Urgent/same day advice
Contact the on call team via the Royal Cornwall Hospital switchboard on bleep 3131.
Pre – referral triage using Consultant Connect has come to an end.
All referrals are to be made, once again, via eRS and the Advice and Guidance service has been switched back on.
All referrals will be vetted by Dermatology as part of the RAS (Referral Assessment Service) to ensure that the patient gets to the right service, first time.
Dermatology request that all referrals are accompanied by a high quality image (s). Please see the ‘Dermatology Referrals’ tab below for a list of exclusions and further guidance on referrals.
Lesions are often referred due to diagnostic uncertainty/concern about malignancy. Consider gaining a second opinion from a colleague, especially if trained in dermoscopy.
All suspected melanoma and SCC should be referred via the 2ww pathway.
High risk BCC (head and neck but in particular large mid facial BCC) should be referred as urgent. Only refer via the 2ww pathway if there is a concern that a delay will have a significant impact because of factors such as size or site (e.g. tip of nose, near eye, upper lip) or pattern of growth (e.g. large, infiltrative, fast growing). Low risk BCC (below the level of the clavicle) should be referred routinely.
Benign skin lesions
If the GP is unsure of the diagnosis and biopsy is not possible in primary care, a benign skin lesion can be referred for a diagnosis but will not be routinely excised as it is deemed a procedure of limited clinical priority (POLCP).
Useful websites and patient information leaflets (PILs)
British Association of Dermatologists PILs: http://www.bad.org.uk/for-the-public/patient-information-leaflets. Details of support groups are available at the end of each PIL.
Primary Care Dermatology Society: www.pcds.org.uk
South and West Devon Formulary and Referral: https://southwest.devonformularyguidance.nhs.uk
Minor surgery resource: http://www.pcds.org.uk/p/skin-surgery-cryosurgery