Letters UK office dermatologists

Teledermatology is the answer

BMJ 2012; 345 doi: https://doi.org/10.1136/bmj.e6593 (Published 02 October 2012) Cite this as: BMJ 2012;345:e6593
  1. Richard J Motley, dermatologist1
  1. 1Welsh Institute of Dermatology, University Hospital of Wales, Cardiff CF14 4XW, UK
  1. richard.motley{at}wales.nhs.uk

Rees has raised an important issue.1 Skin problems constitute a large proportion of general practice consultations, yet few GPs have any worthwhile training in dermatology. No one would contemplate offering GP obstetric care without further qualification, but this is considered acceptable for skin care (perhaps because the risk of causing harm is less). However, on economic grounds alone, this is not a good use of NHS funds.

Some GPs have studied one of the postgraduate diplomas—such as the Cardiff Diploma in Practical Dermatology—so have excellent skills, but not all GPs have the time to do this. In Cardiff we provide a teledermatology service, which focuses on giving timely advice (within 48 hours) to GPs on the diagnosis and management of their patients with skin problems. This form of consultant supervision and support is very popular with GPs, and 80% of referred patients are managed entirely in primary care. In the modern digital age, this is one way that consultant dermatologists can support GPs, who see most patients with skin problems, and it is a relatively simple method of supporting dermatology services in primary care.


Cite this as: BMJ 2012;345:e6593


  • Competing interests: None declared.


View Abstract

Sign in

Log in through your institution

Free trial

Register for a free trial to thebmj.com to receive unlimited access to all content on thebmj.com for 14 days.
Sign up for a free trial