The backlog and limitations caused by COVID-19 have seriously exacerbated the problems patients with skin diseases were already experiencing. Dermatology services around the U.K. are now struggling to offer a service especially for inflammatory skin conditions such as psoriasis, leaving us to try to manage them as best we can.

I shall share my approach to managing psoriasis, both stable plaque disease and the more tricky sites and patterns (such as the scalp, flexures and face).

My aim always is to manage patients optimally in Primary Care. At the same time, we must ensure those patients whose disease is more severe and needs Secondary Care input are recognised and prioritised.

• Assessment and awareness of comorbidities
• Recognition of different patterns of psoriasis
• The therapeutic options for the various patterns of psoriasis