Dermatology on-call should be commissioned and funded to support acute hospital services

Lee, A. S. W.; Chetty, N. Casie; Levell, N. J.

doi:10.1111/ced.13628

Cited by 2 publications

(3 citation statements)

References 2 publications

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“…Our Dermatology Department receives approximately 1200 acute on‐call referrals per annum. This represents 11% of all new patient referrals and is slightly higher (8%) compared to the figures of Lee et al 7 These data highlight the fact that on‐call Dermatology is an important aspect of the Dermatology service.…”

Section: Discussionmentioning

confidence: 50%

Impact of COVID‐19 pandemic on acute dermatology referrals in a secondary and tertiary care Central London hospital. A retrospective comparison review of pre‐COVID‐19 era and COVID‐19 pandemic

Panagou

Panou

Crawley

et al. 2023

Acad Dermatol Venereol

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Skin conditions are commonly encountered by health professionals. Dermatology has a higher referral rate, especially for diagnosis, compared with other specialities. 1 The high demand is driven by an ageing population, a high prevalence of multiple comorbidities and patients' rising expectations about skin, hair and nail appearance. 1,2 Although Dermatology is generally considered an outpatient service, there has always been a need for Dermatology expertise

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Section: Discussionmentioning

confidence: 50%

Impact of COVID‐19 pandemic on acute dermatology referrals in a secondary and tertiary care Central London hospital. A retrospective comparison review of pre‐COVID‐19 era and COVID‐19 pandemic

Panagou

Panou

Crawley

et al. 2023

Acad Dermatol Venereol

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“…Previous work by Lee et al . in Norwich, UK 3 looked at the total demand for acute dermatology, and estimated this to be in the region of 8.1% of all new referrals. This is similar to the data from UHL, which put the figure at 8.3%, and represents a significant workload.…”

Section: Discussionmentioning

confidence: 99%

“…In a UK‐based study, 3 acute referrals were found to represent a significant proportion of all new referrals. It is not clear how many of these referrals require a dermatology opinion outside of standard office hours, and what impact this may have on an already depleted workforce.…”

Section: Introductionmentioning

confidence: 99%

What is the demand for out‐of‐hours dermatology? A UK‐based region‐wide survey of dermatology demand and provision during the evenings and at weekends

2021

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Summary Background Little is known about the demand for out‐of‐hours (OOH) dermatology in the UK, and this can make commissioning of acute services difficult. The East Midlands region has a population of 4.5 million people, with variable access to OOH dermatology services. Aim We sought to investigate the provision of, and demand for, OOH dermatology services across the region with a view to informing commissioning decisions for the future. Methods We contacted all dermatology departments in the East Midlands region to establish what level of service was commissioned at evenings and weekends. At the sites providing any form of OOH service, we recorded all requests for advice received after 17.00 h on weekdays, or at any time during weekends and bank holidays over a 3‐month period from October to December 2019. Results The OOH services provided ranged from 24 h/day cover 7 days/week at one site, to no formal provision across much of the rest of the region. In total, 125 calls were received during the study period, averaging 1 call per day on weekday evenings, and 2 calls per day at weekends and on bank holidays. Of these 125 calls, 11 patients (9%) were prioritized and seen by the on‐call dermatologist on the day of referral, and 9 of these had potentially life‐threatening skin conditions. A further 39 (31%) were deemed to need review within 24 h and 22 (18%) within 48 h. The remaining 42% were given appointments within 7 days or dealt with by telephone advice. Conclusion The demand for OOH dermatology across the East Midlands is low, but access to timely dermatology advice is essential in some situations. Commissioning of a regional dermatology OOH service incorporating digital technology may help to improve the equity of access for all patients across the region.

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Dermatology on-call should be commissioned and funded to support acute hospital services

Cited by 2 publications

References 2 publications

Impact of COVID‐19 pandemic on acute dermatology referrals in a secondary and tertiary care Central London hospital. A retrospective comparison review of pre‐COVID‐19 era and COVID‐19 pandemic

Impact of COVID‐19 pandemic on acute dermatology referrals in a secondary and tertiary care Central London hospital. A retrospective comparison review of pre‐COVID‐19 era and COVID‐19 pandemic

What is the demand for out‐of‐hours dermatology? A UK‐based region‐wide survey of dermatology demand and provision during the evenings and at weekends

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