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:

  • skin cancer clinics
  • skin surgery
  • contact allergy testing
  • a specialist topical treatment service
  • phototherapy (UVB and PUVA)
  • severe eczema clinic
  • severe psoriasis clinic
  • emergency dermatology clinic
  • photodynamic therapy
  • paediatric clinics
  • vulval dermatology clinics
  • male genital dermatology clinics
  • transplant clinics
  • combined clinics with Rheumatology
  • biologic therapy monitoring clinics
  • systemic therapy monitoring clinics.

 

We work closely with many other specialities within the hospital including Maxillofacial surgery, Ear Nose and Throat, Ophthalmology, Paediatrics, Rheumatology and General Medicine.  

Understanding dermatological treatment

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.

Dermatology.png

Primary, Community and Secondary Care

Primary-Community- Secondary

PLCV 

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

Atopic Eczema education pack 

How to access the service

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

Where to find us

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

Our Consultants

Dr. Hafejee 

Dr. Hafejee has been a consultant since 2008 having completed his specialist training in Manchester. He is also the Clinical Lead for the department working in collaboration with the local CCGs and intermediate dermatology services. He has a special interest in aesthetic dermatology. 

01282 804818 / 01254 735406

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Dr. Owen 

Dr. Caroline Owen has been a Consultant Dermatologist at the Trust since 2002. She grew up in Lancashire and studied medicine at Bristol University. After 10 years in the South West she decided to specialise in Dermatology and returned to her Northern roots. She sees all aspects of general dermatology and has a special interest and expertise in vulval dermatology. She takes a keen interest in education, training and research and has published over 50 peer-reviewed articles. She is actively involved in many aspects of training and is Local Specialty Training Lead for Dermatology. She is a member of many dermatology steering groups including the British Association of Dermatologists.

01254 734364

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Dr Coulson 

Dr. Coulson has been in Consultant practice in East Lancashire since 1990.  He holds special responsibility for the investigation of allergic contact dermatitis and industrial dermatitis.  He has wide experience in the management of inflammatory skin disease such as severe eczema and psoriasis and acne.  He is past president of the North of England Dermatological Society and the Dowling Club, and edits the award winning dermatology global bestselling textbook “The Treatment of Skin Disease”, now in its 5th edition.

01282 804819

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Dr. Arun 

Dr. Arun trained in Dermatology in the West Midlands and North West. She runs clinics in General Dermatology, Paediatric Dermatology and Skin Cancer. She also carries out regular minor operation sessions. She takes a special interest in dermatological conditions in organ transplant patients.

01282 804816 / 01254 735406

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Dr. Kaur

Dr. Kaur is a consultant relatively new to the ELHT dermatology team. She is interested in all aspects of Dermatology and takes pleasure in seeing patients of all ages.

01254 734093

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Dr. Shah 

Dr. Shah qualified as a dermatology Consultant in 1999 and joined the trust in 2013. He sees all aspects of general dermatology and has a special interest and expertise in male genital skin disease.

01282 803650

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Our Nurses

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.

General enquiries

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

Opening times

Burnley Treatment room 7.30am - 6.30pm weekdays

Phototherapy 7.30am - 6.30pm Monday, Wednesday and Friday

Additional information

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.

www.dermnetnz.org

For professionals

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.