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Improving outcomes for people with skin tumours including melanoma

Improving outcomes for people with skin tumours including melanoma

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Process<br />

• Audit of adherence to protocols in the management of these<br />

patients.<br />

• Evidence of agreement between various MDTs regarding<br />

protocols in relationship to the various <strong>skin</strong> cancers; this may<br />

include <strong>skin</strong> cancer MDTs, soft tissue sarcoma MDTs, head and<br />

neck MDTs and haematology MDTs.<br />

<strong>Improving</strong> Outcomes <strong>for</strong><br />

People <strong>with</strong> Skin Tumours<br />

<strong>including</strong> Melanoma<br />

Management of special<br />

groups<br />

• Evidence that patients have been given written in<strong>for</strong>mation<br />

describing the procedures they undergo, and that this<br />

in<strong>for</strong>mation covers the resultant risks as well as anticipated<br />

benefits.<br />

• Surveys of patients’ and carers’ views on their in<strong>for</strong>mation and<br />

support needs, as well as their experience of services.<br />

Outcome<br />

• Proportion of patients recruited to clinical trials.<br />

• Quality of care and <strong>outcomes</strong> <strong>for</strong> all patients <strong>with</strong> <strong>skin</strong> cancer.<br />

E. Resource implications<br />

6<br />

Generic recommendations <strong>for</strong> patients <strong>with</strong><br />

uncommon risk factors or rare cancers<br />

These recommendations will have an impact on MDTs and staffing<br />

levels, included in the additional staff required as a result of the<br />

guidance, as detailed in the chapter on ‘Organisation of <strong>skin</strong> cancer<br />

services’.<br />

The improved coordination of care and treatment of these patients<br />

may lead to cost savings that it is not possible to calculate.<br />

Genetic predisposition<br />

This recommendation concerns rare conditions <strong>including</strong> familial MM,<br />

Gorlin’s syndrome and xeroderma pigmentosum (XP). In some<br />

networks there may be capacity <strong>with</strong>in existing genetics services. This<br />

will require further investigation by local commissioners.<br />

Guidance on cancer services: <strong>skin</strong> <strong>tumours</strong> <strong>including</strong> <strong>melanoma</strong><br />

125

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