NHS Blackburn with Darwen CCG

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Integrated Community Dermatology Service

Integrated Community Dermatology Service in Blackburn with Darwen


Demand for specialist skin care is growing resulting in a need to transform the Dermatology Service in order support the workforce to manage this increasing demand. A collaborative approach has been taken in order to co-design a new “integrated” Dermatology model.

In order to compliment the wider service redesign modelling across Pennine Lancashire, a new service model and specification has been developed for Community Dermatology Services in Blackburn with Darwen.

A procurement exercise is currently being undertaken to ensure continuity of service provision when the current stability partner arrangement ceases in September 2017. The Advert for the tender was placed on the 9th June with final moderation scheduled to take place on the 26th July prior to the expectation that a new provider will be recommended to the Governing Body in August. The term of the dermatology contract will be until December 2019.

The actions taken aim to ensure that all levels of Dermatology Services are aligned creating a seamless joined up care pathway for patients from self care to secondary care.

A key component of the new model is the “Intermediate Tier Community Dermatology Service” – the service element which operates at the interface between primary care and hospital services – The Intermediate Tier will deliver specialist care to patients with less complex skin conditions within a community setting, therefore providing specialist care closer to home.

In late December 2016, the CCG was notified that the current Provider of the Community Dermatology Service did not intend to continue the contract at the end of the contract term.

In order to mitigate the risks the CCG appointed a ‘sustainability partner’ with a contract for 6 months to ensure continuity of service provision for patients and concurrently allow the Commissioner time to develop a new service model for tendering on the open market.


  • The new Integrated Dermatology Service will deliver high quality patient centred care
  • The service will be co-ordinated across hospital, primary care and the community services along a single pathway.
  • It will provide a specialist dermatology service for conditions that can be managed and treated within a community setting which are complex but do not necessarily need a secondary care referral.
  • Through better integration of services and provision of accessible and responsive treatment within the community, the new service will reduce the need for hospital based interventions.
  • It will provide better care and services to patients and carers alike, in the community where possible and appropriate.
  • The innovative model will focus on the needs of individual patients and carers promoting patient empowerment and self care supporting , them to be more informed about their condition so they can manage it better and be more independently.