1 / 8

Jaspal Phull

Jaspal Phull. Somerset, Wiltshire, Avon and Gloucestershire (SWAG) Cancer Service. Cancer Research UK goal - reach 75% people surviving their cancer for 10y or more by 2034 MDT considered the gold standard since introduced in 1995 MDT may not have adapted to cope with increased demand

juliusz
Download Presentation

Jaspal Phull

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Jaspal Phull Somerset, Wiltshire, Avon and Gloucestershire (SWAG) Cancer Service

  2. Cancer Research UK goal - reach 75% people surviving their cancer for 10y or more by 2034 • MDT considered the gold standard since introduced in 1995 • MDT may not have adapted to cope with increased demand • CRUK motivated to streamline MDTs to support the increased demand • Mean length of MDT discussion per case is 3.2 minutes, meetings can last up to 5 hours • Surveys reported some patients could be discussed outside the full MDT Somerset, Wiltshire, Avon and Gloucestershire (SWAG) Cancer Service Somerset, Wiltshire, Avon and Gloucestershire (SWAG) Cancer Service

  3. Recommendation 1 • Triage patients to follow protocols outside the full MDT • NICE and SIGN guidelines • CA or SCN should develop their own protocol based on central recommendations • Regular review Somerset, Wiltshire, Avon and Gloucestershire (SWAG) Cancer Service

  4. Recommendation 2 • MDTs for protocolised approach tumour types could have a pre-MDT triage meeting • Implementing and auditing these should be within the MDT framework in an operational meeting Somerset, Wiltshire, Avon and Gloucestershire (SWAG) Cancer Service

  5. Recommendation 3 • National requirements for individual minimum attendance should be reviewed and amended where necessary • Emphasis on requiring all specialties are present at the MDT meeting • NHSE should run a series of pilots to assess the optimal % attendance • National guidance changed based on these pilots Somerset, Wiltshire, Avon and Gloucestershire (SWAG) Cancer Service

  6. Recommendation 4 • UK health services should develop national proforma templates • MDTs should require all incoming cases and referrals to have a completed proforma with all information ready before discussion • The MDT should have the power to bypass this requirement in exceptional circumstances Somerset, Wiltshire, Avon and Gloucestershire (SWAG) Cancer Service

  7. Recommendation 5 • MDTs should use a database or proforma to enable documentation of recommendation in real time • Otherwise a named clinician to review all outcomes • Hospital Trusts should ensure that MDTs are given sufficient resource to do this Somerset, Wiltshire, Avon and Gloucestershire (SWAG) Cancer Service

  8. Recommendation 6 • Each MDT should ensure that they have mortality and morbidity process to ensure all adverse outcomes can be discussed • These discussions by the whole MDT to support learning • Recommended this takes place quarterly or biannually in an operational meeting • Time for this should be within job plans • Oversight from national MDT oversight programmes Somerset, Wiltshire, Avon and Gloucestershire (SWAG) Cancer Service

More Related