Presentation on theme: "Karen Pocock Skin Cancer Clinical Nurse Specialist"— Presentation transcript:
1Skin Cancer Nursing A Nursing Perspective from a Specialist Skin Centre Karen PocockSkin Cancer Clinical Nurse SpecialistSt.Helens & Knowsley Hospital Trust
2Content Dispel myths Role of Skin CNS Geographical boundaries Patient JourneyWhich patients should be referred?Referral process in to SSMDTMDT Link – value ofWho are the SSMDT?The futureSummary
3Dispel Myths - Macmillan Macmillan does not mean end of life!!!!Macmillanis a source of information for patients/families dealing with cancer.is a source of information for health professionals working in the cancer field.aims to improve the lives of people affected by cancer.
4Role of the Skin Cancer CNS within the specialist Centre Diagnosis – End of LifeLink to all hospitals/teams/other skin CNSClinical expertA resourceAn educatorChange AgentResearcherAdvocate
6Patient Journey Diagnosis (dermatology, plastics, GP) Referred to Specialist Skin CentreSurgery (plastics)Waiting for resultsPossible further surgeryScans, further investigationsPossible referral to CCO - radiotherapyPossible referral to oncology - clinical trials, chemoPossible referral to other specialist centres i.e. Christies, Glasgow.Living with cancerEnd of life
8So how do we help? Smooth patient Journey Act as a link between all teamsCommunicate to other Skin CNSRelieve patient/family anxietiesPoint of contact / key workerRefer on to other teams throughout the networkLymphoedema nursesCounselling/clinical psychologyProsthetics, PhysiotherapyPalliative careHolistic therapies
9Which patients should be referred to the SSMDT? Any complex skin cancer requiring wider excisionWider excision & SLNBLocal recurrenceLymph node DissectionsHead & neck melanomaMOHSOncologyDiscussion only for expert adviceSee Network Guidelines
11SSMDT Referral Form All patients need to be referred via form Clinical informationSend relevant investigations with formFax to Barbara MarshListed for SSMDTDeadline Thursdays 12 noon for MDT discussionAppointments generated via Barbara ASAP
12Barbara Marsh 01744 646776 MDT Link – HUB of team Role Receives all initial referrals via faxConstructs MDT listMeets deadlines for cancer targetsMakes referral appointmentsChases investigations i.e. scans, histologyUploads data to somersetContacts patientsActs as a link to other trusts
13The Team at STHK 2 MDT co-ordinators 3 Core Plastic surgeons - specialists in skin cancer surgery6 Dermatologists1 Medical oncologist1 Clinical Oncologist2 Histopathologist2 Radiologists2 CNS’s1 Research NurseVariety of associate specialist surgeons/nursing/clerical staff
14The Future Continue to develop the service Nurse Led Clinics / clinical diagnostics in melanomaElectro chemotherapyIncreased clinical trials portfolioPatient led support groups
15SummaryThe 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 SSMDTSee Melanoma network guidelines for referral criteria to SSMDTWe 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.