The site uses anonymous third party analytic cookies: in accessing any element/area of the site outside of this banner, you consent to receiving cookies.

Improving care pathways

Examples from dermatology

We work in partnership with commercial clients, patients, professional organisations and the NHS to improve pathways throughout the patient healthcare journey. Here is an example of work we have done with one of our commercial clients in dermatology, seeking to highlight current issues in delivering psoriasis care in England and the urgent need for change in the current care pathway.

Interested? Get in touch

What is psoriasis?

Psoriasis is an immune-mediated inflammatory disease of the skin and one in four patients with psoriasis also develop psoriatic arthritis.1 These conditions can range from minor irritations to considerable impact on quality of life, employment, productivity and income.2,3 Psoriasis occurs when the immune system sends faulty signals that cause the skin cells to grow too quickly. Symptoms are characterised by thick red scaling skin that can cause itching.

The challenge in psoriasis care

GPs are the first clinician most patients see about skin problems, but few receive formal dermatology training and some medical school curriculums exclude this specialty. Dermatology thus has a high rate of referrals to specialist care, particularly for diagnosis, and patients often spend years cycling through ineffective therapies before receiving appropriate treatment. These issues have been exacerbated by the reduced workforce, lengthy waiting lists and large backlogs due to COVID-19.


1. Psoriasis and Psoriatic Arthritis Alliance. What is psoriasis? Available at: (accessed November 2023).

2. Psoriasis Association & LEO Pharma (2019) Wake up to psoriasis.

3. All-Party Parliamentary Group on Skin. Mental health and skin disease. Available at:   (accessed November 2023).

Our portfolio of work

Wilmington Healthcare has been working on highlighting existing issues in psoriasis, considering challenges the NHS faces in delivering optimal care. Our work has been developed in collaboration with expert clinical groups of dermatology stakeholders and sets out challenges in the current pathway, identifying potential solutions and presents a new integrated care pathway for psoriasis patients.

Psoriasis State of the Nation report

This report provides in-depth insights into the current psoriasis landscape in the NHS in England.

(open with a specialist pdf reader, such as adobe to enable full interactivity of the report)


Psoriasis: Integrated care pathway

This document sets out an integrated care pathway for psoriasis based on NHS England’s dermatology outpatient redesign optimal pathway, research, consensus of expert groups and input from stakeholders across the pathway.


Psoriasis: Multidimensional value proposition

This document summarises challenges in the current psoriasis pathway and identifies potential solutions supported by real-life examples that have been implemented within the NHS.

(open with a specialist pdf reader, such as adobe to enable full interactivity of the report)


More than Skin Deep: The Underlying Burdens of Psoriasis and Psoriatic Arthritis

This report, developed in consultation with an expert working group, provides estimates for the numbers of people living with psoriasis and PsA, and highlights the true impact of these conditions, providing recommendations to strengthen policy and their management across the NHS.