Innovative digital dermatology service to be scaled up across Scotland

Patients with skin conditions across Scotland will soon be able to get expert support from dermatologists without leaving home, thanks to an innovative new digital service pioneered by the developers of the Lenus Health Platform.

Patients with skin conditions across Scotland will soon be able to get expert support from dermatologists without leaving home, thanks to an innovative new digital service pioneered by Edinburgh based Storm ID, the developers of the Lenus Health Platform.

Following a successful trial in three health Boards – NHS Forth Valley, NHS Greater Glasgow and Clyde, and NHS Grampian as part of a Small Business Research Initiative funded challenge – the digital dermatology service, which has been co-designed with clinicians, is being scaled up to support patients across Scotland.

Image of 4 iPhones
The patient-facing service allows patients to submit images and responses to question sets.

Using their smartphone, tablet or computer patients register for the service and are invited to virtual digital appointments which are open for several days. During the appointment period the patient securely submits images of their skin condition, like a flare up, rash or change in a mole. In addition, the patient completes questions and provides details of any treatments. The service is used for new and return appointments.

The images and answers are assessed remotely by dermatologists, without having to see the patient in person or via video link. Dermatologists can ‘chat’ with the patient via secure two-way messaging to ask follow-up questions. They then advise the patient what action to take, which could be a prescription change, referral to another department or invite for a further virtual follow-up or physical examination. Many cases can be discharged without further action.

Clinical dashboard and patient app on iPhone
Submitted images and responses to question sets are accessed in a clinical dashboard.

This new approach offers a quick and convenient way for patients to ‘attend’ digital appointments using their own devices. They don’t need to travel to face-to-face appointments, or enter clinics or hospitals, which is particularly valuable during COVID-19.

Patients surveyed during the trial remarked that this is ‘a fantastic service that has a huge benefit for people that might struggle to make face to face appointments’ and ‘this saves me taking time off work and I don’t have to drive around looking for a parking space’.

The scale up is being made possible with the support of the Modernising Patient Pathways Programme, Scottish Government and NHS National Services Scotland.

Current demand on healthcare is presenting significant challenges with delivering all types of appointments, including for those requiring dermatology services. With COVID-19, remote patient support and virtual consultations are needed now more than ever. This scale up across Scotland, which makes use of our Lenus Health Platform, will help many more patients receive expert care from the NHS without leaving home.

Paul McGinness, Director at Storm ID

The COVID-19 pandemic is forcing clinicians to think differently. The scale up of Digital Dermatology Assessments will help us reach more patients across Scotland, resulting in quicker diagnosis and improvement in quality of referrals to other services. From our trial, we know digital appointments take less time, typically around 7 minutes, which is good for both patients and clinicians.

Colin Morton, Consultant Dermatologist at NHS Forth Valley

Supporting patients by offering more choice and flexibility over how they access health services has been crucial during the pandemic. I welcome the development and national roll-out of the Digital Dermatology Assessment system which will continue to improve patients access to services now and in the future.

Jeane Freeman MSP, Cabinet Secretary for Health and Sport
Patient uploading images of skin condition on iPhone