National Highly Specialised Care (NHV)

Uppsala University Hospital is the only hospital in the country licensed to provide National Highly Specialised Care (NHV) for a group of hereditary skin diseases, gendermatoses. Along with four other university hospitals, Uppsala University Hospital also has national responsibility for severe skin symptoms.

Referral to National Highly Specialised Care (NHV) for gendermatoses

Referral to National Highly Specialised Care (NHV) for severe skin symptoms

Referral to the skin clinic

There are three referral templates (skin general, skin tumour and skin SVF melanoma) to follow when referring to a skin specialist inside and outside the hospital. See below, * means that the information is mandatory.  

Referrals will be returned if:

1. basal diagnostic measures and evaluation of treatment effect have not been carried out
2. too much time has passed between the date of referral and the arrival of the referral with the dermatologist
3. the patient is unable to see a specialist within 2 months.

Referral general skin

• Question to be addressed
• Medical history and status: duration, localisation, severity. Attach a photo if possible.
• Investigation carried out
• Treatment given and results of treatment

Skin tumour referral

Use this for all suspected tumours, including melanoma. If there is a well-founded suspicion of melanoma, choose the referral "skin SVF melanoma" instead.

• Question to be addressed
• Location and size. Attach a photo if possible.
• Duration and behaviour
• Response to any PAD
• Possible treatment with immunosuppression

Referral skin SVF melanoma

Only use this if there is a well-founded suspicion of malignant melanoma. Criteria for reasonable suspicion can be found on the RCC website Regional Cancer Centres in Sweden

Referral for assessment at the skin clinic is made when there is a well-founded suspicion of malignant melanoma and the patient has not undergone surgery or been tested in primary care. If the PAD response is malignant melanoma, send the referral as an SVF to the plastic surgery clinic.  

The referral 'Skin SVF melanoma' should contain the following:

• What is the basis for the well-founded suspicion
• Location and size
• Photograph attached to referral or placed in the medical record
• Medical history
• Contact details of the patient
• Contact details of the referrer

Because we are obliged to offer an appointment within 2 months, according to the care guarantee and the waiting list guarantee, only those patients who are able to come during this time should be referred.

Most common skin diseases, such as eczema, acne, psoriasis as well as molluscum, warts and fungal infections can be treated in primary care. The diagnosis of actinic keratosis can be made in primary care either via PAD or sufficient clinical experience and can then also be treated in primary care with Aldara (Imiquimod). A referral to a specialist is only made in cases of diagnostic uncertainty or insufficient treatment effect.

Acne

For acne with papules and pustules, topical treatment should be given in combination with tetralysal for at least three months and evaluated before referral to a dermatologist.

Fungal infections and physiological hair loss

Fungal infections can be investigated and treated in PV. No systemic antifungal treatment without positive culture.

Physiological hair loss (androgenic), where therapy is not available, should not be referred to a specialist.

Management of patients with positive chlamydia/gonorrhoea home test via 1177

Positive chlamydia home test

Healthcare units that receive and treat patients with a positive chlamydia home test via 1177 Uppsala must register the assumption of treatment responsibility in the PEP system (Patient's Own Sampling). The test result in Cosmic must be certified by the doctor/midwife responsible for treatment.

Healthcare units that do not have Cosmic

Healthcare units that do not have Cosmic must contact the venereology clinic by telephone to report the assumption of treatment responsibility.

Positive gonorrhoea home test

A healthcare unit that receives a patient with a positive gonorrhoea home test via 1177 Uppsala must not provide any treatment, but must refer the patient as soon as possible in Cosmic to the venereology clinic for further sampling, treatment, tracing and checks.

Contact us

Consultant nurse at the venereology clinic: telephone number 018-611 50 65, button 3.  

Contact us

Head of Section: Anna Bergström

Head of Department: Jenny Thulin

Clinical secretary: Jeanette Nielsen