How this fits in

In the UK, GPs diagnose and manage most skin problems, but treatment failure in long-term conditions is common as a result of low adherence with treatments. Although shared decision making for treatment decisions and supported self-management may improve disease outcomes and quality of life, little is known about how often this occurs in primary care consultations for skin problems. In this study, video-recordings of routine GP consultations were reviewed to explore these issues, and skin problems were found to present frequently alongside other complaints, and usually result in a medication recommendation. Shared decision making for treatment decisions was uncommon and self-management advice delivered by GPs not consistently given. Although most skin problems are not referred to specialist care, patients often reconsult for the same problem.