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Gold, incentives and meh

Only GPSIs to treat skin cancer? I can't be bothered

From Dr David North-Coombes, Chertsey, Surrey

Regarding 'Only GPSIs to treat skin cancer' (News, 23 February): at a time when we are being encouraged to take on even more hospital work, NICE in its collective but questionably representative wisdom makes another ill-considered recommendation.

I have been confidently treating appropriate basal cell carcinomas for my patients for the past 20 years-plus and have neither the time nor inclination to become a dermatology GPSI.

I rarely, if ever, refer these to dermatologists in any case, preferring to send the more trickily situated ones to a surgeon with the appropriate skills, which is usually what a dermatologist does! And I am aware there are alternative treatments to excision.

Still some good news if we are to be able to access more investigative procedures directly as described in your Analysis 'Will test access ease GPs' angst over Ca referral'. So many referrals are only to indirectly access tests.

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