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Solent Medical Services

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The service model below illustrates what interventions and patients’ problems should be dealt with at which service level:

 GP Service

  • Minor surgical problems such as regular skin tags & viral warts


SMS GPSI Service

  • Clinical triage of referrals
  • GP decision support, advice, and education/ training
  • Mild-moderate rashes including eczema (atopic & contact), psoriasis, alopecia, urticaria & leg ulcers
  • Assessment, investigation & treatment of skin surgical work
  • Intermediate level surgery e.g. cysts on face
  • Lesion diagnosis, treatment & follow-up for ‘symptomatic’ benign lesions and diagnosed or suspicious/ uncertain tumours including ‘low risk’ BCCs
  • Clinical intervention including skin surgery


Secondary/ Tertiary Care Service

  • Suspected squamous – 2 week cancer rule
  • Suspected melanomas – 2 week cancer rule
  • High risk BCCs i.e. those on the head
  • Acne requiring Roaccutane
  • Severe, widespread acute rashes
  • Psoriasis requiring UV or systemic therapy
  • Acute/ emergency patients

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NHS Choices Department of Health