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Most UK health stuff starts with a GP appointment.

Even for private health care, you usually see a GP first (could be a private GP or NHS, in-person or video) and they then refer you to the next thing whatever that may be. ( N.B. that a NHS GP can give you a referral that you use for private treatment)

There are some things you can just straight up book an appointment for yourself without a referral from a GP, but 95% of the time you start with a GP.

No idea specifically about dermatologists, but my expectation would be that would be the sort of thing that would need a referral for. Perhaps for some "non-medical" procedures and 100% for cosmetic procedures you don't need a referral, but anything even tangentially close to The C Word would almost certainly be sending you down the normal channels.



I wonder what % of GP skin consults result in a referral? If it’s even remotely close to a majority, seems like it would be better just going straight to the dermatologist.

Sample of one, but every spot (5+ over the past decade) I’ve asked my dermatologist about has resulted in a biopsy and of those several were cancer.


> every spot (5+ over the past decade) I’ve asked my dermatologist about has resulted in a biopsy

Not to be too cynical but... is there a financial incentive for them to do a biopsy?

Of course it might be best practice as well.


I’m sure there is an incentive, but at least in my case the rate of biopsy to confirm cancers is greater than 50% so it certainly seems to me like the biopsies are in fact warranted.




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