Skin surgery

 

We have three purpose-built skin surgery operating theatres where patients can receive a range of skin surgery treatments under local anaesthetic, ranging from simple excisions to complex flap and graft repairs.

Treatments

Most surgery for skin cancer is carried out in our own day case unit. Simple operations can sometimes be carried out on the day of your clinic appointment.

More complex skin cancers, such as those that have recurred after previous treatment, might require Mohs surgery, which we offer here. Mohs (named after the surgeon who created the procedure) involves removal of the skin cancer in stages. We test the skin that has been removed to see where the cancer cells are and to make sure that they are completely removed before we repair the area on your skin. Further information on Mohs surgery can be found here.

Our team

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

Where to find us

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

Department of Dermatology

Contact us

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

Community services

We have four GP led community services for treating skin cancer:

  • Tiverton: Dr James Wood, Dr Helen Crighton and Dr Jon Williams
  • Exeter: Dr Victoria Chamberlain, the Heavitree Practice
  • Exmouth: Dr William Willcock, Rolle surgery Exmouth
  • Sidmouth: Dr Duncan Hall and Dr Andrew Rosewarne

Clinics

Suspected skin cancers are referred to us via the two week wait system. Patients with suspected cancer are seen in dedicated clinics, with facilities for skin biopsy and simple skin excisions for lesions that require urgent treatment.

Supporting you

A skin cancer diagnosis and treatment can have a huge impact on your social and psychological wellbeing. It is important to tell your GP or dermatology doctor about this during your consultation if it is relevant for you so that we can signpost you for further help in this regard.

Locally, we work with Talkworks who can offer support and advice.

There are also links to support groups and resources for many skin conditions at the following website.

Changing Faces is a support group for people living with disfigurement.

Information for healthcare professionals

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.

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.

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