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For dermatology clinics

Software for dermatology clinics

A dermatology clinic runs on the lesion examined, the result that comes back weeks later and the follow-up that can last five years after a melanoma. wai keeps that on one record, from the online request to the signed note, the referral letter and every follow-up visit.

Updated . Every rule is cited to its official source below.

A doctor in a white coat talking with a patient in sculpted chairs, a wall of windows onto a park and city towers behind them

For

Private dermatologists, skin cancer clinics and medical dermatology practices

Workflows

Lesion assessment, results, referrals, melanoma follow-up, isotretinoin courses

Rules

In the UK, NICE NG12 and NG14, and the MHRA for isotretinoin

Dermatology workflows, and how wai handles each one

The work as your team does it today, step by step, and the part wai takes on.

01Workflow

Lesion assessment and follow-up

In the UK, NICE recommends a suspected cancer pathway referral for a pigmented lesion that scores 3 or more on the weighted 7-point checklist, or where dermoscopy suggests melanoma.1 After treatment, NICE recommends follow-up for 1 year after stage IA melanoma and for 5 years after stages IB to IV.2

  1. Take the history. Change in size, shape, colour and sensation, written into the note in the patient's words.1
  2. Examine and score. Dermoscopy and the 7-point checklist score recorded for each lesion examined.1
  3. Decide the pathway. Excise, refer on a suspected cancer pathway, review or reassure, with the reason in the signed note.1
  4. Give direct contact details. Patients who have finished melanoma treatment leave with a direct route back to the skin cancer service.2
  5. Set the follow-up schedule. Clinic visits planned for the stage of the melanoma, over 1 year or 5 years.2

How wai handles it

  • Scribe. The lesion history, dermoscopy findings and checklist score are written from the consultation, cited to published guidelines, for the dermatologist to sign.
  • Appointments. Follow-up visits are booked into the dermatologist's own diary, with a reminder before each one and a new time offered after a missed visit.
  • Follow-up. Recalls for the next skin check go out once a clinician approves them, by WhatsApp or email in the patient's language.

02Workflow

Histology and test results

A biopsy result can arrive weeks after the visit, and the patient is waiting for it. In Scotland, the patient care record has to record each consultation and its outcome as closely as possible to the time.3

  1. Record what was sent. Every biopsy and test is recorded against the visit that ordered it.
  2. Read the result. The dermatologist reads the result and writes what it means for this patient.
  3. Tell the patient. The message is drafted in plain language and approved by a clinician before it goes.
  4. Act on it. A re-excision, a referral or a follow-up visit is arranged from the result, and recorded.3

How wai handles it

  • Follow-up. The results message is drafted in the patient's own language for a clinician to approve, and the whole conversation stays on one thread.
  • Scribe. The letter to the patient and the GP is written from the dermatologist's reading, for them to edit and sign.
  • Evidence and audit trail. Every read of the result and the record is logged against a named account, with the time.

03Workflow

Referrals in and out

Patients arrive from GPs and leave for surgeons, oncologists and the skin cancer team. The letter carries the history, the findings and the question, so the next clinician starts where this one stopped.

  1. Receive the referral. The incoming letter is attached to the patient and the first appointment is offered.
  2. See the patient. The consultation answers the referrer's question, in the signed note.
  3. Write the onward referral. History, examination, dermoscopy and the reason for urgency, in one letter.1
  4. Close the loop. The referrer and the patient both receive the outcome.

How wai handles it

  • Evidence and audit trail. Referrals are written from the visit and sit on the patient's record, with every change logged.
  • Scribe. Letters and referrals are drafted from the consultation, with the transcript beside them, for the dermatologist to sign.
  • Appointments. A referred patient is offered a time from the dermatologist's own calendar, and a cancelled slot goes to the waitlist.

04Workflow

Isotretinoin courses

In the UK, patients and their healthcare professional sign an Acknowledgement of Risk Form before isotretinoin starts, and professionals advise patients on the risks of side effects.4 Since January 2026, patients under 18 no longer need a second prescriber's agreement.4

  1. Counsel the patient. The risks of side effects are discussed and the discussion is written into the note.4
  2. Sign the risk form. Patient and prescriber sign the Acknowledgement of Risk Form before the first prescription.4
  3. Plan the monitoring visits. Each review is in the diary before the course begins.
  4. Review at every visit. Side effects, mood and any concerns recorded at each review, with the decision to continue.

