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Information for GPs: conditions you can refer to us

Inclusions

• Management of mild to moderate forms of common rashes such as eczema, psoriasis, lichen planus, urticaria, fungal infections
• Premalignant skin lesions (Solar keratoses or Bowen’s disease)
• Low risk BCCs on trunks and limbs in line with NICE skin cancer guidance 2010
• Acne
• Diagnosis, investigation or management of other chronic rashes, unless diagnostic doubt
• Minor surgical procedures
• Diagnosis, investigation or management of mild/ moderate/ non-worrying dermatoses and skin lesion in children unless diagnostic doubt
• Conditions of hair scalp and nails
• Medication review
• Actinic keratosis
• Management and advice including follow up of skin cancer conditions treated in secondary care by agreement;
• Medical mycology

Procedures Performed

• Category B cryotherapy (BCC, Bowen’s Disease, Bowenoid papulosis of penis, Pagets disease of anus)
• Minor surgical procedures (Excision, Cautery and Biopsies)

Exclusions

• Patients who are not registered with a member GP Practice of R&B CCG or WF CCG
• Urgent 2 week wait cancer referral
• High risk BCC / Phototherapy and Patch testing
• Benign lesions such as verruca’s, warts, viral warts etc
• Leg ulcers (please refer to community leg ulcer or vascular surgeon)
• Acute infections needing urgent/inpatient treatment e.g. cellulitis
• Benign skin lesion for cosmetics reasons
• Severe inflammatory skin disease requiring non-conventional therapy
• Specialised skin surgery / Laser treatment /
• Life threatening skin disease
• Severe paediatric skin disease (patients under 16 years old)
• Genital dermatology / Genetic dermatology
• Non-malignant lymphoedema
• HIV and infectious disease of the skin
• Leprosy / Specialised dermapathology
• Occupational dermatoses and contact dermatoses
  Procedure Exclusions
• Clinically urgent procedures
• Procedures related to the treatment of malignant diseases, apart from low risk BCC’s
• Category A Cryotherapy (Actinic Keratoses, Skin tags, Keloids, symptomatic seborrheic warts, viral warts, plantar warts)