Realising realistic medicine by enhancing patient-centred care: The Scottish Photobiology Service's approach to engaging patients with photosensitivity disorders.

The Scottish Photobiology Service (SPS), hosted in the Photobiology Unit at Ninewells Hospital, Dundee, celebrated its 50th anniversary in 2023. Dedicated to providing diagnostic and therapeutic services for individuals with cutaneous photosensitivity disorders, the SPS has consistently sought to improve patient care. In 2015, the Chief Medical Officer for Scotland, published a national report entitled 'Realistic Medicine', which challenged medical practitioners to improve patient care through the development of personalised approaches, with patients placed at the centre of their care. In 2019, the SPS initiated a patient engagement programme aimed at better understanding the needs of patients with photosensitivity conditions, underpinning the objectives of the Realistic Medicine concept. This article outlines the development, implementation and outcomes of this initiative, which has become a core function of the service. Through ongoing collaboration with patients and staff, the programme has informed service improvements, addressed key issues such as referral delays, peer support and educational resources, and fostered an inclusive approach to care.