Why DermCAP exists
Most skin lesions are seen in primary care, but decision-making happens under uncertainty with limited feedback.
This leads to variation, defensive referral, and avoidable downstream pressure.
DermCAP exists to address this feedback gap — by making clinical decisions visible,
measurable, and linked to outcomes over time.
What DermCAP Is
DermCAP is a governance-led clinical intervention that improves decision quality at first contact.
It does this by linking real clinical decisions to real outcomes — allowing clinicians to adjust their judgement over time.
This is calibration in practice — improving judgement through outcome feedback.
Alignment with NHS & ICB Priorities
DermCAP aligns with NHS and ICB priorities by improving referral quality, reducing unwarranted variation, and
supporting more effective pathway use.
It enables measurable improvement in decision-making within existing system structures.
Governance & Patient Safety
DermCAP operates within defined clinical safety and governance boundaries.
Clinical responsibility remains with the GP.
Clear escalation pathways are maintained.
Supervision, audit, and oversight are embedded from the outset.
Decision quality improves while patient safety is protected.
Evidence-Informed Approach
Evidence is generated within the programme through measurable changes in decision making, referral patterns, and outcomes.
This allows impact to be assessed using real-world system data.
Who DermCAP Is For
DermCAP is primarily commissioned at system level and delivered within general practice.
In some cases, individual practices may explore participation directly, subject to discussion and
appropriate governance arrangements.
DermCAP is not a standalone course or external service.