Pathpoint eDerma

Pathpoint eDerma is a powerful, cloud-based teledermatology platform built to adapt to the needs of your team and community. It enables you to coordinate dermatology services with ease, supporting care models that are responsive, efficient, and tailored to your population. Developed by NHS clinicians and in collaboration with dermatologists and patients, it represents true innovation. Its success stems from its remarkable flexibility, seamlessly integrating into the existing digital ecosystem and catering to specific community needs. 

This adaptability efficiently addresses the resource constraints in UK dermatology, making the most of limited time and resources. Notably, eDerma includes a patient questionnaire co-designed with both dermatologists and patients, enhancing patient accessibility and understanding to improve referral quality and patient assessments. Moreover, by integrating with legacy and modern hospital systems, it ensures continuous care, minimising fragmentation. With its unique approach, eDerma delivers maximum benefits to patients and service users, proving to be a transformative solution in dermatology service coordination. 

In the UK, there are around 156,000 non-melanoma and 16,700 malignant melanoma cases annually, projected to rise by 9%. Limited dermatologists and patient access create challenges in meeting faster diagnostic standards, causing delays in treatment. In the UK, each dermatologist is responsible for approximately 80,000 people, well above the recommended 62,500 limit. 

The diagnosis and management of suspected skin cancer takes over 50% of a specialist dermatology service workload and timely diagnosis is crucial for cancer survival rates. 

Collaborating with the NHS Innovation Accelerator (NIA) and the Small Business Research Initiative (SBRI) Healthcare, Open Medical has joined forces with NHS Trusts and Integrated Care Systems (ICSs) to revamp and enhance their teledermatology pathways. This transformative initiative leverages Open Medical’s digital solution, PathpointⓇ eDerma, to streamline and improve the efficiency of dermatology services. This collaboration allowed the healthcare institutions to overcome resource limitations and significantly reduce the time from referral to diagnosis for patients with suspected skin cancer. These projects not only improved efficiency and care for patients but also proved to be cost-effective, increased accessibility, and addressed health inequalities. The success of these projects has led to plans for implementation across other ICSs and hospitals and the expansion of eDerma’s reach, with the aim of sharing learnings nationally and globally. 

Open Medical boasts a PPIE committee integral to crafting patient questionnaires for eDerma, resulting in a commendable 99% completion rate prior to teledermatology appointments, with patients finding it notably user-friendly. The participants’ valuable feedback significantly influenced the project, with a thorough interview process showcasing their contributions being valued and accepted at a rate of 90%. This collaboration fostered skill development within both the Open Medical team and the PPIE participants, leading to valuable lessons to reflect back on. The engagement of patients and the public in the project positively impacted product development, data analysis, and the creation of patient-facing materials.

In summary, the financial impact of eDerma has been impressive, with each consultation costing £32 less than traditional face-to-face appointments, resulting in significant savings. Independent evaluations estimated potential savings exceeding £18,261 in just six months compared to the previous pathway, emphasising its cost-effectiveness. The teledermatology model demonstrates efficiency, boasting referral-to-assessment times under one week, 99% first seen within two weeks, and assessments completed in an average of approximately 5.5 minutes – up to four times faster than face-to-face appointments, thus increasing dermatologist capacity. Notable achievements include substantial reductions in face-to-face appointments, addressing health inequalities, direct bookings for diagnostic biopsies, and high patient satisfaction. eDerma currently supports a population of 9.4 million across 13 NHS Trusts in England, with plans for further expansion in 2024 across the UK and globally, including launches in two Integrated Care Systems in Q1, 2024.

More recently, Pathpoint eDerma was implemented across the Lancashire & South Cumbria ICB. A critical strain on skin cancer services demanded a radical new approach. The L&SC Cancer Alliance, part of the Integrated Care Board, brought together all four of the region’s secondary care cancer providers, primary care teledermatology services, the community dermatology provider, and Open Medical as the digital partner. Together, a new model of care was developed, delivering a Centralised Virtual Triage model, a transformative shift from isolated operations to patient-centred, coordinated care, that allowed different NHS Trusts across a large region to pool their resources.This single point of access promised consistent clinical decision-making, improved redirection of non-cancer cases to community dermatology, and standardised guidance for GPs.

The model has delivered transformative results for skin cancer services in Lancashire & South Cumbria (L&SC), evidenced by significant quantitative and qualitative improvements.

Benefits include:

Drastic Improvement in Pathway Efficiency

• 30%+ of patients are now appropriately redirected from urgent cancer pathways to community dermatology, up from less than 7%.
• Over 10% of patients now benefit from a streamlined “see and treat” appointment, compared to less than 1% previously.

Significant Gains in Performance and Timeliness

• Faster Diagnosis Standard (FDS) compliance has soared from a low of 64% to 91%.
• Over 75% of patients receive their triage outcome and clear next steps within just three days.

Substantial Financial Value and Cost Savings*

• The model saved approximately £59 per patient compared to the previous pathway (£245 vs. £304).
• This translates to a projected saving of £1.57 million in the first year and £8.1 million over five years for the health system

*client provided figures

Enhanced System-Wide Collaboration

• Breaks down historic silos between primary care, secondary care, and community providers.
• Fosters a culture of trust, mutual respect, and shared ownership through joint governance and problem-solving.
• Enables a unified, system-wide approach to care, ensuring no partner is left behind.

Revolutionised Workforce Flexibility

• Unlocks access to a larger pool of dermatology specialists by enabling secure, remote triage.
• Frees up secondary care clinicians’ time to focus on treating confirmed cancer cases and reducing backlogs.
• Future-proofs the service by creating a modern, agile, and digitally-enabled workforce model that overcomes geographical recruitment barriers