Navigating the world of dermatology in the UK can feel overwhelming, especially when you’re trying to decide between seeing a dermatologist privately or through the NHS. So, let’s break it down together. Below, I’ve tackled 15 of the most frequently asked questions patients have about this very topic – in plain English and with total honesty.
1. What’s the main difference between a private dermatologist and an NHS dermatologist?
The key difference really comes down to the setting in which they practise and how you’re accessing their care. Both NHS and private dermatologists are fully qualified medical professionals who have undergone extensive training in diagnosing and treating skin conditions. It’s not about the quality of their knowledge — it’s about the system they work in.
NHS dermatologists typically operate within public hospitals or clinics and work as part of the national healthcare system. This means appointments and treatments are free at the point of use, but you’re likely to encounter waiting lists and limited appointment flexibility. On the other hand, private dermatologists work in independent clinics or private hospitals, and services come with a cost — but they usually offer much quicker access and a more personalised experience.
Private dermatology often involves more time per consultation, which can be a real bonus if your skin condition is complex or if you simply prefer not to be rushed. The private route can also allow for a broader range of treatments, some of which may not be available on the NHS due to cost or resource restrictions.
So, it’s not a matter of one being better than the other — it’s about what fits your needs best. If time, convenience and access to a wider range of treatments matter more to you, private might be the way to go. But if you’re comfortable waiting and want to avoid costs, the NHS still offers excellent care.
2. Is the quality of care better if I go private?
This is a really common question, and the short answer is: not necessarily. Both NHS and private dermatologists go through the same rigorous training, exams and qualifications. So, you’re not getting someone “less qualified” on the NHS — their credentials are the same.
Where private care often stands out is in the level of attention and time you might receive during your consultation. NHS doctors have heavy caseloads and sometimes just 10–15 minutes per appointment, which doesn’t always allow for in-depth discussion. In contrast, private appointments can last 30 minutes or longer, which makes for a less rushed experience and often a more detailed conversation about your skin.
The availability of certain treatments might also differ. For example, some cosmetic procedures or newer treatments may not be offered on the NHS unless deemed medically necessary. In private care, there’s usually more flexibility in choosing your treatment plan, as long as you’re happy to pay for it.
Ultimately, both settings deliver high standards of clinical care — but the experience around the care, such as appointment speed and environment, may feel more comfortable privately. It comes down to your priorities and what you value most.
3. Do I need a GP referral to see a dermatologist privately?
No, you don’t. One of the main advantages of private dermatology is that you can book directly with the specialist without needing to see your GP first. This makes the whole process much quicker and more convenient, especially if you’re dealing with something urgent or want a second opinion.
That being said, some private clinics do welcome GP referrals, and if you’re claiming through private health insurance, your provider might require one. So, it’s worth checking your policy terms or asking the clinic in advance. But for most people paying out of pocket, you can go straight ahead and book.
The NHS, on the other hand, absolutely requires a GP referral for dermatology. You can’t just call up and ask to see a consultant — your GP has to assess your condition first and decide whether it warrants specialist care. This referral process can delay things, especially during busy periods.
So, if time is a factor and you’d rather bypass the GP altogether, going private gives you that freedom. It puts you in control of when and how you seek expert help for your skin.
4. How long will I wait for an appointment?
This is where private dermatology really shines. With private clinics, you can often be seen within a few days — sometimes even the same week. You choose the time that suits you, and cancellations are rare. It’s a smooth, fast-track process designed for your convenience.
With the NHS, it’s a very different story. Waiting times vary depending on where you live and how urgently your GP thinks you need to be seen. For routine skin concerns, waits of several weeks or even months aren’t unusual. In some areas, patients report waiting over three months just for a first consultation.
Urgent referrals on the NHS — such as suspected skin cancer — are usually fast-tracked and prioritised. But if your concern is considered non-urgent, it’ll likely go further down the list. That’s not to say NHS dermatology isn’t doing its best — demand is simply very high.
So, if your skin issue is causing distress, pain or embarrassment and you want quick answers, private dermatology could offer relief much faster than the NHS system can manage.
5. Will I get access to better treatments privately?
Private dermatologists do tend to offer a broader range of treatments, especially when it comes to newer therapies, non-NHS-approved medications, and cosmetic procedures. If you’re looking for cutting-edge options or something a bit more specialised, private care might be the better fit.
NHS treatments are subject to national guidelines, cost-effectiveness evaluations, and availability in your area. Some medications or therapies might not be offered if they’re not approved by NICE (the National Institute for Health and Care Excellence) or if they’re considered too expensive relative to their benefit.
Cosmetic dermatology is another big area of difference. If you’re dealing with things like acne scarring, skin tags, or pigmentation that are considered “cosmetic” rather than “medical”, the NHS often won’t cover them. In private practice, you’ll find laser treatments, peels, microneedling, and a whole host of other options.
That said, for common conditions like eczema, psoriasis, or acne, the treatments may be similar across both sectors. The key difference is often in how quickly you can start them and how much say you have in your care plan.
