Presentation on theme: "Skin Cancer Nursing A Nursing Perspective from a Specialist Skin Centre Karen Pocock Skin Cancer Clinical Nurse Specialist St.Helens & Knowsley Hospital."— Presentation transcript:
Skin Cancer Nursing A Nursing Perspective from a Specialist Skin Centre Karen Pocock Skin Cancer Clinical Nurse Specialist St.Helens & Knowsley Hospital Trust
Content Dispel myths Role of Skin CNS Geographical boundaries Patient Journey Which patients should be referred? Referral process in to SSMDT MDT Link – value of Who are the SSMDT? The future Summary
Dispel Myths - Macmillan Macmillan does not mean end of life!!!! Macmillan is a source of information for patients/families dealing with cancer. is a source of information for patients/families dealing with cancer. is a source of information for health professionals working in the cancer field. is a source of information for health professionals working in the cancer field. aims to improve the lives of people affected by cancer. aims to improve the lives of people affected by cancer.
Role of the Skin Cancer CNS within the specialist Centre Diagnosis – End of Life Link to all hospitals/teams/other skin CNS Clinical expert A resource An educator Change Agent Researcher Advocate
Nobles IOM Glan Clwyd Chester Broad Green Bangor Southport Ormskirk CCO Warrington Halton Wigan Aintree Geographical Boundaries STHK
Patient Journey Diagnosis (dermatology, plastics, GP) Referred to Specialist Skin Centre Surgery (plastics) Waiting for results Possible further surgery Scans, further investigations Possible referral to CCO - radiotherapy Possible referral to oncology - clinical trials, chemo Possible referral to other specialist centres i.e. Christies, Glasgow. Living with cancer End of life
So how do we help? Smooth patient Journey Act as a link between all teams Communicate to other Skin CNS Relieve patient/family anxieties Point of contact / key worker Refer on to other teams throughout the network Lymphoedema nursesLymphoedema nurses Counselling/clinical psychologyCounselling/clinical psychology Prosthetics, PhysiotherapyProsthetics, Physiotherapy Palliative carePalliative care Holistic therapiesHolistic therapies
Which patients should be referred to the SSMDT? Any complex skin cancer requiring wider excision Wider excision & SLNB Local recurrence Lymph node Dissections Head & neck melanoma MOHS Oncology Discussion only for expert advice See Network Guidelines
SSMDT Referral Form All patients need to be referred via form Clinical information Send relevant investigations with form Fax to Barbara Marsh Listed for SSMDT Deadline Thursdays 12 noon for MDT discussion Appointments generated via Barbara ASAP
Barbara Marsh MDT Link – HUB of team Role Receives all initial referrals via fax Receives all initial referrals via fax Constructs MDT list Constructs MDT list Meets deadlines for cancer targets Meets deadlines for cancer targets Makes referral appointments Makes referral appointments Chases investigations i.e. scans, histology Chases investigations i.e. scans, histology Uploads data to somerset Uploads data to somerset Contacts patients Contacts patients Acts as a link to other trusts Acts as a link to other trusts
The Team at STHK 2 MDT co-ordinators 3 Core Plastic surgeons - specialists in skin cancer surgery 6 Dermatologists 1 Medical oncologist 1 Clinical Oncologist 2 Histopathologist 2 Radiologists 2 CNS’s 1 Research Nurse Variety of associate specialist surgeons/nursing/clerical staff
The Future Continue to develop the service Nurse Led Clinics / clinical diagnostics in melanoma Electro chemotherapy Increased clinical trials portfolio Patient led support groups
Summary The Skin Cancer CNS is here as a result of the national cancer agenda, as with all other tumour sites. The role of the CNS can enhance the quality of care delivered to each individual patient with skin cancer by being their key worker. The patient journey is complex, given the geographical boundaries of where they come from. MDT co-ordinator is a main link to SSMDT See Melanoma network guidelines for referral criteria to SSMDT We want to work together with all members of the team putting the patients needs first. The patient is the most important person of all our work.