• If you have any questions, please call us on 020 3326 9227

Hammersmith and Fulham Community Dermatology and Minor Surgery Service

T: 020 3326 9227

We provide consultant-led dermatology outpatient clinics for NHS patients who have been referred by their GP in Hammersmith and Fulham. We review all referrals to ensure patients can be effectively managed in our community clinic. Please note this clinic only accepts GP referrals for patients within the Hammersmith and Fulham CCG area.

Our waiting times are typically four to six weeks and we provide extended opening times including clinics at the weekend.

We understand skin conditions have a major effect on people’s lives which is why we aim to provide treatment as quickly as possible, often providing surgical treatment for patients the on the same day.

Clinic locations

  • Parkview Centre for Health and Wellbeing
    Cranston Court, 56 Bloemfontein Road, W12 7FG
    Directions
  • Parsons Green Health Centre
    5-7 Parsons Green, SW6 4UL
    Directions

Information for GPs: conditions you can refer to us

Inclusions

Dermatology:

  • Mild to moderate to severe rashes unresponsive to GP management.
  • Scalp, hair and nail lesions or conditions unresponsive to GP management.
  • Rashes or lesions for diagnosis.
  • Generalised sweating not responding to typical GP topical treatment.
  • Multiple Actinic Keratosis (AK) covering at least 5cm2 and those which are symptomatic which are creating itching, soreness, bleeding or crusting.
  • Assessment for diagnosis of hair loss or baldness (note: obvious male pattern baldness in men or women (androgenic alopecia) is excluded).
  • Moderate to severe acne unresponsive to typical GP management (for which isotretinoin might be indicated).

Minor Surgery Procedures:

The service will deliver procedures on the following clinical conditions and which are in line with NWL CCGs PPwT Policy on benign lesions and lumps.  Because of the subjective nature of symptoms and guideline interpretation, the referrer is encouraged to provide as much helpful information as possible about the symptoms caused by the lesion, using the standard referral letter.

  • Basal cell carcinoma (BCC) below the clavicle for treatment.
  • Lipoma(-ta)
    • of any size causing significant symptoms or demonstrable functional impairment
    • larger than 5 cm.
    • deep-seated.
    • the lump is rapidly growing or abnormally located (e.g. sub-fascial, submuscular, thigh).
    • patients with multiple subcutaneous lipomata may need a biopsy to exclude neurofibromatosis.
  • Unidentified pigmented lesions where histology is required.
  • Benign Lesions where:
    • The lesion is unavoidably AND significantly traumatised on a regular basis.
    • The lesion obstructs an orifice or movement or vision.
  • The lesion becomes repeatedly infected and requires repeated antibiotic treatment.
  • Sebaceous cysts causing significant symptoms and/or greater than 1cm diameter clinically.
  • Mucoid cyst where they are:
    • causing disturbance of nail growth.
    • have a tendency to discharge.
  • Removal of warts (non-genital) where they are where painful, persistent or extensive warts (particularly in immuno-suppressed patients).

Exclusions

Conditions requiring referral directly to secondary care:

  • Severe rashes affecting general health that needs to be seen urgently.
  • Lesions suspicious of melanoma or squamous cell carcinoma (via 2WW).
  • Widespread or severe rashes that require second line systemic agents or phototherapy.
  • Rare skin cancers.
  • Allergic contact dermatitis investigation.
  • Basal cell carcinoma above the clavicle for treatment.
  • Nail bed or nail matrix lesions requiring surgery.
  • Localised hyperhidrosis probably requiring iontophoresis, having failed topical treatments.

Dermatology

Most of the following conditions would be expected to be treated in Primary Care (with some exceptions – see “inclusions” above):

  • Melasma.
  • Post-inflammatory skin darkening.
  • Mild to moderate acne.
  • Acne scars.
  • Xanthelasma or xanthomas.
  • Mild Sun damaged and age–related skin changes.
  • Molluscum contagiosum.
  • Thread veins or rosacea for laser/IPL treatment.
  • Hirsutism (excess unwanted hair in any location).
  • Male pattern baldness in men or women (androgenic alopecia).
  • Warts and Verrucae.

Minor Surgery Procedures:

Most of the following conditions would be expected to be treated in Primary Care (with some exceptions – see “inclusions” above):

  • Anal skin tags.
  • Benign pigmented moles.
  • Comedoes.
  • Corn/callouses.
  • Benign cutaneous haemangiomas e.g. Campbell de Morgan spots.
  • Lipomata.
  • Milia.
  • Molluscum contagiosum.
  • Mucoid cysts.
  • Sebaceous cysts (epidermoid or pilar cysts).
  • Seborrhoeic keratoses (basal cell papillomata).
  • Skin tags.
  • Warts (non-genital).