Appendix 3 List of Treatments and Services (post February 2017) Speciality OPCS HRG Procedure Commissioning Position Evidence Base Monitoring code Updated Benign Skin DCCG will only offer funding if one or more Contract Dermatology January lesions of the eligibility criteria has been met. 10968/29814/29814.pdf (p35) monitoring Adults 2017 SLAM Diagnostic uncertainty exists & Minor surgery: Kerr OA, Tidman MJ, Walker JJ et al. following Telederm report Seborrhoeic The profile of dermatological problems The lesion is painful or impairs warts in primary care. Clin Exp Dermatol. function and warrants removal, but it Molluscum 2010; (4):380-3 be unsafe to do so in primary contagiosum care/community setting, for example Spider angiomas surgery-in-primary-care because of large size (>10mm), (thread veins) location (e.g. face or breast) or Cherry angiomas George S, Pockney P, Primrose J et bleeding risk. Removal would not be or Campbell al. A prospective randomised purely cosmetic. de Morgan comparison of minor surgery in warts in the immunosuppressed. Skin Tags and primary and secondary care. The Patient scores >20 in Dermatology papillomas MiSTIC Health Technology Life Quality Index administered during Naevi (moles) 2008;12(23):iiiiv, ix-38. Assessment a consultation with the GP or other and other benign healthcare professional. haemangiomas Mazzotti E, Barbaranelli C, Picardi A Xanthelasma et al. Psychometric properties of the *NICE recommend GPs use the Lipomas Dermatology Life Quality Index following checklist, with major Sebaceous (DLQI) in 900 Italian patients with features scoring 2 and minor features Cysts Port Wine psoriasis.Acta Derm Venereol scoring 1. A score of 3 indicated high stains 2005;85(5):409-13 suspicion of malignancy. If there is a strong clinical suspicion, the patient dlqi/qu may be referred on the basis of one ality-dlqi.html feature alone. Major features Minor features Change in size Diameter > 7mm Irregular in Inflammation Irregular in colour
Appendix 3 List of Treatments and Services (post February 2017) Speciality OPCS code HRG Procedure Commissioning Position Evidence Base Monitoring Updated January 2017 Dermatology Adults & Benign Skin lesions Minor surgery: Seborrhoeic warts Molluscum contagiosum Spider angiomas (thread veins) Cherry angiomas or Campbell de Morgan Skin Tags and papillomas Naevi (moles) and other benign haemangiomas Xanthelasma Lipomas Sebaceous Cysts Port Wine stains DCCG will only offer funding if one or more of the eligibility criteria has been met. Diagnostic uncertainty exists following Telederm report The lesion is painful or impairs function and warrants removal, but it be unsafe to do so in primary care/community setting, for example because of large size (>10mm), location (e.g. face or breast) or bleeding risk. Removal would not be purely cosmetic. warts in the immunosuppressed. Patient scores >20 in Dermatology Life Quality Index administered during a consultation with the GP or other healthcare professional. *NICE recommend GPs use the following checklist, with major features scoring 2 and minor features scoring 1. A score of 3 indicated high suspicion of malignancy. If there is a strong clinical suspicion, the patient may be referred on the basis of one feature alone. Major features Minor features Change in size Diameter > 7mm Irregular in Inflammation Irregular in colour 10968/29814/29814.pdf (p35) Kerr OA, Tidman MJ, Walker JJ et al. The profile of dermatological problems in primary care. Clin Exp Dermatol. 2010; (4):380-3 surgery-in-primary-care George S, Pockney P, Primrose J et al. A prospective randomised comparison of minor surgery in primary and secondary care. The MiSTIC Health Technology Assessment 2008;12(23):iiiiv, ix-38. Mazzotti E, Barbaranelli C, Picardi A et al. Psychometric properties of the Dermatology Life Quality Index (DLQI) in 900 Italian patients with psoriasis.Acta Derm Venereol 2005;85(5):409-13 dlqi/qu ality-dlqi.html Contract monitoring SLAM
DCCG-Comm-for-Value_Decision-Making_Prioritisation-FINAL-April2017.docx