Consultant-led dermatology

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Consultant-led Medical Dermatology

Cotswold Surgical Partners offer two pathways for Dermatological care.

  1. An NHS community based skin surgery and dermatology service, commissioned by NHS Bath and North East Somerset, Swindon and Wiltshire Integrated Care Board. We also support NHS Bath and North East Somerset, Swindon and Wiltshire ICB with an NHS See & Treat service. This includes the provision of minor surgery treatment for skin conditions comprising of low risk basal cell carcinomas; and benign skin lesions for which funding approval is already in place.
  2. Private Dermatology, whether as a self-pay patient or funded by an eligible Private Insurer.

What is Dermatology?

Dermatology is a medical speciality concerned with the diagnosis and treatment of skin conditions and diseases. These conditions can be of the skin, hair, nails and genitals. Examples of the (more than 3000) dermatological conditions which you may have heard of before including acne, eczema, psoriasis, alopecia, fungal nail infections, moles, warts, cysts and hyperhidrosis (excessive sweating). Dermatology also covers skin cancer in all its forms.

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What is a Consultant Dermatologist?

A Consultant Dermatologist is a physician with specialist training in the diagnosis and treatment of skin, hair and nail conditions. It is also a protected title, unlike Dermatologist or Skin Doctor meaning that you can be confident in the care that you receive, with added peace of mind. Training to become a Consultant Dermatologist takes many years and they spend their professional life exclusively treating skin disease, giving them the highest level of expertise and experience in the field of Dermatology.  Consultant Dermatologists are also skin surgeons and routinely treat skin cancers including basal cell carcinoma, squamous cell carcinoma and malignant melanoma. They are also able to diagnose skin cancer and examine suspicious moles, removing them if necessary.

Why is skin health so important?

Your skin is the largest organ in your body and plays a crucial role in your health and how well your body is able to function. More than just a covering for the body, your skin also:

  • Protects your body – from the elements and infection
  • Helps to regulate your internal temperature – blood vessels near the surface of the skin may dilate (widen) to help heat to escape from the body in warmer temperatures or constrict (narrow) in order to reduce heat loss in cooler temperatures.
  • Gives you your sense of touch – touch receptors in the skin generate electrical impulses that travel through the nervous system to the brain
  • Synthesises vitamin D – essential for healthy bones, teeth and muscles, vitamin D is produced by the body when the skin is exposed to direct sunlight.

It can be quite easy to pay little attention to our skin until something goes wrong with it. Common problems including acne, eczema and psoriasis can all have an effect on physical, mental and emotional health, sometimes significantly so.

If you develop a skin problem in a more visible area of your body, like your hands or face, you might find yourself becoming quite self-conscious about how it makes you look. You may even start trying to cover up the affected area with clothing or make-up. While this may be a short-term solution, it does not treat the underlying problem. This is where our Dermatology service could provide you with much needed support.

Unfortunately, skin can be damaged in a number of ways, including:

  • Irritants and allergens
  • Ultraviolet (UV) radiation – from the sun
  • Injury
  • Underlying disease
  • Genetic factors
  • Stress

A number of skin conditions may resolve themselves naturally over time or with simple changes to your daily skin care regime. Other skin complaints will need expert-led treatment to treat.

We created a ‘Skin Conditions‘ section that provides an overview to common skin concerns we can assist with in our Dermatology clinic, so please do take a look through these pages.

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Location

Cotswold Surgical Partners’ main skin care centre is based in Royal Wootton Basset in Wiltshire. We also run a community clinic from Spa Medical Centre in Melksham. More information on our locations is provided here.

Royal Wootton Bassett

Consultant-led Private Dermatology

Spa Medical Centre in Melksham – our community clinic

NHS funded Dermatology

Common skin conditions

  • Acne – Typically presents at puberty, but can occur at any age. Acne can range in severity from mild to severe and may cause permanent scarring on the skin. While mild acne can often be managed with over-the-counter treatments, severe acne may need antibiotics or other treatments that are only available on prescription from a Dermatology Consultant.
  • Isotretinoin for Acne – an oral retinoid used to treat severe acne and chronic forms of acne in adults.
  • Eczema – A group of skin conditions that cause itchy, dry skin. While there is no cure for eczema, treatments can often help to successfully relieve symptoms.
  • Psoriasis – A long-lasting genetically inherited skin condition which can present in a variety of ways. Inflammation of the skin and overproduction of the surface cells lead to the development of patches of red scaly skin, which can be anywhere on the body. Treatments can help resolve symptoms and to improve the appearance of the skin.
  • Contact dermatitis – When certain substances come into direct contact with the skin, they can cause a rash to develop. These substances include certain chemicals and fragrances and are known as allergens. Identification of the problem and appropriate investigations are required to accurately diagnose and treat this condition.
  • Rosacea – A facial rash, commonly seen in people who are prone to flushing and developing spots on the central face Good control is often achieved with a combination of topical and oral treatments.
  • Hives (urticaria) – Urticaria can be caused by a number of triggers, including food and medication allergies and underlying infections. However, a cause is often not identified. Identification of possible triggers and discussion of good symptom control with antihistamines is usually achieved.
  • Infections – Including athlete’s foot, ringworm and folliculitis (inflammation of hair follicles)
  • Hidradenitis suppurativa (HS) – A very painful skin condition that can cause skin abscesses and scarring in severe cases. It usually occurs around the groin, genitals, anus, armpits or below the breasts. This can a difficult condition to manage, and early diagnosis and treatment may help to prevent symptoms getting worse. This is usually a general medical issue.

Further information on common skin conditions can be found here.

Other people visit us for help with skin ‘lumps and bumps’ including:

  • Moles
  • New skin lumps
  • Growths caused by long-term sun damage
  • Suspected skin cancers

Due to the wide variety of problems that can affect the skin, some types of skin surgery may be carried out by specialists in other fields, and may be referred to one of our Plastic Surgeons. If referral to another specialist is appropriate, this will be arranged for you.

Treatment will always be tailored to your specific requirements, and should you have any questions about treatment options at any stage, your Dermatologist will be very happy to talk through them with you.

dr charan singh thandi dermatology private at cotswold surgical partners in wiltshire

Meet our Dermatologists

Private Consultant Dermatology at Cotswold Surgical Partners:

Dr. Beth Emily Wright – view bio
Dr. Naila Dinani – view bio

Dr. Kimberlee Lim – view bio
Dr. Charan Singh Thandi – view bio

Beth 5
Naila
dr charan singh thandi dermatology private at cotswold surgical partners in wiltshire

NHS funded Dermatology at Cotswold Surgical Partners:

Dr. Tom Millard – view bio
Dr. William Boyd-Carson – view bio
Dr. Inma Mauri-Sole – view bio

Dr Thomas Paul Millard
dr william boyd
derm inma

This website is designed to supply useful information but is not to be regarded as advice specific to any particular case. It does not replace the need for a thorough consultation and all prospective patients should seek the advice of a suitably qualified medical practitioner.

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