th, 2021
Review date: Nov 30th, 2021