1. An Scéal Aniar An account from the West Hinckley 2015

2. …What’s the craic in Ireland? Hinckley 2015

3. Republic of Ireland = ± Manchester 4.6 M people, 2,888 GPs 43% eligible for ‘NHS’, 57% private, 50% have private health insurance 11% GNI spend on healthcare= €13 billion (-) 2.7 Doctors/ 1000 population (v) GP spend = €0.45 billion (3.5%)(all fees allowances supports to practice, 2013) 20% practices single handed GP training last 4 years Average GP income c € 200K Ireland in perspective:

4. Surface surgery/procedures as a business: Hinckley 2015 NOT! Private € 252 Public € 25 (156,000 procedures @ €3.9M)(PCRS 2013)

5. 1.The Community Surgical Pilot Hinckley 2015 2 Community-based surgical audit 4. An RCT of GP vs Hospital Care of NMSC 3.Core Curriculum chapter on procedures for GP Training PCSA key actions 2015

6. 1.The Community Surgical Pilot Hinckley 2015 20 practices nationally 6 months of weekly 3 hour clinic 2000 public patients treated for a grant of c € 800/clinic TO REPORT SCOPE, VOLUME, COMPLICATIONS, SATISFACTION TO TEST CREDENTIALING STANDARD, INTER-REFERRALS ….? €m NEXT YEAR?

7. 1.The Community Surgical Pilot Hinckley 2015 CountryAccreditation processTraining course AAFP (USA)noNo RACGPnoYes RNZCGPnoNo RCGPGPwSIyes RCCGP (Can)noNo ICGPnoyes DSAM (Den)noNo CMG/SFTG/SFMC (Fr)noNo SEMFyCnoyes (1)SCCA (Skin Cancer College of Australasia)yes (2)Australian College of Rural and Remote Medicine yes NHG (Netherlands)noyes SIMG (Italy)noNo Credentialing

8. Hinckley 2015 2 Community-based surgical audit

9. Hinckley 2015 2 Community-based surgical audit MediForm

10. Hinckley 2015 2 Community-based surgical audit Data Extraction & Analysis by Irish PC Research Network

11. 2 Community-based surgical audit Data Extraction & Analysis by Irish PC Research Network

12. Hinckley 2015 3 Core Curriculum Chapter for GP Training

13. Hinckley 2015 3 Core Curriculum Chapter for GP Training

14. Hinckley 2015 4. An RCT of GP vs Hospital Care of NMSC

15. Hinckley 2015 4. An RCT of GP vs Hospital Care of NMSC Survey of PCSA members April 2014 Access to hospital services for skin cancer. (no of respondents)

16. % Respondents Hinckley 2015 4. An RCT of GP vs Hospital Care of NMSC

17. Hinckley 2015 4. An RCT of GP vs Hospital Care of NMSC % respondents

18. 20 practices 214 patients Non-inferiority design 80% power to detect difference in lateral excision margin of > 0.5mm at 95% confidence level Hinckley 2015 4. An RCT of GP vs Hospital Care of NMSC Adequacy of Excision NMSC Complications Scar Patient Satisfaction Clinico-pathological correlation Delay Cost

19. Hinckley 2015 PCSA 4 th Annual Scientific Meeting Clontarf Castle Hotel, Dublin Sept 25 th & 26 th 2015

20. www.pcsa.ie