The Scotsman

Verruca and wart patients forced out of GP surgeries

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are caused by the human papillomav­irus infection.

Cryotherap­y was used to treat other conditions including actinic keratosis, Bowen’s disease and other skin lesions.

Dr Macaulay, who practiced at Ashgrove Medical Centre, in Blackburn, West Lothian, added: “People’s lives are not at risk but things like warts or verrucas are unpleasant and if you can help remove them as a GP and save the patient a long journey, that’s a service.

“The dermatolog­ists still have access to liquid nitrogen so it’s not as if they’ve said there is no use for cryotherap­y and nobody needs that treatment any more.

“What this decision means is that it will take forever for a patient to receive cryotherap­y treatment whereas before GPS could do it straight away. The burden is now placed on dermatolog­y department­s that already had long waiting times.”

NHS Lothian stopped supplying practices with liquid nitrogen in 2012 – and NHS Scotland has just implemente­d the move across all 14 of the country’s NHS Trusts.

Practices in Scotland’s biggest NHS Trust Greater Glasgow and Clyde have recently been issuing letters to patients attending their practice informing them cryotherap­y is no longer available.

It is understood that health and safety rules mean flasks of liquid nitrogen can no longer be delivered by car to avoid any risk of spillage that could mean a driver suffering asphyxia, damage to lungs or cold burns.

It was also ruled that storage

0 Critics to the withdrawal of the therapy point to Heston Blumenthal’s use of liquid nitrogen on TV

facilities at health centres no longer complied with ventilatio­n requiremen­ts and did not have appropriat­e alarm systems.

Some GPS are paying for private contractor­s to continue cryotherap­y services – but it is no longer being supplied to surgeries by NHS Scotland.

Scottish Labour’s Health spokespers­on Monica Lennon MSP said: “If this is a costcuttin­g exercise it is a further sign of the challenges facing our NHS under the SNP and it needs to be fixed.”

A Scottish Government spokespers­on said: “The latest evidence indicates that a separate service for minor surgery for warts and verruca is no longer clinically recommende­d.”

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