Calderdale and Huddersfield NHS Foundation Trust Lung MDT Pilot Dr. Rehan Naseer The Cancer Alliance is part of West Yorkshire and Harrogate Health and Care Partnership - www.canceralliance.wyhpartnership.co.uk Twitter: @WYHpartnership or @profseanduffy

Current Practice Daily triage of referrals. Discussion of cases in MDT where possible before clinic review for diagnostic plan Tracking of all patients by PPC team Patients listed for discussion in MDT after each diagnostic test or combination of tests

Approach Traffic light system Combined with Mini- MDT

Mini - MDT Main MDT on Tuesdays Three times – a week meeting Mon, Wed, Friday – going through every patient on a pathway

Traffic Light System Arbitrary targets Day 14 – Should have had CT, Discussed in MDT – for diagnostic plan, seen in clinic and appropriate tests requested. Day 31 – discussed in treatment MDT FOR Referral onwards or Planned MDT discussion by Day 38 for treatment plan

Challenges Finding time in Consultant Job plan – cross cover for leave etc Ensure e-mails responded to within 24 hours Radiology PET Scan

Outcomes

Number of 38 / 62 day breaches 13 v’s 6 - 38 Day 10 v’s 10 – 62 Day Pre mini MDT / TLS Post mini- MDT / TLS 38/7 Mean 46 36 38/7 Median 39 62/7 Mean 56 53 62/7 Median 57 Number of 38 / 62 day breaches 13 v’s 6 - 38 Day 10 v’s 10 – 62 Day

Summary Significant improvement in 38 day target MDT – more streamlined Minimal Improvement in 62 day target ? Need to increase tertiary centre capacity.

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