This site is intended for health professionals only

At the heart of general practice since 1960

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.

Rate this article 

Click to rate

  • 1 star out of 5
  • 2 stars out of 5
  • 3 stars out of 5
  • 4 stars out of 5
  • 5 stars out of 5

0 out of 5 stars

Have your say