PS06 Is anybody listening? A qualitative exploration of patient perspectives in a regional psychodermatology clinic

Abstract

The aim of this study was to assess the impact of a regional psychodermatology clinic from the perspective of the attending patients. A patient survey was designed to address the impact of psychodermatology concerns and available services. All patients attending the clinic between January and December 2025 were contacted via telephone and invited to voluntarily take part in a survey. Those not successfully contacted via telephone were sent the survey link via text message. Thirty-six patients were invited to partake in the survey. Four responses were received via telephone, and eight via an NHS-approved software text link invite. Those attending the psychodermatology clinic during this period ranged from 16 to 82 years of age. The four respondents successfully contacted via telephone were aged 20–30 years. Patient feedback demonstrated both strong appreciation for the clinic and frustration regarding limited continuity of care. Empathy, understanding and being ‘listened to’ were the most valued aspects, contributing to feelings of validation and emotional relief. Referral delays were considerable, often several years, with most patients referred via general dermatology or their general practitioner. Many expressed that earlier referral could have reduced distress and improved outcomes. Quantitative responses were polarized: three rated care 10 out of 10, one 8/10, one 5/10, one 2/10 and two 1/10. Similarly, three respondents would strongly recommend the clinic, one agreed, one was neutral and three disagreed or strongly disagreed. Telephone respondents universally felt listened to, although several highlighted the need for follow-up review and ongoing support. The patients suggested introducing virtual consultations to reduce travel burden and enhancing training for students to improve the patient experience. There is a pressing need for increased availability of psychodermatology training and service provision, to meet the needs of a population with a disease burden that has a crucial impact on physical and mental wellbeing.