Keith Freeman: Sunderland dermatology and minor surgery service

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  • Posted:Wednesday 22 October 2014

Dr Keith Freeman, consultant dermatologist, explains how the Sunderland dermatology and minor surgery service diagnoses and manages patients with a range of skin conditions whose treatment does not require a hospital setting.

The service is run by South Tyneside NHS Foundation Trust and is delivered in a purpose-built primary care centre co-owned by Sunderland CCG and Sunderland City Council.

Services include: general dermatology, rapid access and nurse-led clinics, minor skin surgery, and a telephone advice line. An innovative feature is that professionals within the service are supported by the consultant dermatologist and nurse practitioner to work to the limits of their training and skills.

One of the biggest challenges to the service has been the fragmented nature of the NHS management structure, with too many middle-level managers who have ability to stop things but don't have the ability to progress things.

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Parent and carer,
Comment date
17 April 2016
Whilst I approve the drive to reduce consultant cost within the NHS my son had first experience of a less positive service to patients when sadly the consultant above showed less respect than I would have liked to my son who was concerned about a troublesome bleeding mole , he was in the room less than one minute not asked o be seated and the diagnosis was very dismissive. My son is severely sight impaired and relys on others to see what he doesn't and sought reassurance . Having watched the video I can now understand why the patients are not given the time and respect they deserve as it appears reducing costs for minor issues have effected quality of care with lack of manners . Very disappointing to my son who has now had the irratating mole removed . April 2016 .

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