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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

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Implementing the Acne Care Pathway


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    1. Implementing the Acne Care Pathway Dr Art O’Hagan, Consultant Dermatologist

    2. 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.

    3. Rationalisation of Dermatology services in SHSCT

    4. 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.

    5. Acne referral data Jan 2012

    6. 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

    7. 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

    8. Inflammatory acne

    9. Comodomal acne

    10. Commedomal acne

    11. Moderate Acne – papules and pustules

    12. Severe Acne – nodules and cysts

    13. Severe Acne (fulminans)

    14. Acne: Excoriation (acne excoriee)

    15. Summary of topical therapies for acne

    16. Oral Antibiotic therapy for acne

    17. www.carepathways4gp.org.uk