Trafford Dermatology Guidelines

1. Trafford Dermatology Guidelines Session Plan Context & Background – Dr N Macdonald Fingers on the buzzer - Quiz – Dr Nayeemuddin Dermatology Guidelines – Dr Nayeemuddin Children’s Community Nursing Team – Fiona Short Health Visiting Eczema Team – Jennie Broomhead Emollient Workshop – Isabel Lavers (Sp Nurse)

2. WHY…. • ~ 10% population have atopic eczema • ~ 2% have psoriasis • Occupationally acquired skin disease - second most common cause of lost work time • Impact of childhood atopic eczema on family life greater than asthma or diabetes • 15-20% GP consultations dermatological • BCC increased by 235% (between 1980 – 90) • Melanoma doubled in frequency every 10 years

3. In Trafford • One of highest cost specialties for first outpatients • Total outpatient spend ~1.56 million 10/11 • ~ 81K over 11/12 YTD plan • Variation in referral patterns • Limited data - which conditions referred • GPs reported long waiting times • Willingness to work together to improve and integrate services

4. Practice variation1st Outpatient Attendance Rates (via GP Referral) Oct 10 - Sep 11

5. Developments • GP Survey • Waiting times for secondary care • Limited awareness of community services • Interest in management guidelines • Suggestions for service improvements • Trafford Dermatology Guidelines – Dr Nayeemuddin • Introduction to Community Teams • Feasibility of some service developments • Guidelines – compatible with Scriptswitch • Available as CD rom, hard copy (via CCG team) • http://www.traffordcommissioningconsortium.co.uk