Referral Guidelines

1. Acne
2. Atopic eczema
3. Molluscum contagiosum
4. Psoriasis
5. Seborrhoeic keratoses
6. Skin tags
7. Spider naevi
8. Viral warts
• common warts
• plantar warts
• facial warts
• genital warts
9. Leg ulcers

Urgent cancer referrals/2 week wait referrals

• A lesion suspected to be a melanoma (excision in primary care should be avoided)
• A lesion suspicious of squamous cell carcinoma
• Transplant patients who develop new or growing lesions. SCCs are common with immunosuppression but may be atypical and aggressive.
• Histological diagnosis of a SCC or melanoma. When referring a patient in whom and excised lesion has been diagnosed as malignant, send a copy of the pathology report with the referral correspondence.
• Other skin tumours

Non-urgent referrals
Basal cell carcinomas (BCC). Basal cell carcinomas are slow growing, usually without significant expansion over 8 weeks, and usually occur on the face. If a basal cell carcinoma is suspected, refer non-urgently.