Download One Stop Skin Cancer Clinic

One Stop Skin Cancer Clinic
Some early thoughts
Andy Malyon
Consultant Plastic Surgeon
Canniesburn Unit & Royal Alexandra Hospital
Transforming Dermatology
11th Feb 2010
‘Before’
New
Derm OPD
referral
Surgery
Plast OPD
Discharge
Transforming Dermatology
11th Feb 2010
The Ideal
• One stop service
• Combine diagnosis & treatment
• Appropriate skillmix
• Combine with MDT
Transforming Dermatology
11th Feb 2010
Issues
Transforming Dermatology
11th Feb 2010
Issues
Transforming Dermatology
11th Feb 2010
Issues
Transforming Dermatology
11th Feb 2010
Development
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Audit of existing work
Identify existing resources
Identify additional resources
(Await opening of new unit)
Pilot clinics
Full running
Transforming Dermatology
11th Feb 2010
‘After’
One
New
Referral
Visit
Derm Assessment
Plast Assessment
Delayed
Photography
Surgery
Surgery
Discharge
Transforming Dermatology
11th Feb 2010
The average clinic
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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 Dermatology
11th Feb 2010
Clinic Numbers
80
70
60
50
40
30
20
10
0
06/07/2009
25/08/2009
14/10/2009
03/12/2009
Transforming Dermatology
11th Feb 2010
22/01/2010
13/03/2010
The average clinic
• Start 08:30
• First biopsy slot 09:00
• Last new patient 11:00
• MDT meeting 12:00
Transforming Dermatology
11th 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 Dermatology
11th Feb 2010
Transforming Dermatology
11th Feb 2010