Admissions

For minor surgery dermatological procedures, consider using the in house minor surgery clinic (except for lesions on the face; they go to plastics). However, remember new NICE guidelines: GPs should not excise suspicious cancers
Make effective use of the nurses and district nurses - excellent on wound management and dressings
Dont forget the Tissue Viability Nurse (see criteria below)

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
If you have to refer, consider sending all to locality clinic. The PCT target is that 60% of referrals should be to a locality clinic. Direct referral to pigmented lesion clinic is not included in the marker

Name	Location	Tel	Referral Criteria	How to refer
Dr Roberts	Idle		●NO suspected cancers please - fast track (SCC and melanomas)	●Use dermatology referral form for all. ●Remote booking.
Dr. Chadwick	Windhill
Dr. Cuthbert	Westcliffe
Eczema Specialist Nurse Leslie Matthews			●Eczema only

Other Clinics

Name	Location	Tel	Referral Criteria	How to refer
Joint Dermatology and Plastic Surgery Clinic	Dermatology Dept St Luke's Hospital Little Horton Lane Bradford BD5 0NA	01274 734 744	●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	●Mondays only 930-1130 am ●can telephone

Name	Location	Tel	Referral Criteria	How to refer
Venous Ulcer Clinic	Wrose Idle and Shipley (just for North Bradford)	322162	●discuss with your own DNs first, get them to do dopplers	●referral form
Children's District Nursing Service		01274 228 755 01274 228835 Fax 01274 228860		●referral form - telephone them then fax the form
Ayesha Clarkson Tissue Viability Nurse	City Wide	Eccleshill Clinic		●referral form vascular
Nit Advice	Penny Wild Lead School Nurse Shipley Health Centre Alexandra Rd Shipley BD18 3EG	01274 595 611	General Guidance as follows: 1. wet combing with conditioner for at least 2-3w 2. Full Marks or Lyclear (esp for asthmatics and sensitive skins) 2 x treatments 7d apart 3. Suleo M or Derbac M (again for asthma/sensitive skins) 4. Carbaryl wet combing should be continued even if treated with lotions	for advise on nits

Consultants

Name	Location	Tel	Referral Criteria	How to refer
Andrew Wright			Acne	●refer via GPwSIs
Dr London			Gynae dermatology eg lichen sclerosis
one other???

Notes on 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

In House

GPwSI If you have to refer, consider sending all to locality clinic. The PCT target is that 60% of referrals should be to a locality clinic. Direct referral to pigmented lesion clinic is not included in the marker

Other Clinics

Consultants

GPwSI
If you have to refer, consider sending all to locality clinic. The PCT target is that 60% of referrals should be to a locality clinic. Direct referral to pigmented lesion clinic is not included in the marker