Mater Specialist Quick Find

Dermatology – public patients 

Purpose

This page contains information for general practitioners on how to refer patients aged 16 years and over to Dermatology and Minor Skin Lesions services at Mater Hospital Brisbane. 

Service 

The Dermatology service offers a comprehensive inpatient and outpatient service staffed by skilled Dermatologists.

The service provides a Multidisciplinary team meeting fortnightly for people with complex skin cancers in combination with the Plastics and Reconstruction Service, Radiation Oncology, and also the Rheumatology and Haematology Departments.

The service is staffed with clinical nurses, registered nurses and wound care nurses. There is direct access to the Plastic and Reconstructive Surgeons when required.

All dermatology patients are seen within the clinically appropriate time frames.

How to Refer 

If referral for care is indicated please list all of the General Referral Information and reason for request, and essential information as indicated below.

To refer, please fill in the Mater Adult Referral Form, available to download and embed into most major Practice Management software applications.

Referrals can be sent by:

Secure messaging        Medical Objects:   HM4101000R8

                                     HealthLink EDI:      materref                                                                                             

Fax                               07 3163 8548

Emergency 

If any of the following are present or suspected, phone 000 to arrange immediate transfer to the emergency department or seek emergency medical advice if in a remote region:

 

View list of conditions:

  • Where failure of immediate treatment would result in significant morbidity e.g.
    • Severe bullous disease / eruptions
    • Severe blistering, purpuric or pustular drug eruptions, toxic epidermal necrolysis, sweet’s syndrome, cellulitis
    • Erythroderma, pustular psoriasis, acne fulminans
    • Eczema herpeticum, infections with immunosuppression 

 

Scope of Service

Conditions out of scope

The following conditions are not routinely provided at Mater Hospital Brisbane:

View list of conditions:

  • Laser therapy
  • Photo therapy
  • Consult on referrals for cosmetic treatments. 

 

Conditions in scope

Inflammatory rash

Essential information (Referral will be declined without this)

  • General Referral Information
  • Medical history including current medications
  • History of condition being referred
    • Location
    • Distinguishing features (size, colour, shape, discharge)
    • Duration of symptoms
    • Treatments trialled and response
    • Level of distress / impact on ADLs

Additional referral information (useful for processing the referral)

  • Photograph – with patient’s consent, where secure image transfer, identification and storage is possibl
  • Biopsy results (where a biopsy has been performed) 

Other useful information for management (not an exhaustive list)

  • No additional information

Categorisation

Available appointments are provided to our patients based on clinical priority. A process of categorisation ensures safety and equity of access.

Category 1 – urgent

Clinically recommended timeframe for initial appointment is 30 days

Category 2 - Priority

Clinically recommended timeframe for initial appointment is 90 days

Category 3 - Routine

Clinically recommended timeframe for initial appointment is 365 days

Severe skin infections

Severe unstable dermatoses

Extensive inflammatory dermatoses

Severe symptomatology (causing distress or preventing work) 

Stable dermatoses causing distress

Minor skin infections

Congenital skin disorders

Acne, mild-moderate severity

Psychiatric diseases manifesting in the skin

Minor Skin Conditions

 

Skin Cancer / Skin Lesion

Essential information (Referral will be declined without this)

  • General referral information
  • Features of pigmented lesions: size, shape, colour, inflammation, oozing, change in sensation.
  • Biopsy results unless clinically contraindicated – excision biopsy is the preferred method for suspected melanoma
  • Smoking status
  • History of anticoagulant therapy

Additional referral information (useful for processing the referral)

  • Photograph – with patient’s consent, where secure image transfer, identification and storage is possible
  • USS lesion result (for a suspicious lipoma)

Other useful information for management (not an exhaustive list)

  • Advise patient regarding sun avoidance and use of sun screens
  • Educate patient on skin cancer surveillance and arrange annual skin checks

Categorisation

Available appointments are provided to our patients based on clinical priority. A process of categorisation ensures safety and equity of access.

Category 1 – Urgent

Clinically recommended timeframe for initial appointment is 30 days

Category 2 - Priority

Clinically recommended timeframe for initial appointment is 90 days

Category 3 - Routine

Clinically recommended timeframe for initial appointment is 365 days

Appointment required within 7 days

Skin lesion highly suspicious for melanoma or excision biopsy proven melanoma

Rapidly growing skin lesions especially on the face

Complex non-melanoma skin malignancies and any of the following:

  • ulceration and bleeding
  • rapidly enlarging
  • neurological involvement
  • lymphadenopathy
  • poorly differentiated or infiltrative tumour on biopsy

Other subcutaneous and deep tissue malignancies e.g. Merkel, sarcoma

Skin lesion causing substantial obstruction to vision

Suspicion of malignant liposarcoma

Poorly differentiated SCC

Appointment required within 30 days

Prior malignancy at the same site

Uncomplicated non melanoma skin malignancies (BCC/SCC/IEC)

      Skin lesions

  • Causing functional problems or significant disfigurement or
  • Diameter exceeds ≥ 5cm in size or rapid growth over short period of time or
  • Significant persistent pain that is not solely pressure related or
  • Fixed to deep tissues, i.e. muscle or fascia or
  • Recurring after a previous excision or
  • Prone to recurrent infection or
  • Diagnosis in doubt or needs confirmation

Benign soft tissue lesions e.g. lipoma, ganglion not suitable for primary health management

Clinically significant benign lesions

 

 

Other Dermatology Condition

Essential information (Referral will be declined without this)

Categorisation

Available appointments are provided to our patients based on clinical priority. A process of categorisation ensures safety and equity of access.

Category 1 – urgent

Clinically recommended timeframe for initial appointment is 30 days

Category 2 - Priority

Clinically recommended timeframe for initial appointment is 90 days

Category 3 - Routine

Clinically recommended timeframe for initial appointment is 365 days

 

 

Our Specialists 

Dr James Muir

Director of Dermatology

Dr David Burdon- Jones

Dermatologist

Dr Ben Carew

Dermatologist

Dr Kate De Ambrosis

Dermatologist

Dr Asoka Herat

Dermatologist

Dr Adrian Mullholland

Dermatologist

Dr Bert Pruim

Dermatologist

Dr James Freeman

General Practitioner - Minor Skin Lesions

 

Bulk Billed Clinics 

Mater Health offers patients the opportunity to attend bulk billed clinics. To provide your patient with the opportunity to attend a bulk billed clinic, please provide a named referral to one of the specialists listed above.

Contact Us 

If you would like to discuss a referral, including clinical criteria, or update the status of a current patient please contact our priority GP phone line on 07 3163 2200 

Current Waiting Time for Appointments 

We provide up to date data on how long patients are waiting for their first appointment by specialty here

Referral Guideline Development

These Mater Referral Guidelines have been developed locally by GPs and specialists to support safe and quality referral to publicly funded specialist outpatient services.

 

Content last reviewed: 14 Feb 2018

 

 

 

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