If that’s true that sounds like a different problem. Maybe they need to train more dermatologists? And if there are appointments available privately well... I don’t know what to say. Seems like an structural systemic failure which is odd. Maybe dermatologists are gaming the system to induce private pay..
The number of Dermatologists trained in the UK is entirely decided (and paid for) by central government. UK Dermatologists have for many years highlighted the need for training of more consultants.
Sure but the US has similar restrictions and problems. Medicare DME pays for almost all of the residency spots. In 2015 there were 400 dermatology spots in the USA. I guess one issue is travel time. A lot of folks don't live near cities and have access to specialty care.