The Medical Team Stanley Silverman MD FRCS Consultant Vascular Surgeon Medical Director West Midlands Strategic Health Authority West Midlands Strategic.

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Presentation transcript:

The Medical Team Stanley Silverman MD FRCS Consultant Vascular Surgeon Medical Director West Midlands Strategic Health Authority West Midlands Strategic Health Authority

26/11/2015Stanley Silverman MD FRCS Consultant Senior Registrar Registrar Senior House Officer Pre registration House Officer Medical Students

26/11/2015Stanley Silverman MD FRCS

26/11/2015Stanley Silverman MD FRCS

26/11/2015Stanley Silverman MD FRCS Consultant Senior Registrar Registrar Senior House Officer Pre registration House Officer Medical Students

26/11/2015Stanley Silverman MD FRCS

26/11/2015Stanley Silverman MD FRCS

Junior doctors’ hours 26/11/2015Stanley Silverman MD FRCS

EWTR 26/11/2015Stanley Silverman MD FRCS

The cancer agenda Surgeons Surgeons Oncologists Oncologists Radiologists Radiologists Pathologists Pathologists Radiotherapist Radiotherapist Palliative care doctor Palliative care doctor Clinical nurse specialist Clinical nurse specialist Dietician Dietician Physiotherapist Physiotherapist Pain specialist Pain specialist Macmillan Nurse Macmillan Nurse 26/11/2015Stanley Silverman MD FRCS

Specialisation 26/11/2015Stanley Silverman MD FRCS

Vascular Surgery Surgeons Surgeons Interventional Radiologist Interventional Radiologist Cross sectional / US Radiologist Cross sectional / US Radiologist Clinical Nurse Specialist Clinical Nurse Specialist Stroke Physician Stroke Physician Cardiologist/ Anaesthetist/ Diabetologist Cardiologist/ Anaesthetist/ Diabetologist 26/11/2015Stanley Silverman MD FRCS

Working together 26/11/2015Stanley Silverman MD FRCS

Advantages of MDT approach Understanding how other professionals work Understanding how other professionals work Widening personal view and knowledge Widening personal view and knowledge Improved communication Improved communication Rapid decision making Rapid decision making Mutual support Mutual support Governance and safety Governance and safety 26/11/2015Stanley Silverman MD FRCS

Working in a team Facilitates 24/7 cover at Consultant level Facilitates 24/7 cover at Consultant level Improved patient access Improved patient access Develop protocols Develop protocols Peer support Peer support Reduces risks of lone and maverick workers Reduces risks of lone and maverick workers 26/11/2015Stanley Silverman MD FRCS

Working with colleagues 26/11/2015Stanley Silverman MD FRCS 41 Most doctors work in teams with colleagues from other professions. Working in teams does not change your personal accountability for your professional conduct and the care you provide. When working in a team, you should act as a positive role model and try to motivate and inspire your colleagues. You must: (a) respect the skills and contributions of your colleagues (b) communicate effectively with colleagues within and outside the team (c) make sure that your patients and colleagues understand your role and responsibilities in the team, and who is responsible for each aspect of patient care (d) participate in regular reviews and audit of the standards and performance of the team, taking steps to remedy any deficiencies (e) support colleagues who have problems with performance, conduct or health.

What’s required? Shared understanding Shared understanding Broad agreement Broad agreement Mutual respect Mutual respect Give and take Give and take Good communication Good communication Variety of skills Variety of skills 26/11/2015Stanley Silverman MD FRCS

Plurality 26/11/2015Stanley Silverman MD FRCS

Circumstances vary 26/11/2015Stanley Silverman MD FRCS

What it’s not 26/11/2015Stanley Silverman MD FRCS

Other drivers Reduction in trainees Reduction in trainees Specialisation Specialisation Greater scrutiny Greater scrutiny Reducing variability in practice Reducing variability in practice 26/11/2015Stanley Silverman MD FRCS

Who benefits? The patients The patients The team members The team members The healthcare organisation The healthcare organisation The commissioners of healthcare The commissioners of healthcare 26/11/2015Stanley Silverman MD FRCS

Who loses? The lawyers The lawyers 26/11/2015Stanley Silverman MD FRCS

26/11/2015Stanley Silverman MD FRCS