Shaping better health
REMEDY : BNSSG referral pathways

Advice and Guidance Services - Dermatology

Checked: 03-01-2019 by Rob.Adams Next Review: 18-07-2019

Advice and Guidance

Teledermatology continues to be available for GPs using the existing Vantage platform (see below). However, this is likely to be withdrawn in the not too distant future and is being replaced by Dermatology Advice and Guidance services at UHB and NBT. These services are currently available via eReferral to all BNSSG practices. We are awaiting some advice on privacy and information governance which will be published here shortly.


The A&G service run by UHBristol is a platform to request advice on patient's aged 16 years and over.

Please see the Dermatology A&G Steps - UHB (word doc) for further guidance on how to submit a request via e-Referral.


The A&G service run by NBT is available on eReferral for patients aged 16 and over. Please attach a photograph if appropriate.

Please see the Dermatology A&G Steps - NBT (word doc) for further guidance on how to submit a request via e-Referral.

Teledermatology - Bristol and North Somerset

This service is available only to Bristol and North Somerset GP Practices.

The Teledermatology service enables GPs to receive diagnostic and management advice from consultant dermatologists for patients who would otherwise have been referred to secondary care.

The aim of the service is to reduce the number of inappropriate routine adult dermatology referrals to secondary care, and increase the number of patients whose dermatology condition is managed in primary care.

The Teledermatology system is provided by Vantage Diagnostics, and the review of the referrals is provided by UHB dermatology consultants.  All practices in Bristol have been provided with training and equipment to use the service.

Teledermatology referrals can be sent 24 hours a day, 7 days a week, using the internet based referral system. The response by the reviewing Consultant Dermatologist will be returned to the practice within three working days.

The service works by the GP practice sending an electronic referral including images of the patients’ dermatological condition and medical history, using an internet based referral system. The electronic referral is reviewed by the dermatology consultants, who will return a report including diagnostic and management advice to the GP Practice within three working days. Please see below documents for further information on referral criteria and guidelines.