The commissioned service will be a multidisciplinary consultant led community dermatology service (CDS) for the people registered with Medway GPs. This service is designed to provide a local, more accessible and cost effective service to patients in line with the white paper “Our Health, Our Care Our Say; A New Direction for Community Services” (DH, January 2006).
This service redesign fits with the Out of Hospital strategy and Shaping Healthier Future agenda.
The CDS will cover all dermatology areas as detailed in the inclusions and exclusion list below but in general the most common diagnostic groups of patients are identified who require more than one follow up, they are:
Basal Cell Carcinoma (BCC),
Leg ulcers and
The Community Dermatology Service will form part of an integrated Dermatology Service across primary and secondary care. This will entail working closely with GPs, GPwSIs undertaking minor surgery, Acute Specialist Service Departments (Level 4) and Specialist Skin Cancer services. In addition, the service will need to links with the local skin multidisciplinary team and cancer network’s skin cancer tumour working groups.
 Our Health, Our Care Our Say; A New Direction for Community Services”1 DH, (2006)