Cancer Services Collaborative Improvement Partnership - MDT

Introduction

How to Use the Guide

Top Twelve Challenges

All Resources/Case Studies
Challenges:
1. Do MDT meetings work?
2. Does your MDT have a suitable environment in which to meet?
3. Does your MDT have an operational policy in place, which is reviewed annually and distributed to all members of the team?
4. Are you able to discuss al patients at your MDT meeting?
5. How can you improve communication by using the MDT meeting?
6. Are the key members of the team able to attend the meetings?
7. Do you have protocols and proformas for recording discussions, decisions, and treatment plans for each patient?
8. Why do you need an MDT meeting co-ordinator?
9. Should the MDT meeting be used to facilitate data collection and audit?
10. Can the MDT meeting be used to facilitate entry into clinical trials?
11. How does your MDT involve patients?
12. How can we integrate Service Improvement?

5. How can you improve communication by using the MDT meeting?

	Resources	Case Studies
Generic	Histology fax MDT meeting commmunication template. Improving communications in cancer care.	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.
Urology	Fax to GP 1. Summary Sheet.
Lung	Fax to GP. MDT meeting presentation proforma.
Gynaecology	Fax to GP Patient information Leaflet.	A proforma completed with the MDT meeting decision is inserted into notes and faxed to the GP.
Colorectal		Patients are registered by fax with the Cancer Treatment Centre immediately after the chemotherapy request is made in the MDT meeting.