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NEL Community Dermatology Pathway
Referral received
Referral criteria
Advice & guidance

Provided by senior clinician/consultant

Community Dermatology Service

Assessment by GPwER/MDT
Access to nansuitant as needed

Is GPocs advice?
GP accepts advice and discharges

Provide via ERS, two-way communication

Escalation/onward referral

Refer to secondary/acute care (routine, urgent, or 2ww)
Joint clinics with acute providers for complex cases

Is escalation onward referral?
Discharge to GP

DNA policy: discharge after 2 missed appointments
Patient feedback and improvement
Discharge to GP with education if missed appointments

Reporting & quality

Wait time and activity reporting
Digital/IG requirements

Legend / Key

    Community

    Primary Care

    Acute

NEL

by viccc

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