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Leeds Teaching Hospitals Trust
Karen Henry, Rob Turner and Cath Miller The Cancer Alliance is part of West Yorkshire and Harrogate Health and Care Partnership -
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Approach used Initially looked at Colorectal MDT
Recognition of limited value to patients High amount of wasted time with patients coming back to MDT, when potentially decisions could be made out the meeting Effects all MDTs Volume of patients attending MDT increasing year on year Started looking at Prostate MDT as part of a bigger piece of work Used Leeds Improvement Methodology and MODE tool (Imperial London) to observe MDT and document findings.
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Prostate MDT 30 cases listed for discussion 27 Leeds Harrogate
Time spent on each patient Range 40 seconds – 4.48 minutes Median 1.29 Mean This is similar to CRUK findings where over half of MDT discussions observed were less than 2 minutes long
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Number of Cases Professional Groups contributed to
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Majority of information was patient history and radiology
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Challenges Colorectal MDT - Identifying a report which could pull out the patients who had radiology and histopathology reports back Issue of radiology reporting the scans for the meeting the day before or day of the meeting – not working in flow therefore no opportunity to review cases on a daily basis Lead Nurse and Lead Clinician trying to do as part of their wider role with not enough dedicated time Needing to tackle issues with how reporting happens and gain buy in across radiology and histopathology at a senior level as well as the members of the individual MDT’s.
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Solutions Dedicated project manager appointed to lead the High Quality Modern Services work stream – MDT Protocolisation major project for this work stream Request made and accepted for MDT Protocolisation to become the next Value Stream for the Leeds Improvement Methodology work via the Kaizen Promotion Office (KPO) Dedicated Executive lead for the work appointed with support from the KPO team to drive the project forward
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Outcomes A number of teams have become very engaged with wanting to look at protocolisation for their individual MDT’s Prostate developing a case discussion policy and to shadow report this against actual MDT outcomes Pancreas MDT have already done a huge piece of work looking at how MDT currently functions Work commencing in April with the KPO team to look at Breast, Prostate and Pancreas MDT’s with ambition to role out further during the course of the project (minimum 2 year support from KPO team)
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