Implementing the Acne Care Pathway . Dr Art O’Hagan, Consultant Dermatologist. Skin disease in the UK. Skin disease is most prevalent disease in under 16s (1 in 5 babies have eczema) and the second most common disease in adults
Implementing the Acne Care Pathway Dr Art O’Hagan, Consultant Dermatologist
Skin disease in the UK • Skin disease is most prevalent disease in under 16s (1 in 5 babies have eczema) and the second most common disease in adults • Each year 24% of the population present to their GP with a skin problem. • Skin cancer is the most common form of cancer in the UK and malignant melanoma incidence rates in Britain have more than quadrupled since the 1970s.
Rationale for care pathways • Locally agreed clinical care pathways are essential to support equity of access to care, best clinical practice and optimum care outcomes. Agreed care pathways facilitate seamless care for people accessing services.
Current Acne clinic in SHSCT • Severe acne / acne fulminans triaged to Urgent consultant clinic • Other cases generally triaged to Nurse led acne clinic (seen by experienced dermatology nurses) and other treatments recommended or counselled and worked up for Isotretinoin • Seen at consultant clinic and isotretinoin initiated • Nurse specialist clinic should be established soon
Summary of Recent audit of acne clinic in Craigavon Hospital • 45% patients discharged from acne clinic • 25% required Roaccutane immediately and referred to dermatology consultant • 30% given treatment advice and review at nurse led clinic