Benign Perianal Skin Lesions Checklist and Referral Form

Author: James Marshall, Commissioning Manager, Elective Care, SY ICB

Date published: March 2023

Date to review: April 2028

The referral template/checklist has been updated following a review of the SY ICB Commissioning for Outcomes Policy which we would recommend clinicians to use during consultations. 

Primary Care clinicians need to complete the checklist and submit with referral via eRS / Secondary Care complete the checklist and file for future compliance audit.