dr lesley smith, macmillan cancer support
TRANSCRIPT
Dr Wendy Makin, The Christie NHS Foundation Trust
Prof Alastair Munro, University of St Andrew’s
Dr Lesley Smith, Macmillan Cancer Support
“Failure to manage the consequences of treatment can have a significant impact on patients and on the NHS, so it makes sense to design and commission pathways and services that minimise consequences and address need.” National Cancer Survivorship Initiative, 2013
Breast CNS Colorectal CUP
Gynae H&N, Thyroid HBP Lung
Sarcoma Melanoma Urology UGI
Haematology
Total number 320,658
Total patients for discussion per year (excluding NMSC)
62396
59784
69984
90476
33044
clinical oncol. radiologists pathologists surgeons etc. medical oncol.
total attendances p.a. by specialty
120540
329508
410850
267282
40584
clinical oncol. radiologists pathologists surgeons etc. medical oncol.
total mdt-asociated hours p.a. by specialty
0 5 10 15
surgeons
radiologists
pathologists
medical oncologists
clinical oncologists
% capacity % capacity (travel included)
Virtual MDT (vMDT) – a definition
A virtual MDT meeting involves participants who may, or
may not, be part of a permanent team and who interact
with each other non-simultaneously using shared clinical
data. They may operate at a local or a national level and
their remit is not necessarily confined to tumours
presenting at a particular anatomical site.
vMDT Project: testing the
concept 2013-2014
Phase 1 Project: 2014 results
• 12 adult patients treated for childhood cancer • Ave. 4 specialties consulted per patient (range 1 - 8) • Expert contributors spent ave. 20 minutes per case • User survey: o 91% felt the vMDT offers a valuable service to patients o 82% could see it being useful in the future
• Figures suggest that if the vMDT saves 1 outpatient appointment per referral then it will pay for itself
“…A very interesting and useful way to offer an MDT
approach if one is not available locally.”
“…A vital initiative that has allowed my patients
access to expertise not normally available to
them.” “…A good way of getting
additional advice for these complex patients – sharing
expertise is generally a good idea and this is one forum in
which it can be done.”
Phase 2 Project: 2016-2018
• Co-designed with people affected by cancer • Software based on Wordpress, runs within N3 • Referrals welcomed from oncology professionals for
people with complex consequences following: • Pelvic cancer treatment • Bone marrow transplant • Childhood/young person cancer treatment
www.macmillan.org.uk/vmdt
Access expert, multi-disciplinary advice to help your patients with complex needs resulting from cancer and its treatment
Your healthcare professional will ask your permission to refer you to the vMDT
Your healthcare professional will print and provide you with this information leaflet
You must tick to say you agree to the referral to the vMDT. If you wish, you can also provide a personal statement
Your healthcare professional will make an online referral to the vMDT
In 2-4 weeks, your healthcare professional will receive the vMDT’s advice
Together you will talk about the advice from the vMDT and the next steps for your care
Aims • Better-informed decisions re patient management • Management of patients is speeded up by potentially bypassing
the need for them to see other professionals (save £) • Less patient travel to appointments • Patients’ needs are met more quickly and more holistically • Improved quality of life and improved symptoms • Better-informed professionals • Builds a network of experts in consequences of treatment • Better understanding of needs of patients, in order to inform
service commissioning, and professional education
Please consider joining our panel of 70+ experts in
consequences of treatment
www.macmillan.org.uk/vmdt [email protected]
Any questions?
www.macmillan.org.uk/vmdt