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A narrowband UVB phototherapy cabinet with its door open, in a white room with a green chair (AI-generated demonstration image)
01A narrowband UVB phototherapy cabinet with its door open, in a white room with a green chair

00Eczema & psoriasisProcedure

Psoriasis & biologics review

SeenWithin a week
ResultScored plan on the day
Price£220 · Screening bloods for biologics £145
Next slotThu 08:30 · Dr James Whitlockdemonstration

Consultant assessment with severity scoring, a stepped plan from creams to phototherapy to biologics, and help getting NHS-funded biologics where you qualify.

00The record

Psoriasis & biologics review: what it is, what is included.

Psoriasis & biologics review: the cells of the record
CellEntry
SeenWithin a week
ResultScored plan on the day
Price£220
InsuredCovered with a GP referral
Length30 minutes

Included in the price

  1. 01Consultant assessment with PASI and DLQI scores
  2. 02A written stepped plan
  3. 03Joint screening for psoriatic arthritis
  4. 04Letter to your GP, or an NHS biologics referral with the scores attached
  5. 05Phototherapy or tablet monitoring plan if started

Psoriasis is measurable, and treatment decisions should be too. Dr Whitlock scores your psoriasis (PASI) and its effect on your life (DLQI) at every visit, so that stepping up from creams to phototherapy to a biologic is a decision with numbers behind it rather than a feeling.

What happens

  • History, joint symptoms, nail changes, triggers and what has been tried
  • PASI and DLQI scoring, photographed
  • A stepped plan: topicals, narrowband UVB on site, methotrexate or other tablets with monitoring, biologics
  • If you qualify for NHS-funded biologics, a referral letter with the scores the NHS needs, so the wait starts now

Biologics are expensive and most patients get them on the NHS. Our job is to get you to the right drug quickly, monitor it properly, and make the NHS referral airtight when that is the sensible route.

Procedure

From £220

Screening bloods for biologics £145

SeenWithin a week
ResultScored plan on the day
InsuredCovered with a GP referral

Every fee and insurer →

00Suitable for

Who this is for, and who it is not.

The consultant decides in the room; this is the honest list so you book the right appointment first time. Unsure: send a photo and Claire will say.

For

  • Plaque psoriasis not controlled by creams
  • Scalp, nail or genital psoriasis
  • Psoriasis with joint pain or stiffness
  • Anyone told they are not severe enough for a biologic and unsure why

Not for

  • Generalised pustular or erythrodermic psoriasis: a same-day emergency

Insurance: Covered with a GP referral. Billed directly: give Rosie your policy number and authorisation code and you pay only your excess.

00What happens

The appointment, step by step.

A mole check, full-body check or consultation ends with a verdict and a written note. You are not sent away to wait for a letter.

  1. 01Send a photo, or ringWhatsApp or upload a photograph and Claire replies within one working day: today, this week or routine. Or ring Rosie, who holds two same-day mole slots every weekday.
  2. 02The checkA consultant dermatologist examines the mole, or all of them, with a dermatoscope. Photographs are stored. You leave with a verdict in writing: reassure, re-check, or remove.
  3. 03Removal, if neededBooked within the week in our own minor operations room under local anaesthetic. Home the same hour. Everything removed goes to histology.
  4. 04The resultThe surgeon phones you within five working days, whatever the histology says. Abnormal results come with a plan and a date, and a same-day NHS referral if it is a melanoma.
  5. 05AfterwardsStitches out with Claire, a scar review at three months, and a follow-up plan in writing: yearly for most, three-monthly in year one after a melanoma. A map next year if your moles need one.

How you get the result

Within one working day of a photoClaire replies to the triage line with one of three words: today, this week, or routine, and the appointment that fits. Free.
In the roomA mole check, full-body check or consultation ends with a verdict and a written note. You are not sent away to wait for a letter.

00Related conditions

The conditions this is booked for.

From the conditions A–Z, with the urgency stamp each carries. The full guide →

First, a photograph

Send the photo by WhatsApp to 01632 960951 or the upload form: one from thirty centimetres, one close up, in daylight, with a coin for scale. Claire will tell you whether it is today, this week or routine. If it bleeds, ring instead.

Send a photoUpload instead

Worried about a mole?

Ring, or send a photo. Either way, you are seen.

Mole checks within 3 working days; same day if bleeding.

Ring Rosie01632 960950
Photo to Claire01632 960951
OpenMon–Fri 07:15–18:30 · Sat 08:30–13:00
Map showing Chestnut Avenue and the station in Copley Bridge (demonstration image) (AI-generated demonstration image)
Oakwood House, 14 Chestnut Avenue, Copley Bridge WX6 3ADTwo doors
  • Front porch, Chestnut Avenue

    Four spaces on the gravel drive including one blue badge; free on-street parking on Chestnut Avenue, tight on Wednesdays

  • Garden entrance, Chestnut Lanestep-free

    Drop-off bay at the door; two spaces reserved for surgery patients on the day

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