An integrated dermatology system underpinned with an outcome incentivised prime contract. The prime contractor/Optum, is accountable for the financial management of dermatology care in Bedfordshire, staying within the total budget and the delivery of high quality clinical dermatology care that supports patients to live their lives as fully as possible. This will improve the coordination of patient care, patient experience and produce better value dermatology healthcare for the population serviced by BCCG.