Dermatology is the medical specialty dealing with diagnosis and treatment of skin diseases. Our dermatology department runs a comprehensive specialist dermatology service for patients with skin problems providing a wide range of expertise in both medical and surgical dermatology. The team see patients with more common skin diseases such as eczema and acne as well as a number of more specialist conditions. Our specialists provide expertise in: · •General dermatology •Paediatrics •Skin cancers •Inflammatory skin diseases (eczema and psoriasis) •Hair disorders (psoriasis) •Specialist dermatopathology •Phototherapy •Patch Testing (allergy detection) •Iontophoresis for hyperhidrosis •Cosmetic camouflage We have well established external links and representation on the Multi-Disciplinary Team at North Bristol NHS Trust for patients requiring complex on-going care.

Meet the consulting team

Dr Tom Millard works here as our own dermatologist and also as part of the Gloucestershire Hospitals NHS Foundation Trust, so they can deliver care closer to peoples homes. Dr Emily Davies consults NHS patients at Tetbury Hospital and our Vale Clinic in Dursley. We currently have two GPs who work with Dr Millard they are, Dr Angela Kirby and Dr Emmy Babor. Mr Umraz Khan and Mr Nicholas Reynolds are plastic surgeons. They are our own team and work in our Day Surgery Unit.

Dermatology appointments

You will have been referred by your GP. You will be offered an appointment within two weeks of the referral being received. At your first appointment you will be seen by one of our team who will take a detailed history of your condition, so please bring any medication you are currently taking or applying. You will be seen by a consultant, or one of their team. Your clinic appointment letter will clearly state who your appointment is with. They will take further details of your symptoms and coordinate the necessary investigations to establish the cause of your condition as soon as possible so you can begin any necessary treatment. It may be necessary for you to return to the hospital for a further appointment, but we try and do as much on the day as possible. During your appointment, if you have presented with a lesion we may ask for your consent to take a biopsy. Biopsies are normally taken in our Outpatient department, but on some occasions we may need to ask you to come back to our Day Surgery Unit for an operation. If you require an interpreter please inform us prior to your appointment.

Preparing for your Outpatient appointment

Please remember to bring any current medication you are taking orally or applying to your skin with you to your appointment. Please also remember to check your appointment letter for anything specific you have been asked to take with you. In addition, it would be helpful if you could bring: •Your full address and telephone number(s) •Your appointment letter •Your GP’s name and address •Money to pay for any prescriptions, or an exemption card (We do not have a pharmacy on site) •A list of questions you may want to ask your consultant

Cancelling or rearranging your appointment

If you need to cancel or rearrange your appointment please let us know as soon as possible. You can speak to us by calling 01666 501778 between 9.30 am and 1pm Monday to Friday, outside of these hours a voice message can be left and we will get back to you, alternatively you may email the Tetbury Booking Office

If you need an operation

Your consultant should have talked to you about the alternatives to surgery and why they believe this is the best option for you.

Your operation date

You will be placed on the waiting list. The Day surgery Unit Coordinator will contact you once all your investigations have been collated and a provisional date has been arranged. There should be at least a week's notice prior to admission. If there is a date or period of time that is inconvenient for you, please let us know.

What to do if your symptoms change

If your condition worsens, please see your GP or dial 111.

Pre-admission clinic

There are two types of pre-admission clinics. These are called first stage and second stage. These clinics aim to prepare you for your operation - both emotionally and physically. A first stage pre-operative assessment routinely happens on the day of your outpatient appointment, if you require a second stage pre-operative assessment an separate appointment will be made prior to your operation. All patients have a first stage pre-operative assessment, you will be given a questionnaire to complete and you may have some swabs taken. Some patients require a second stage pre-operative assessment, during this appointment you will meet members of the Day Surgery Team and have some important tests. Members of the team will also talk to you about things to plan beforehand, such as how much time off work you will need, your recovery and how to get home after your surgery.

Your surgery

We will explain to you what will happen during your operation and recovery. The surgeon will also talk you through the possible complications with you again. It is important you understand the treatment you are agreeing to, so please ask questions if you are unsure.