Funding Approval Required
The treatment of warts and verrucas is not routinely funded either in secondary care or in the primary care dermatology service. Please see Benign Skin Lesions policy.
If there is diagnostic uncertainty then for an opinion on non-pigmented skin lesions where malignancy is not suspected then please consider using the Dermatology Advice and Guidance service. Please note that this service does not accept referrals for children <16 yo or for patients with pigmented skin lesions (see Red Flags below).
The Primary Care Dermatology Society have guidelines on managment:
Warts clinical guidance - including plantar warts/verrucas
There is a useful advice sheet for patients produced by the local Sirona community dermatology service which you might find helpful - see below.
Viral warts: Information for patients
National Institute for Health and Care Excellence:cks.nice.org.uk/warts-and-verrucae#!scenario
If skin cancer is suspected please see the Skin - 2WW page of Remedy to get advice on 2WW criteria and how to refer.
Patient Info:
patient.info/skin-conditions/warts-and-verrucas-leaflet
British Association of Dermatology (BAD):
https://www.bad.org.uk/pils/plantar-warts/
Efforts are made to ensure the accuracy and agreement of these guidelines, including any content uploaded, referred to or linked to from the system. However, BNSSG ICB cannot guarantee this. This guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer, in accordance with the mental capacity act, and informed by the summary of product characteristics of any drugs they are considering. Practitioners are required to perform their duties in accordance with the law and their regulators and nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties.
Information provided through Remedy is continually updated so please be aware any printed copies may quickly become out of date.