Cancer Services Collaborative Improvement Partnership NHS Modernisation Agency
 
Introduction
  
How to Use the Guide
   Top Twelve Challenges Quick Search

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UGI
1. Do MDT meetings work?
 Resources
Some suggestions for evaluation of MDT working.

Clinical Governance in action. www.cgsupport.org

                
2. Does your MDT have a suitable environment in which to meet? Resource
MDT image viewing requirements.

 

  

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Case Studies The introduction of new facilities improves the running of the breast MDT meeting.


The introduction of video conferencing to enable core members to participate in MDT meetings.

 

 

  

...
Case Study
The MDT meeting decision is communicated electronically to relevant parties within 24 hours of MDT meeting.
 

3. Does your MDT meeting have an operational policy in place, which is reviewed annually and distributed to all members of the team?

Resources
Rough guide to MDT meeting.

Multidisciplinary Team Review Sharing Paper.

Resource
MDT meeting guidelines.

        

Resources
MDT meeting guidelines

MDT meeting
protocol.

Protocol for Maxfacs MDT.

   Resource
Protocol for UGI MDT meeting.
       
4. Are you able to discuss all patients at your MDT meeting?       Case Study
Video link provides access to a full MDT meeting across Trust.		         Case Study
The medical lab scientific officer adds each patient with a confirmed malignancy to the next MDT meeting, ensuring that all patients are discussed.
5. How can you improve communication by using the MDT meeting?

Resources
Histology fax.

MDT meeting communication template.

Improving communications in cancer care.

Resource
Fax to GP 1.

Summary Sheet.

Resources
Fax to GP.

MDT meeting presentation proforma.

Resources
Fax to GP.

Patient information Leaflet.

      

Cast Study
Patients are registered by fax with the Cancer Treatment Centre immediately after the chemotherapy request is made in the MDT meeting.

  
 
  Cast Study
A proforma completed with the MDT meeting decision is inserted into notes and faxed to the GP.

Case Studies
Radiotherapy secretary attends the MDT meeting to ensure tracking of documents.

There is improved communication of chemotherapy/ radiotherapy information to the Oncology Administration Manager for presentation at the MDT meeting.

The MDT meeting decision is communicated electronically to relevant parties within 24 hours of MDT meeting.

The GP is informed by fax of the MDT meeting decision within 24 hours of the meeting.

A single chemotherapy referral form developed to improve referral from all tumour teams.

 
 
6. Are the key members of the team able to attend the meetings?        

Case Study
The introduction of video conferencing to enable core members to participate in MDT meetings.

       
7. Do you have protocols and proformas for recording discussions, decision , and treatment plans for each patient?

Resources
MDT meeting template.

Registration pathway.

Pathway protocol.

Palliative care handover form Saddleworth Medical Practice.

Internal referral for a patient with suspected cancer to clinical team/hospital palliative care team.

Resources
MDT meeting proforma 1.

MDT meeting proforma 2.

Resources MDT meeting proforma.

Lung Cancer MDT Proforma.

Resources
MDT meeting proforma.

MDT meeting report.

Resource
MDT meeting proforma.

Resource
 MDT meeting proforma.

Resource
MDT meeting proforma.

 Resource
Examples of useful documents from other hospitals relating to MDT meetings and discussions.		  
 
 

Case Studies
An MDT meeting Patient Summary document system has been created with minimum administrative input.

A proforma completed with the MDT meeting decision is inserted into notes and faxed to the GP.

      Case Study
There is easy identification of the MDT meeting decision by use of a large coloured sticker in the patients notes.
   
8. Why do you need an MDT meeting co-ordinator?

Resources
Job Descriptions:
- MDT meeting Facilitator.

- MDT meeting Administrator.

- MDT meeting Co-Ordinator.

- Pathway Co-ordinator.

- MDT meeting Facilitator.

Draft Framework for Improving the MDT Co-ordinator's role and recruitment and retention

Baseline analysis of MDT Co-ordinator's roles and training needs.

     Case Study
Gynae-oncology co-ordinator streamlines meetings and acts as a link between cancer unit and centre.		       Resource
Cross-checking Colorectal patients by the MDT meeting co-ordinator.		  
 

Case Studies
The running and streamlining of the UGI service is improved by the appointment of a Service Co-ordinator.

The MDT co-ordinator deals with all booking requests made during the MDT meeting.
Case Studies
Therapy radiographers attend the MDT meeting for their own education but are then able to plan treatment dates for patients.

Appointment of MDT co-ordinators in every Trust in the Northern Cancer Network to support tumour groups.		  
9.Should the MDT meeting be used to facilitate data collection and audit?  

Resources Summary sheet.

MDT meeting questionnaire.

Resources
MDT meeting proforma.

Resource
Summary sheet. 		      Resource
MDT meeting Report.

Resources
MDT Questionnaire 1.

MDT Questionnaire 2.

Questionnaire Results 1.

Questionnaire Results 2.

 
 
10.Can the MDT meeting be used to facilitate entry into clinical trials?

Resources
Appointment of clinical trial officers.

Trial summaries booklet.		               .

 .
11. How does your MDT involve patients?        

Case Study
The clinical team review patient information along the whole journey following patient feedback.

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12. How can we integrate Service Improvement? Resource
Example of service
improvement can be found at:- www.modern.nhs.uk/cancer/sigs