City and Hackney Community Minor Surgery

Description

The service provides a one-stop community minor surgery pathway for patients registered to City and Hackney GP practices from assessment to treatment. The clinician is required to have minor surgery qualification/experience in this field. The service includes: 1. Invasive procedures including incisions and excisions in line with the national Directed Enhanced Service (DES) 2. Cryotherapy/cautery for those GP practices that have opted out of the GMS/PMS minor surgery additional service Procedures include treatments for the following: capsulitiis, bursitits, entheosopathies/tendritis, tenosynovitis, compression, pigmented and vascular lesions, where histology is required, lesions with atypical behaviour/asymptomatic/inflamed, epidermoid cysts, keratocanthoma, surgical drainage of abscesses and hamatomas, lower-risk basal cell carcinomas. We are not required to actively invite anyone to express interest but rather seek to notify the market of the intention. For enquiries or to register interest, please contact hub.queries@nhs.net using reference number PRJ-2199. Lot 1: The service is an alternative to hospital-based treatments offering a one stop service for appropriate minor skin surgical procedures. This aims to minimise the need for follow-up and only when appropriate, onward referral to secondary care. The service is to provide a community minor surgery pathway for patients registered with GP Practices in City and Hackney from assessment to treatment in line with the acceptance and exclusion criteria and service requirements. Services required: •     Enhanced Minor Skin Surgery (in line with the national Directed Enhanced Service DES). This includes excision and incision procedures •     Cryotherapy/Cautery for GP practices that have opted out of the GMS/PMS additional service of minor surgery The service will be provided locally in City and Hackney from a primary care clinical site location(s) for City and Hackney GP registered patients. This model will provide local, accessible, and integrated services that are aligned with providers within the health and social care economy. Procedures include treatments for the following: •     Capsulitis •     Bursitis •     Entheosopathies / tendinitis •     Tenosynovitis •     Compression •     Aspiration indications: diagnostic or therapeutic and where such treatment will be likely to improve clinical outcomes •     Pigmented and vascular lesions, where histology is required (excluding suspected melanomas) •     Lesions with atypical behaviour, such as bleed or change in colour, where histology is required. These might include for example, papilloma, dermatofibroma or seborrhoeic keratosis. •     Lesions that are symptomatic and/or have been inflamed on more than one occasion at the time of consultation •     Epidermoid cysts in that are symptomatic and/or have been inflamed on more than one occasion at the time of consultation •     Keratoacanthoma •     Surgical drainage of abscesses and haematomas where this is deemed best treatment •     Removal of foreign bodies only where local anaesthetic and incision is required as part of procedure •     Low-risk Basel Cell Carcinomas (BCCs), as defined in current NICE Guidance on Cancer Services. For BCCs which do not meet the low-risk criteria or where there is any diagnostic doubt, a referral should be made as per NICE guidelines. •     Keloid scars in cases where the scar interferes with function or causes pain or itchiness which is persistent and unrelieved by standard medication for over one year, Activity: approximately 500 procedures, 300 cryotherapies and 160 consultations Budget: approximately £120k per year Additional information: The process being followed is a Most Suitable Provider Process under the Provider Selection Regime 2023.