What we do
The Dermatology Service at East Lancashire Hospitals NHS Trust (ELHT) provides a service for those in East Lancashire with severe or complex skin disease and skin cancer.
We have six consultant dermatologists who are supported by a team of experienced and skilled nurses including a nurse manager, two advanced nurse practitioners, one clinical nurse specialist and five specialist nurses.
The ELHT Dermatology Team provide a number of specialist clinics and services including:
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We work closely with many other specialities within the hospital including Maxillofacial surgery, Ear Nose and Throat, Ophthalmology, Paediatrics, Rheumatology and General Medicine.
Skin conditions need to be managed effectively. In order for this to be done it is important that patients understand the services available to them.
There are 4 tiers of dermatological treatment, self-care, primary care (GP), community care (intermediate) and secondary care (hospital).
The ladder of dermatological treatment (below) displays when these services should be used. For additional information see the documents and links below.
Primary, Community and Secondary Care
Dermatology guidelines booklet
Self care
https://www.nhs.uk/live-well/healthy-body/look-after-your-skin/
https://www.nhs.uk/live-well/healthy-body/common-skin-conditions/
Education for common skin disorders
Access for severe and complex skin disease is via the intermediate service (GPSI service) or directly from GPs in the case of severe skin disease.
Skin cancer referrals are via the 2 week rule pathway
Some referrals are via internal transfer in the case of complex or emergency dermatology
Dermatology Outpatients Department
Outpatient Department
Royal Blackburn Teaching Hospital
Level1, waiting area 2
Haslingden Road
Blackburn BB2 3HH
Dermatology Department
Area 7, Level 0
Burnley General hospital
Casterton Avenue
Burnley BB10 2PQ
Michelle: Senior Sister
Michelle has been a nurse in the trust’s dermatology department since 2000. She is an independent nurse prescriber (V300) and has an interest in performing minor skin surgery. She came into post as the senior sister in February 2016.
Justine: Advanced Nurse Practitioner
Justine is an advanced nurse Practitioner in dermatology. Her ANP training was completed in 2015 but she started her career in dermatology in 1992. Her week is very varied ranging from doing minor operations, attending MDT meetings, follow-up clinics and two week rule clinics.
“This role enables me to focus on my passion, caring for people with skin cancer and sun damage.”
Zahira: Advanced Nurse Practitioner
Zahira Koreja is an Advance Nurse Practitioner in Dermatology. She has gained extensive experience and knowledge of the NHS, working as a Medical Secretary, Ambulance Despatcher and MDT Co-ordinator for cancer services. As part of her role she works autonomously to support patients in the management of long term skin conditions including eczema and psoriasis. She also received an award in 2017 for ‘Psoriasis Nurse of the Year’ from the British Dermatological Nursing Group.
Billy Hefferon: Cancer Nurse Specialist
Billy trained as a nurse in London and pursued a career in the field of Oncology. He has taken on a variety of roles including working in a chemotherapy unit, on cancer wards and working as a clinical research nurse. He came into post in 2009 to support patients diagnosed with skin cancer and has subsequently developed skills in performing minor surgery. His interests are skin cancer, health promotion and surgery.
Dermatology out-patient appointments – 01282 804496
Burnley dermatology treatment room/minor operation appointments – 01282 804817
Burnley phototherapy department – 01282 804814
Blackburn dermatology minor operation appointments – 01254 733597
Blackburn phototherapy department - 01254 733577
Skin cancer nursing team – 01282 803089
Biologics ANP – 01254 732542
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Consultant |
Secretary |
Telephone number |
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Dr Hafejee |
Joanna Raby |
joanna.raby@elht.nhs.uk | |
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Dr Rakvit |
Heather Ellis/Wendy Shepherd |
01282 804819 | |
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Dr Owen |
Jessica Hoyle |
01282 804816 | jessica.hoyle@elht.nhs.uk |
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Dr Arun |
Nicola Ballantyne |
01254 735406 | nicola.ballantyne@elht.nhs.uk |
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Dr Kaur |
Farkhanda Abbas |
01254 735281 | farkhanda.abbas@elht.nhs.uk |
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Dr El-Naes |
Rachael Entwistle |
01254 734093 |
Burnley Treatment room 7.30am - 6.30pm weekdays
Phototherapy 7.30am - 6.30pm Monday, Wednesday and Friday
British Association of Dermatologists Website. This is a useful resource for patient information leaflets and clinical guidelines
http://www.bad.org.uk/for-the-public/patient-information-leaflets
http://www.bad.org.uk/healthcare-professionals/clinical-standards/clinical-guidelines
Dermnet New Zealand
Another useful resource for information about skin conditions and treatments.
