GPs are just as good at skin surgery
The only time I attended a multidisciplinary team meeting (and I believe I am the only GP locally who has ever done so) I was shouted down by the hospital surgeons and challenged over the fact that another GP had accidentally cut out a skin cancer ('Victory for thousands of GPs in minor surgery row').
Multidisclipinary team meetings are organised by the hospital at the most difficult times, with total disregard to the GP community, and we have not been able to change this in two years. I have now stopped removing basal cell carcinomas although I am quite experienced and my outcomes have in the past been applauded even by plastic surgeons.
The NICE guidelines seem to have been drawn up without any primary care involvement and the suspicion remains that the main reason was to shore up the income of dermatologists under the pretext of protecting patient care.
There is absolutely no evidence that dermatologists are any better at skin surgery than GPs. The few times I sat in dermatology clinics, I thought
I could have done it better. In the meantime I continue to do plenty of minor surgery for not only my own practice, but also other surgeries and a large weekly vasectomy clinic.
From Dr Martin Kittel, Bracknell, Berkshire