Service update November 2020

Questions answered on the pausing of 2WW teledermatology

Why has the 2WW teledermatology pathway been paused?

After reviewing the pathway the services have concluded that it is unsafe to provide 2WW teledermatology without high-quality digital images taken by using a dermatoscope. Therefore the roll-out of the dermatascopes will continue. An update on progress and expected timescales to restart the pathway will go to the Clinical Advisory Group in January 2021. As a result the 2WW teledermatology referral form (EMIS) is no longer available. 

What options do I have for referring patients to a dermatologist?

GPs have the following options

  • 2WW: a standard referral that will result in a face-to-face appointment within two weeks
  • Routine standard referral: a pathway that will result in a face to face appointment
  • Routine teledermatology: this pathway must be accompanied by either dermascopic images for lesions or high quality images for rashes. Poor quality images will result in the referral being rejected.

Does this mean that the LCS payments will be stopped?

The LCS will continue for routine teledermatology referrals

What happens to patients who are still in the 2WW pathway? 

Royal Free London and Whittington Health have confirmed there are no outstanding 2WW referrals in this pathway. All patients referred through 2WW teledermatology have been seen.

What will happen if a GP sends a 2WW via the teledermatology route?

This pathway is no longer available on Trust’s Directory of Services; the only 2WW referral is through the face-to-face route.