Core – Multidisciplinary Team Meetings (MDT)

This section was redesigned in v9 to accommodate the new Guidance for Streamlining Multi-Disciplinary Team meetings (MDTM) that includes bringing some patients onto pre-defined Standards of Care (SOCs).

Local SOCs must be introduced with the support of the full MDT.

All patients must be listed at the full MDTM. No patient should be removed from oversight of the MDTM or responsibility of the MDTM.

Implementation of the streamlining guidance is optional. Where streamlining is introduced, patients will be stratified to the MDTM, to either:

• patient on a SOC (no discussion)
• patient requires discussion for any given reason

Find out more about the Streamlining Multi-Disciplinary Team Meetings on the NHS England website. Questions relating to the guidance document can be directed to [email protected].

For locally agreed Standards of Care MDTM, contact your relevant Cancer Alliance - details can be found on the NHS England website.

Record all MDTM’s, where the patient was discussed. A new MDT section should be added if a patient was discussed at another Trust, therefore multiple MDTs can be submitted depending on the patient pathway.

There is now a choice at the start to indicate if a patient was not discussed at the MDTM or this was unknown (choice 1), or if the patient was discussed (including minuting) for ‘patients on predefined standard of care reviewed outside MDTM’ (choice 2).

May be multiple occurrences per record (0..*)

'Multidisciplinary Team Meetings' choice - Choice 1..1

'Multidisciplinary Team Meetings' - Choice 1

End of 'Multidisciplinary Team Meetings' - Choice 1

'Multidisciplinary Team Meetings' - Choice 2

Start of section - 'Multidisciplinary Team Meetings' detail

End of section - 'Multidisciplinary Team Meetings' detail

End of 'Multidisciplinary Team Meetings' - Choice 2

End of 'Multidisciplinary Team Meetings' choice

Note:

• the following data items form a 2-choice menu and one of the following choices must be provided per CORE - MDT submission (1..1)

Choice 1: Multidisciplinary Team Meeting Discussion

This is a mandatory data item, which identifies if the patient was not discussed at the MDT or if the discussion status was not known at that point.

Choice 2: Multidisciplinary Team Meeting Discussion Type

This is a mandatory data item, which identifies what MDT the patient was discussed at or if the Patient was on a ‘predefined Standard of Care reviewed outside MDTM’. This is a new initiative from NHS England to help reduce the number of patients being discussed at an MDT.

Multidisciplinary Team Meeting Date

This is a mandatory data item. Record the date of each Multidisciplinary Team meeting where the patient was discussed. This will include but will not be limited to the date when a treatment planning decision was made which is covered specifically under Multidisciplinary Team Discussion Date in the Cancer Care Plan Section.

Note:

• if a patient is on a ‘Predefined Standard of Care reviewed outside MDTM’, use the date of discussion where this was minuted

Organisation Site Identifier of Multidisciplinary Team Meeting

This is a mandatory data item. The ‘Organisation Identifier’ of the organisation site where the multidisciplinary team meeting took place. (For joint MDT meetings which cover more than one hospital record a new MDT record for each discussion).

Notes:

• this item is important to assign patients to the appropriate MDT at different points in the pathway
• it should be set up in the reference data for the MDT and can then be automatically included for each MDT meeting where the patient is discussed

Multidisciplinary Team Meeting Type

This is a mandatory data item. Record the type of MDT meeting at which the patient was discussed. Please provide the most detailed level of information that is possible.

Notes:

• the codes at the high level (shown in bold, 2 trailing zeros) are Tumour groups and the items below each high-level code are
• organisations should only use the high-level code if the multidisciplinary team type is not adequately listed
• if this high-level code is used, please make sure that the ‘Multidisciplinary Meeting Type Comment’ field below is also completed

Note:

• 0102 Metastatic Breast MDT, 1305 - Stereotactic Radiotherapy (SRT) only (all sites) and 1306 Adrenal MDT are new MDTs added in v10

Multidisciplinary Meeting Type Comment

This data item provides additional information on the MDT Meeting type, if not covered in the list provided.