Dermatology is a speciality of medicine concerned with the diagnosis, treatment, and prevention of diseases of the skin, hair, nails, oral cavity and genitals.

The Dermatology Dept. at RNSH hospital has been established to provide evidence based and cutting edge care for a wide range of skin diseases. This includes rare and very severe conditions, that require treatments not accessible to the public elsewhere in NSW. We are a tertiary referral service, consisting of highly qualified Doctors and specialist Nurses and are an internationally recognised for our research into skin diseases. We are also the main referral service for Northern Sydney Local Health District.

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Royal North Shore Hospital provides the following Dermatology clinics:

  • General dermatology
  • Paediatric dermatology
  • Skin surgery
  • High risk skin cancer (including post- organ or stem cell transplantation)
  • Hidradenitis suppurativa
  • Neurofibromatosis
  • Male genital dermatology
  • Female genital dermatology
  • Mohs micrographic surgery (not for direct GP referral – contact the on-call registrar to discuss)
  • Phototherapy unit

Referral

To refer

A valid GP or Specialist referral is required for all services provided in the Dermatology clinic – please visit your GP for an assessment if you feel a referral may be required. If you are a GP or Specialist wishing to make a referral, please use the below contacts.

Urgent referrals: Phone the RNSH switchboard on (02) 9926 7111 and ask for the Dermatology Registrar on call or ask the patient to present to our Emergency Department.

Routine referrals: Send a referral letter via fax to (02) 9463 1065, or via email to nslhd-accreferrals@health.nsw.gov.au

Mandatory referral information

All Dermatology referrals must include a consultant being referred to in RNSH outpatients. If unsure, please address to Professor Alan Cooper and Associates.

All referrals must include patients details including a telephone number, the reason for referral, clinical findings, treatment to date, provisional diagnosis, the impact on the patient, and any significant medical history, medications and relevant social information.

Please indicate preferred language if an interpreter is required.

Please attach results of any investigations to the referral and ensure the patient brings hard copies to their appointment. This will help avoid unnecessary duplication of tests, additional appointments and delay.

Referrals with insufficient information will be returned until further information is provided to the clinic.

Urgent cases

If you are a GP or Specialist and feel your patient may require an urgent referral, please phone the RNSH switchboard on 02 9926 7111 and ask for the Dermatology Registrar on call or ask the patient to present to our Emergency Department. Conditions requiring urgent referral include:

  • Extensive blistering including suspected toxic epidermal necrolysis
  • Purpuric (bruise-like) rashes
  • Widespread and symptomatic drug eruptions
  • Erythroderma (>90% body rash)
  • Generalised pustular psoriasis
  • Eczema herpeticum
  • Skin infections in immunosuppressed patients

Indications for referral - Dermatology

For referrer use only and is not intended for patients to self-diagnose. Any patients who feel they may require a referral must be assessed and referred by their GP if appropriate.
Presenting ComplaintWhen to ReferRNSH Clinic
Head and neck skin cancers​Head and neck skin cancer (non melanoma)​Mohs Micrographic Surgery (not for direct GP referral – contact the on-call registrar to discuss)
Vulvo-vaginal disease​General dermatology concerns
Laser therapy
​Female Genital Dermatology clinic
Male Genital Dermatological Concerns​Dermatological conditions of the male genitals​Male Genital Dermatology clinic
Hidradenitis suppurativa​Patients with a history of recurrent abscesses/boils in axilla, groin or submammary region​General Dermatology clinic
High risk skin cancerPatients who are immunosuppressed as a result of undergoing organ or stem cell transplant, or other significant immunosuppression​​High risk skin cancer clinic
Paediatrics​Patients under 16 with skin complaints including:

•Eczema: refer if systemic therapy to control eczema is required; further therapy is necessary, e.g. phototherapy or immunosuppressants; or uncertainty about diagnosis

•Psoriasis: refer to confirm the diagnosis and for long-term follow-up and management

•Birthmarks including haemangiomas

•Acne: refer if there has been a failure of treatment

•Skin infections

•Acute skin conditions of uncertain diagnosis

•Uncertain diagnoses

​Paediatric Dermatology Clinic
​Phototherapy​Requiring UVA/UVB light therapy, including oral PUVA​Phototherapy Unit
​Cutaneous tumours​Requiring surgical management for cutaneous tumours​Dermatology Surgery Clinic
​Neurofibromatosis skin concerns​Patients wanting treatment of the cutaneous manifestations of neurofibromatosis. ​Neurofibromatosis clinic
​Inflammatory skin conditions​Eczema:

•Systemic therapy to control eczema is required

•Further therapy is necessary, e.g. phototherapy or immunosuppressant

•Uncertainty about diagnosis

​General Dermatology
Psoriasis:

•To confirm the diagnosis and for long-term follow-up

​Skin infections
​Wound management; acute and chronic wounds associated with diseases that involve the skin, e.g. pyoderma gangrenosum, chronic venous disease, pressure ulcers
​Disabling inflammatory skin concerns not responsive to conventional therapies
​Autoimmune conditions: immunobullous disease (bullous pemphigoid, pemphigus), lupus, dermatomyositis, lichen planus, sweets syndrome, urticaria
​ ​Undiagnosed or unmanaged skin conditions

The RNSH Dermatology Clinic is unable to provide a service for the following:

  • Routine skin checks
  • Venous ulceration (refer to Vascular Clinic)
  • Cosmetic conditions
  • Laser dermatology 

Out of Area Referral

The RNSH Dermatology clinic provides services to patients living within the Northern Sydney Local Health District. Exceptions to this are outlined below.

