management plan identified. 10.2 Accreditation All community skin cancer clinicians should identify the Local Skin Cancer MDT to which they relate. Good communication should be established to ensure the consistency and continuity of services for patients. The accreditation and governance arrangements are set out in the table below. Service Clinical Placed on PCT Employer accreditation by GPwSI list responsible MDT for clinical governance Community outreach from Local or Assumed No Acute Specialist MDT (a consultant led through Trust service that may include staff grade consultant led hosting and service MDT associate specialist doctors and specialist nurses. Model 2 Practitioners Yes No Acute Trust hosting MDT Group 3 GPwSI in dermatology and skin Yes Yes GP Practice or surgery GPwSI (depending on contractual Yes Yes GP Practice or Group 3a GPwSI in skin lesions and skin surgery GPwSI (depending on contractual GPs performing skin surgery within Yes No, but GP Practice the framework of the DES and LES placed on Enhanced Services under GMS or PMS PCT list for GPs performing skin surgery within the framework of the DES and LES Enhanced Services under GMS or PMS *Some GPs may be accredited as both a GPwSI and a Model 2 practitioner.
management plan identified. 10.2 Accreditation All community skin cancer clinicians should identify the Local Skin Cancer MDT to which they relate. Good communication should be established to ensure the consistency and continuity of services for patients. The accreditation and governance arrangements are set out in the table below. Service Clinical accreditation by MDT Placed on PCT GPwSI list Employer responsible for clinical governance Community outreach from Local or Specialist MDT (a consultant led service that may include staff grade and associate specialist doctors and specialist nurses. Assumed through consultant led service No Acute Trust hosting MDT Model 2 Practitioners Yes No Acute Trust hosting MDT Group 3 GPwSI in dermatology and skin surgery Yes Yes GP Practice or GPwSI (depending on contractual Group 3a GPwSI in skin lesions and skin surgery Yes Yes GP Practice or GPwSI (depending on contractual GPs performing skin surgery within the framework of the DES and LES Enhanced Services under GMS or PMS Yes No, but placed on PCT list for GPs performing skin surgery within the framework of the DES and LES Enhanced Services under GMS or PMS GP Practice *Some GPs may be accredited as both a GPwSI and a Model 2 practitioner.
Guidelines-for-the-Management-of-Skin-Cancer-26.1.16-1.docx