Your severe psoriasis appointment

Providing care and management for adults with severe psoriasis

This page explains what you can expect when you come for your psoriasis appointment.

How do I get an appointment?

You can be referred to our department by your GP or another healthcare professional.

Please see your GP or dermatologist if you would like to be referred.

  • Changing your appointment

    If you need to change or cancel your appointment, please contact us as soon as possible by calling 020 7188 6417, Monday to Friday, 9am-5pm.

  • Before your appointment

    We would be grateful if you could provide the following information during your consultation:

    • details of investigations or treatments you have received in the past for your psoriasis
    • details of all current medicines you take (for your psoriasis and any other medical condition)
    • details of any allergies you are known to have
    • details of past infections, including chickenpox and any vaccinations you have received
    • the names and contact details for any other specialists you see for your psoriasis, psoriatic arthritis or any other condition for which you receive hospital care.

    You may also find it useful to bring a list of any questions that you may have for the doctors.

  • What to expect at your appointment

    We try to make the first visit to our service as comprehensive as possible. Please allow three hours for your first appointment.

    On arrival you will be invited to complete questionnaires about your psoriasis and how it affects your life. This information will transfer automatically, and confidentially, to your electronic patient record. The clinical team will review your answers during your consultation and may ask some additional questions.

    A nurse may record your blood pressure, weight and ask you to provide a urine sample.

    You will be seen by one of our medical dermatology team. Our service is consultant-led and so you will always either be seen in person by, or your case discussed with, one of our senior consultants. 

    We will ask you questions about your condition including questions about your psoriasis, other medical problems you may have, previous and current treatments, how your condition affects you, and what your main concerns and goals are. With your permission, we will examine your skin. A chaperone is always available. 

    We will develop an investigation and treatment plan together with you.

    We may need to do some investigations during the appointment, for example blood tests or skin swabs.

    You may also see one or all of the following members of our team:

    • a clinical nurse specialist (CNS) to discuss treatment plans and provide advice and guidance
    • our team psychologist for support with psychological distress related to eczema
    • our consultant rheumatologist or a member of the team for any arthritis or related musculoskeletal problems
    • a member of our clinical research team. Research into the cause and treatment of psoriasis is an integral part of our service and we aim to ensure all patients are offered the opportunity to participate. This is entirely voluntary. You are under no obligation to take part and if you decline this will not affect your care in any way.

    We are a teaching institution and as such may have visiting clinical undergraduates and post-graduates, including doctors and other health care professionals, in attendance during your consultation.

  • After your appointment

    After your appointment we will send a letter to you and your local health team summarising your visit. If you do not wish to receive a copy of your clinic letter then please let our receptionist know.

    You may be provided with a follow-up appointment and we may arrange for further investigations.

    We will provide you with contact details for our CNS team and a treatment plan.

 

Contact details

Guy's Hospital
3rd floor, Southwark Wing
Great Maze Pond
London SE1 9RT

Tel: 020 7188 6417 (medical secretary)
020 7188 8884 (patient access team)

Email: psoriasisadmin@
gstt.nhs.uk