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