Skin Complaints

Who are we?

Advanced Primary Care Services offers specialist care to a variety of patients that require further care for dermatological problems but not require hospital treatment. Patients will be seen by a General Practitioner with special interest in Dermatology. We also offer a minor operations clinic where the patient will be seen by a General Practitioner with special interest in minor surgery. This will only be offered to patients who the clinician deems appropriate on their initial assessment.

Our services

We can offer assessment and diagnosis of skin disorders as well as advice and guidance. We are able to treat these conditions with commencement of medication, cryotherapy and/or minor surgery.

The people we see

We see patients with a variety of skin conditions which require further treatment but not require treatment within a hospital setting. Conditions commonly seen within the service include:

  • Basal cell carcinoma
  • Bowen's disease
  • Eczema (atopic, discoid, irritant hand, stasis, seborrhoeic, asteototic)
  • Folliculitis
  • Granuloma annulare
  • Hidradenitis suppurativa
  • Hyperhidrosis
  • Lesions (epidermal cysts, symptomatic benign naevi, symptomatic seborrhoeic keratoses, actinic keratoses)
  • Lichen planus
  • Pruritis
  • Psoriasis (guttate, chronic plaque, scalp, nail)
    Rosacea
  • Urticaria
  • Vitiligo

New patients

New patients can be referred to the service by their General Practitioner via referral through Choose and Book. This service is available in both the Telford & Wrekin and the Shropshire area.

Patients of all ages in the Telford & Wrekin area can be seen within the APCS service; within the Shropshire area, only adults aged 18 and over will be seen. The provision of the service does not vary depending on the age of the service user.

Existing patients

Existing patients or patients previously seen in the APCS service can be referred back to the APCS in the same way. The same age restrictions will also apply.

Services we do not offer

We do not currrently see patients who require treatment for acne i.e Roaccutane; any acne referrals should be directed straight to a hospital service. While we are able to refer patients for UVB and PUVA treatment, we do not offer this service within APCS. Referrals for warts, verrucas or cosemtic procedues or issues will not be seen in our clinic. We do not see patients who require allergy testing or those who are being referred under the 2 week cancer rule.

What you should bring with you

On initial assessment patients should bring a detailed list of current medication. Any photographs of the skin condition may also be helpful for the clinician.

Frequently asked questions

Can I be treated for warts/verrucas in the service?

No, verrucas and warts should be dealt with by discussing the issue with your own General Practitioner.

If I need minor surgery will I be seen on the same day?

Not normally – If surgery is required you will be referred on to our minor skin surgery team who are based at Marysville practice for an appointment which can be made on the day you are referred by our administration staff.

What are Advanced Primary Care Services?

Advanced Primary Care Services see a variety of patients needing specialist, but not hospital treatment, for particular health problems. These services have been developed using the skills of practitioners with special interests who are GPs, nurses, therapists and other health professionals who develop additional expertise which enables them to expand their clinical practice in a defined area. These advanced practitioners are able to diagnose, manage and treat more simple problems and procedures in primary care, so reducing the need for a referral into main hospital/ consultant care.

What are General Practitioners with special interests?

They are General practitioners (GPs) who supplements their core generalist role in a doctors surgery by delivering an additional high-quality service to meet the needs of patients. They must:

  • Demonstrate appropriate levels of skill and competence to fulfil the role they are specialist in (for example a postgraduate diploma in the relevant field).
  • Demonstrate a clear understanding of the key role the GPwSI is being asked to fulfil; this is done through a vigorous process and accreditation with a local panel of professionals
  • Understand the appropriate clinical pathway.
  • Understand and participate in the clinical network in relation to the clinical pathway.
  • Set out commitment to ongoing training, updates and education through appropriate appraisal and a personal development plan.
  • Make appropriate indemnity arrangements.
  • Make appropriate peer review and mentoring arrangements.
  • Demonstrate how the role fits the existing portfolio.
  • Provide evidence of professional registration and recognition on a PCT performers list.

 

Special Educational Needs and Disability (SEND) and our "Local Offer"

What is the Local Offer?

The local offer provides information for children and young people with special educational needs (SEND) and their parents or carers in a single place. You can find out more about information about this on our SEND reforms and Local Offers page.

Service Description

Advanced Primary Care Services (APCS) offer specialist care to a variety of patients that require further care for some specialist health problems but do not require hospital treatment. Patients will be seen by either Consultants, specialist health care professionals or GPs with a special interest in each field.

Who can use our service? Age? Disability?

We are an adults only service for patients over the age of 18.

How to access our service (inc. referral routes)

New patients can be referred into the service by GPs via referral through Choose and Book.

When and where is our service available?

This service is available Monday to Friday, 09:00 - 17:00.

Please see our "Where are we?" section (right-hand column) for the active list of clinic locations.

How can families contact the service?

Please see our "Contact us" section on this page (right-hand column).

Appointments for Whitchurch are handled by the Marysville Medical Practice team.

For external agencies: is the service free or charged?

Free

Is the service accredited? If so, by whom?

Care Quality Commission

How can families complain if they are not happy with the service?

All complaints are handled by our Patient Advice and Liaison Service (PALS) and Complaints teams.

 

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