GP case study: Telederm

Dr Alice Overbury describes how she uses Photo Advice & Guidance for Teledermatology on the Consultant Connect App.

“The benefits of using the app are significant for both my patients and myself. Being able to access a specialist dermatological review in real-time is revolutionary.” Dr Alice Overbury

GP case study: Telederm

GPs in Southwark have access to Telephone Advice & Guidance and Photo Advice & Guidance for Teledermatology commissioned by NHS Southwark CCG. Dr Overbury, who works at Silverlock Medical Centre, sends photos to Dermatologists at Guy’s and Saint Thomas’ NHS Foundation Trust. She is “rapidly offered likely diagnoses and management plans without the need for time-consuming referrals.”

Dr Overbury likes using the Consultant Connect App as “It is safer in terms of confidentiality and reduces the use of unnecessary steps for taking and sending photos.”

“The benefits of using the app are significant for both my patients and myself. Being able to access a specialist dermatological review in real-time is revolutionary. The consultant can see the examination findings visually along with my description, which means diagnoses are being made more accurately and a lot faster. Patients appreciate the joined up approach, as their case has been reviewed by both a GP and a specialist.

The whole system is more efficient in terms of reducing referrals and ensures that referrals that are made can be targeted appropriately by the specialist. GPs are continuously learning and the app provides excellent learning opportunities as we are able to hone our ongoing management of dermatological presentations by learning from the specialists.”

We asked Dr Overbury to provide an example of when she has used the Consultant Connect App with a patient.

“I saw a patient who had been taking Tamoxifen following a mastectomy for breast cancer. She had developed an extensive itchy blanching rash on her limbs and chest. As it was so extensive, she called an ambulance who advised her to stop her Tamoxifen and see her GP. She used antihistamines, stopped the medication and saw me after one week with no improvement. I was concerned about a medication reaction and started her on Prednisolone. After two days, the rash had not improved. I used the Consultant Connect App to send photos of the rash to a dermatologist. Within 24 hours I had a response saying there was no evidence of Erythema Multiforme or Toxic Epidermal Necrolysis and that the rash was in keeping with a drug rash with possible mild DRESS (Drug Rash with Eosinophilia and Systemic Symptoms) but without systemic symptoms. He concluded that the Prednisolone treatment could be continued with the addition of a topical steroid and emollient, adding that a referral should be considered if there was no improvement after a week.”

How Teledermatology on the Consultant Connect App helped:

“A week later, the rash had resolved avoiding a referral. It was a relief to the patient that the rash had been resolved and reassuring to me as a GP that the proposed diagnosis and management plan were safe.”

Click here to view and download PDF version of this case study.

Related case studies

Paramedic case study: Emergency Medicine

Paramedic case study: Emergency Medicine

Michael Muir, Clinical Stroke Lead and paramedic at the Scottish Ambulance Service, describes how he uses Telephone Advice & Guidance to speak to consultants at Ninewells Hospital at NHS Tayside Health Board.

5 minutes with a CMHT old age consultant and Clinical Director

5 minutes with a CMHT old age consultant and Clinical Director

Dr Funnell talks to us about her personal experience of answering Mental Health Advice & Guidance calls through the Consultant Connect service…

5 minutes with a NCN consultant working on Referral Backlog Triage

5 minutes with a NCN consultant working on Referral Backlog Triage

Dr Shakir talks to us about his personal experience of working on the Referral Backlog Triage service...

NHS England QIPP Case Study

NHS England QIPP Case Study

NHS England has published a QIPP Case Study on our Phone Advice & Guidance project in North East Essex.

Contact us

For more information about how we work with commissioners, hospitals & mental health trusts to improve patient care, please get in touch.

Join a webinar

Listen to health experts from the comfort of your desk as we bring the experts to you in our series of online webinars.

Join our mailing list

Join our mailing list and we'll keep you informed of our latest blogs, project news, and upcoming webinar dates and topics.

Recent tweets

Contact us

Permissions

You can view our Terms & Conditions here.

Most Read Articles

How to help your Junior Doctors

If the NHS is to attract and maintain the best staff to care for its patients, urgent steps need to be taken to support and motivate the junior doctors who work within it. That’s where professional-to-professional advice systems come in.

read more
Consultant Connect & System EROC

As an established NHS data stakeholder, we have extended our existing collaborations with NHS England to work closely with the EROC team to support the new coding and reporting requirements. Find out how…

read more
How Dermatology is changing

Dr Nambi shares his experience of how dermatology pathways and practices have evolved over the last 12 months, and how the Consultant Connect teledermatology service together with dermoscopy has helped improve the quality of referrals, whilst reducing demand on secondary care throughout the pandemic

read more
3 examples of successful accelerator bids

NHS England and NHS Improvement introduced an ‘Elective Recovery – Accelerator Systems proposal’ in April 2021. In this article, we share how ‘Accelerator Systems’ are using Consultant Connect to restore activity.

read more