GP Referrals

2-Week-Wait Suspected Cancer Pathway

Where a patient meets NICE NG12 criteria for suspected skin cancer (a lesion with rapid growth, irregular pigmentation, bleeding, ulceration, or other features raising concern), please mark the referral as 2-Week-Wait / Urgent Suspected Cancer in the subject line and by telephone. These referrals are prioritised for assessment within two weeks in line with national standards.

Standard Referrals

Referral letters can be sent by email or post. Mr Naparus accepts referrals for aesthetic, reconstructive, paediatric and craniofacial plastic surgery. Appointments are offered at 84 Harley Street or Chelsea & Westminster Hospital Private Care. NHS referrals are managed via the standard Trust referral pathway.

Emergency & Urgent Referrals

For urgent referrals — including lacerations, soft tissue injuries, facial trauma, acute skin lesions or post-operative complications — we strive to offer a same-day assessment during working hours, or within 24 hours, at Chelsea & Westminster Hospital Private Care.

• Facial lacerations and complex wounds requiring specialist closure
• Dog bites and animal bites to the face
• Facial fractures — craniofacial, orbital, zygomatic, mandibular
• Rapidly changing or suspicious skin lesions requiring urgent biopsy
• Haematoma, infection or wound dehiscence following surgery elsewhere
• Ear trauma in children and adults
• Paediatric plastic surgery emergencies

Our Response Time

We strive to give a same-day response within working hours, or within 24 hours of your call, for all GP and emergency referrals. Telephone 020 3432 3411 for urgent cases. After working hours, leave a message and the team will respond first thing the following morning.

Common Referral Reasons

• Skin lesions — moles, cysts, lipomas, pigmented lesions, BCCs, SCCs, melanoma
• Facial scarring and scar revision
• Prominent ears in children (otoplasty)
• Head shape concerns and plagiocephaly in children
• Vascular lesions and birthmarks in children
• Dermoid cysts and facial swellings
• Neurofibromatosis (MDT co-ordination via Guy's Hospital)
• Post-MOHS reconstruction
• Craniofacial trauma
• Complex wound management
• Facial lacerations requiring specialist repair

Paediatric Referrals

Paediatric patients are seen at The Portland Hospital and Chelsea & Westminster Hospital Private Care. Mr Naparus is trained at Great Ormond Street Hospital (Cleft, Craniofacial & Paediatric Fellowship) and is known for his calm, gentle manner with children and their families. Referrals from community paediatricians, GPs and health visitors are welcome.

Insurance & Self-Pay

Mr Naparus accepts Bupa, Bupa Fee Assured, AXA Health, Aviva Health, Vitality and WPA. Patients must obtain pre-authorisation from their insurer before attending a consultation. Self-referrals and self-paying patients are equally welcome — no GP letter required, though helpful.

For questions your patients commonly ask, see our FAQ page.