one stop skin cancer clinic
DESCRIPTION
One Stop Skin Cancer Clinic. Some early thoughts Andy Malyon Consultant Plastic Surgeon Canniesburn Unit & Royal Alexandra Hospital. ‘Before’. Derm OPD. New referral. Surgery. Plast OPD. Discharge. The Ideal. One stop service Combine diagnosis & treatment Appropriate skillmix - PowerPoint PPT PresentationTRANSCRIPT
Transforming Dermatology11th Feb 2010
One Stop Skin Cancer Clinic
Some early thoughtsAndy Malyon
Consultant Plastic SurgeonCanniesburn Unit & Royal Alexandra Hospital
Transforming Dermatology11th Feb 2010
‘Before’New
referral
Derm OPD
Plast OPD
Surgery
Discharge
Transforming Dermatology11th Feb 2010
The Ideal
• One stop service• Combine diagnosis & treatment• Appropriate skillmix
• Combine with MDT
Transforming Dermatology11th Feb 2010
Issues
Transforming Dermatology11th Feb 2010
Issues
Transforming Dermatology11th Feb 2010
Issues
Transforming Dermatology11th Feb 2010
Development
• Audit of existing work• Identify existing resources• Identify additional resources• (Await opening of new unit)• Pilot clinics• Full running
Transforming Dermatology11th Feb 2010
‘After’New
Referral Derm Assessment
Plast Assessment
Photography
Surgery
Delayed
Surgery
Discharge
One
Visit
Transforming Dermatology11th Feb 2010
The average clinic
• 50.85 new patients• 12.30 patients to immediate surgery• 5.96 booked for delayed (plastic) procedures• 7.00 booked for delayed (derm) procedures• 3-4 Dermatologists• 1 Plastic Surgeon• 1 Photographer• 2-3 Operators
Transforming Dermatology11th Feb 2010
0
10
20
30
40
50
60
70
80
06/07/2009 25/08/2009 14/10/2009 03/12/2009 22/01/2010 13/03/2010
Clinic Numbers
Transforming Dermatology11th Feb 2010
The average clinic
• Start 08:30 • First biopsy slot 09:00• Last new patient 11:00
• MDT meeting 12:00
Transforming Dermatology11th Feb 2010
What Next?
• Deal with issues so far– Reviews?
• Some / none; BCCs; combined; MMs– 11:00 – 12:00 ?
• Reviews; Educational; MM clinic– Vetting?
• Telemed (but not for Clyde dermatologists!)
Transforming Dermatology11th Feb 2010