Only GPSIs to treat skin Ca
Most GPs should not manage patients with any form of skin cancer, new NICE guidance recommends.
Only GPSIs in dermatology or hospital practitioners will still have a role. Even they will only be allowed to manage low-risk basal cell carcinomas and must be members of local hospital multidisciplinary teams.
GPs warned the new guidance could overwhelm secondary care as GPSIs might not be able to take on the extra work involved in team meetings and audits.
But Dr Daffyd Roberts, consultant dermatologist for Swansea Hospitals Trust and lead clinician for the guideline development group, said the changes were aimed at making treatment equal nationwide.
'Up until now it's varied and GPs can do what they like there's no direction,' he said.
He added GPs could continue to treat precancerous lesions but not skin cancer.
The guideline development team said 'significant numbers' of patients particularly those with basal cell carcinomas were currently 'entirely managed' in primary care.