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The multi-disciplinary team

What is the Multi-Disciplinary Team (MDT)?

The Multi-Disciplinary Team (MDT) is a group of members of staff with specialist training and experience diagnosing and managing cancer. The idea behind an MDT meeting is to make sure that all the right experts meet together to decide the best treatment for patients with cancer. It also helps streamline decisions and improve continuity of care, with everyone being informed of the overall picture and being included in decision-making.

Members of the cancer MDT

The membership of the MDT will depend upon the type of cancer. In oesophago-gastric cancer, our MDT has the following members:

  • Surgeons - specialists in surgical removal of cancer
  • Oncologists - specialists in cancer care who oversee treatment with chemotherapy and/or radiotherapy
  • Histopathologists - specialists in examining tissues and cells under a microscope
  • Radiologists - specialists in examining scans and x-rays
  • Palliative care - specialists in symptom management and quality of life when cancer cannot be cured
  • Cancer clinical specialist nurses (CNS) - keyworkers for individual patients
  • MDT co-ordinator - organises the meetings and maintains records

MDT meetings

The MDT usually meets every week to discuss individual patients, their test results and treatment plans. The MDT may discuss patients at several points in their cancer pathway, such as:

  • After having a biopsy
  • After having a test (e.g. a CT scan)
  • After completing a course of treatment
  • If new symptoms develop

MDT decisions

Once the MDT agrees the treatment plan, an appointment is made for you to discuss this plan. In some instances, the diagnosis can change after additional tests have been performed.

If you need to access a member of the MDT to discuss your treatment, or if you require further information about any aspect of your diagnosis or care, you should contact your Cancer Clinical Nurse Specialist.