York Teaching Hospitals NHS Trust Lung cancer MDT Dr Alison Gill Consultant Respiratory Physician The Cancer Alliance is part of West Yorkshire and Harrogate Health and Care Partnership - www.canceralliance.wyhpartnership.co.uk Twitter: @WYHpartnership or @profseanduffy

Approach used Lung cancer ‘board round’ Twice weekly meeting with coordinator/CNS Brief review of all patients on diagnostic pathway Expedite/act on results where appropriate without waiting for formal MDT

Job planning Timing Which patients to discuss Actioning results Issues Job planning Timing Which patients to discuss Actioning results

Challenges Conflicting demands on time Ongoing queries/results between board rounds

Outcomes Expedited biopsies when PET reports came back after MDT Avoided delay in surgery by identifying delay since initial imaging Avoided unnecessary MDT discussions Cancelled OP appts when no longer needed Addressed clinical concerns from CNS team

Cancelled unneeded CT heads Identified scans to chase Ensured molecular testing requested FT appts expedited for patients referred to MDT by other specialties

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