dr lesley smith, macmillan cancer support

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 consequences@macmillan.org.uk

Any questions?

www.macmillan.org.uk/vmdt

consequences@macmillan.org.uk