Call us on: 020 7635 1012

Tower Hamlets

We provide consultant-led teledermatology services and advice to NHS patients registered within Tower Hamlets CCG. Our service delivers assessment and treatment for a variety of skin problems for patients over 16 years old.

Our waiting times are typically 4 to 6 weeks and we provide extended opening times including clinics at the weekend.

We understand skin conditions have a major effect on people’s lives which is why we aim to provide treatment as quickly as possible, often providing surgical treatment for patients the on the same day.

If you have any questions, please call us on 020 7635 1019

Spitalfields

20 Old Montague Street
London
E1 5PB

Directions

St Andrew’s Health Centre

1 Hannaford Walk
London
E3 2FF

Directions

East One Health Centre

14 Deancross Street
London
E1 2 QA

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 of 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

80% of referrals can be managed using the teledermatology pathway. If your patient does not consent to having photos taken, they will be assessed by our consultant dermatologist and booked into a one-stop assessment and treatment clinic if indicated.

Information for GPs: conditions you can refer to us

Inclusions

  • Acne fulminans- mild/ moderate
  • Moderate acne that fails to respond to treatment
  • Rosacea – where there is doubt over diagnosis or disease severe
  • Cutaneous vasculitis / auto-immune disorders
  • Primary care conditions that are severe
  • Keloid scarring unresponsive to treatment
  • Where specialist opinion is sought
  • Suspected BCC
  • Inflammatory disorders (unresponsive)
  • Severely disabling Viral Warts despite six months of treatment
  • Scabies – where patients have not responded to two courses of treatment and the itching continues after six weeks of topical treatment
  • Impetigo – Severe and/or unresponsive to treatment
  • Urticaria – Severe or unresponsive to treatment
  • Failing to respond to treatment psoriasis
  • Extensive acute guttate or plaque psoriasis
  • Severe Eczema (Atopic, Contact, Asteatotic, Seborrhoeic Dermatitis, Pompholyx & Atopic
  • Eczema) not responding to current therapies
  • Herpes Simplex – – Severe and/or unresponsive to treatment
  • Milia – Severe and/or unresponsive to treatment
  • Pitted keratosis – Severe and/or unresponsive to treatment
  • Medical Mycology- Severe and/or unresponsive to treatment
  • Genetic Dermatology
  • Hidradenitis suppurative – Severe and/or unresponsive to treatment
  • Pityriasis amiantacea – Severe and/or unresponsive to treatment
  • Hair and Nail Disease – Severe and/or unresponsive to treatment
  • Occupational dermatoses and contact dermatoses – Severe and/or unresponsive to treatment
  • Bacterial Infection – Severe and/or unresponsive to treatment
  • Cracked painful lips – Severe and/or unresponsive to treatment
  • Insect Bite – Severe and/or unresponsive to treatment
  • Fungal Infection (skin and nail) – Severe and/or unresponsive to treatment
  • Cellulitis – Severe and/or unresponsive to treatment
  • Cold Dermatology (Chilblains & Frostbite) – Severe and/or unresponsive to treatment
  • Perioral dermatitis – Severe and/or unresponsive to treatment
  • Lichen Planus – Severe and/or unresponsive to treatment
  • Rhinophyma/ Rosacea
  • Anything that doesn’t fall within the exception criteria and presents a dermatological and diagnostic/ management doubt for the GP

Exclusions

  • Patients not registered with a Tower Hamlets GP practice (unless resident in Tower Hamlets and not registered with any GP)
  • Patients who are under 16 years of age
  • Patients who require emergency treatment
  • Patients seeking private payment services
  • Patients requiring management as part of a post-surgical pathway
  • Suspicious skin lesions falling under the 2ww pathway e.g. MM and SCC
  • Dermatological emergencies e.g. exfoliative dermatitis or blistering skin disorders
  • Patients already under the ongoing care of a secondary care dermatologist e.g. taking immunosuppressive drugs
  • Where the referring clinician feels the patient will benefit from total skin examination (please refer directly to OAT)
  • A suspicious change in a mole or melanocytic lesion
  • Lesions that are on parts of the body where it would be deemed inappropriate to take images. For example, genital areas and breasts
  • Patients who have received significant intervention for the same condition previously within the acute setting and for whom it would appear appropriate that the referral should be re-directed to a more appropriate service
  • Suspicious pigmented skin lesions with a weighted 7-point checklist score of three or more below should be referred to 2ww
  • Weighted 7-point checklist (NICE 7 point guideline
  • Major features of the lesions (scoring two points each)
  • Change in size
  • Irregular shape
  • Irregular colour
  • Minor features of the lesions (scoring one point each)
  • Largest diameter 7 mm or more
  • Inflammation
  • Oozing
  • Change in sensation