The views of consultant dermatologists on creating centralized skin lesion units

Research output: Contribution to journalLetterpeer-review


Colleges, School and Institutes

External organisations

  • College of Medical and Dental Sciences, University of Birmingham, Birmingham, United Kingdom.
  • Department of Dermatology; Solihull Hospital; University Hospitals Birmingham NHS Foundation Trust; Birmingham United Kingdom


The proportion of United Kingdom (UK) specialist dermatology clinical activity related to skin lesions has been estimated at between 40–50%. With skin cancer incidence rising, this is likely to increase even further. In 2014, The King's Fund conducted research to investigate the sustainability of dermatology services, with participants identifying the need for service reconfiguration to improve efficiency. One suggestion was to create consultant‐led centralised skin lesion units, receiving all referrals within a region. To the best of our knowledge, there has been no published qualitative research on the organisation of dermatology services, and the views of key stakeholders on service reconfiguration remain unexplored. An independent review following the failed takeover of dermatology services in Nottingham by a private provider concluded that staff must be fully involved in service reconfiguration from the outset.


Original languageEnglish
Pages (from-to)1525-1526
Number of pages2
JournalBritish Journal of Dermatology
Issue number6
Early online date27 Dec 2018
Publication statusPublished - 1 Jun 2019