NHS Consultant-led Dermatology

Cotswold Surgical Partners provices a Consultant-led, CQC-regulated, community based specialist surgical and medical dermatology service commissioned by Bath and North East Somerset, Swindon & Wiltshire Integrated Care Board. The aim of this service is to allow more dermatology patients access to a community based assessment and treatment service.

Service location

Cotswold Surgical Partners delivers this service solely from Spa Medical Centre in Melksham, as the majority of NHS referrals received are from West Wiltshire. We do not currently offer NHS funded dermatology from our main Skin Care centre in Royal Wootton Bassett. Please see our ‘Locations‘ page for more information.

Cotswold Surgical Partners is the service provider. To discuss any referral, on-going care or appointment/s please contact us direct and not Spa Medical Centre.

Service aims

The model aims to provide care closer to home for patients and reduce preventable referrals to secondary hospitals.


  • All patients aged 18 years or over, registered to a Wiltshire locality GP.
  • All patients aged 18 years or over, registered to a B&NES locality GP, either as an initial referral if so requested by a patient, or transfers from the Royal United Hospital in times of high demand.


  • This commissioned service excludes any 2-week wait referral.
  • Patients under the age of 18.

Services provided

Cotswold Surgical Partners provides a comprehensive range of services for patients with skin diseases. The service is overseen by Consultant Dermatologist Dr. Tom Millard with clinics also offered with Dr. Catrinel Wright.

Our clinicians provide a service for patients with a wide range of skin concerns including severe psoriasis, eczema, acne and a range of other less common conditions. Lesion assessment is also part of this service and if lesion removal is required, we can refer you to the Plastic Surgery team if necessary.  

Appointments for this service are arranged much sooner than would be possible if the referral went to a hospital.

Dermatology referrals for general dermatology conditions

Assessment of Basal Cell Carcinomas / skin lesions
Suspect and known skin cancers
Hidradenitis suppurativa
Extentive psoriasis
General Dermatology skin, hair and nail concerns

Referral route

Eligible patients:

  • All patients aged 18 years or over, registered to a Wiltshire locality GP.
  • All patients aged 18 years or over, registered to a B&NES locality GP, either as an initial referral if so requested by a patient, or transfers from the Royal United Hospital in times of high demand.

This community-based Dermatology service sees patients with a wide range of skin conditions who have been referred to the service by their GP (as above) through the NHS e-Referral Service (ERS).

All referrals are made through the NHS Electronic Referral Service (ERS). In order to get a referral, you will need to see your GP who will decide if it is clinically necessary and if the Community Dermatology Service is the most appropriate service for your condition. You will then be able to choose your location and an available time and date to suit you. If you would like to be considered for our service, please inform your GP of this decision so it can be noted on the referral.

Further information on our NHS referral routes is available here.

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 and cysts, birthmarks, varicose veins and hyperhidrosis (excessive sweating). Dermatology also covers skin cancer in all its forms.

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. Our service is overseen by a Consultant Dermatologist, Dr. Tom Millard. 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.

What is a GPwER?

Clinics are also offered with Dr. Catrinel Wright, a GPwER. A GPwER is a General Practitioner with an Extended Role, formerly known as a GPwSI (General Practitioner with a Special Interest).

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Consultant Dermatology
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Meet our Dermatology team

Patient support

Our NHS Dermatology Co-Ordinator Kim will work with all patients from referral to aftercare. Once an NHS referral is received via the ERS system Kim will contact you direct to discuss your initial assessment appointment. Kim will then continue to support you until your referral has been completed and you have been discharged back to the care of your GP. If you have any questions about a referral, an appointment or your on-going care please contact us.

Private Dermatology

Interested in our Private Dermatology service? Click here to find out more.

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