Oxford University Hospitals NHS Foundation Trust

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Dermatology referrals

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Email advice service

Dermatology currently offers an email advice service to Oxfordshire GPs for routine clinical enquiries in addition to our telephone on-call service for urgent consultations.

The service is checked daily and consultants try to reply with advice for all enquiries within 48 hours.

Help us make the service more efficient. Don't forget the NHS number in the email title / subject line and use the NHS number as the picture identifier (with an additional letter to identify multiple images).

We will aim to respond within two working days; if there is a delay beyond that, please email:

To help us, please can you keep the image size to about 2 MB (1600x1200 pixel resolution) and send it as an attached .jpeg rather than embedded within documents, to make it easier to handle.

Please do not send dermoscopy alone, always include a clinical image. Routine mole screening is also not possible with the service.

The address to send emails for advice is:

e-Referral

  • Routine patients: these should always be referred via the e-Referral Service (ERS).
  • Urgent patients: these should be referred via the e-Referral Service, or if a melanoma or squamous cell carcinoma is suspected, referred via the 2 Week Wait (indirectly bookable service).

Directly Bookable Service for Dermatology

The GP surgery will generate an appointment referral request with appropriate priority (urgent or routine) for the service on e-Referral and UBRN in the usual way.

To select a directly booked appointment, please see the guide at the link below, which shows how to use the system.

An electronic proforma or appropriate letter needs to be attached to the e-Referral system by the surgery within 48 hours for a routine or urgent appointment.

In the case that the Trust cannot provide an immediate appointment, 'Defer to Provider' can be selected and Trust processes will be in place to contact the patient within 48 hours for an urgent or routine appointment.

18WW clock will start on the date the GP or patient makes the appointment booking.

GPs should check their patients have appointments on their e-Referral worklist. This applies to all appointment requests made through e-Referral.

For further information please visit 'e-Referral':

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2 Week Wait patients

2 Week Wait patients should be faxed to the 2 Week Wait Bureau to ensure that they are booked into the tumour clinic as soon as possible.

Only patients with suspected melanoma and squamous cell carcinoma (SCC) should be referred via the 2 Week Wait.

Please refer patients with suspected basal cell carcinomas (BCCs) via e-Referral.

2WW referrals for suspected skin cancer: e-Referral

Requirement

There is a requirement by the Department of Health and an expectation that all NHS trusts will move to the booking of all 2 Week Wait patients through the e-Referral Service.

2 Week Wait Dermatology appointments are booked by the OUH 2 Week Wait Bureau via the e-Referral Service.

  • The GP will generate appointment request letter on e-Referral and UBRN.
  • GP should select the Churchill site on e-Referral for each patient.
  • GP will check the patient understands they must make themselves available for any date offered within the next 2 weeks.
  • GP will give the patient the 'TWEEK' leaflet at the appointment.
  • Electronic proforma must be attached to the e-Referral Serviceby GP within 24 hours.
  • GP or patient will contact the 2WW Bureau (01865 231404) to book the appointment.
  • Appointment will be booked on EPR and e-Referral Service by the 2WW Bureau and logged on Infoflex.
  • Clock will start when GP or patient phones in to 2WW.
  • GPs should check their patients have appointments on their e-Referral worklist.

Gold standard would be that the patient leaves the GP Practice with their 2WW appointment booked.

Non-Oxfordshire GPs

e-Referral is the preferred method of referral for GPs referring to OUH. This supports the safeguarding of patient information and provides an audit trail for referrals. However non-Oxfordshire GPs not on the e-Referral Service can still send referrals by fax.

Queries/questions

If you have any technical queries or questions relating to e-Referral / OUH Directory of Services please contact:

  • Tel: 01865 743399
  • OUH Dedicated GP Line: 01865 572696

Contact information

Referring direct

If the patient has chosen to use the Department of Dermatology at the Churchill Hospital, please send a letter to a named consultant (if known) to:

  • Department of Dermatology
    Churchill Hospital
    Old Road
    Headington
    Oxford OX3 7LJ
  • Or alternatively fax to: 01865 228260

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Guidelines for GPs

Guidelines on the management of a number of skin conditions can be found on the British Association of Dermatologists' website.

Patients with psoriasis

Patients with vulval disease

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Common conditions

A large number of specialist clinics and services are run including the following.

  • Acne
  • Allergy
  • Bullous disease
  • Contact dermatitis
  • Cutaneous lymphoma
  • Day care
  • Hair and nail
  • Laser treatment
  • Male anogenital disease
  • Paediatric dermatology
  • Phototherapy (PUVA/TL01)
  • Psoriasis
  • Skin cancer
  • Vulval dermatoses
  • Wound care and leg ulcer inpatient beds at the Churchill Hospital

Exclusions from this clinic

  • Cosmetic skin lesions

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DEPARTMENTS AND SERVICES