Question to the Department of Health and Social Care:

To ask His Majesty's Government what steps they are taking to improve the diagnosis and treatment of atopic dermatitis in primary care.

Specifically on atopic dermatitis, and the prescribing of appropriate emollients, the relevant doctor or healthcare professional is responsible for working with their patient and deciding on the best course of treatment. Prescribers take account of appropriate national guidance on clinical effectiveness, as well as the local commissioning decisions of their respective integrated care boards when making decisions. The National Institute for Health and Care Excellence (NICE) also publishes a range of guidance on atopic dermatitis and other skin conditions for commissioners and healthcare professionals, with recommendations for diagnosis and referral, which are available at the NICE website.

On dermatology care in general, waiting times, and the proposal for a national service framework, I refer the Noble Baroness to the answer that I provided her on 13 January in response to Question HL13259, which, for ease of reference, is reproduced below:

Modern service frameworks will define an aspirational, long-term outcome goal for a major condition and will then identify the best evidenced interventions and the support for delivery. The Government will consider clinical specialities for future waves of modern service frameworks, including allergy, dermatology, which includes chronic spontaneous urticaria (CSU), and immunology. The criteria for determining other conditions for future modern service frameworks will be based on disease burden, care variation, economic impact, and where there is potential for rapid and significant improvements in the quality of care and productivity.

The Department recognises the potential benefits of virtual clinics in improving access to specialist care for conditions like CSU. A central part of our 10-Year Health Plan is moving care closer to home, and we recognise that we need to do this while retaining access to specialist support. Trusts should provide the infrastructure and resources to facilitate virtual consultations, but this should not replace face-to-face care where it is more appropriate, dependent on clinical need, or preferred by individual patients.

NHS England’s service specification for specialised dermatology services for adults and children is designed to reduce regional disparities in care for CSU by setting consistent national standards for diagnosis, treatment, and follow-up. The specification ensures that all patients, regardless of location, have access to evidence-based interventions and specialist expertise, including advanced therapies where clinically appropriate. The specification addresses historical variations in service provision and supports equitable access across integrated care systems. This approach helps to improve outcomes for patients with CSU and ensures a more uniform level of care throughout England.

Additionally, NHS England’s Getting It Right First Time programme is working to improve capacity and waiting times through its established Further Faster programme. This programme brings together hospital trust clinicians and operational teams with the challenge of collectively going ‘further and faster’ to transform patient pathways, reduce unnecessary follow-up outpatient appointments, and improve access and waiting times for patients.

A Further Faster handbook for dermatology has been produced, to share best practice and support National Health Service dermatology teams to reduce the number of Did Not Attend appointments, reduce unnecessary follow ups and, where appropriate, reduce the number of outpatient appointments by booking patients straight to tests, helping to free up capacity for patients in need of specialist dermatology services.