LAUSR

The seismic shift toward virtual working in dermatology has been cemented by the Covid-19 pandemic. But even prior to this unexpected turn of events, teledermatology has been increasingly used to assist dermatology service provision in a variety of settings1 , most commonly for triaging skin cancer referrals. There is comparatively limited data looking at an exclusively inflammatory teledermatology service for new referrals, using high quality medical images including dermoscopy. The challenges facing dermatology service provision are well described2 , and the rising burden of skin cancer referrals often results in a compensatory rise in waiting times for inflammatory dermatology referrals from primary care. Our health board caters to a population of approximately 600,000 and the demand versus capacity gap was found to be unsustainable, prompting us to look at new ways of working, even prior to the Sars-Cov-2 pandemic.