For Professionals (separate tab):
Papers
Mukasa, Y. and Coulson, I. (2006) Diffuse dermal angiomatosis of the breast , Clinical and Experimental Dermatology.
Coulson, I. (2007), Sofa dermatitis, BMJ Minerva.
Hafejee, A., Coulson, I., Lakshiminarasimhan P. and Leon C. (2008), Traditional tattoo treatment trauma, Clin Exp Dermatol, 33(4): 536-7.
Ogden, S., Coulson I. (2008) B-cell lymphoma mimicking rhinophyma, Clin Exp Dermatol, 33(2):213-4.
Ogden, S., Coulson I., A useful tip for direct microscopy. Br J Dermatol, 156(2):394. 6.
Coulson I. (2008), Trucker’s purpura, BMJ Minerva
Williams, J., Coulson, I., Susitaival, P. and Winhoven, S. (2008), An outbreak of furniture dermatitis in the U.K., Br J Dermatol, 159:233-4.
Coulson, I. (2009), Life threatening drug eruptions, Medicine.
Hussain, W., Coulson, I. and Salman, W. (2009), Pityriasis amiantacea as the sole manifestation of Darier's disease, Clin Exp Dermatol, 34:554-6.
Ali J., Mukasa Y. and Coulson I., Xeroderma pigmentosum: early diagnostic features and an adverse consequence of photoprotection, Clin Exp Dermatol, 34:442-3
Sakka B, Ogden S, Salman WD, Coulson IH. (2009), Peculiar progressive plaques, Clin Exp Dermatol, 34:271-2.
Hussain W, Coulson IH. (2010), Hyperhidrosis in association with keratoderma and strikingly large hands and feet: a rare case of pachydermoperiostosis, Clin Exp Dermatol, 35
Ong S, Coulson IH. (2010), Legal Claims in English Dermatological Practice, Br J Dermatol.
Ong S, Coulson IH. (2012), Diagnosis and treatment of calciphylaxis, Skinmed. 10:166-70.
Arif Aslam, I H Coulson (2013), Acquired generalised lipodystrophy associated with peripheral T cell lymphoma with cutaneous infiltration, International Journal of Dermatology.
Bakkour W, Coulson IH, Sahasrabudhe N. (2012), Adalimumab-induced medium-sized vessel vasculitis. Clin Exp Dermatol. 37:562-4.
Arif Aslam, I H Coulson (2013), A memorable case - Cowden syndrome (multiple hamartoma syndrome), Clinical and Experimental Dermatology.
N Farquarson, N., Coulson, I and McGrath, J. (2016), Archives of Diseases of Childhood Ichthyosis Prematurity Syndrome, Clin Exp Dermatology .
Cuddy, L. and Coulson, I. , Dermatological Problems on the High Street, Dermatology in Practice.
Farquharson N. and Coulson I. (2013) Allergy at arm's length: Occupational contact dermatitis to carbimazole, British Journal of Dermatology, 169: 135.
Cuddy, L. and Coulson, I. (2014), Prescribing for acne, Prescriber.
Daunton, Farquarson and Coulson (2017), Drug eruptions, Medicine.
Khan, S. and Coulson, I. (2018), What do I tell patients with hand dermatitis? Dermatology in Practice.
S Mousey and I H Coulson (2018), What do I tell patients with seborrhoeic dermatitis, Dermatology in Practice.
