Non-urgent skin problems Skin and Connective Tissue Diseases Dermatology
Conditions
Interventions
The Bristol primary care dermatology service is staffed by two GPs with Special Interests (GPSIs) and a specialist nurse, and operates from a suburban health centre. It provides care for patients regi
all patients recruited before this were in the pilot study.
Sponsors
NHS Service Delivery and Organisation Programme (SDO) (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Adult patients referred to a hospital dermatology clinic assessed on the basis of the referral letter to be potentially suitable for GPSI management. Suitable patients had non-urgent problems with a provisional diagnosis.
Exclusion criteria
Exclusion criteria: 1. Children aged less than 16 years 2. Urgent skin problems 3. Patients where the referral letter indicated that the referrer specifically requested hospital management or the patient clearly needed hospital facilities
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Disease-related quality of life assessed using the dermatology life quality index (DLQI) and a single-item measure of improvement 2. Improved patient-perceived access, assessed using a new scale | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Patient satisfaction with consultation (Consultation Satisfaction Questionnaire) and with facilities (new scale) 2. Preference for site of care 3. Proportion of failed appointments 4. Waiting times to first appointment | — |
Countries
United Kingdom
Outcome results
None listed