About this event

  • Date and time Thu 14 Nov 2019 from 8:45am to 15 Nov 2019 at 4:30pm
  • Location Royal Society of Medicine
  • Organised by General Practice with Primary Healthcare

This course teaches the practice of minor skin surgery techniques, including a range of joint injections and non-surgical techniques as set out in the GMS contract for primary care minor surgery.

At the end of the course, you will take home improved practical skills and be aware of medico-legal and contractual obligations required of those practising minor skin surgery. You will be able to apply evidence based practice in the detection and management of common skin lesions including melanoma. And most importantly, you will be able to apply these skills to improve the provision of minor skin surgery in primary care.

This course complies with the new NHS England DOPS (Direct Observation of Practical Skills) requirements for minor surgery training. You will be assessed against Level 2 competencies and certification will be provided at the end of the course.

Topics include:

  • Adept preparation for skin biopsy
  • Understand and administer effective local anaesthetic
  • Perform a range of suturing techniques and know when each is applicable
  • Perform a range of excisions including epidermal cysts and know how to manage abbesses
  • Preparation for joint injections
  • Elbow, hand and wrist injections


Day one 14 November 2019

Registration, tea and coffee
Location, location, location

Estate & Facility requirements for performing Minor Surgery, including CQC regulations

Your equipment and how to use it

Training on the standard Minor Surgery surgical equipment and how to use it

Needles and sutures

Training on the various suture sizes, materials and properties for minor surgery

Planning your procedure

Assessing patients suitability for Minor Surgery on the NHS, deciding what size, location and depth to place the incisions

The ellipse

How to measure and draw the surgical ellipse

Be prepared

Anticipating problems and complications, and taking appropriate consent

Skin deep

Anatomy of the skin, and how this relates to which sutures to use

Tea and coffee break
Comfortably numb

Measuring up and administration of location anaesthetic, including ring block and field block

Excising an ellipse

How to excise the surgical ellipse

Tying the knot

Training on simple interrupted suture technique


Training on skin cleaning, shaving patient, how to use the assistant and when to take sutures out

Deep dermal sutures

Training on deep dermal suture technique

Vertical mattress sutures

Training on vertical mattress suture technique

Horizontal mattress sutures

Training on horizontal mattress suture technique

Epidermal cyst excision

Identifying and excising an epidermal ellipse

Open floor question and answer session
Tea and coffee break
The small matter of the contract

Training on NHS contract for providing Minor surgery

Lipomata excision

How to identify and excise a lipoma

Close of day
Day two 15 November 2019

Registration, tea and coffee
Welcome back
Workshop rotation 1

Upper limb joint injection training

Workshop rotation 2

Lower limb Joint injection training

Tea and coffee break
Workshop rotation 3

Subcuticular suture training


How to achieve haemostasis including use of diathermy

IGTN technique

How to treat and excise an ingrown toenail


How to do cryotherapy, and when is it indicated

Punch biopsy

How to take punch biopsy


How to excise lesions using the snip, shave and curettage techniques

The pigmented lesion

How to identify lesion type, and how now to miss skin cancer

Completion of evaluation forms
Close of course


Royal Society of Medicine, 1 Wimpole St, Marylebone, London, W1G 0AE, United Kingdom