6. Is private dermatology only for cosmetic concerns?
Not at all — that’s a common misconception. While private dermatology does include cosmetic services, many patients see private dermatologists for medical skin conditions like acne, rosacea, eczema, psoriasis, suspicious moles, or chronic rashes. The private route isn’t just about aesthetics; it’s about faster access and more control over your care.
Private dermatologists are fully trained in the same medical conditions as their NHS counterparts. You’ll find private clinics offering patch testing for allergies, mole mapping for skin cancer surveillance, and minor surgical procedures for benign or cancerous lesions. So whether your concern is medical, cosmetic or a mix of both, you’ll be covered.
What the private setting often offers that the NHS can’t always accommodate is a more holistic or personalised approach. Some people just prefer the flexibility and extra time that a private consultation can provide, especially if they’ve struggled to get answers elsewhere.
So no — private dermatology isn’t limited to cosmetic treatments. It’s simply an alternative pathway to medical skin care, giving you more choice over how and when you’re treated.
7. Will I see the same dermatologist each time if I go private?
In most cases, yes — and this continuity of care is one of the main draws of private dermatology. When you book privately, you usually choose your dermatologist and see that same person throughout your treatment journey. This consistency can really help when managing long-term or complex skin issues.
In the NHS, the experience can vary. Sometimes you’ll see the same consultant for follow-ups, but it’s also quite common to be seen by different doctors at different stages, especially in teaching hospitals or large trusts. While this isn’t necessarily a problem — they all have access to your notes — it can be frustrating if you find yourself re-explaining things at each visit.
Seeing the same doctor helps build rapport and trust. It also allows your dermatologist to notice subtle changes in your skin over time, which can be important when assessing progress or spotting early signs of trouble.
So if having one point of contact and a familiar face matters to you, private dermatology definitely offers more of that personal touch.
8. How much does it cost to see a private dermatologist?
Prices vary depending on the clinic, location and services offered, but a typical initial consultation ranges from £250 to £450. Follow-up appointments tend to be slightly cheaper — usually around £200 to £400. If you need tests, biopsies or treatments, those costs are extra and should be discussed in advance.
It’s worth asking the clinic for a clear breakdown of fees before you book, especially if you’re working to a budget. Some private clinics offer packages or fixed-price options for common procedures, while others charge separately for everything — including prescriptions and aftercare.
If you have private medical insurance, it might cover some or all of the costs, but check your policy carefully. Some plans require a referral from your GP, and most won’t cover purely cosmetic treatments. Always clarify with both your insurer and the clinic before you commit.
Although it’s an investment, many patients find the speed, service and personalised care worth the price — particularly for skin issues that are impacting their quality of life.
9. Can a private dermatologist refer me to an NHS specialist if needed?
Yes, absolutely. If your private dermatologist thinks you need further treatment within the NHS — for example, surgery, imaging or oncology referral — they can write to your GP to request an NHS referral. The NHS still controls access to most secondary services, so you can’t usually bypass your GP entirely for these routes.
Private dermatologists also frequently collaborate with NHS services, especially if there’s a suspicion of skin cancer or another serious condition. Their detailed notes can help speed things up by providing a clear clinical picture to your GP, who will then initiate the appropriate referral process.
Keep in mind, though, that this re-entry into the NHS does mean waiting times and processes will apply again. If speed is still a priority, you may choose to continue privately with any further consultations, tests or surgeries.
So while going private puts you in the driver’s seat initially, it doesn’t cut you off from the NHS. The two systems can work together, especially when your health requires a combined approach.
10. Are private dermatologists regulated in the same way as NHS ones?
Yes — all dermatologists practising in the UK, whether private or NHS, must be registered with the General Medical Council (GMC) and follow the same standards of professional conduct. They’re also usually members of professional bodies like the British Association of Dermatologists (BAD), which helps ensure they stay up to date with the latest research and training.
In addition to that, private clinics are inspected by the Care Quality Commission (CQC), just like NHS facilities. This means they’re held to specific standards for safety, cleanliness, patient confidentiality and clinical care. If anything is below standard, it’s flagged.
When choosing a private dermatologist, it’s still a good idea to check credentials, read reviews, and make sure they’re properly certified. Reputable clinics will be transparent about who their doctors are and what experience they have.
So whether you’re seen through the NHS or privately, you can expect the same level of clinical competence. The systems differ — but the professionalism and regulation are consistent.
11. Are prescriptions different if I go private?
They can be. Private dermatologists can prescribe the same medications as NHS doctors, but they also have access to some treatments that may not be routinely available on the NHS — particularly for conditions like acne, pigmentation, or hair loss. If a treatment isn’t considered cost-effective by NHS guidelines, it might still be an option privately.
When you get a private prescription, you’ll usually take it to a pharmacy just like an NHS one. The difference is that you’ll pay the full cost of the medication rather than the standard NHS prescription fee. This can be more expensive, depending on the drug, so always ask about prices beforehand.
