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Evidence for the benefit of cancer multidisciplinary working

Evidence for the benefit of cancer multidisciplinary working. Professor Amanda J Ramirez Director of the KCL Promoting Early Presentation Group & National Clinical Lead for MDT Development. National Cancer Action Team Part of the English National Cancer Programme.

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Evidence for the benefit of cancer multidisciplinary working

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  1. Evidence for the benefit of cancer multidisciplinary working Professor Amanda J Ramirez Director of the KCL Promoting Early Presentation Group & National Clinical Lead for MDT Development National Cancer Action Team Part of the English National Cancer Programme

  2. Compliance of MDTs with national standards • Improvement has been observed for all tumour groups • Increases in median compliance scores • Reductions in variations between MDTs • One quarter (25%) of MDTs scored over 90% against the peer review measures • However, a small number of teams (around 5%) are performing poorly, with compliance score below 50%

  3. Compliance of cancer MDTs with national standards over time

  4. Benefits of MDTs • Better clinical decision-making • Improved clinical outcomes • Enhanced patient experience of care • Higher quality team member experience • Central to national policy priorities National Cancer Action Team Part of the English National Cancer Programme

  5. Key characteristics of effective MDT working: categories The team Infrastructure for meetings Meeting organisation and logistics Patient-centred clinical decision-making Team governance National Cancer Action Team Part of the English National Cancer Programme

  6. Effective cancer MDT working (1) • All relevant professions/disciplines represented with have clearly defined roles & responsibilities • Dedicated time in job plans to prepare for and attend MDMs • MDT room is appropriate in size and layout • Organisational support for MDT meetings & membership demonstrated by adequate funding/resources National Cancer Action Team Part of the English National Cancer Programme

  7. Effective cancer MDT working (2) • Data collected in real time & validated during the meeting • MDT assesses its own effectiveness /performance National Cancer Action Team Part of the English National Cancer Programme

  8. Effective cancer MDT working (3) • Good chair skilled in: meeting & time management, listening & communication; managing conflict; and, negotiating & facilitating • Locally agreed minimum dataset of information • Patient views/needs are presented by someone who has met the patient and these inform the decision-making process • Team has agreed what is acceptable team behaviour & etiquette National Cancer Action Team Part of the English National Cancer Programme

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