skin cancer:Provisions concerning the abolition of doctors in skin cancer patients as relaxed at risk, warn experts

Patients are put at risk, such as rules designed to eliminate cancer doctors are paid moles product in order to relax, despite the evidence of treatment in nearly half the cases, experts have warned.

Determine the direction of doctors to diagnose and remove, may be at low risk of skin cancer is the National Institute for Health and Clinical Excellence (Nice) by family physicians that meet certain requirements, such as participation in meetings, the “overweight disproportionately connected. ”
Tests have shown that where the doctors tried to reduce cancer Mol, the tumor is not completely removed up to half of cases.

This means that the cancer may spread.

Skin cancer is the most common form of the disease in 15 to 34 years with over 100,000 cases per year in Great Britain. Cases of malignant melanoma, the deadliest form of skin cancer since the 1970s, multiplied by four at the top of more than 10,400 cases per year.

Nice announced an independent review of parts of the skin cancer advisory appointments between doctors and dermatologists, could not be reached on the criteria of family doctors must meet before the operation.

A statement of Nice, said: “Some doctors feel that the requirements, including participation in the hospital multidisciplinary team meeting, were disproportionate and excessive in some areas, said that there is a risk to GP-Moll surgery in general. “

Dr Fergus Macbeth, Director of clinical guidelines, said in Nice, it is unlikely the audit to the requirements of doctors even more restrictive.

But the Good Dr Mark Field, president of the British Association of Dermatologists, said: “We feel very strongly that in the interest of patient safety, the guidelines of Nice should be maintained and fully implemented , not disarmed. It shows that here, where doctors with management, the patient suffers.

“We hope that the outcome of the review, take into account.”

Participation in meetings at the hospital is vital for continuing education and verification, if the reasoning.

Dr. Laurence Buckman, chairman of the British Medical Association’s GP Committee said: “We welcome Nice, checking his skin cancer counseling, and I hope to properly evaluate the important contribution played by doctors in the treatment of skin cancer.

“Many patients with smaller operations in their local GP surgery practice and less stressful than the treatment in hospitals. The origin of the request within the guidelines for physicians to participate in multidisciplinary team meetings in hospitals threaten the viability of minor surgery services. “

Prof Steve Field, chairman of the Royal College of GPs, said: “This is nothing to do with money. What is the RCGP this is patient comfort, but overall nothing to compromise must be patient safety.

“Physicians need for diagnosis and treatment to low risk of carcinoma cells in Basel, they are not in high-risk areas like the face, head and neck should always SCC, melanoma, and what you are unsure of. Family physicians should be can only over 30 per year, participate in a multi-annual meeting and remain at the forefront, and this is not something we expect to make every GP, you must know-how. “

There are essentially three types of skin cancer – basal cell carcinoma (BCC), Carcinoma (SCC) and melanoma.

Nice guidelines in 2006, said the BCC in low risk, less deadly type of skin cancer, treatment can be performed either in the base by a family physician who has training as a member of a specialist or multidisciplinary team in secondary care, usually by a dermatologist.

However, an injury, a high risk of BCC, a SCC or melanoma, or if the diagnosis is uncertain, should be fair and a specialist in these cancers are not with the GPS.

Audits, because the guidelines published have shown that 30 to 46 per cent of the distance leisons to primary care have not been completely excised.

Other results showed that family physicians are trying to lesions that were just doctors and specialists, in some cases, it is not established by a GP, a member of a team of specialists or the field of dermatology.