Secondary Care Referral Criteria - GHFT

Following new guidelines from GHFT the following conditions will not be offered an appointment, please refer to the new pathways for guidance re: treatment. Should you require any support or input please follow the advice and guidance route, especially if there is uncertainty regarding diagnosis. This should include a photograph where possible. Advice and Guidance may lead to a face to face appointment if the consultant deems it necessary, or support in obtaining an IFR.

  • Benign asymptomatic / congenital naevi
  • Benign asymptomatic skin adnexal lesions of any sort e.g. seborrheic keratosis, sebaceous hyperplasia, cysts, pilomatrixoma, skin tags, milia.
  • Multiple warts in children
  • Spider naevi/ telangiectasia/ facial thread veins
  • Angiomas (except pyogenic granuloma)
  • Port wine stains over 18 years of age (children OK)
  • Lipomas (rapidly growing or very large refer general surgery to exclude sarcoma)
  • Melasma
  • Keratosis pilaris
  • Flushing
  • Hyperhidrosis
  • Acne scars (no active acne)
  • Asymptomatic keloids/hypertrophic scars


Will be seen with an IFR from GP

  • Recurrently (more than 2) infected cyst (anywhere)
  • Naevus or benign lesion causing genuine physical or psychological difficulty
  • Botox/iontophoresis for severe focal hyperhidrosis