Severe eczema clinic referrals

Providing highly specialised care and management for adults with severe eczema

Contact details

Aisha Nakasi – patient pathway assistant
Tel: 020 7188 0844
Email: gst-tr.DermatologyReferralsEczemaPsoriasis@nhs.net

Severe eczema clinic referrals 
St John's Institute of Dermatology
1st floor
Counting House
Guy's Hospital
Great Maze Pond
London SE1 9RT

General referrals

We accept referrals from all medical professionals.

Please send your referral to the above address

Referrals from other hospitals must include a completed Inter-Provider Minimum Data Set or ensure that one is sent within 48 hours of referring a patient

Urgent referrals

We aim to see all new patients within eight weeks of receiving referrals.

If your referral is urgent please contact our Patient Pathway Assistant, Aisha Nakasi on 020 7188 0844, who can arrange a discussion with our clinic team. 

Referral criteria

We will see patients with severe eczema (as indicated by POEM >10 or SCORAD >15 and DLQI >10) despite standard topical therapy, likely to require systemic therapy, and where any of the following criteria are met:

(i) standard systemic therapy (azathioprine, ciclosporin) has failed or cannot be used

(ii) expert dermatological advice required because of diagnostic uncertainty, the eczema is complex or multi-factorial in origin, or where rare eczematous dermatological disease is suspected (Netherton's syndrome, Hyper IgE syndrome, Hypereosinophilic syndrome

(iii) MDT input is required including but not limited to:

  • multi-organ atopy ( airway/nose/eye/GI) unresponsive to standard therapy; severe/complex IgE allergy (multiple sensitizations,desensitization planned)
  • suspicion/presence of underlying immunological disorder (recurrent or severe infections, infections with unusual organisms, family history, abnormal investigations)
  • eczema with co-existing multi morbidity (ies) that complicates choice of therapy
  • eczema in people whose skin disease is associated with important psychological or psychiatric morbidity that is preventing optimal management.