Our Community-Based Dermatology Service is designed to improve access and reduce wait times, this service offers diagnosis, treatment, and prevention of common skin conditions. Our consultant led dermatology service ensures high-quality patient-centred assessment of Dermatology conditions. We provide our patients with both education and treatment, through shared decision-making, based on clinical need and the patient preferences. This is aligned to best evidence, national guidelines and agreed clinical pathways.
Patients are provided a range of appropriate treatment approaches and support to manage their condition within community settings. By integrating dermatological care into the community, we ensure patients receive timely, affordable, and high-quality skin health services closer to home.
Urticaria, commonly known as hives, is a skin reaction characterized by raised, itchy, red or skin-coloured welts (called wheals) that appear suddenly and typically last less than 24 hours. Common causes & triggers include Allergic reactions (foods, insect stings, medications), Infections (viral, bacterial), Stress, Environmental factors (temperature changes, sunlight), Autoimmune disorders (especially in chronic cases).
Hair disorders encompass a wide range of conditions affecting the growth, texture, appearance, and health of hair. They can result from genetic factors, medical conditions, medications, or environmental influences. Common types of hair disorders include Androgenetic Alopecia, Alopecia Areata, Traction Alopecia, Trichotillomania and Anagen Effluvium.
Keloids are raised, thickened scars that extend beyond the boundaries of the original skin injury. They result from an overgrowth of scar tissue due to excessive collagen production during wound healing. Keloids can be challenging to treat and may require combination of different therapies.
Basal cell carcinoma (BCC) is the most common type of skin cancer. It arises from the basal cells in the lowest layer of the epidermis. BCC is locally invasive but rarely metastasizes (spreads to other parts of the body). The risk factors may include Chronic sun exposure (UV radiation), Fair skin, light eyes, and hair, older age, History of sunburns or tanning bed use, Immunosuppression, Previous radiation exposure and Genetic syndromes (e.g., Gorlin syndrome). Diagnosis include Clinical examination and Dermoscopy to assist diagnosis followed by Skin biopsy (punch or excisional) to confirm diagnosis and subtype.
No only 18+
Some services may ask for photos to support your assessment. If this is needed, we will provide clear instructions on how to send them securely.
Please bring:
Our patient information leaflet explains what happens during a gastroenterology appointment, how to prepare, what the procedure involves, and what to expect afterwards.
Download the Cryotherapy Leaflet
Download Minor Surgery Patient Information Leaflet
Yes. If you need to rearrange your appointment, please contact the appointments team as soon as possible. We require at least 24 hours’ notice for appointment changes or cancellations wherever possible. Failure to attend appointments, or repeated late cancellations with less than 24 hours’ notice, may result in you being discharged back to your GP.
We assess and manage a wide range of skin conditions, including:
This depends on your condition and treatment plan. Your clinician will advise you.
If your condition requires specialist or hospital-based care, we will arrange a referral.
If your symptoms worsen or you are concerned, please contact your GP. For urgent concerns, seek immediate medical advice.
Dr Pathak is a GP with an accredited extended role in Dermatology and has worked in the specialty since 2019. She provides care in community dermatology services as well as at Watford General Hospital, where she is a Specialty Doctor in Dermatology. She is actively involved in multidisciplinary team meetings, skin cancer pathways, surgical procedures, and manages a wide range of conditions including acne, eczema, psoriasis, and skin lesions.
She achieved a Distinction in her Postgraduate Diploma in Clinical Dermatology and is a Visiting Lecturer for the MSc in Clinical Dermatology at the University of Hertfordshire. She has published articles on skin health in various journals, has held a research fellowship with the UK Dermatology Clinical Trials Network, and is a member of the British Association of Dermatologists
Dr Varun Dravid has been practising as a doctor within the NHS since 2011, following his graduation from Norwich Medical School. He qualified as a General Practitioner in 2017 and has since accumulated a diverse range of clinical experience, including roles as a salaried GP, GP partner, urgent care physician, and more recently as a GP with a specialist interest in dermatology.
Currently, Dr Dravid provides Community Dermatology services to NHS patients in West Hertfordshire and South-East London. He is proficient in the management of common dermatological conditions and skin lesions across all skin types. His clinical skills encompass steroid injections for specific joints and for keloid and hypertrophic scars, treatment of certain alopecia types, cryotherapy of benign lesions, and excision of minor skin lesions.
He is committed to delivering pragmatic and holistic care, with a strong emphasis on continuity and developing personalised relationships with his patients. Dr Dravid particularly values patient education, especially in Dermatology, to promote greater autonomy and understanding of chronic skin conditions.
Dr Adnan Saad is a GP with accredited extended roles in dermatology and minor surgery, bringing more than two decades of surgical and clinical expertise. He qualified from Guy’s and St Thomas’ Medical Schools, London, and after training in surgery and achieving MRCS, has led minor surgery services in general practice. His work includes excisions of skin lesions, lipomas and cysts, cryotherapy, punch biopsies, shave excisions, joint injections, vasectomies, treatment of keloid scars, alopecia (hair loss) and surgical management of ingrowing nails. He also provides community dermatology surgery, carrying out procedures on referral from dermatologists.
Alongside his clinical practice, Dr Saad is Associate Professor and Associate Chair of Family Medicine at St George’s University, Grenada, a Clinical Tutor for Imperial College London, and Brunel Medical School, London. He is an experienced educational supervisor and trainer for GP registrars and medical students from multiple universities, with a track record in curriculum development, student mentorship and assessment.
His academic work includes numerous peer-reviewed publications in PubMed-listed accredited journals, reflecting his contributions across clinical medicine, education and primary care.
Dr Saad combines surgical skill with a strong commitment to patient-centred care, professional education, and service development, maintaining an active role in research, training and clinical governance.
Dr Sirjit Seyan qualified in Medicine from Cambridge University (MB BChir). His other qualifications include MA,DCH, DRCOG and MRCGP. He completed GP vocational training at Northwick Park Hospital, joining a Harrow practice, Simpson House, where he was a GP partner for 37 years, and senior partner for 7 years. He has also been an appraiser of other GPs for over 10 years. He gained his dermatology and minor surgery experience following 10 years working in the department of Dermatology at Northwick Park and subsequently introduced a comprehensive Minor Surgery service in General Practice.
He has been accredited in Minor Surgery for many years and has experience of removing a variety of ‘lumps and bumps’ such as lipomas, skin cysts, moles as well as suspected skin cancers both on the face and body. He is experienced in managing adults and also children over the age of 6.
Dr Seyan is experienced in joint injections, treating Alopecia Areata, keloids and using cryotherapy for warts and verrucae. In recent years he has provided a Minor Surgery service at the Pinn Medical Centre in Pinner and to Harrow Health CIC in Northwood.
He treats each patient as an individual taking care to explain each procedure and the required aftercare and prides himself on achieving the best cosmetic appearance of scars. He speaks English, Gujarati, Punjabi, Urdu and Hindi fluently.
Expert care for a wide range of women’s health concerns, from routine assessments to complex gynaecological conditions.
Specialist-led diagnosis and management of digestive system disorders, including stomach, bowel, liver and pancreas conditions.
