DERMATOLOGY



In House

  1. For minor surgery dermatological procedures, consider using the in house minor surgery clinic (except for lesions on the face; they go to plastics). However NICE guidelines: GPs should not excise suspicious cancers
  2. Make effective use of the nurses and district nurses - excellent on wound management and dressings
  3. Dont forget the Tissue Viability Nurse (see criteria below)
  4. Don't forget, the regime for treating cellulitis in Bradford is two lots of antibiotics at double dose for 2 weeks. i.e. flucloxacilling 500mg qds AND penicillin V 500mg qds (2w)

GPwSI

Venue & Address
About the service/How to refer/Referral criteria
Tariff
Idle Medical Centre
Address:
Idle Medical Centre
440 Highfield Road
Idle
Bradford
BD10 8RU
Lead by: Dr Alison Roberts
How to Refer:
  • Use dermatology referral form for all.
  • Remote booking
Referral Criteria:
  • NO suspected cancers please - fast track (SCC and melanomas)

Windhill Medical Centre
Address:
Windhill Medical Centre
2 Thackley Old Road, Bradford, BD18 1QB
Lead by: Dr Steve Chadwick

www.tanweir.net
How to Refer:
  • Use dermatology referral form for all.
  • Remote booking
  • Choose & Book
  • Fax
  • Post
Referral Criteria:
  • NO suspected cancers please - fast track (SCC and melanomas)

Westcliffe Medical Centre
Address:
Westcliffe Medical Centre
Westcliffe Road
Shipley
BD18 3EE
Lead by: Dr Mary Cuthbert
How to Refer:__
  • Choose & Book
  • Remote booking
  • Fax
  • Post
  • E-Referral (systmone)
Referral Criteria:
  • NO suspected cancers please - fast track (SCC and melanomas)

Westwood Park
Address:
Cooper Lane
Bradford
BD6 3NL
How to Refer:* Use dermatology referral form for all.
  • Remote booking
  • Choose & Book
  • Fax
  • Post
Referral Criteria:
  • NO suspected cancers please - fast track (SCC and melanomas)

Westbourne Green
Address:
26 Heaton Road
Bradford
BD8 8RA
How to Refer:* Use dermatology referral form for all.
  • Remote booking
  • Choose & Book
  • Fax
  • Post
Referral Criteria:
  • NO suspected cancers please - fast track (SCC and melanomas)

Eczema Specialist Nurse
Leslie Matthews
Referral Criteria:
  • Eczema only









Specialised Outreach Clinics

Venue & Address
About the service/How to refer/Referral criteria
Tariff
Joint Dermatology and Plastic Surgery Clinic
Address:
Dermatology Dept
St Luke's Hospital
Little Horton Lane
Bradford
BD5 0NA
Tel: 01274 734 744
Lead by: Consultant Dermatologist
How to Refer:
  • Mondays only 9:30-11:30 am by telephone
Referral Criteria:
  • review pts who have melanoma or SCC offering:
    specialist nurse support for breaking bad news
    plan next stages of treatment in a single OPD appointment

Venous Ulcer Clinic
Address:
Wrose
Idle and
Shipley
(just for North Bradford)
Tel: 01274 322162
How to Refer:
  • Referral form
Referral Criteria:
  • Discuss with your own DNs first, get them to do dopplers

Children's District Nursing Service
Tel:
01274 228755 or 01274 228835
Fax:
01274 228860
How to Refer:
  • Referral form - telephone them then fax the form

City Wide
Ayesha Clarkson
Tissue Viability Nurse
Eccleshill Clinic
How to Refer:
  • Referral form vascular

Nit Advice
Penny Wild
Lead School Nurse
Shipley Health Centre
Alexandra Rd
Shipley
BD18 3EG
Tel: 01274 595 611
General Guidance as follows:
  • Wet combing with conditioner for at least 2-3w
  • Full Marks or Lyclear (esp for asthmatics and sensitive skins) 2 x treatments 7d apart
  • Suleo M or Derbac M (again for asthma/sensitive skins)4. Carbaryl
  • Wet combing should be continued even if treated with lotions










Consultants

Consultant & Location
About the service/How to refer/Referral criteria
Tariff
Prof Andrew Wright
St. Luke's Hospital, Little Horton Lane,
Bradford, BD5 0NA
Acne

Dr Kate London
St. Luke's Hospital, Little Horton Lane,
Bradford, BD5 0NA
Gynae dermatology eg lichen sclerosis








Additional Notes

When to refer to the Tissue Viability nurse
  • Non-healing wounds:
    - Failure to make expected progress
    - For leg ulcers this may be at the 12 weekly review (PACE)
  • Deteriorating wounds
  • Underlying medical condition preventing/delaying healing:
    - Venous disease
    - Arterial disease
    - Diabetes
    - Renal or cardiac failure
    - Diabetic foot ulcers (PACE)
  • Ischaemic ulcers
  • When the diagnosis is uncertain
  • When pain management is difficult
  • When exudate is uncontrolled
  • Wounds that fall outside your field of knowledge or experience
  • When the use of an "Advanced Product" from the formulary would seem to be appropriate or advice on. its use is required
  • Contact dermatitis - referral for Dermatological opinion may be more appropriate
  • Suspected malignancy- referral to Plastic surgery or Dermatology