I lurked on this thread when it was active, and noted recommendations for skindocuk online dermatology. DD had been referred to NHS whilst she was at uni, but they were hopeless, wait a year for an appointment, then sent away and another appointment a year later.No treatment suggestions. She was due another appointment around now, a year after her previous one. So I started looking at local private options, but all the reviews (and recommendations on here) for the online skindoc encouraged us to try them.
I'm so impressed and delighted - she had face to face appointment (online obv), got bloods done and sorted a letter from her GP, and started roaccutane very quickly about a month ago. The doctor she "sees" is very encouraging and sympathetic. She can email and contact them any time with any queries and gets a reply very promptly. She's been on it for about a month now and already her skin is much improved, she's feeling so much happier and quite upbeat about it.
It's reasonably affordable (depending on budget, I do understand). I think her initial appointment was £170 and subsequent are £130, about once a month, blood tests (GP won't oblige) about £70 and her first prescription was £29, she's just got a new supply at a higher dose that was just under £50.
I think seeing a private dermatologist at a private hospital would be much more expensive from what I researched before - a big chunk goes to the hospital just for turning up to the appointment, before you start with fees for the consultant and other expenses.
I think this sort of dermatology really lends itself to online management and I don't believe the NHS clinic would have provided anywhere near the level of care and close supervision she is getting this way.
Coincidentally I have recently attended dermatology at my local DGH, for removal of a basal cell carcinoma on the side of my face. Really nice consultant, I had a very helpful chat with him while he was stitching me up, and he was very positive about the benefits of roaccutane. He described it as a miracle drug, with life changing benefits. I had been very worried about the reports of mental health problems, but he said he'd been prescribing it for 25 years with no problems. He was so nice, I wish she'd been referred there in the first place instead of the large tertiary hospital in her university town.
(If anyone wants name and location DM me, but post here to say you have done so as I rarely check the email I use for mums net). I was very impressed for my own treatment as well as the discussion re acne treatment. Not sure if he does private work, but I'd have thought he would, most consultants in specialties like dermatology do.
Anyway, so far so good, hopefully she will have the lovely skin she deserves by spring.
Next thing is to ask for recommendations of treatments for any residual scarring/redness. There seems so much to choose from, micro needling/laser and more, I haven't a clue where to start, but I think it will be needed and I've promised to pay for her to have whatever treatment is needed to finish the job.