MDT Opportunities and Challenges Dr A Shoka
Introduction • Changing culture • Meeting targets • Holistic approach of care
The Principle • Quality of care • Autonomy; key word
Doctors Chambers An urban myth in UK and is only restricted to few private locations.
Development • Clinical governance • Corporate responsibility • Carter and Black, BMJ 2003
Advantages of MDT • Patients feel more confident and secure • Continuity of care • Better communication • Sharing of knowledge and information • Better allocation of resources • Support and partnership
Challenges facing MDT • Power struggle, undermining role of consultants • No time for bonding and team building • Defining boundaries • Accepting others points of view • Growing sense of frustration
Key Issues of success • Leadership • Strong team approach • Drive to grow and develop
New Way of Working (NWW) • Positive corporate culture • Authority and operational autonomy • People • Skills
Assets • Knowledge • Skills • Attitude
NWW • NIMHE, 1st & 3rd November 05 • Definition • Not about saving money • Not about undermining consultant’s role • Better integration • More flexibility
The Future • More outcome research • Long way to go, the story is far from over • Sub-specialities MDT services?