10 Things to Know About Private Dermatology Appointments 2025

After years in private dermatology — from corporate clinics to founding my own — I’ve seen how confusing this world can feel. Whether you’re new to it or just looking for clarity, I hope these tips help you make informed, confident decisions about your skin.

Because good skin shouldn’t be complicated.

1. Dermatology is about consistency, patience, and personalisation.

   The first appointment is often the most important. Bring a list, photos, even your old skincare products if helpful. Your skin story is personal — the more you share, the better the advice. A thorough consultation helps avoid unnecessary follow-ups, helps clear your skin quickly, and gives you the knowledge to keep it healthy going forward.

2. You don’t need a referral from your GP to see a private dermatologist.

   If you’re self-funding, you can book directly with a private dermatologist. No need to wait. If you’re going through insurance, check your policy — some require referrals. Either way, a good clinic will keep your GP updated (with your consent) so your records stay joined up.

3. Check the doctor has the dermatology experience you need.

   Private clinics vary. You want a consultant dermatologist, or a team with consultants — ideally someone with NHS experience, who’s on the GMC register, and who isn’t afraid of your questions. Sadly, the term ‘skin specialist’ is a vast and cosmetic clinics are largely unregulated. So always check: are they trained to treat skin disease, not just skin appearance?

   My advice is to give the clinic a call, check them out online/check their reviews and ask around if you can. Expect them to:

   1. Have worked in the NHS in dermatology (this way you know they have a breadth of experience)
   2. Be on the GMC register
   3. Be responsive to your needs/happy to answer questions prior to your appointment.

4. Prioritise CQC registration

   Medical dermatology clinics must be registered with the Care Quality Commission (CQC). Think of it like Ofsted, but for healthcare. If a clinic isn’t listed — or won’t tell you — steer clear. Cosmetic-only providers aren’t legally required to register, but for medical skin concerns (i.e. acne, general dermatology, mole checks, minor ops)

5. Check how often the dermatologist consults

   Some consultants only work in private practice once a week. That’s not a problem — but it might affect how flexible you can be when booking appointments or when get follow-ups or results. If your skin issue needs regular input, check the diary fits with your timeline.

6. Not all mole checks are equal: Skin Cancer screening should be with a Dermatologist, in our view.

   If you’re worried about skin cancer or need a mole looked at, insist on seeing a doctor. Some clinics use nurses to take photos for off-site review. Whilst some of these nurses are highly skilled it can delay answers and, if needed, treatment. For peace of mind, book with someone who can assess and biopsy in the same place.

7. If you’re using insurance, check you’re covered.

   Many people choose to self-fund skin appointments — they’re often below insurance excess fees. But if you’re using insurance, confirm the consultant is recognised. Some aren’t, particularly if their fees are higher than what insurers cover. Some Consultants choose not to be covered by the insurers as they prefer to have a relationship exclusively with their patients, but on the whole, as long as the dermatologist is on the GMC specialist register they’ll likely be covered (but please check with your insurer directly!).

8. Don’t assume the dermatologist can meet all your needs – it is worth checking.

   All consultant dermatologists are trained in skin, hair, and nails — but some focus more deeply in specific areas (like skin cancer, acne, or hair loss). If you know what you’re looking for, check the doctor’s subspecialty before booking. A good clinic will help guide you and a good dermatologist will know their limitations.

9. Choose a dermatologist that feels right

   Your skin can be emotional. Whether you’re dealing with breakouts, pigmentation, or an undiagnosed rash — you deserve a space that feels safe and professional. Trust your instincts: the right clinic will listen, not rush, and won’t oversell.

10. Harley Street isn’t a guarantee

    There are brilliant consultants on Harley Street — but it’s a rental address, not a badge of quality. You’ll often see multiple names on one door. Do your own homework. Read reviews. Ask questions. Expertise doesn’t need a postcode.

I hope this helps you choose the right dermatologist for your skin. If you want to know more, drop me an email at hc@23skin.co.uk. I have been working in private healthcare for over 15 years and I’m happy to help signpost you where I can (and that doesn’t mean just to our clinic if it’s not the right place for you). Our approach is about skin that’s lived in – we’re not here to lecture, we are here to help you live at your best with the support of expert dermatologists for your skin.

Good skin days, always.

Helen

Co-founder

No. 23 Skin

02039411815