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RESULTS OF UPPER GI
MDT QUESTIONNAIRE
Bill Allum
National Clinical Lead for Upper GI
Cancer Services Collaborative
'Improvement Partnership'
CSIP AIMS
• > 50% Patients discussed at MDT
• Weekly meetings
• Relationship between Unit and Centre
• Peer Review Standards
RESPONSES
• Big thank you to all those
Networks who completed
questionnaires
• 20 Networks responded
• 18 Networks completed
the questionnaire
17 Networks have a Centre MDT
Frequency of meetings
16
14
12
10
8
6
4
2
0
14
3
1
Weekly
Fortnightly
Currently planned
RESULTS
• 14 MDT centres cover oesophago-gastric
and pancreatic cancers
• 11 MDT centres have designated
administrative support
• 17 Cancer units have a diagnostic MDT
Diagnostic MDT
Frequency of meetings
16
14
12
10
8
6
4
2
0
14
4
Weekly
Fortnightly
% of Unit cancer patients
discussed at MDM
4
4
4
3
All
>75%
>50%
<50%
RESULTS
Patients referred from Unit to Centre
• 11% referred using a proforma
• 44% referred via the telephone
• 55% presented at MDM
• 38% referred via other methods including
letters, faxes and electronic instructions
RESULTS
Treatment Decisions
• 14 Networks record treatment decisions in
patients notes from which:
• 30% - Doctors relayed treatment decisions to
patients
• 23% - Treatment decisions given at next clinic
• 46% - CNS advises patients
• With 30% of Networks use a combination of the
above three