Stourport Health Centre- R Williams Minor Surgery Audit 2015/16 Stourport Health Centre- R Williams

Repeat cycle of audit minor surgery April 2015 – end March 2016 Intervention by RSW only 236 procedures All performed at Stourport Health Centre Cautery not included

Activity Injections Minor Surgery Carpal Tunnel Injections 28 Joint injections 136 Injection subcutaneous tissue 45 Minor Surgery Wedge excision nail 4 Excision of lesion 16 Incision and draining of abscess 5 Aspiration of ganglion 2

Consent Written consent documented for all excisions and open procedures Verbal consent for all injections

Histology Histology sent on all 16 open procedures - all coded No unexpected histology 2 cancers 1squamous cell carcinoma – elderly patient – diagnosed clinically – not fit for secondary care referral – discussed with dermatology – complete excision 1 basal cell carcinoma – on back – diagnosed clincially – patient declined referral and requested excision in practice – complete excision on histology.

Complications One minor wound infection post excision of sebaceous cyst Settled with oral antibiotics – no additional visits or input needed No complications reported following injections

Conclusion Continued low rate of complications No unexpected histology