North West London Cancer Network (NWLCN) is setting up a pilot to give GPs feedback on their suspected skin cancer referrals. The aim is to use digital photographs to give feedback to GPs, so that there is learning from referrals.
The photograph is attached to the GP Clinical System (EMIS/Vision/TPP) giving a permanent record. Patients have their skin lesions photographed in practice by an HCA/practice nurse/GP before referral. When the reply letter from clinic is received 4-6 weeks later the photograph can be viewed along with the letter so that the referring GP can reflect on their referral decision.
In a group practice it has been valuable to share these images in clinical meetings so that all GPs/Nurse Practitioners can see what lesions are presented in primary care and their ultimate diagnoses. This activity can be used for personal re-validation and QoF referral meetings. From a clinical governance viewpoint it is helpful to be able to maintain a visual record of lesions so that they can be monitored over time or compared with new lesions, years later.
NWLCN has a historically low rate of diagnosis of melanoma from urgent suspected cancer skin referrals and we are aiming to increase the rate of melanoma diagnosis from these referrals.
All practices are eligible to take part. We are able to subsidise the cost of an appropriate digital camera for the practice and assist with training of staff. This project will be of particular interest to training practices, for teaching/learning and as a service improvement project for GP Registrars.
This instructional video provies you with a step by step guide on how to take part in the skin photography project.
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