Standards of Service Provision for Melanoma Patients ….docVIP

Standards ofService Provision for Melanoma Patientsin New Zealand – Provisional National Melanoma Tumour Standards Working Group 2013 Citation: National Melanoma Tumour Standards Working Group. 2013. Standards of Service Provision for Melanoma Patients in New Zealand - Provisional. Wellington: Ministry of Health. Published in December 2013 by theMinistry of HealthPO Box 5013, Wellington 6145, New Zealand ISBN 978-0-478-41540-7 (online)HP 5743 This document is available through the Ministry of Health website: t.nzor from the regional cancer network websites:.nzwww.midland .nz.nz.nz Contents Introduction 1 Background 1 Objective 2 How the melanoma service standards were developed 2 Equity and Whānau Ora 3 Summary of the clinical standards for the management of melanoma services 4 Standards of service provision pathway 4 Summary of standards 5 1 Prevention and Early Identification 9 Rationale 9-12 Good practice points 9-12 2 Timely Access to Services 13 Rationale 13 Good practice points 14 3 Referral and Communication 15 Rationale 15 4 Investigation, Diagnosis and Staging 17 Rationale 17-25 Good practice points 17-25 5 Multidisciplinary Care 27 Rationale 27 Good practice points 27 6 Supportive Care 29 Rationale 29 Good practice points 29 7 Care Coordination 31 Rationale 31 Good practice points 31 8 Treatment 33 Rationale 33-45 Good practice points 33-45 9 Follow-up and Surveillance 47 Rationale 47 Good practice points 47 10 Clinical Performance Monitoring and Research 49 Rationale 49-51 Good practice points 50-51 Appendix 1: National Melanoma Tumour Standards Working Group Membership 52 Appendix 2: Glossary 54 Appendix 3: The Melanoma Patient Pathway 60 Appendix 4: Proposed Reporting Proforma for Primary Cutaneous Malignant Melanoma 60 Appendix 5: Proposed Reporting Proforma for Sentinel Node Biopsy 63 Appendix 6: Proposed Reporting Proforma for Completion Lymphadenectomy 64 Appendix 7: Cancer-related Distress Self-assessment Tool 65 Appendix 8: References