To ask the Scottish Executive what action it is taking to improve services and treatment for people with lymphoedema.
We expect NHS boards to implement, through local protocols, the relevant Scottish Intercollegiate Guidelines Network (SIGN) Guidelines. The Guidelines on the Management of Cervical Cancer (99), the Management of Breast Cancer (84) and the Care of Patients with Chronic Leg Ulcers (26) cover aspects of lymphoedema and its treatment.
The British Lymphology Society (BLS) has published a Best Practice document on the Management of Lymphoedema. A consultation to assess the document''s applicability to Scotland showed strong support for its adoption here, and NHS Quality Improvement Scotland is currently considering, with the network of Scottish Lymphoedema Practitioners, how best to take this forward.
We have also set up a working group to develop a clinical pathway for the surgical management of chronic lymphoedema. This is intended to include clear referral criteria, clinical pathways and protocols, and provide equitable access to surgical management across Scotland. The group is expected to report by autumn 2009.
Better Cancer Care outlines a range of commitments on supporting people who develop lymphoedema as a side effect of their cancer treatment.