Improving outcomes for people with skin tumours including melanoma

• lymphoedema therapists
• pharmacists.
Table 3. Example of activities in a rolling programme of audit
Improving Outcomes for
People with Skin Tumours
including Melanoma
Organisation of skin
cancer services
• Audit of all skin cancers to be presented annually, including
those not discussed at the MDT
• Audit of all skin cancer excision margins according to
published guidelines
• Waiting times according to national targets (see section on
‘Cancer waiting times targets’)
• Proportion of cases actually reviewed by the MDT according
to criteria listed
• Critical incidents where treatments were judged to be
outside recommended network guidelines – network
meetings should take place annually to review such
incidents
3
• Audit of histopathology reporting times
• Audit of Mohs surgery activity
• Audit of clinical trial entry
The specialist skin cancer multidisciplinary team
(SSMDT)
Patients with invasive skin cancer associated with a greater risk or
rarity should be managed by SSMDTs. These teams should be
established in larger hospitals, usually cancer centres, plastic surgery
centres or other specialist tertiary services of relevance to skin cancer
and should provide a service for a minimum population of 750,000.
These teams can also serve as the LSMDT for the local population.
The teams should include appropriate non-surgical oncology support.
Specific cases for referral to the SSMDT are set out in Table 4. Where
patients meeting criteria for SSMDT are identified by dermatologists
that attend LSMDTs, review at the LSMDT may take place on the basis
that referral to the SSMDT is immediate and should not be dependent
upon the LSMDT review.
Guidance on cancer services: skin tumours including melanoma
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