patientinformation The Skin Cancer Multi-Disciplinary Team Dermatology The Rotherham NHS Foundation Trust

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1 The Rotherham NHS Foundation Trust The Skin Cancer Multi-Disciplinary Team Dermatology patientinformation Your health, your life, your choice, our passion

2 Hearing about your experience of our services is very important as it means we can pass compliments to our staff and make improvements where necessary. Tell us what you think at If you require this document in another language, large print, braille or audio version, please contact Patient Information on or

3 The Skin Cancer Multi-Disciplinary Team (MDT) When you have a diagnosis of skin cancer, your case will be discussed at the hospital s Skin Cancer Multi- Disciplinary Team (MDT) meeting. The Team usually meets 2 to 3 times a month to discuss all new skin cancer patients in the hospital, and the continuing care of others. What is a Multi-Disciplinary Team? The diagnosis and treatment of cancer requires a team of experts with different skills and training. The team is called a Multi-Disciplinary Team (or MDT for short) and includes professionals who are specialists in cancer diagnosis and treatment and how it may affect you. You may not meet all the members of the skin cancer MDT but they will be involved in planning your care Each type of cancer tumour type has an MDT where care is planned and treatment given by specialists in that particular type of cancer. There is a core set of team members but other professionals may be asked to join or advise the team when needed. 3

4 Why have a Skin Cancer MDT? The Skin Cancer MDT follows national guidelines on how to manage skin cancers and how the members should work with each other, with your GP and with other specialist services. Each team member is responsible for keeping up to date with changes and new treatments in skin cancer. The team is there to ensure that each patient is given the same high standard of care and has the most appropriate investigations and treatments. Some skin cancers may also be discussed at the more specialist regional MDT with team members from various hospitals within the area to ensure that the best possible treatment options are available to patients with more complex problems. Who is in the Rotherham Skin Cancer MDT? Consultant Dermatologist It is likely your GP will have referred you to the care of a Consultant Dermatologist. This is the doctor who has overall responsibility for your treatment and is an expert in diagnosing and treating skin cancer. You may not always see your consultant; sometimes you may see one of their team. 4

5 Consultant Surgeon If your require specialist surgery this may be under the care of one of the hospital s Consultant Maxillofacial Surgeons (for facial surgery) or Consultant General Surgeons and they may also see you for follow up care in the outpatient clinics. Consultant Histopathologist Pathologists are doctors who are experts in looking at tissue samples under the microscope to see if cancer cells are present and if so the type of cancer and how it is likely to behave. This helps us to decide on the best treatment. The Pathologist in the team has a special interest in skin cancer. Consultant Oncologist This is a doctor who is an expert in non-surgical treatments for cancer; this may include radiotherapy or chemotherapy. Should you need these treatments for your condition this will be carried out at Weston Park Hospital in Sheffield. The Oncologist advises the team about non surgical treatments which may be appropriate for your skin cancer. 5

6 Clinical Nurse Specialist in Skin Cancer The Clinical Nurse Specialist is based in the Dermatology Department and has a special interest and knowledge in skin cancer care. The nurse s role is to provide information and support to you and your family during and after your treatment. The Clinical Nurse Specialist acts as your Key Worker and is the link between you and the MDT team. MDT Co-ordinator The MDT co-ordinator provides clerical support for the MDT meetings and records information from the meetings and decisions that the team makes. They also ensure that appropriate information is communicated to those who require it. There are other health professionals who are advisers to the Skin Cancer MDT and asked to attend or advise the team when appropriate. How is my treatment decided? To make sure you are given the most appropriate treatment for your skin cancer, your case will be discussed at an MDT meeting attended by members of the skin cancer team. At the meeting the team will discuss all the options for your treatment under the National Guidelines for skin cancer care. 6

