Shaping better health
REMEDY : BNSSG referral pathways


Checked: 23-10-2017 by Rob.Adams Next Review: 23-10-2018

Principles of Management

Local clinicians recommend the following guidelines provided by the PCDS website:

Eczema - atopic

Eczema - discoid

Eczema - contact dermatitis

Eczema - Hand and foot


The National Eczema Society also has advice on Self Care and other useful resources for health care professionals (log in required) 


See also the following local prescribing guidelines for advice on use of :


Topical Steroids

Calcineurin Inhibitors (tacrolimus and pimecrolimus)


BCH Dermatology Service - Bristol

In Bristol the Bristol Community Health Dermatology Service has an excellent team of dermatology nurses and GPSIs who can assess adults (and children) with eczema and develop eczema management plans. Referrals can be sent via ereferral or directly. Self referrals from patients are not permitted but referrals can be made by health care professionals including GPs, health visitors, community nurses, practice nurses and podiatrists. A referral form can be found at the link above.

If a patient with eczema is referred to secondary care dermatology via the Bristol Referral Service it will normally be forwarded to the BCH service (where available) unless otherwise requested in the referral.

Patients with suspected contact allergic dermatitis should be referred to a dermatology department for patch testing as this is not available in the primary care service.

Sirona - Dermatology Specialist Nurse - SGlos

In South Gloucestershire there a Dermatology Specialist Nurse Service for adults (age 18 and over).

The service provides specialist support for a variety of skin conditions including eczema, psoriasis, scabies, actinic keratosis, dry skin/itch.

Secondary Care Referral

If Clinicians do not have a primary care service available or secondary care referral is indicated then refer via eReferral.

Eczema Herpeticum

Eczema herpeticum  is a form of eczema triggered by herpes simplex. If suspected then treat immediately with systemic aciclovir and discuss the same day with the on-call dermatologist as admission may be needed - systemic eczema herpeticum is uncommon, but can be fatal.