Policy

Minor Surgery & Skin Lesion Excision Policy

Patient selection, consent, technique, specimen handling and follow-up for minor skin surgery carried out under local anaesthetic

For Dermatology & Skin SurgeryRef BS-DER-POL-001See a sample (PDF) →
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  • Instant download after checkout
  • Editable Microsoft Word (.docx)
  • Mapped to the CQC standards
  • Optional 3-monthly updates

What's inside

This policy is fully drafted and structured, ready to brand and complete for your service. It covers:

  • 1. Purpose
  • 2. Scope
  • 3. Policy statement
  • 4. Definitions
  • 5. Scope of what we do here
  • 6. Patient selection
  • 7. Consent
  • 8. Before the procedure
  • 9. During the procedure
  • 10. After the procedure
  • 11. Histology and the failsafe
  • 12. Competence
  • 13. Introducing a new procedure
  • 14. Roles and responsibilities
  • 15. Training and competence
  • 16. Records, monitoring and audit
  • 17. Version control and review
  • 18. Appendix A - Pre-procedure safety checklist
  • 19. Appendix B - Specimen log core fields
  • 20. Related documents
  • 21. Disclaimer

CQC fundamental standard

Regulation 11 (Need for consent)
This document is written to evidence that standard. Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Legislation & standards it maps to

  • Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 - in particular Regulation 11 (Need for consent), Regulation 12 (Safe care and treatment), Regulation 17 (Good governance) and Regulation 20 (Duty of candour)
  • Health and Social Care Act 2008: code of practice on the prevention and control of infections
  • Human Medicines Regulations 2012 (as amended)
  • Medical Devices Regulations 2002 (SI 2002/618, as amended)
  • Health and Safety at Work etc. Act 1974 and the Control of Substances Hazardous to Health Regulations 2002
  • Health and Safety (Sharp Instruments in Healthcare) Regulations 2013
  • Montgomery v Lanarkshire Health Board [2015] UKSC 11

Who it applies to

All clinicians performing minor surgery, assisting staff, and the clinical lead and registered manager of [Organisation Name]

Glossary

Plain-English explanations of the technical terms and legislation used in this document.

Aseptic non-touch technique (ANTT)
A way of working that keeps the parts of equipment which will touch the wound completely untouched, so germs are not carried in.
Cautery
Using heat to seal small blood vessels or destroy remaining tissue at the base of a lesion.
Curette
A small spoon-shaped instrument used to scrape a lesion away from the skin surface.
Duty of candour
The legal duty to tell a patient promptly when something has gone wrong with their care, apologise, and explain what will be done about it.
Haemostasis
Stopping the bleeding.
Histology (histopathology)
Examination of removed tissue under a microscope by a pathologist to say what it is.
Incomplete excision
The microscope shows the lesion reaching the edge of what was removed, so some may still be in the skin.
Local anaesthetic
An injection that numbs a small area of skin so a procedure can be done while the patient is awake.
Margin
The border of normal-looking skin taken out around a lesion.
Melanoma
A serious form of skin cancer that can spread, usually arising in a mole or pigmented patch.
Montgomery standard
A Supreme Court decision meaning patients must be told about the risks that matter to them personally, not just those doctors think are important.
Regulation 12
The part of the CQC regulations requiring care and treatment to be provided safely.
Relaxed skin tension lines
The natural creases of the skin; cutting along them usually gives a neater scar.
Specimen
The piece of tissue removed and sent away to be examined.
Wrong-site procedure
Operating on the wrong place on the body, or on the wrong lesion.

How it works

  1. Buy securely with Stripe - instant, no VAT, no account needed.
  2. Download your editable Word file from the link we email you straight away.
  3. Complete the placeholders for your service, then have it approved before use.
  4. Add the optional updates subscription and we keep it current as guidance changes.

Related documents

PolicyLocal Anaesthesia Policy£44.99
PolicySpecimen Handling & Histopathology Policy£44.99
PolicySuspected Skin Cancer Recognition & Urgent Referral Policy£44.99
PolicyDermoscopy & Lesion Documentation Policy£44.99

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