GP-led melanoma follow-up: the practical experience of GPs.

Abstract

OBJECTIVES: To explore how GP-led melanoma follow-up had actually worked from the perspective of GPs by exploring in detail the practical experience of GPs running the programme. DESIGN: Semi-structured audio-taped telephone interviews with GPs delivering a GP-led follow-up programme for people with cutaneous malignant melanoma. SUBJECTS: Seventeen GPs currently delivering structured GP-led routine follow-up for people with cutaneous melanoma. RESULTS: GP-led melanoma follow-up worked well from the perspectives of GPs. The GPs felt that they were well equipped and supported in undertaking the follow-up consultations and recognized that they were freeing up hospital consultant time. They felt that patients appreciated the convenience of GP-led follow-up. The GPs felt that a robust recall system, initial training with regular refreshers and effective consultant backup were vital components of a successful long-term programme. CONCLUSIONS: GP-led melanoma follow-up is feasible and, provided certain concerns can be addressed, GPs are willing to provide it.