1. 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 -

2. 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.

3. 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

4. Number of Cases Professional Groups contributed to

5. Majority of information was patient history and radiology

6. 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.

7. 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

8. 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)

9. Any questions?