Review of a Dermatology Nurse-Led Hair Service
TLDR A nurse-led hair service reduced waiting times and improved patient satisfaction and outcomes for alopecia areata treatment.
In 2017, a nurse-led service was established in a tertiary hair and nails clinic to address long patient waiting times. By 18 months, the waiting list was reduced to under 12 weeks. The service primarily treated patients with alopecia areata, and a review of the service from November 2021 to October 2022 included 130 patients, with 90% having focal alopecia areata. Clinical outcomes were measured using the Severity of Alopecia Tool score and Alopecia Areata Investigator Global Assessment, while psychological impact was assessed with the Dermatology Life Quality Index and a patient questionnaire. The majority of patients (72%) were treated with intralesional triamcinolone, and 5% received a wig. The service aimed for effective treatment and discharge with easy re-entry if needed. Patients reported ease of referral by general practitioners, clear rereferral instructions upon discharge, and high satisfaction with the service. Over 90% felt listened to and adequately informed, 62% were directed to support groups, and all were satisfied with their treatment. The success of the nurse-led service in managing capacity, clinical outcomes, and emotional support is highlighted, providing a model for other departments to follow.
