虽然国家卫生服务部皮肤癌服务的压力早在新冠肺炎大流行之前就已经存在，但两周等待 (2WW) 皮肤癌标准在大流行后已经恶化。本报告利用 4V 类型和体积分析了 2WW 皮肤癌途径。品种矩阵。还检查了 2WW 皮肤癌途径的性能矩阵和 SIPOC 分析。在分析和重新设计该途径的流程图后提供了建议。过程分析使得能够识别 2WW 皮肤癌途径的一些局限性。这导致了包括使用人工智能进行病变评估、单一病变评估诊所和直接进入皮肤手术等建议，所有这些都旨在加快患者护理并提高 2WW 诊所的能力。对 2WW 皮肤癌途径的过程分析提供了有用的见解和帮助识别系统中的瓶颈。重新规划流程后的建议提供了潜在的解决方案，有助于减少转诊时间并提高容量。这些建议应有助于减少疑似皮肤癌患者接受初步诊断和随后确定治疗的等待时间。© 作者 2024。由牛津大学出版社代表英国皮肤科医师协会出版。版权所有。如需商业重复使用，请联系 reprints@oup.com 获取转载和转载的翻译权。所有其他权限都可以通过我们网站文章页面上的权限链接通过我们的 RightsLink 服务获得 - 如需了解更多信息，请联系journals.permissions@oup.com。

While pressures on the National Health Service skin cancer services have predated the COVID pandemic, the two -week-wait (2WW) skin cancer standards have deteriorated post-pandemic.The 2WW skin cancer pathway is analysed in this report utilising 4V typology and volume-variety matrix. Performance matrix of the 2WW skin cancer pathway and SIPOC analysis are also examined. Recommendations are provided following analysis and redesign of the process map of the pathway.Process analysis has enabled identification of some of the limitations of the 2WW skin cancer pathway. This has led to recommendations including lesion assessment using artificial intelligence, single lesion assessment clinics and direct access skin surgery, all of which aim to expedite patient care and increase capacity in 2WW clinics.Process analysis of the 2WW skin cancer pathway provides useful insights and helps identify bottlenecks in the system. Recommendations following remapping the process offer potential solutions to help reducing time to referral and increasing capacity. These recommendations should help reduce waiting times for patients receiving initial diagnosis and subsequent definitive treatment for suspected skin cancers.© The Author(s) 2024. Published by Oxford University Press on behalf of British Association of Dermatologists. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.