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Information for GPs: conditions you can refer to us

Inclusions

• • Moderate Atopic Eczema
  • Moderate Psoriasis
  • Moderate Dermatitis
  • Moderate Acne Vulgaris (not requiring Roaccutane)
  • Moderate Urticaria; lichen planus, lichen Simplex, Rosacea, Folliculitis
  • Moderate Alopecia
  • Moderate Vitiligo
  • Diffuse hair loss (not scarring conditions)
  • Pityriasis Versicolor
  • Pityriasis Rosea
  • Chloasma
  • Keratosis Pilaris
  • Granuloma Annulare
  • Skin lesions not suspected to be SCC, Melanoma or Suspected Cancer
  • Children with Moderate Widespread Eczema
  • Children with Strawberry Naevi (not in an orifice)
  • Tinea Capitis; nail fungal infection
  • Low risk BCC
  • Premalignant skin disease i.e. Bowen’s disease/solar keratoses
  • Ringworm

Exclusions

• Lesions suspicious of melanoma or squamous cell carcinoma (via 2WW).
• Phototherapy
• Dermatological emergencies
• Contact Allergy Testing
• Wound/leg ulcers
• Treatments governed by SEL TAP i.e. outside of TAP:
• Other Benign Skin Lesions e.g. skin tags, fibroepithelial polyps, dermatofibromata, Seborrhoeic warts will not be removed on cosmetic grounds. However, if symptomatic and inflamed at the time of consultation, removal will be considered. Some benign skin lesions will continue to be excised in the acute sector for differential diagnosis.
• Epidermoid (Sebaceous) cysts are always benign and are not removed in the Dermatology Department. Some may become infected and symptomatic and referral to General Surgeons is indicated in these cases
• Viral Warts and Molluscum Contagiosum in Children under 16 Years of Age These are self-limiting viral infections. Warts are appropriately treated in Primary Care by topical keratolytics. Cryotherapy is too painful, and no other treatment is offered in Secondary Care for either condition.