Some private clinics dispense medication on-site, which is convenient but might not always be the cheapest option. It’s worth checking whether you can use a regular pharmacy instead, especially if you’re on a long-term treatment.
So yes, the prescribing process is slightly different — and potentially more flexible — but it does come with additional cost. Still, for many patients, that’s a small price to pay for faster and broader treatment access.
12. Can I switch from private care to NHS care if I need to?
Yes, you can switch — and some patients do exactly that. You might start off privately for faster diagnosis or treatment, then transition back to the NHS for long-term management, especially if the private costs become too much. It’s a flexible system.
To switch, your private dermatologist will usually write to your GP outlining their findings and recommendations. Your GP can then refer you into the NHS system for follow-up care. Bear in mind that you’ll be subject to the usual NHS waiting lists and appointment availability again.
There’s no formal barrier preventing you from moving between the two systems — in fact, they often complement each other. For example, a private clinic might diagnose a skin cancer quickly, then refer you into the NHS for surgical removal.
Just make sure you coordinate things properly so there’s no disruption in your care. Good communication between your dermatologist, GP and NHS team is key to a smooth transition.
13. What happens if I need a biopsy or surgery?
If you’re going private, many dermatology clinics can carry out minor surgical procedures on-site. This includes things like skin biopsies, mole removals, cyst excisions and more. You’ll usually be able to book in for treatment very soon after your initial consultation, often within days. Everything tends to move quickly and smoothly.
The private route also gives you more flexibility when it comes to timing. You can choose an appointment that suits you, and you’ll often get longer time slots to ensure the procedure is done with care and minimal stress. Plus, the follow-up process tends to be more proactive — you’ll be kept in the loop about your results without chasing.
On the NHS, minor dermatological surgery is also available but tends to be reserved for medically necessary procedures — particularly if there’s a suspicion of skin cancer or another serious condition. Cosmetic removals are rarely offered. You’ll also likely face a longer wait, both for the procedure itself and for results.
So while both NHS and private dermatologists can handle these procedures safely, the private option gives you faster access and more choice. That’s particularly helpful if your skin concern is causing discomfort, anxiety, or is in a highly visible area.
14. Is private dermatology better for children or teenagers with skin problems?
It really depends on the situation, but private dermatology can be a good option for younger patients, especially when the wait to be seen on the NHS feels too long or the condition is affecting their confidence. Acne, eczema, birthmarks, and unusual rashes are just some of the common concerns families bring to private clinics.
One big benefit of private care for children and teens is the extra time during consultations. Paediatric dermatology often requires careful communication, reassurance, and a sensitive approach — something that’s easier to do when there’s no rush. Parents also appreciate having their questions properly answered, which isn’t always possible in a fast-paced NHS appointment.
The NHS does have paediatric dermatology services, particularly in larger hospitals, and the care itself is usually excellent. But as with adults, the wait for an initial consultation can be significant, which might delay starting treatment during a critical stage — especially for teenagers coping with acne or visible skin issues.
So while private dermatology isn’t the only option for young patients, it can offer quicker, calmer and more flexible care — which can make a big difference to both child and parent.
15. How do I decide which option is right for me?
Choosing between private and NHS dermatology depends on several personal factors — your budget, how urgently you need to be seen, the nature of your skin concern, and how much control you want over the process. There’s no one-size-fits-all answer, but understanding the pros and cons of each route can help guide your decision.
If your concern is urgent or seriously affecting your daily life and you don’t want to wait, private care might be the best choice. It gives you quick access to a specialist, often without needing a referral, and you’ll likely get more time and flexibility around your appointments and treatment plan.
On the other hand, the NHS is there for everyone and can offer excellent care — particularly for chronic or medically significant conditions. If you’re not in a rush and want to avoid the expense, NHS dermatology is still a solid route. The key is being patient with waiting times and understanding the system’s limitations.
Many patients find a mix works best — using private care for quick diagnosis or initial treatment, then returning to the NHS for ongoing management. That hybrid approach can strike a good balance between cost and care continuity.
So think about what matters most to you: speed, cost, access, continuity — and go with the route that fits your life and your skin best.
Final Thoughts
When it comes to your skin, there’s no “right” or “wrong” answer — just what works best for you. Private and NHS dermatologists both offer expert care, but the journey to getting that care differs significantly between the two. Private dermatology gives you control, speed and often more treatment options. NHS dermatology offers cost-free access to skilled specialists, but with some limitations around time and choice.
The good news is, you’re not locked into either system forever. You can move between them depending on your needs, circumstances, and budget. What matters most is feeling confident in your dermatologist and comfortable with the plan they set out for you.
Hopefully, this guide has helped make the decision a little clearer. Whether you choose the NHS, go private, or do a bit of both — it’s your skin, your health, and your call. And if you’re still unsure? Don’t be afraid to ask questions. A little research and a quick chat with your GP or a clinic can go a long way. If you’re concerned about your skin health and want fast, expert advice, you can contact us at the London Dermatology Centre to arrange a consultation with one of our private dermatologists.