Advanced Nurse Practitioner (ANP)-led see-and-treat skin cancer service at Roscommon University Hospital

Skin cancer rates in Ireland have almost doubled over the past two decades, placing increasing pressure on healthcare services nationwide. To address this growing demand, Roscommon University Hospital has successfully implemented an Advanced Nurse Practitioner (ANP)-led see-and-treat skin cancer service, providing patients with same-day assessment, diagnosis, and treatment.

Established in June 2023, the innovative clinic streamlines care by allowing ANPs to assess, biopsy, and excise suspicious lesions under local anaesthetic during a single visit. In its first year, over 760 patients were seen, with 134 cancers diagnosed and treated, achieving a 94% histological clearance rate.

This efficient, patient-centred model has significantly reduced waiting times and improved outcomes, highlighting the vital role of ANPs in delivering timely, high-quality, and accessible care for patients with skin cancer. Following its success, the service has now expanded to operate two days per week.

Read the full article about this excellent service published in the Medical Independent (14/10/2025) for more details on how ANPs are transforming skin cancer management in Ireland. https://www.medicalindependent.ie/clinical-news/introducing-an-anp-led-service-for-skin-cancer/?utm_source=brevo&utm_campaign=Medical%20Independent%2014th%20October&utm_medium=email

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Mr. David Delaney

David is the newly elected Secretary. He currently works in the Emergency Department of University Hospital Limerick. David graduated from the University of Tasmania in Australia and started his career in cardiac care. From there he worked in the Intensive care units of the Royal Hobart Hospital, Tasmania, the Royal Prince Alfred, Sydney, St. James Hospital, Dublin and University Hospital Limerick. He is currently a Clinical Skills Facilitator in the Emergency Department of University Hospital Limerick. He has previously studied a postgraduate diploma in Intensive Care Nursing with NUI Galway and is currently in his dissertation year of this Masters in Advanced Nursing Care also with NUI Galway. David will be a registered Advanced Nurse Practitioner once his MSc is complete. David also holds a position on the student subgroup of the International Council of Nurses NP/APN network.