Anselm Bergstrom’s lesion was photographed by his practice nurse on a Monday and assessed by a dermatologist on the Wednesday of the following week.
Flare plans are written down with thresholds, so treatment starts on day one of a flare rather than on day nine when it has become unbearable.
Under-treatment driven by fear of a treatment is more common in this clinic than over-treatment, and the fear is usually acquired from well-meaning advice.
Most of what we’re sent doesn’t need a person in a room. Freeing those slots is how the ones that do get seen.
Illustrative composite
Photograph-based triage moved most urgent lesion referrals to an answer within a fortnight, and moved the queue for benign findings out of the way entirely.
Median time to assessment on the urgent route fell from eleven weeks to nine days.
