• If you have any questions, please call us on 020 7635 1019

Tower Hamlets

T: 020 7635 1019

We provide consultant-led teledermatology services and advice to NHS patients registered within Tower Hamlets CCG. Our service delivers assessment and treatment for a variety of skin problems for patients over 16 years old.

Our waiting times are typically 4 to 6 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

  • Spitalfields
    20 Old Montague Street, London, E1 5PB
    Directions
  • St Andrew’s Health Centre
    1 Hannaford Walk, London, E3 2FF
    Directions
  • Wood Lane Medical Centre
    39 Wood Lane, Hornchurch, Essex, RM12 5HX
    Directions

80% of referrals can be managed using the teledermatology pathway. If your patient does not consent to having photos taken, they will be assessed by our consultant dermatologist and booked into a one-stop assessment and treatment clinic if indicated.

Information for GPs: conditions you can refer to us

Inclusions

  • Acne fulminans- mild/ moderate
  • Moderate acne that fails to respond to treatment
  • Rosacea – where there is doubt over diagnosis or disease severe
  • Cutaneous vasculitis / auto-immune disorders
  • Primary care conditions that are severe
  • Keloid scarring unresponsive to treatment
  • Where specialist opinion is sought
  • Suspected BCC
  • Inflammatory disorders (unresponsive)
  • Severely disabling Viral Warts despite six months of treatment
  • Scabies – where patients have not responded to two courses of treatment and the itching continues after six weeks of topical treatment
  • Impetigo – Severe and/or unresponsive to treatment
  • Urticaria – Severe or unresponsive to treatment
  • Failing to respond to treatment psoriasis
  • Extensive acute guttate or plaque psoriasis
  • Severe Eczema (Atopic, Contact, Asteatotic, Seborrhoeic Dermatitis, Pompholyx & Atopic
  • Eczema) not responding to current therapies
  • Herpes Simplex – – Severe and/or unresponsive to treatment
  • Milia – Severe and/or unresponsive to treatment
  • Pitted keratosis – Severe and/or unresponsive to treatment
  • Medical Mycology- Severe and/or unresponsive to treatment
  • Genetic Dermatology
  • Hidradenitis suppurative – Severe and/or unresponsive to treatment
  • Pityriasis amiantacea – Severe and/or unresponsive to treatment
  • Hair and Nail Disease – Severe and/or unresponsive to treatment
  • Occupational dermatoses and contact dermatoses – Severe and/or unresponsive to treatment
  • Bacterial Infection – Severe and/or unresponsive to treatment
  • Cracked painful lips – Severe and/or unresponsive to treatment
  • Insect Bite – Severe and/or unresponsive to treatment
  • Fungal Infection (skin and nail) – Severe and/or unresponsive to treatment
  • Cellulitis – Severe and/or unresponsive to treatment
  • Cold Dermatology (Chilblains & Frostbite) – Severe and/or unresponsive to treatment
  • Perioral dermatitis – Severe and/or unresponsive to treatment
  • Lichen Planus – Severe and/or unresponsive to treatment
  • Rhinophyma/ Rosacea
  • Anything that doesn’t fall within the exception criteria and presents a dermatological and diagnostic/ management doubt for the GP

Exclusions

  • Patients not registered with a Tower Hamlets GP practice (unless resident in Tower Hamlets and not registered with any GP)
  • Patients who are under 16 years of age
  • Patients who require emergency treatment
  • Patients seeking private payment services
  • Patients requiring management as part of a post-surgical pathway
  • Suspicious skin lesions falling under the 2ww pathway e.g. MM and SCC
  • Dermatological emergencies e.g. exfoliative dermatitis or blistering skin disorders
  • Patients already under the ongoing care of a secondary care dermatologist e.g. taking immunosuppressive drugs
  • Where the referring clinician feels the patient will benefit from total skin examination (please refer directly to OAT)
  • A suspicious change in a mole or melanocytic lesion
  • Lesions that are on parts of the body where it would be deemed inappropriate to take images. For example, genital areas and breasts
  • Patients who have received significant intervention for the same condition previously within the acute setting and for whom it would appear appropriate that the referral should be re-directed to a more appropriate service
  • Suspicious pigmented skin lesions with a weighted 7-point checklist score of three or more below should be referred to 2ww
  • Weighted 7-point checklist (NICE 7 point guideline
  • Major features of the lesions (scoring two points each)
  • Change in size
  • Irregular shape
  • Irregular colour
  • Minor features of the lesions (scoring one point each)
  • Largest diameter 7 mm or more
  • Inflammation
  • Oozing
  • Change in sensation