1. Transforming Dermatology 11 th Feb 2010 One Stop Skin Cancer Clinic Some early thoughts Andy Malyon Consultant Plastic Surgeon Canniesburn Unit & Royal Alexandra Hospital

2. Transforming Dermatology 11 th Feb 2010 ‘Before’ New referral Derm OPD Plast OPD Surgery Discharge

3. Transforming Dermatology 11 th Feb 2010 The Ideal One stop service Combine diagnosis & treatment Appropriate skillmix Combine with MDT

4. Transforming Dermatology 11 th Feb 2010 Issues

5. Transforming Dermatology 11 th Feb 2010 Issues

6. Transforming Dermatology 11 th Feb 2010 Issues

7. Transforming Dermatology 11 th Feb 2010 Development Audit of existing work Identify existing resources Identify additional resources (Await opening of new unit) Pilot clinics Full running

8. Transforming Dermatology 11 th Feb 2010 ‘After’ New Referral Derm Assessment Plast Assessment Photography Surgery Delayed Surgery Discharge One Visit

9. Transforming Dermatology 11 th Feb 2010 The average clinic 50.85 new patients 12.30 patients to immediate surgery 5.96 booked for delayed (plastic) procedures 7.00 booked for delayed (derm) procedures 3-4 Dermatologists 1 Plastic Surgeon 1 Photographer 2-3 Operators

10. Transforming Dermatology 11 th Feb 2010 Clinic Numbers

11. Transforming Dermatology 11 th Feb 2010 The average clinic Start 08:30 First biopsy slot 09:00 Last new patient 11:00 MDT meeting 12:00

12. Transforming Dermatology 11 th Feb 2010 What Next? Deal with issues so far –Reviews? Some / none; BCCs; combined; MMs –11:00 – 12:00 ? Reviews; Educational; MM clinic –Vetting? Telemed (but not for Clyde dermatologists!)

13. Transforming Dermatology 11 th Feb 2010