What does it measure?
The audit is concerned with operative procedures on patients aged 18 years or older, carried out under local anaesthesia in a community setting and likely to involve the removal of material for histological analysis, plus partial and complete avulsion (removal) of toenails. This will encompass all dermatological surgery (removal of skin lesions), including some more technically challenging excisions including flaps and grafts under local anaesthesia. It does not currently include vasectomy, carpal tunnel, trigger finger or ganglion surgery.
- If the surgery takes place within a hospital setting under acute trust governance then it should be excluded.
- If the surgery is undertaken in the community, by a primary care surgeon, even if the surgeon is working under acute trust governance (i.e. as a model 2 practitioner) then that would be included. The audit makes provision for such extended roles.
The data set includes information on patient details, clinical details of lesions treated, surgery undertaken, results of histological analysis, and the occurrence of any complications. It has been designed to allow assessment of the timeliness of treatment, accuracy in diagnosis, surgical technique, patient outcomes, and other indicators of the quality of clinical practice.
Last edited: 26 June 2018 1:17 pm