7 Following the MDT meeting each patient will receive an appointment to see their Consultant or Clinical Nurse Specialist to discuss the treatment plan. You will be able to ask any questions you have and we will give you as much information as you would like. Your GP will be kept informed too by letter of all Skin Cancer MDT discussions. Where will my treatment and follow up care be given? Treatment for skin cancer is generally skin surgery and whenever possible this will be performed at Rotherham Hospital by a member of the Skin Cancer MDT. However occasionally you may require more specialist surgery which may mean being treated in Sheffield either at the Northern General or Royal Hallamshire hospitals. There is also a Specialist Oncologist based at Weston Park Hospital. Some types of skin cancer may require their involvement in your care. Follow up care will be under your Consultant at Rotherham Hospital If you receive skin cancer treatment at another hospital you may still choose to have your routine follow up care at Rotherham Hospital. 7

8 Where can I get more information about my condition or treatment? You can contact your Key Worker at any stage in your treatment should you have any questions or worries about your condition. Your Key Worker will liaise between you and other members of the MDT. She will also let you know the result of any further surgery, tests or MDT discussion. Your Key Worker can also supply any information about support organisations locally or nationally or other services you can benefit from or you can contact one of the organisations at the back of this booklet Your Care Team Consultant Dermatologist Clinical Nurse Specialist Your Key Worker Contact number

9 Follow up visit Date It may be difficult for you to remember what is said during your consultation with the doctor. You, the doctor or the specialist nurse can fill in this record. This may help you to recall what has been said. Who you have seen: Diagnosis / condition: The main points of the discussion and treatment plan:

10 Your next appointment is on: Your next appointment will be for skin surgery and you will receive this shortly. Follow up arrangements: If there is anything you would like to ask or need to remember for your next visit, please use the space below if you wish. 10

11 For further information & support contact: Macmillan Cancer Information and Support Service Rotherham Hospital Telephone Rotherham Cancer Care Centre 93 Badsley Moor Lane Telephone Macmillan Cancerline 89 Albert Embankment London SE1 7UQ Freephone Cancer Research UK PO Box 123 Lincoln s Inn fields London WC21 3PX 11

12 Cancerbackup 3 Bath Place Rivington Street London EC2A 3JR Freephone info@cancerbackup.org Wessex Cancer Trust Marcs Line Dermatology Day Treatment Centre Level 3 Salisbuty Distrct Hospital Salisbury SP2 8BJ Telephone Health Information Telephone

13 Notes 13

14 How to contact us Your Key Worker Telephone Secretary to Dr Wood Telephone Secretary to Dr Muncaster Telephone Secretary to Dr Garg Telephone Dermatology Clinic Telephone Switchboard Telephone Useful contact numbers NHS Direct Telephone Health Info Telephone Stop Smoking Service Telephone Patient Services Telephone A&E Telephone For GP out of hours, contact your surgery Useful websites We value your comments If you have any comments or concerns about the care we have provided please let us know, or alternatively you can write to: Patient Services The Rotherham NHS Foundation Trust Rotherham Hospital Moorgate Road Oakwood Rotherham S60 2UD Telephone Produced by Rowena Mellows. Produced December 2008 Revised January 2011, August Revision Due August Version: 3.0 The Rotherham NHS Foundation Trust All rights reserved. 14

15 How to find us Hospital site plan Woodlands P Two Way traffic One Way traffic Public Parking Leapfrog Day Nursery Child Development Centre Oakwood Hall Greenoaks P Oakwood Hall Annexe P Oldfield Centre Moorgate Wing OAKWOOD HALL DRIVE Day Surgery Centre Maternity Entrance Rotherham Hospital Main Entrance Accident & Emergency P PAY AND DISPLAY P PAY AND DISPLAY P PAY AND DISPLAY One Way Bus stop BAKER STREET MOORGATE One way Bus stop ROAD A618 Bus stop Security Centre TO WOODSIDE Rotherham main routes To Leeds Parkgate To Doncaster 35 Thorpe Hesley B6089 A633 M1 North 34 South 34 To Sheffield Kimberworth Park A629 Kimberworth A6109 A631 A630 A630 Woodside Brinsworth A A630 TOWN Clifton CENTRE A618 A631 East Dene Rotherham Hospital Moorgate A6123 Whiston Herringthorpe A631 M1 Wickersley Bramley 32 A631 To A1, M62 & Hull M18 1 To Sheffield Treeton A618 M1 To Nottingham and the South

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