By Dr Zamiel Hussain, Founder and Lead GP
As winter begins, we see a sharp rise in skin problems in both adults and children. Colder air, heating indoors, dry environments, stress, antibiotics, holidays and winter infections all contribute to flare ups of existing skin conditions. Eczema becomes more inflamed, acne worsens, fungal infections spread quickly in damp environments and many people develop new rashes they have never experienced before.
Accessing timely dermatology support can be difficult at this time of year. Waiting lists are long and many conditions require early assessment before they worsen. This is why teledermatology has become such an important part of modern care, offering fast, safe and specialist level guidance online.
This article explains how teledermatology works, what we can treat safely online and why winter is often the best time to seek support.
What is teledermatology?
Teledermatology is a clinical service that allows patients to receive dermatology assessment remotely through secure photo uploads, video consultations or digital triage. It has been used across the NHS and private sector for several years and is supported by strong evidence for diagnostic accuracy when carried out by trained clinicians.
Teledermatology works particularly well for:
- acne
- eczema and dermatitis
- rosacea
- fungal infections
- viral rashes
- psoriasis
- perioral dermatitis
- scalp conditions
- mild to moderate inflammatory skin disease
It can also be used as an initial step for mole or lesion review. If anything requires in person dermoscopy or biopsy, we provide clear guidance and appropriate referral.
Why winter is the peak season for skin problems
1. Dry indoor air
Central heating removes moisture from the skin, increasing irritation, flaking and inflammation.
2. Cold outdoor temperatures
Sudden temperature changes weaken the skin barrier, triggering eczema flares and rosacea episodes.
3. Stress at the end of the year
Stress hormones can worsen acne, psoriasis and seborrhoeic dermatitis.
4. More infections circulating
Viral rashes, fungal infections and bacterial skin conditions become more common in winter.
5. Holidays, travel and disrupted routines
Different climates, new products, swimming pools, sunscreen and dietary changes all contribute to winter flare ups.
Many of these conditions respond quickly to the right treatment, but worsen when left without early intervention. Teledermatology improves access to timely care when symptoms start.
At AccessGP, the process is triaged and securely arranged swiftly with expertise in a few clicks.
How AccessGP’s teledermatology service works
Our service combines GP leadership with specialist dermatology expertise, allowing fast diagnosis and personalised plans.
Step 1) Secure photo upload
Patients submit clear photos of the affected area before the consultation. This improves diagnostic accuracy.
Step 2) Online dermatology consultation
Our dermatology GP reviews the history, symptoms, triggers, previous treatments and medical background in detail. Video consultation completes and supplements the assessment.
Step 3) Diagnosis and personalised plan
We provide a clear diagnosis, a step by step treatment plan and specific guidance on skincare routines.
Step 4) Prescription if needed
We can prescribe topical and systemic treatments safely, including:
- retinoids
- topical antibiotics
- antifungals
- steroid preparations
- azelaic acid
- anti inflammatory treatments
- oral antibiotics when indicated
- ongoing acne management plans
Step 5) Follow up and continuity
Skin conditions often require adjustment. We provide ongoing follow up through ongoing AccessGP input where needed.
What conditions can be treated safely through teledermatology?
Acne
Treatment may include retinoids, benzoyl peroxide, combination topicals or oral antibiotics when appropriate. We also support adult hormonal acne.
Eczema and dermatitis
We manage flares, dry skin, allergic triggers, infected eczema and winter barrier repair plans.
Rosacea
Redness, bumps and flushing often worsen in winter. We treat with topical or oral therapies and lifestyle modification.
Fungal infections
Ringworm, athlete’s foot, pityriasis versicolor and nail infections can all be assessed online.
Psoriasis
We can review flares, provide topical management and arrange further tests if needed.
Viral rashes
Including hand foot and mouth, viral exanthems and shingles triage.
Skin infections
Various skin infections which require treatment.
Skin Health Consultation
A popular assessment with our skin expert. Prevent issues and understand your skin health with an expert led consultation.
“Around one in four people experience a skin problem that affects daily life each year, and winter flare ups account for a significant proportion of new dermatology consultations.”
When online dermatology is not suitable
Teledermatology is not appropriate if there are:
- rapidly changing moles
- bleeding or ulcerated lesions
- severe infection
- systemic unwellness
- suspected melanoma or squamous cell carcinoma
- widespread blistering conditions
In these situations we advise urgent escalation for a face to face assessment.
Why teledermatology works well
Research shows that teledermatology can achieve diagnostic agreement levels similar to in person review for common skin conditions and is particularly effective for inflammatory conditions. It also significantly reduces delays to treatment.
For patients, benefits include:
- faster access
- clear diagnosis
- early treatment
- personalised plans
- ability to upload photos at home
- continuity with the same clinician
- reduced travel
- safe prescription management
- accessible follow up
“Teledermatology achieves close to ninety percent diagnostic agreement with in person dermatology for common skin conditions when high quality images are provided.”
Why AccessGP teledermatology is different
Our service is delivered by the clinical team, including our GP with advanced dermatology training, supported by our clinical team. This blends dermatology expertise with whole person GP care, considering:
- medications
- allergies
- lifestyle
- mental health
- long term conditions
- interactions
- risks
- safety
- continuity
This GP led approach avoids fragmented care and ensures consistency across your skin and general health. AccessGP Plus members can get even better access to preferred pricing.
When to book a teledermatology appointment this winter
Consider a review if you notice:
- a new rash that is spreading
- worsening acne or painful cysts
- cracked, inflamed eczema
- recurring fungal infections
- rosacea flare ups after temperature changes
- a lesion that looks different from others
- a rash after an illness, holiday or new product
- a skin condition affecting confidence or quality of life
The earlier we see a condition, the easier it is to treat. Learn more here.
Key sources: NHS UK, Skin conditions overview; British Association of Dermatologists, Teledermatology guidance; NICE Evidence Review, Teledermatology diagnostic accuracy; ZAVA, Online dermatology services overview.