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Severe psoriasis referrals

Providing care and management for adults with severe psoriasis


Coronavirus: dermatology update

In response to the coronavirus (COVID-19) outbreak, please read our advice and information.

Referral contacts

We accept referrals from all medical professionals, including GPs.

GP referrals

All GP referrals must be submitted using the NHS e-Referral service (formerly Choose and Book). You need to do this within 24 hours of your consultation with your patient.

Referrals sent by email or post from GPs will not be processed.

Non-GP referrals

All non-GP referrals can be emailed to or posted to the address above.

Referrals from other hospitals must include a completed Inter-Provider Minimum Data Set or ensure that one is sent within 48 hours of referring a patient.

Urgent referrals

We aim to see all new patients within eight weeks of receiving referrals.

If your referral is urgent, please contact our assistant service manager Koyinsola Quadry on 020 7188 1901, who can arrange a discussion with our clinic team. 

Referral criteria

We will see patients with:

(i) Plaque psoriasis fulfilling NICE criteria for biologic therapy (ie: PASI 10, DLQI 10, ciclosporin, methotrexate have failed/cannot be used)

(ii) Psoriasis that has failed a second biologic where a supra-specialist opinion is required (as per NICE 153 CG)

(iii) Severe or very severe plaque psoriasis where licensed oral therapies and NICE approved biologic therapy have failed or cannot be used

(iv) Localised forms of psoriasis (eg: palmoplantar pustulosis, acrodermatitis of hallopeau; nail disease) associated with significant functional impairment and/or major impact on patients well being (ie DLQI>10) where standard systemic therapy has failed or cannot be used

(v) Life-threatening forms of psoriasis (generalised pustular psoriasis; erythroderma; unstable psoriasis)

(vi) Severe psoriasis requiring treatment that requires MDT input including but not limited to:

  • psoriasis with psoriatic arthritis where no local combined rheumatology/dermatology clinic is available
  • psoriasis with multi morbidity (ies) that complicate choice and/or use of second or third line therapy (for example, active infection, recent or current history of cancer, liver disease, renal disease, cardiovascular disease)
  • psoriasis in people whose skin disease is associated with important psychological or psychiatric morbidity
  • psoriasis in people whose past or current psoriasis treatments impact on management (for example, multiple skin cancers following PUVA, irreversible ciclosporin-induced nephrotoxicity, hepatic fibrosis).