Where someone is identified as having a skin problem which may be work-related, it needs to be investigated further.  This involves checking: A full occupational and exposure history Past medical history The hand care routine Symptoms and photographing the problem if current Measurements of skin hydration levels Workplace exposure / practices / personal protection equipment We provide the employer and employee with support in eliminating or minimising exposure and management of the skin problem.  As skin problems tend to be cumulative, we usually find that the problem is resolved, but may not identify the cause. However, if the problem is not resolved, a referral to a Consultant Dermatologist with a Specialism in Occupational Skin Disease may be indicated.  In some cases, the skin problem may be so severe, that an urgent referral to the Consultant Dermatologist is recommended.