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<p>Hidradenitis suppurativa (HS) can usually be managed through routine access to
primary or secondary care. For those patients with the most serious forms of HS, who
cannot be managed in this way, a referral to an appropriate specialised service may
be appropriate.</p><p> </p><p>The list of specialised dermatology providers for both
in-patient and out-patient care is attached.</p><p> </p><p>NHS England commissions
specialised services for people with rare and complex skin conditions and has set
out what providers must have in place in order to offer specialist dermatology care.
The level of service provision nationally is based on an assessment of the likely
patient population who will need to access specialised care. It is estimated that
about 10% of patients requiring dermatology services (about 10,000 each year) need
care from specialised dermatology centres.</p><p> </p><p>More information on the service
specification for specialised dermatology can be found at the following link:</p><p><a
href="http://www.england.nhs.uk/wp-content/uploads/2013/06/a12-spec-dermatology.pdf"
target="_blank">www.england.nhs.uk/wp-content/uploads/2013/06/a12-spec-dermatology.pdf</a></p>
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