Warts – Information for GPs
Referral criteria / commissioning position
Children found to have ano-genital warts should be referred to the York ‘Child Sexual Assault Assessment Centre’ for confirmation of diagnosis.
Treatment for Viral Warts is restricted to the minimum eligibility criteria below. This is because most plantar warts can be managed with over the counter topical treatments or by treatments prescribed in Primary Care. Treatments for Viral Warts that do not meet the criteria below are deemed to be cosmetic and will not be funded. Referral to secondary care dermatology should only be made:
- For ano-genital warts in adults that have failed treatment in the Primary Care setting or Genito-Urinary (GUM) Clinic
- For viral warts in immunosuppressed patients
- If there is doubt about the diagnosis and concern about possible malignancy
- Facial viral warts that have not resolved with an appropriate trial of topical treatment.
Where there are exceptional circumstances, referral should be made to the Individual Funding Request Panel. Viral warts on face where there are physical or mental sequelae should be referred to IFR for funding.
Genital warts should be referred to GU clinic.
Investigations prior to referral
Information to include in referral letter
- Details of how the patient meets the criteria
- Treatments and interventions, current & past tried including the results
- Photograph is desirable if solitary lesion
- Drug history (prescribed and non-prescribed)
- Relevant past medical/surgical history
- Current regular medication
- Smoking status
- Alcohol consumption