Call us on: 020 7635 1012

Hammersmith and Fulham

Community Dermatology and Minor Surgery Service

The DMC Community Dermatology Service provides consultant-led, community-based care and advice to NHS patients registered within Hammersmith and Fulham CCG.

We assess and treat a variety of skin problems, delivering high standards of care closer to  home and reducing unnecessary hospital appointments.

All referrals should be made via NHS e-Referrals, selecting the most appropriate location for the patient, to ‘DMC Community Dermatology & Minor Ops Service – Hammersmith & Fulham’.

If you have any queries, you can call the DMC Referral Management Centre on 020 3326 9227 Monday to Friday – 9am to 5.30pm

Parkview Centre for Health and Wellbeing

Cranston Court
56 Bloemfontein Road
W12 7FG

Directions

Parsons Green Health Centre

5-7 Parsons Green
SW6 4UL

Directions

How our service works

Pre-appointment

GP appointment

See your GP about your skin condition

GP refers to DMC

If required your GP will refer you to DMC Community Services

Appointment booked

GPs will use a national IT system called e-Referral Service to refer you to us

Appointment confirmation

DMC will confirm your appointment via letter, text or by phone

At appointment

Arrive at clinic

Please notify reception and our healthcare assistant that you have arrived

Consultation

Our consultant will treat you in a one-stop clinic, and if necessary will perform minor surgery

Outcome

At the end of the consultation you will be discharged or booked in for a follow-up appointment

Onward referral

Sometimes it is necessary to refer you to secondary care

Information for GPs: conditions you can refer to us

Inclusions

Dermatology:

  • Mild to moderate to severe rashes unresponsive to GP management.
  • Scalp, hair and nail lesions or conditions unresponsive to GP management.
  • Rashes or lesions for diagnosis.
  • Generalised sweating not responding to typical GP topical treatment.
  • Multiple Actinic Keratosis (AK) covering at least 5cm2 and those which are symptomatic which are creating itching, soreness, bleeding or crusting.
  • Assessment for diagnosis of hair loss or baldness (note: obvious male pattern baldness in men or women (androgenic alopecia) is excluded).
  • Moderate to severe acne unresponsive to typical GP management (for which isotretinoin might be indicated).

Minor Surgery Procedures:

The service will deliver procedures on the following clinical conditions and which are in line with NWL CCGs PPwT Policy on benign lesions and lumps.  Because of the subjective nature of symptoms and guideline interpretation, the referrer is encouraged to provide as much helpful information as possible about the symptoms caused by the lesion, using the standard referral letter.

  • Basal cell carcinoma (BCC) below the clavicle for treatment.
  • Lipoma(-ta)
    • of any size causing significant symptoms or demonstrable functional impairment
    • larger than 5 cm.
    • deep-seated.
    • the lump is rapidly growing or abnormally located (e.g. sub-fascial, submuscular, thigh).
    • patients with multiple subcutaneous lipomata may need a biopsy to exclude neurofibromatosis.
  • Unidentified pigmented lesions where histology is required.
  • Benign Lesions where:
    • The lesion is unavoidably AND significantly traumatised on a regular basis.
    • The lesion obstructs an orifice or movement or vision.
  • The lesion becomes repeatedly infected and requires repeated antibiotic treatment.
  • Sebaceous cysts causing significant symptoms and/or greater than 1cm diameter clinically.
  • Mucoid cyst where they are:
    • causing disturbance of nail growth.
    • have a tendency to discharge.
  • Removal of warts (non-genital) where they are where painful, persistent or extensive warts (particularly in immuno-suppressed patients)

Exclusions

Conditions requiring referral directly to secondary care:

  • Severe rashes affecting general health that needs to be seen urgently.
  • Lesions suspicious of melanoma or squamous cell carcinoma (via 2WW).
  • Widespread or severe rashes that require second line systemic agents or phototherapy.
  • Rare skin cancers.
  • Allergic contact dermatitis investigation.
  • Basal cell carcinoma above the clavicle for treatment.
  • Nail bed or nail matrix lesions requiring surgery.
  • Localised hyperhidrosis probably requiring iontophoresis, having failed topical treatments.

Consider referral to secondary care as per NICE recommendations:

  • Psoriasis with body surface area of 10% or greater.
  • Very widespread eczema, uncontrolled by topical treatment.

Dermatology

Most of the following conditions would be expected to be treated in Primary Care (with some exceptions – see “inclusions” above):

  • Melasma.
  • Post-inflammatory skin darkening.
  • Mild to moderate acne.
  • Acne scars.
  • Xanthelasma or xanthomas.
  • Mild Sun damaged and age–related skin changes.
  • Molluscum contagiosum.
  • Thread veins or rosacea for laser/IPL treatment.
  • Hirsutism (excess unwanted hair in any location).
  • Male pattern baldness in men or women (androgenic alopecia).
  • Warts and Verrucae.

Minor Surgery Procedures:

Most of the following conditions would be expected to be treated in Primary Care (with some exceptions – see “inclusions” above):

  • Anal skin tags.
  • Benign pigmented moles.
  • Comedoes.
  • Corn/callouses.
  • Benign cutaneous haemangiomas e.g. Campbell de Morgan spots.
  • Lipomata.
  • Milia.
  • Molluscum contagiosum.
  • Mucoid cysts.
  • Sebaceous cysts (epidermoid or pilar cysts).
  • Seborrhoeic keratoses (basal cell papillomata).
  • Skin tags.
  • Warts (non-genital).