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Unlocking the potential of skin cancer clinicians in New Zealand

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This paper is based on feedback from SCCA’s New Zealand members about current challenges and opportunities they are encountering in skin cancer primary care. The document offers perspectives on three key focus areas, with requests made to:

1. Decrease the Burden On Our Hospitals and Medical Facilities
2. Empower and Recognise our Primary Care Clinicians
3. Improve Public Health Investments in Skin Cancer Prevention and Detection

 

Skin cancer is New Zealand’s most common cancer. Each year, around 97,000 skin cancers are diagnosed, compared with only 22,000 diagnoses of all other cancers combined. The direct healthcare costs of this for Aotearoa New Zealand in 2025 are estimated to be more than $450 million, which demonstrates the critical importance of the prevention and early detection of this disease.

Primary care practitioners play a critical role in the early detection and treatment of skin cancer in New Zealand, with approximately 80 per cent of excisions performed by GPs. There is also a large group of these clinicians with a special interest and skillset in skin cancer. As such, primary care clinicians are and will remain best positioned to support the secondary prevention of skin cancer across the nation.

This is why Skin Cancer College Australasia is calling for urgent action to upskill and recognise more primary care clinicians in skin cancer detection, dermoscopy and surgery. Building a skilled and confident workforce to treat skin cancer would reduce hospital wait times, as well as easing the burden on specialists to deal with non-complex skin cancers that could be quickly and safely dealt with in primary care settings.

At a broader level, a comprehensive roadmap entitled Skin Cancer Prevention and Early Detection Strategy 2024-2028 was recently released by the Melanoma Network of New Zealand (MelNet), supported by dedicated funding from Health New Zealand – Te Whatu Ora. This Strategy includes a breadth of research and insights on the present state of skin cancer prevention and early detection in New Zealand, with 12 key recommendations outlined. These considerations include everything from nationally coordinated programs and structured training to school and workplace policies, banning of sunbeds and much more.

SCCA has produced this document to provide further detail on the current challenges and opportunities faced by skin cancer primary care clinicians in Aotearoa New Zealand, in addition to exploring how they can contribute positively within the overarching Skin Cancer Prevention and Early Detection Strategy (hereafter referred to as the ‘Strategy’). Click the button below to read more.