Teledermatology Update - 02.10.20

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Teledermatology Update- 02.10.20

A big thank you to everyone who has used Teledermatology in the last few months. We’re up to 200 requests per month, and most practices are now using it as the first option when they need input from Homerton Dermatology. It saves the patient needing to attend the hospital in person and gives excellent access to specialist input in a primary care setting.

Homerton Dermatology have passed on a few key reminders for Practices:

Please do not send any photos to Dermatology Advice and Guidance, including ones taken by the patient

Patients should be invited into practice for a face-to-face review and requests sent to Teledermatology. In cases, where the patient is self-isolating or cannot attend practice, you can use Teledermatology with photos they have taken- but please ensure this is flagged on the request form.

Please share this message with colleagues as Homerton are still receiving photos via A&G each month that they need to reject. This creates an unnecessary workload for the service and causes delays to the referral pathways as A&G has no onward referral function, meaning GPs have to process referrals themselves.  

Dermatology Waiting Times

Homerton Dermatology Waiting Times have increased during COVID and so we encourage practices to use Teledermatology as an alternative where possible. This will free up clinics for patients who need face-to-face review.

Rejected Requests

The quality of requests is generally very good, but Homerton still receive a significant number of requests that they need to reject each month. Below are the main reasons:

  1. Inadequate clinical history on the referral proforma- a detailed history of the problem is often as valuable as the pictures. Include as much detail as possible and if a rash, the distribution
  2. Multiple skin lesions being referred- only one lesion per request
  3. Blurred pictures- please check pictures are good quality before sending. 
  4. "Dark" dermoscopy pictures- please check the dermatoscope photo and ensure the light on the dermatoscope is switched on
  5. Skin lesions not marked on close up images- if there are multiple moles in the image- it’s not always clear which one is for review. Please mark the mole with an arrow or marker.
  6. No consent form- please include the consent form and note verbal consent given- if there is no signature.

The service Standard Operating Procedure is available on the service intranet page. Please refer to this for instructions when sending in a request.  

Training and Support from the GP Confederation

Dr Andrew Lock, Homerton Dermatology Consultant, is running an education session on Friday 23rd October at 1pm. This will run through learning from the service and give some key information on how to manage dermatology cases in Primary Care. It is accredited.

Click here for the event page to sign up.

Nick James at the GP Confederation is providing support for practices. If you have any issues or require 1-1 training- please contact Nick on nicholas.james4@nhs.net.

For further information on the service

Click here for the service intranet page- where key resources are available.

Expiry date: Oct 5th, 2021