Improving outcomes for people with skin tumours including melanoma

Improving Outcomes for
People with Skin Tumours
including Melanoma
Organisation of skin
cancer services
• Audit structures in place to ensure compliance with the
guidance.
Process
• Evidence that specialists attend more than 50% of all MDT
meetings.
• Annual audit of attendance at all MDT meetings.
• Audit time from referral to appointment, from appointment to
diagnosis and from diagnosis to treatment or referral to a hospital
department (see the current national targets in the chapter on
‘Patient-centred care’).
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• Audit of delays within the system.
• Audit of 2-week wait referrals within the system.
• Audit of the total number of patients seen by doctors working in
the community and a breakdown by diagnosis and management.
• Audit of completed treatment and in particular surgical wider/reexcisions.
• Audit of excision margins according to published guidelines and
the network protocol.
• Audit of the number of patients seen by a CNS.
• Proportion of cases reviewed by the MDT according to criteria
listed in Tables 2 and 4.
Outcome
• Audit of surgical excision margins for all skin cancers.
• The diagnostic accuracy of cases referred from the LSMDT to the
SSMDT.
• Patient outcome experience surveys including scar outcome and
psychosocial adaption.
• Audit of any complications and complaints.
• Mortality.
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National Institute for Health and Clinical Excellence