How wai handles it

  • Evidence and audit trail. Consent is recorded on the patient's record before the first prescription, and every read of it is logged against a named account.
  • Scribe. The counselling discussion and each review are written into a note the prescriber signs.
  • Appointments. Monitoring visits are booked across the course, each with a reminder.
  • Billing. The price of the course and the cancellation policy are shown at booking, and payments are reconciled against each visit.
A woman reading a tablet at a marble table beside a coffee cup, tall sash windows onto a stone building behind her

One system for the whole dermatology practice

Every workflow above runs on the same patient record, diary and inbox.

  1. 01

    Appointments

    Online booking from your own website, every clinician's diary read from their calendar, reminders, rebooking after a missed visit and waitlist offers when a slot opens.

    For patients
    Online booking at any hour, with a reminder before the visit.
    For the business
    Fewer missed appointments, and cancelled slots offered to the waitlist.
    On the record
    Every booking, reminder and change, with a time and a name.
  2. 02

    Billing

    Card payments into your own Stripe account, the cancellation policy shown at booking, invoices, statements and reconciliation, with an export for your accountant.

    For patients
    A clear price and policy before they commit, and an invoice in their app.
    For the business
    Payments reconciled against visits, with an export for your accountant.
    On the record
    What was charged, when, against which visit, and the policy the patient saw.
  3. 03

    Scribe

    The note, letters and referrals written from the consultation, cited to published clinical guidelines, with the transcript beside the note, for the clinician to read, edit and sign.

    For patients
    The clinician's attention stays on them during the consultation.
    For the business
    Less time spent writing notes after clinic.
    On the record
    A contemporaneous note, signed, with the time, the signature and the source it cites.
  4. 04

    Follow-up

    WhatsApp, email and calls in one thread per patient, replies drafted in the patient's own language for your team to approve, a response clock on every new enquiry, and recalls a clinician approves.

    For patients
    A reply in the language they wrote in, approved by your team.
    For the business
    More enquiries answered within the hour, when they are most likely to book.
    On the record
    The whole conversation on one record, with response times.
  5. 05

    Evidence and audit trail

    Recording consent taken at booking, referrals written from the visit, patient flags for controlled drugs and safeguarding notes, and every read of a record logged against a named account.

    For patients
    Flags and checks in the record at the point of care.
    For the business
    Incident reviews that start from the audit trail, with times and names.
    On the record
    Who saw what, who changed what, and when, to the minute.

Prices for clinics, groups and hospitals are on the wai pricing page.

What a well-run practice gains

Patients answered within the hour, clinicians home on time and diaries that stay full, in published research.

  1. 7x

    An enquiry answered within the hour is nearly seven times as likely to become a real conversation.5

  2. 30%

    Clinicians using an ambient scribe did 30% less work after hours.6

  3. 23%

    Patients sent a notification before their visit were 23% more likely to attend.7

Questions

Can an AI scribe record a skin examination?

Yes, from what the dermatologist says aloud during the examination. The note is written with the transcript beside it, and nothing is final until the dermatologist reads, edits and signs it.

How long should melanoma follow-up last?

In the UK, NICE recommends follow-up for 1 year after stage IA melanoma and for 5 years after stages IB to IV.2 wai books the visits and sends the recalls once a clinician approves them.

When should a lesion be referred urgently in the UK?

NICE recommends a suspected cancer pathway referral for a pigmented lesion scoring 3 or more on the weighted 7-point checklist, or where dermoscopy suggests melanoma.1

How does wai record a skin check?

wai writes the dermatologist's findings into the signed note, records the patient's consent and keeps the follow-up date on the same record, alongside the dermoscopy system your clinic uses.

Request a demo for your dermatology practice.

We show wai running dermatology clinics on your own diary, notes and inbox, in a 15 minute video call with our team. wai hosts each clinic's records in its own country, under that country's rules.

team@wellnessa-i.com