Children’s skin service

Clinical Lead

• Dr Chris Bower

Dermatology Consultants

• Dr Yusur Al-Nuami
• Dr Rebecca Batchelor
• Dr Chris Bower
• Dr Carolyn Charman
• Dr Naomi Goldstraw
• Dr Tom Lucke
• Dr Emily McGrath
• Dr Yong Oon
• Dr Rachel Wachsmuth
• Dr Penelope Williams

Associate Specialists

• Dr Peter Acheson
• Dr Helen Frow
• Dr William Willcock

Specialty Doctors

• Dr Charlotte Carmichael
• Dr Josephine Wheeler
• Dr Helen Creighton
• Dr James Wood
• Dr Andrew Rosewarne

Specialist Trainees

• Dr Alistair Brown
• Dr Alice Walker

Clinical Nurse Specialist (CNS) Team

• Claire Facey – Lead CNS
• Jo Short
• Kate Allington
• Sarah Sandford
• Kevin Mitchell

Nursing Staff and Health Care Assistants (HCA)

• Clare Parkinson - Senior Surgical Nurse Practitioner
• Marian Thorn - Matron
• Hayley Thorn - Sister
• Chaya Sriranganatha - Sister
• Claire McKenna - Surgical Nurse Practitioner
• Hooi Inn Neoh-Solman - Surgical Nurse Practitioner
• Victoria Roderick - Surgical Nurse Practitioner
• Laura Warne - Sister
• Romina Abuzatoaiei - Staff Nurse
• Wasuru Dyke - Staff Nurse
• Patricia Garcia Arroyo - Staff Nurse
• Kim Hill - Staff Nurse
• Gillian Lacey - Staff Nurse
• Reynaldo Almazora - Senior HCA
• Myrna Base - Senior HCA
• Jayden Butler - Senior HCA
• Mandy Spinks - Senior HCA
• Jo Thompson - Senior HCA
• Amy Hunt - Senior HCA
• Michelle Murdoch - Senior HCA
• Bev Alford - HCA
• Wendy Davies - HCA
• Emily Hatch - HCA
• Fiona Lewis - HCA
• Gillian Tancock - HCA

Management and Admin team

• Roland Gulvin, Cluster Support Manager: rgulvin@nhs.net 07584 155 440
• Shirley Rickard, Admin Service Manager: shirley.rickard@nhs.net 01392 405 538
• Katy Watson, Team Lead & Waiting List Coordinator: katy.watson5@nhs.net 01392 405 506
• Karen Hill, Team Lead & Waiting List Coordinator: karen.hill13@nhs.net 01392 405 548
• Anne Jones, Team Lead & Medical Secretary: anne.jones31@nhs.net 01392 405 515
• Karen Baker, Team Lead & Medical Secretary: karen.baker12@nhs.net 01392 405 512
• Joan Smith, Team Lead & Medical Secretary: joan.smith@nhs.net 01392 405 513

RD&E Heavitree, Gladstone Rd, Exeter EX1 2ED

Department of Dermatology

If you want to get in touch with the department, please contact us on 01392 405510.

General support resources for patients with skin conditions: www.skinhealthinfo.org.uk/support-resources

There is a national charity to support families of children with eczema - Eczema Outreach Support: www.eos.org.uk

Support for patients with acne: www.skinhealthinfo.org.uk/support-resources/acne-support

Routine and urgent referrals

Please refer via NHS e-Referral through the dermatology Referral Assessment Service.

Urgent advice

Please call the on-call dermatologist for urgent advice relating to patients with severe skin disease. On-call dermatology patient referrals include severe widespread drug reactions, suspected toxic epidermal necrolysis, widespread blistering skin conditions, severe or unstable eczema or psoriasis and erythroderma.

2-week wait skin cancer referrals

Only patients with suspected melanoma and squamous cell carcinoma (SCC) should be referred via the two week wait. Patients with basal cell carcinomas should be managed as routine referrals, unless there is diagnostic doubt or rapidly growing lesions where delay may cause harm (eg close to important facial structures).

Please include digital photographs with referrals if possible to streamline triage (localising image, close up image, +/- dermoscopic image). The Consultant Connect® smartphone app can be used on personal devices to take images securely and transfer to clinical systems and e-RS referrals (see under teledermatology).

Skin surgery

Please ensure patients referred for skin surgery or to the see and treat skin cancer clinic have had an INR checked within 24 hours of their appointment. Patients requiring skin surgery will normally need to have an INR of 2.5 or under.

Teledermatology

The department provides a Consultant-led teledermatology Advice and Guidance (A&G) Service through the NHS e-Referral Service. A&G requests are usually responded to within 1-2 working days. The Consultant Connect app® can be used for patient photography.

• Teledermatology consent form
• Consultant Connect Photo app
• Consultant Connect Quick Reference Photography Guide
• Advice and Guidance Toolkit

Joint Formulary

The electronic edition of the Joint Formulary includes information on prescribing, referral guidelines, shared care guidelines and commissioning policies.

Guidelines for GPs

Guidelines on the management of a number of skin conditions can be found on the British Association of Dermatologists' website: British Association of Dermatologists guidelines.