Usable images, first time
The patient is walked through framing, distance, lighting and putting a coin beside the lesion for scale. Unusable images are re-requested immediately rather than discovered at the review.
Specialty · Dermatology
The urgent lesion does not wait behind the acne queue.
Image-led triage for skin complaints, with suspicious lesions fast-tracked to a two-week pathway, chronic disease reviewed on schedule, and biopsy results delivered properly.
- 88%
- Triage images received before review
- 4 days
- Off time to a two-week-wait referral
- 2.1x
- Routine reviews completed per clinic
In the product
Dermatology triage — contact 6620
Fast-trackedInbound 09:41 · Eamon G. · 58 · fair skin · previous actinic keratoses
Caller
There's a mole on my shoulder blade my wife says has got darker. It catches on my shirt sometimes.
Primum
How long has it been changing, and has it bled at all?
Caller
Maybe four months. It bled once last week when I scratched it.
ABCDE: evolution ✓ · bleeding ✓ · risk factors: fair skin, prior AK → suspicion criteria met
Primum
I'm sending you a secure link now — take one photo from about 20cm and one close up with a coin beside it. Your wife can take them.
3 images received 09:48 · focus and scale acceptable · attached to referral packet
Lesion assessment
- Site
- Left scapula
- Evolution
- Darkening, 4 months
- Bleeding
- Yes, once
- Images
- 3 · usable
- Pathway
- Two-week wait
- Patient told
- Contact within 5 days
Referral sent 09:52 · images attached · chart coded, patient informed
Overview
Dermatology triage is impossible without a picture, and pictures rarely arrive.
- Images requested, checked for usability and attached to the referral on the first contact.
- ABCDE and change-over-time questions asked before a picture is even taken.
- Chronic reviews, monitoring and phototherapy scheduling handled off the clinic list.
A patient describes a mole that has 'changed a bit'. Nobody can triage that from words, so it goes into the routine queue, and the melanoma and the seborrhoeic keratosis wait the same nine weeks. Meanwhile the clinic's capacity goes on acne reviews and eczema follow-ups that never needed a room.
Primum runs the ABCDE questions properly and asks for photographs on the same contact — with framing, lighting and scale instructions the patient can actually follow. Anything suspicious is fast-tracked with the images attached. Chronic disease reviews, phototherapy scheduling and isotretinoin monitoring are handled without a clinic slot at all.
Capabilities
What a dermatology front door actually needs
Sort the urgent from the routine, and keep the routine out of the room.
ABCDE, asked properly
Asymmetry, border, colour, diameter and evolution worked through in conversation, along with bleeding, itch, duration and personal and family history of skin cancer.
Suspicion fast-tracks itself
A lesion meeting your criteria produces a two-week-wait referral with the history, the images and the risk factors already assembled, and the patient is told what happens next.
Monitoring without a slot
Isotretinoin bloods and pregnancy-prevention checks, biologic monitoring, phototherapy scheduling and eczema and psoriasis severity scoring, all run on schedule by phone and message.
How it works
Description to a decision, with a picture in between
The image is collected at the start of the process rather than at the end of the wait.
- Arrives
- Decided
- Done
- Returned
01
Complaint described
Site, duration, change over time, symptoms and personal and family history of skin cancer, captured in conversation.
History taken
02
Images collected
A secure link sent mid-call, the patient coached through the shots, and the images checked for focus, lighting and scale before the contact ends.
Secure upload
03
Risk assessed
ABCDE findings and risk factors evaluated against your criteria, and the whole packet verified before any pathway is assigned.
Criteria applied
04
Routed and told
Two-week-wait, routine clinic, teledermatology review or self-care advice — with the images attached and the patient told which, and why.
Referral + chart
01
Complaint described
Site, duration, change over time, symptoms and personal and family history of skin cancer, captured in conversation.
History taken
02
Images collected
A secure link sent mid-call, the patient coached through the shots, and the images checked for focus, lighting and scale before the contact ends.
Secure upload
03
Risk assessed
ABCDE findings and risk factors evaluated against your criteria, and the whole packet verified before any pathway is assigned.
Criteria applied
04
Routed and told
Two-week-wait, routine clinic, teledermatology review or self-care advice — with the images attached and the patient told which, and why.
Referral + chart
Benefits
Capacity moves to the patients who need a room
Dermatology is the specialty where triage quality translates most directly into outcomes.
Urgent lesions skip the queue
A suspicious lesion is identified on the day of contact rather than at a routine appointment two months later.
Teledermatology becomes practical
Usable images arriving with a structured history are what make remote review work. Without them it is just a slower clinic.
Reviews stop consuming slots
Stable chronic disease reviews and drug monitoring run by phone, returning clinic capacity to the patients who have to be examined.
In practice
Four skin complaints, four destinations
All from the same morning's contacts.
Changing mole on the back
Two-week-wait, same dayIrregular border, colour change over four months, images clear. Referral assembled and sent within the hour with the photographs attached.
Itchy rash, both arms
Self-care + reviewConsistent with contact dermatitis. Emollient advice from your own formulary, and a review booked only if it has not settled in two weeks.
Isotretinoin month three
Monitoring completedBloods booked, pregnancy-prevention questions completed and recorded, mood screening asked, and the prescription released.
Biopsy result — BCC
Delivered with a planResult explained in plain language, excision booked, and the written information sent before the call ends.
Read next
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Run it over last month's routine queue
Give us the skin complaints that went into the routine list. We will show you which ones would have been fast-tracked on the day and which never needed a clinic slot at all.