Resident of Northern Sydney Local Health District Catchment ​Yes - referral accepted at RNSH
Referral from other specialist, for specialist opinion​Yes - referral accepted at RNSH
Resident of other Local Health District that DOES NOT provide the clinical service e.g. rural, outer metro​Yes, but service or problem needs to be documented on referral
Continuing care of existing condition we already manage​Yes, provided existing or related condition documented on referral
Demonstrated complexity requiring services of Royal North Shore Hospital Ambulatory Care Centre​Yes but must be explicitly documented on referral
Compassionate circumstances (e.g. family proximity, staff)​Yes but must be explicitly documented on referral
Resident of other Local Health District that offers the service​Refer to your Local Health District


Check if the home address is within Northern Sydney Local Health District here: https://www.health.nsw.gov.au/lhd/Pages/lhd-maps.aspx

RNSH consultant referral options

The following Dermatologists work at RNSH. They also have private rooms, which patients can be referred to and usually have a shorter waiting period. There will likely be an out of pocket cost for the consultation at the private rooms.

Consultant Specialist areasLocation of private rooms
Professor Alan CooperDepartment HeadNo private rooms
A/Professor Gayle Fischer Staff specialist – Vulval & PaediatricsNorthern Paediatric Dermatology - North Shore Private Hospital (St Leonards) Ph: (02) 9463 1400
A/Professor Stephen Shumack Staff specialist – Male genital dermatology, haematology/dermatology combined clinicCentral Sydney Dermatology (Sydney CBD) Ph: 9221 1477
St George Dermatology and Skin Cancer Centre (Kogarah) Ph: (02) 9587 4277
A/Professor Saxon Smith Staff specialist – Hidradenitis Suppurativa, skin cancer surgery & renal transplantThe Dermatology and Skin Cancer Centre  - Gosford Ph: (02) 4324 1444
- St Leonards Ph: (02) 9413 2655
Dr Adrian LimStaff specialist - General

uRepublic Cosmetic Dermatology & Veins (Sydney CBD) Ph: (02) 9262 7774

St George Dermatology and Skin Cancer Centre (Kogarah) Ph: (02) 9587 4277

Dr Esther Hong Staff specialist - GeneralSt George Dermatology and Skin Cancer Centre (Kogarah) (02) 9587 4277
Dr William Ryman Staff specialist – Mohs Micrographic SurgeryDerm Biz Services (Bankstown) Ph: (02) 9790 2927
Dr Rebecca Saunderson Visiting medical officer – General & NeurofibromatosisDrummoyne Dermatology (Drummoyne) Ph: (02) 97192936

Resources and Patient information:

Australasian College of Dermatologists: https://www.dermcoll.edu.au

DermNet NZ: https://www.dermnetnz.org

British Association of Dermatology: http://www.bad.org.uk/

American Academy of Dermatology: https://www.aad.org/

Melanoma Institute Australia: https://www.melanoma.org.au/

Sunsmart: http://www.sunsmart.com.au/

My Psoriasis: http://mypsoriasis.com.au/

The Australian and New Zealand Vulvovaginal Society: http://anzvs.org/patient-information/

Hidradenitis suppurativa:  https://www.hs-online.com.au/

Eczema: https://www.eczema.org.au/

Address - Allows authors to enter rich text content.  Address

Clinic Location:
Ambulatory Care Centre Check-in D, Level 3
Royal North Shore Hospital
Reserve Road
St Leonards 2065

Postal Address:
Dermatology Department
Level 7, Acute Services Building
Royal North Shore Hospital
Reserve Rd
St Leonards 2065

Map - Allows authors to insert HTML snippets or scripts.  Map

Open Hours - Allows authors to enter rich text content.  Open Hours

General Dermatology Clinics

Tuesday 8am-12pm
Thursday, 8am-12pm, 1.30pm-5pm

Mohs surgery: Tuesday (fortnightly), 7am - 5.30pm

Female Genital Clinic: Tuesdays (fortnightly), 1.30pm - 4.30pm

Male Genital Clinic: Monday (monthly), 8am - 12pm

Paediatric Clinic: Wednesdays (7th floor, Clinical Services Building), 1.30pm - 4.30pm

Dermatology Surgery Clinic: Friday (fortnightly) 8am - 4:30pm  

Neurofibromatosis Clinic: Monthly

Phototherapy Unit: Monday, Wednesday, Thursday & Friday, 6.45 am-3.15pm

High Risk Skin Cancer Clinic: Every second Friday

Contact Us - Allows authors to enter rich text content.  Contact Us

For patients:

General Enquiries:  (02) 9463 1400 

 

For referrers:

Clinical Nurse Consultant: (02) 9463 1538

Fax: (02) 9463 1065 

Referral Email: nslhd-accreferrals@health.nsw.gov.au

To refer

Urgent referrals: Phone the RNSH switchboard on (02) 9926 7111 and ask for the Dermatology Registrar on call or ask the patient to present to our Emergency Department.

Routine referrals: Send a referral letter via fax to (02) 9463 1065, or via email to nslhd-accreferrals@health.nsw.gov.au