Policy

Dermoscopy & Lesion Documentation Policy

Competence to use dermoscopy, how findings and images are recorded, and how lesions are monitored over time

For Dermatology & Skin SurgeryRef BS-DER-POL-005See a sample (PDF) →
£44.99
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  • Instant download after checkout
  • Editable Microsoft Word (.docx)
  • Mapped to the CQC standards
  • Optional 3-monthly updates

What's inside

This policy is fully drafted and structured, ready to brand and complete for your service. It covers:

  • 1. Purpose
  • 2. Scope
  • 3. Policy statement
  • 4. Definitions
  • 5. Who may use dermoscopy
  • 6. Recording dermoscopic findings
  • 7. Clinical photography
  • 8. Consent for images
  • 9. Monitoring a lesion over time
  • 10. Equipment
  • 11. Roles and responsibilities
  • 12. Training and competence
  • 13. Records, monitoring and audit
  • 14. Version control and review
  • 15. Second opinions and case review
  • 16. Image storage, retention and access
  • 17. Appendix A - Dermoscopy record template
  • 18. Appendix B - Image consent and use record
  • 19. Related documents
  • 20. Disclaimer

CQC fundamental standard

Regulation 11 (Need for consent)
This document is written to evidence that standard. Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Legislation & standards it maps to

  • Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 - in particular Regulation 11 (Need for consent), Regulation 12 (Safe care and treatment), Regulation 17 (Good governance) and Regulation 18 (Staffing)
  • Data Protection Act 2018 and the UK General Data Protection Regulation - clinical images are special category personal data
  • National Institute for Health and Care Excellence guidance on melanoma: assessment and management
  • Medical Devices Regulations 2002 (SI 2002/618, as amended)
  • General Medical Council guidance on making and using visual and audio recordings of patients

Who it applies to

All clinicians using dermoscopy or clinical photography, administrative staff handling images, and the clinical lead of [Organisation Name]

Glossary

Plain-English explanations of the technical terms and legislation used in this document.

Anonymised
Altered so the person cannot be identified. Cropping out a face is not enough if a tattoo or birthmark would identify them.
Baseline image
The first photograph of a lesion, kept so later ones can be compared against it.
Blue-white veil
A dermoscopic appearance that can indicate a melanoma.
Dermatoscope
A magnifying instrument with a light that shows structures below the skin surface.
Dermoscopy
Looking at a lesion through a dermatoscope.
Interval review
A follow-up appointment at a set time to check a lesion again.
Pattern analysis
Judging a lesion by its overall structure rather than by scoring individual features.
Polarised light
A type of lighting that cuts surface glare so deeper structures can be seen.
Reticular network
A net-like pattern seen under a dermatoscope, usually a normal finding.
Scale marker
A small ruler placed in a photograph so size can be measured accurately.
Special category data
Sensitive personal information, including anything about health, which the law protects more strictly.
Seven-point checklist
A scoring system that adds up defined dermoscopic features to guide whether to refer.

How it works

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  2. Download your editable Word file from the link we email you straight away.
  3. Complete the placeholders for your service, then have it approved before use.
  4. Add the optional updates subscription and we keep it current as guidance changes.

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