Improving outcomes for people with skin tumours including melanoma

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Improving Outcomes for People with Skin Tumours including Melanoma Appendix 5 • National Public Health Service – Wales • Neurofibromatosis Association, The • NHS Direct • NHS Information Authority (PHSMI Programme) • NHS Modernisation Agency, The • NHS Quality Improvement Scotland • North East Lincolnshire PCT • Novartis Pharmaceuticals UK Ltd • Pfizer Limited • Princess Alexandra Hospital NHS Trust A5 • Queen’s Medical Centre, Nottingham University Hospitals NHS Trust • Queen Victoria NHS Trust • Roche Products Limited • Rotherham Primary Care Trust • Royal College of Anaesthetists • Royal College of General Practitioners • Royal College of General Practitioners Wales • Royal College of Nursing (RCN) • Royal College of Ophthalmologists • Royal College of Paediatrics and Child Health • Royal College of Pathologists • Royal College of Physicians of London • Royal College of Psychiatrists • Royal College of Radiologists 150 National Institute for Health and Clinical Excellence
• Royal College of Surgeons of England • Royal College Patient Liaison Groups • Royal Pharmaceutical Society of Great Britain Improving Outcomes for People with Skin Tumours including Melanoma Appendix 5 • Royal Society of Medicine, The • Royal West Sussex Trust, The • Royal Wolverhampton Hospitals NHS Trust, The • Schering-Plough • Scottish Intercollegiate Guidelines Network (SIGN) • Sheffield Teaching Hospitals NHS Trust • Shire Pharmaceuticals Limited • Skin Care Campaign • Skinship (UK) • Society and College of Radiographers A5 • South Birmingham Primary Care Trust • South Devon Health Care Trust • Specialist Child and Adolescent Mental Health Service • Tameside and Glossop Acute Services NHS Trust • Teenage Cancer Trust, The • Thames Valley Strategic Health Authority • Tissue Viability Nurses Association • UK Association of Cancer Registries • UK Skin Lymphoma Group • University Hospital Birmingham NHS Trust • Velindre NHS Trust • Walsall Primary Care Trust Guidance on cancer services: skin tumours including melanoma 151
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NHS National Institute for Health a
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Contents Improving Outcomes for Peo
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Patient information ...............
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Resource implications .............
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Foreword Improving Outcomes for Peo
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- referral - review of patient care
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early detection have been published
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The epidemiology of skin cancers an
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The incidence of MM increases with
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Figure 5. Mortality from MM, Englan
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Figure 8. Incidence of NMSC, Englan
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Risk factors for skin cancer As ski
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Figure 12. Rates of episodes of inp
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Two-week wait data Urgent skin canc
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• Improving the experience of car
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12. National Institute for Clinical
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Patient-centred care Improving Outc
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This document and the NICE Referral
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A checklist may be used by healthca
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Quality assurance Surveys of patien
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One cross-sectional study found tha
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One RCT conducted with patients wit
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• Every skin cancer MDT having ac
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to estimate a separate cost for ser
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department or they may be referred
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The 2-week waiting time standard an
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The local hospital skin cancer mult
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A function of the LSMDT is to audit
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• lymphoedema therapists • phar
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SSMDT meetings should be at least f
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As set out in the section on ‘Arr
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• Palliative care specialists. Si
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Videoconferencing and teleconferenc
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A basic knowledge of skin cancer hi
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B. Anticipated benefits At present,
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One systematic review (of the abili
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One retrospective study compared pa
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• Critical incidents where treatm
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Network-wide protocols It is not po
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Initial investigation, diagnosis, s
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Figure 14. Skin lesion - patient pa
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curettage (as recommended in BAD gu
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Diclofenac 3% gel (Solaraze) is lic
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Histopathology services for skin ca
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Patients with anogenital Bowen’s
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B. Anticipated benefits Better-qual
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One RCT compared teledermatology wi
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One systematic review based upon 12
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Expert review evidence suggests tha
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Immunotherapy An RCT comparing allo
Page 101 and 102: • Adherence to treatment protocol
Page 103 and 104: F. Research priorities • Given th
Page 105 and 106: For patients with low-risk BCC or S
Page 107 and 108: Follow-up for patients after treatm
Page 109 and 110: C. Evidence Evidence exists that ea
Page 111 and 112: One observational study found that
Page 113 and 114: The written and photographic inform
Page 115 and 116: Genetic predisposition to MM may al
Page 117 and 118: patients with cutaneous lymphoma sh
Page 119 and 120: A. Recommendations Generic recommen
Page 121 and 122: Cutaneous lymphoma All patients sho
Page 123 and 124: Children and young people with skin
Page 125 and 126: Gorlin’s syndrome Two expert revi
Page 127 and 128: Process • Audit of adherence to p
Page 129 and 130: • Cutaneous lymphoma is so rare t
Page 131 and 132: Dermal and subcutaneous tumours Aty
Page 133 and 134: c) The guidance will also refer to
Page 135 and 136: 4.2.2 Healthcare settings and servi
Page 137 and 138: Referral from the Department of Hea
Page 139 and 140: Table A1. Summary of service option
Page 141 and 142: For those cancer networks with part
Page 143 and 144: Appendix 4 How this guidance manual
Page 145 and 146: Appendix 5 People and organisations
Page 147 and 148: Professor Julia Newton-Bishop Mr Ba
Page 149 and 150: • Bristol South and West PCT •
Page 151: • Healthcare Commission • Help
Page 155 and 156: Appendix 5.3 Researchers carrying o
Page 157 and 158: Appendix 5.4 Expert advisers to the
Page 159 and 160: Appendix 5.5 Report* commissioned t
Page 161 and 162: Appendix 6 Glossary of terms Improv
Page 163 and 164: Chemoprophylaxis The use of a drug
Page 165 and 166: Electrodesiccation A surgical metho
Page 167 and 168: Immunotherapy Treatment by stimulat
Page 169 and 170: Morbidity A diseased condition or s
Page 171 and 172: Prognosis A prediction of the likel
Page 173 and 174: Systemic therapy Treatment that rea
Page 175 and 176: KS LHB LSMDT MCC MDT MM MRI NCC-C N
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Improving outcomes for people with skin tumours including melanoma

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