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One Stop Skin Cancer Clinic

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

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One Stop Skin Cancer Clinic

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  1. One Stop Skin Cancer Clinic Some early thoughts Andy Malyon Consultant Plastic Surgeon Canniesburn Unit & Royal Alexandra Hospital Transforming Dermatology 11th Feb 2010

  2. ‘Before’ Derm OPD New referral Surgery Plast OPD Discharge Transforming Dermatology 11th Feb 2010

  3. The Ideal • One stop service • Combine diagnosis & treatment • Appropriate skillmix • Combine with MDT Transforming Dermatology 11th Feb 2010

  4. Issues Transforming Dermatology 11th Feb 2010

  5. Issues Transforming Dermatology 11th Feb 2010

  6. Issues Transforming Dermatology 11th Feb 2010

  7. Development • Audit of existing work • Identify existing resources • Identify additional resources • (Await opening of new unit) • Pilot clinics • Full running Transforming Dermatology 11th Feb 2010

  8. ‘After’ One Visit New Referral Derm Assessment Plast Assessment Photography Delayed Surgery Surgery Discharge Transforming Dermatology 11th Feb 2010

  9. 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 Dermatology 11th Feb 2010

  10. Clinic Numbers Transforming Dermatology 11th Feb 2010

  11. 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

  12. 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

  13. Transforming Dermatology 11th Feb 2010

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