Dermatology Clinician

Deliver safe, evidence-based community dermatology: assess, diagnose and treat referred patients, and perform procedures and minor surgery within the clinician’s scope. Every role contributes to governance, audit, quality improvement, teaching and service development, and maintains high standards of documentation, patient communication and multidisciplinary working. Seniority sets the scope of autonomy, complexity and leadership (see Role-specific scope).

Roles covered

• Dermatology GPwER
• Specialist Dermatologist
• Consultant Dermatologist
• Minor Surgery Clinician (CNS)

Reports to

• Dermatology Clinical Lead / Service Manager (doctors); Dermatology Lead Nurse / Service Manager (CNS); Consultants may report to the Medical Director

Works with:

• Dermatologists, GPwERs, nurses and CNSs (including phototherapy and patch testing), HCAs and administrative teams

Location:

• Multi-site across North Lincolnshire; own transport required

Hours

• Some flexibility may be needed to meet patient and service demand

Relocation

• Not routinely offered; can be discussed at offer stage

Responsibilities

• Assess, diagnose and manage referred patients in line with contractual and professional standards, escalating or referring when a case exceeds scope.
• Perform procedures and minor surgery within competence: consent and pre-procedure counselling, local anaesthetic, excision, biopsy, curettage and cautery, wound closure and aftercare.
• Keep accurate, timely clinical records, including histology requests, results follow-up and onward referrals.
• Manage referral pathways, related administration and medication reviews.
• Maintain infection prevention, surgical safety and safe clinic standards, including room and equipment readiness.
• Attend MDTs and dermatology meetings, preparing cases and contributing to decisions.
• Support teaching, supervision and colleague development.
• Work with clinical and administrative colleagues to keep clinics and pathways running efficiently.

Role-specific scope

Consultant Dermatologist

• Registration: GMC (full) + National Performers List
• Qualification: Recognised specialist qualification in dermatology
• Clinical scope: Full medical and surgical dermatology, including complex and chronic cases and advanced procedures; leads patient management decisions; advises GPs
• Leadership: Leads governance, pathway design and service development; trains junior doctors, students and clinicians

Specialist Dermatologist

• Registration: GMC (full) + National Performers List
• Qualification: Specialist dermatology qualification, e.g. Diploma in Dermatology
• Clinical scope: Autonomous medical and surgical dermatology, including complex and chronic cases
• Leadership: Leads or supports QI and service development; teaches and trains

Dermatology GPwER

• Registration: GMC + National Performers List
• Qualification: Recognised dermatology qualification, e.g. Diploma in Dermatology
• Clinical scope: Wide range of skin conditions including complex cases; procedures and minor surgery
• Leadership: Supports governance, QI and teaching

Minor Surgery Clinician (CNS)

• Registration: NMC
• Qualification: Extended or specialist minor surgery training
• Clinical scope: Autonomous minor surgery episode: selection, consent, excision, biopsy, C&C, closure, aftercare; refers beyond scope
• Leadership: Supports governance, audit and competency review; may support trainees

Skills

Registration and qualifications by role are set out in Role-specific scope

Essential

• Eligible to practise in the UK, with current GMC or NMC registration as the role requires
• Substantial outpatient dermatology experience, scaled to grade (consultant-level for Consultants)
• Proven procedural and minor surgery skills: local anaesthetic, aseptic technique, excision, biopsy, curettage and cautery, suturing, haemostasis and wound care
• Sound lesion assessment and understanding of histology, cancer and referral pathways
• Ability to interpret investigations, manage a varied workload and escalate concerns appropriately
• Experience of clinical audit, governance or service improvement
• Excellent, empathetic patient communication and effective MDT working
• Competent with clinical IT systems (SystmOne or equivalent)
• Commitment to evidence-based practice and ongoing CPD
• Enhanced DBS and occupational health clearance

Desirable

• Experience across primary/community and secondary care
• Dermatology medicines management and prescribing experience (medical roles)
• Experience with ICB or integrated care system initiatives
• Teaching, supervision, research or academic dermatology experience
• Skin cancer pathway experience (CNS)
• Clean driving licence

Benefits

All post-holders take part in clinical governance, audit, QI and pathway development, and keep current with appraisal, revalidation and CPD under their regulator (GMC or NMC).

Performance measures

• Urgent suspected cancer (2WW) compliance, referral to assessment
• Patient satisfaction and experience scores
• Documentation completeness and audit readiness
• MDT attendance and case preparation

Career progression

Routes include service leadership, subspecialty development, teaching, and pathway design and governance roles.