{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T04:51:59Z","timestamp":1778734319087,"version":"3.51.4"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2025,6,20]],"date-time":"2025-06-20T00:00:00Z","timestamp":1750377600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,10,27]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Wigs are a necessary medical orthotic for some patients with alopecia to participate in society. However, for those with limited incomes, government-funded NHS wig provision is of great help. Recent reports to Alopecia UK, a patient support group, suggest that there are restrictions in this provision. The availability of NHS wig provision by UK geographical region was assessed by surveying dermatology secondary care healthcare professionals. There were 75 responses from 48\/136 (35%) UK trusts and health boards. It was difficult for clinicians at 24 (50%) of responding institutions to prescribe wigs and impossible for 5 (11%). There was regional variation; provision was straightforward throughout Scotland and the South West of England but difficult in Northern Ireland and London, where 50% reported it was impossible or nearly impossible to get a prescription wig. This demonstrates unwarranted variation in wig prescription for patients across the UK.<\/jats:p>","DOI":"10.1093\/ced\/llaf282","type":"journal-article","created":{"date-parts":[[2025,6,20]],"date-time":"2025-06-20T07:55:24Z","timestamp":1750406124000},"page":"2255-2258","source":"Crossref","is-referenced-by-count":1,"title":["Unequal NHS wig provision: toup\u00e9e or no toup\u00e9e, that is the question?"],"prefix":"10.1093","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4156-8634","authenticated-orcid":false,"given":"Marianne","family":"de Brito","sequence":"first","affiliation":[{"name":"Blizard Institute, Queen Mary University London , London ,","place":["UK"]},{"name":"Barts Health NHS Trust , London ,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy","family":"Johnson","sequence":"additional","affiliation":[{"name":"Alopecia UK , Shipley ,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sue","family":"Schilling","sequence":"additional","affiliation":[{"name":"Alopecia UK , Shipley ,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leila","family":"Asfour","sequence":"additional","affiliation":[{"name":"Dermatology Centre, Salford Royal Hospital, Northern Care Alliance NHS foundation Trust , Manchester ,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nick J","family":"Levell","sequence":"additional","affiliation":[{"name":"Dermatology Department, Norfolk and Norwich University Hospital , Norwich ,","place":["UK"]},{"name":"Norwich Medical School, University of East Anglia , Norwich ,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,6,20]]},"reference":[{"key":"2025102707121497500_llaf282-B1","doi-asserted-by":"crossref","first-page":"1377","DOI":"10.1111\/bjd.17463","article-title":"Living with alopecia areata: an online qualitative survey study","volume":"180","author":"Davey","year":"2019","journal-title":"Br J Dermatol"},{"key":"2025102707121497500_llaf282-B2","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1111\/bjd.21055","article-title":"The associated burden of mental health conditions in alopecia areata: a population-based study in UK primary care","volume":"187","author":"Macbeth","year":"2022","journal-title":"Br J Dermatol"},{"key":"2025102707121497500_llaf282-B3","volume-title":"Ritlecitinib for Treating Severe Alopecia Areata in People 12\u2005Years and Over. Technology Appraisal Guidance TA958","author":"National Institute for Health and Care Excellence","year":"2024"},{"key":"2025102707121497500_llaf282-B4","doi-asserted-by":"crossref","first-page":"e015468","DOI":"10.1136\/bmjopen-2016-015468","article-title":"A mixed methods survey of social anxiety, anxiety, depression and wig use in alopecia","volume":"7","author":"Montgomery","year":"2017","journal-title":"BMJ Open"},{"key":"2025102707121497500_llaf282-B5"},{"key":"2025102707121497500_llaf282-B6","doi-asserted-by":"crossref","first-page":"916","DOI":"10.1111\/j.1365-2133.2012.10955.x","article-title":"British Association of Dermatologists\u2019 guidelines for the management of alopecia areata 2012","volume":"166","author":"Messenger","year":"2012","journal-title":"Br J Dermatol"},{"key":"2025102707121497500_llaf282-B7","first-page":"32","article-title":"Why a charter for best practice for NHS wig provision?","volume":"21","author":"Johnson","year":"2022","journal-title":"Dermatol Nurs"},{"key":"2025102707121497500_llaf282-B8","author":"Alopecia"},{"key":"2025102707121497500_llaf282-B9","volume-title":"Dermatology GIRFT Programme National Specialty Report","author":"Levell","year":"2020"},{"key":"2025102707121497500_llaf282-B10","volume-title":"NHS Wig Provision in England: a report into NHS England\u2019s provision of wigs to alopecia patients","author":"Johnson","year":"2017"},{"key":"2025102707121497500_llaf282-B11","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1093\/ced\/llae261","article-title":"Current wig prescribing practices and financial evaluation in an NHS Foundation trust: lessons learnt and future challenges","volume":"50","author":"Ross","year":"2025","journal-title":"Clin Exp Dermatol"}],"container-title":["Clinical and Experimental Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ced\/advance-article-pdf\/doi\/10.1093\/ced\/llaf282\/63537497\/llaf282.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ced\/article-pdf\/50\/11\/2255\/63537497\/llaf282.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ced\/article-pdf\/50\/11\/2255\/63537497\/llaf282.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T11:12:22Z","timestamp":1761563542000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ced\/article\/50\/11\/2255\/8170028"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,20]]},"references-count":11,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2025,6,20]]},"published-print":{"date-parts":[[2025,10,27]]}},"URL":"https:\/\/doi.org\/10.1093\/ced\/llaf282","relation":{},"ISSN":["0307-6938","1365-2230"],"issn-type":[{"value":"0307-6938","type":"print"},{"value":"1365-2230","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,11]]},"published":{"date-parts":[[2025,6,20]]}}}