The British Teledermatology Subcommittee is an integral part of the BAD Clinical Services Unit, providing guidance and support for clinicians and organisations in the development and optimisation of teledermatology services to improve the delivery of patient care. The Teledermatology subcommittee previously existed as the British Teledermatology Society, which was instrumental in developing national teledermatology guidance. The Teledermatology subcommittee includes representation from consultants, primary care clinicians, patients and trainees from across the UK.
Teledermatology is a major focus of NHS service delivery, and the BAD is working with NHS England Elective Care and Outpatient Transformation programmes (see Teledermatology Roadmap 2020/21), NHSX and NHS Digital to continually develop teledermatology platforms and functionality, provide appropriate training for service delivery, and collect clinically meaningful outcome measures to guide commissioning.
British Teledermatology Subcommittee members
Teledermatology Roadmap 2020/21: Implementing safe and effective teledermatology triage pathways and processes
The NHSE Teledermatology Roadmap for 2020/21 sets out what systems can do to optimise teledermatology triage and Advice & Guidance to help them safely manage new patient demand while restoring their dermatology services.
The Teledermatology Roadmap is available in the Elective Care Community of Practice Dermatology work space on the Future NHS Collaboration Platform here
This platform is open to anyone working in or for health and social care Join here
The platform enables different organisations to connect and collaborate more effectively, including commissioners, providers, senior management, frontline staff, clinicians, health and social care colleagues, and other interested stakeholders.
NHS teledermatology platforms
Teledermatology can be incorporated into mainstream delivery of patient care using the NHS e-Referral service (e-RS) as;
Images can be attached to e-RS Advice and Guidance requests and Referral Assessment Service referrals.
All GP practices in England should now be using the NHS e-Referral Service (e-RS) to refer into consultant-led out-patient clinics (NHS Standard Contract since October 2018).
Quick NHS Reference Guides for Clinicians using e-RS for teledermatology (A&G, referral review and triage)
The following quick reference guides have been created to support Clinicians to carry out e-RS A&G and referral triage online via e-RS.
Quick guide for clinicians reviewing Advice and Guidance Requests
Quick guide for clinicians reviewing referral Assessment service (RAS) referrals
Commercial teledermatology platforms
A range of commercial platforms offer teledermatology functionality. The BAD subcommittee aim to maintain an overview of use of these platforms across the UK to provide impartial advice and feedback from users across the country. Commercial teledermatology platforms include Consultant Connect, Cinapsis, Dermicus, InHealth, Kinesis, Vantage Health and eDerma.*
Commercial platforms can be commissioned as:
a potential alternative to e-RS Advice and Guidance (A&G)
a platform to interface with e-RS to aid triage of referrals using e-RS
*Despite listing these commercial platforms they are not endorsed by the BAD.
Smart phone apps for secure image capture and transfer
A range of commercial apps are available to allow personal smart phones to be used to securely take and transfer images of patients. These apps can be commissioned as a stand-alone app (including Consultant Connect and Pando) to allow images to be attached to e-RS, or alternatively as part of a complete commercial A&G pathway as listed above. These apps allow images to be transferred to nhs.net and a secure cloud for downloading by clinicians or administrative staff into clinical systems such as e-RS. No clinical information is stored on the smart phone.
The following resources have been developed to support clinicians, commissioners and service managers.
NHSE Teledermatology Roadmap 2020/21
BAD Position Statement on Teledermatology
Advice and Guidance Toolkit Advice and guidance supports the NHS long term plan to use digital technology to redesign clinical pathways and reduce unnecessary hospital referrals. The e-RS A&G Toolkit supports clinicians, commissioners and service managers develop A&G services across a range of specialties.
Advice and Guidance High Impact Intervention Guides September 2020 National Elective Care Recovery and Transformation Programme guides
UK guidance on the use of mobile photographic devices in dermatology(2017)
Quality Standards for Teledermatology(2013)
RCGP Dermatology toolkit Royal College of General Practitioners Dermatology Toolkit which includes top tips on taking dermoscopic and general dermatology images
Dermatoscopes To improve the quality of referrals and reduce unnecessary appointments in secondary care, Clinical Commissioning Groups are investing in dermatoscopes for primary care to use where appropriate.
Specimen e-RS teledermatology consent form including patient information about teledermatology and additional consent for use of images for teaching health care professionals
The BAD will ensure that the current dermatology curriculum reflects the ever changing digital role of the consultant dermatologist, and can equip trainee dermatologists with the skills to deliver digital patient care safely and effectively.
Trainees are encouraged to attend the Annual Teledermatology Skills and Practice Course to supplement clinical and on-line learning.
Dermatology trainees can apply annually for the BAD Teledermatology Fellowship.
Teledermatology Courses and Meetings
Virtual Teledermatology Skills and Practice 2020
This annual teledermatology training course is open to dermatologists, commissioners and general practitioners with an interest in teledermatology. The 2020 course will take place virtually on Friday 16th October 2020.
World Congress of Teledermatology 2020
The 8th World Congress of Teledermatology, Imaging, and Artificial Intelligence for Skin Disease 2020 is fully virtual meeting that will continue to offer the possibility for educational exchanges, scientific news and best practice updates while protecting the safety, health, and well-being of all congress participants.
British Association of Dermatologists Annual Meeting 2020
The Virtual BAD 100th meeting included the annual Teledermatology and Digital Dermatology Symposium, and a new session on COVID: Clinical and digital learning in a pandemic.
Clinical Services Unit
British Association of Dermatologists
4 Fitzroy Square
London, W1T 5HQ
Tel: +44 (0) 207 383 0266
*Copyright (2019), British Association of Dermatologists. No part of this publication may be reproduced, stored or used in any way, without prior permission in writing of the Editorial team.