Multi Disciplinary Team
This leaflet is for people who have been diagnosed with Lung Cancer.
There are many people involved in providing cancer health and social care. This group of people is called a multidisciplinary team (or MDT).
The Multidisciplinary Team is a group of health professionals who are experts in the diagnosis and treatment of lung cancer.
The purpose of the Multidisciplinary Team is to ensure that you are offered the most appropriate treatment for your cancer.
The Team meet on a weekly basis and discuss all the results from your investigations. This may include biopsy results, x-rays and scans of patients newly diagnosed with lung cancer. These results help the team to make a decision on your treatment plan.
The decision of the team will be discussed with you at your next appointment and you will be involved in the final decision regarding your treatment. Your GP will also be informed of this treatment plan.
This booklet tells you about the different roles people play in cancer services. We want to help you recognise whether you need help from the different people who can provide care. If you do think you need their help, we want you to understand how you can get it. Not everyone we mention in this booklet will be relevant to you.
About your Hospital Team
?Your hospital team can:
• Explain any treatment options you have including any side effects
• Give you time to decide about your treatment
• Talk with you if you are worried or unhappy with any
part of your treatment and care
• Provide written information about your cancer and
any support services that can help
You will be allocated a Key Worker. A Key Worker is a person who helps to co-ordinate your care and is someone you can contact to discuss your diagnosis/treatment plan further. Your Key Worker will be one of the health professionals listed below and may change throughout your treatment. If so, you will be informed of the name and contact details of your new Key Worker.
Your current Key Worker is:
Please do not hesitate to contact your Key Worker if there is any aspect of your care that you would like to discuss.
The Lung Cancer Multidisciplinary team is usually made up of the following members:
A chest physician is a doctor who has expertise in the management of lung cancer. They are usually the professional who will investigate your condition and discuss your diagnosis with you. They will discuss your case at the MDM.
An oncologist is a specialist doctor who treats cancer with radiotherapy (high energy x rays to kill cancer cells or keep them from dividing and growing) and may also prescribe chemotherapy, which is a treatment with drugs to kill or slow down the growth of cancer cells.
Lung Cancer Clinical Nurse Specialist
A clinical nurse specialist (CNS) is a nurse with advanced qualifications in caring for patients who have lung cancer and their carers. They can provide information, support and advice at all stages of your illness. In addition they can advise on the management of symptoms, co-ordinate care and refer you on to other services both in the hospital and community, if appropriate.
If you don’t have a CNS your hospital should still have someone that you can talk to.
A radiologist is a specialist doctor who is an expert in the use of x-rays, scans and ultrasound which will help in the diagnosis of lung cancer. They help to explain what these results mean.
A Pathologist is a specialist doctor who examines body tissues and organs under the microscope.
If you require surgery for the treatment of your lung cancer you will be referred to a surgeon. The surgeon will discuss treatment options with you and if necessary perform an operation to treat your lung cancer. Occasionally, the thoracic surgeon may undertake further investigations and surgical procedures to help in the diagnosis of you cancer.
Specialist Palliative Care
At any time you may meet people who work in palliative care. The palliative care team is there to help with any emotional
and spiritual needs you have and to help manage pain or other symptoms you may have. Palliative care is available to everyone affected by cancer and is especially important for those people whose cancer cannot be cured. The specialist palliative care team work closely with all those in involved in your care to ensure that your needs and your family’s needs are met.
Others who may be involved in your care include: Your GP
Your GP is in charge of your care in the community and can bring together others to help with any problems you may have. Your GP is available to discuss all aspects of your care.
District Nurses are experienced community nurses who work closely with your GP. The District Nurse will assess your nursing needs and help arrange other services if you need them. They will also educate and support patients and carers
You can refer yourself to a District Nurse or ask a health professional, family member or carer to do so. Speak to your GP off hospital nurse for contact details.
Social Workers aim to help the patient, their family and carers to cope by providing social care and support. By working closely with people with cancer, their families and carers, they aim to provide services to reflect your real needs and wishes and can make a real difference.
Their work includes:
Your hospital worker.
Assessing for practical care and support needs at home
Assessing for short or long term stays in residential or nursing care homes
Arranging advice about finance eg Benefits Helping parents with information and ways of responding to their children’s needs eg. explaining what is happening
Assessing needs and supporting carers especially young carers to make sure that their needs are considered
Giving you information about support services in your local area.
team, GP or district nurse can refer you to a social
Dietitians play an important role in managing dietary problems. These may have been caused by your illness or treatment. The dietitian will help you deal with any concerns you may have about your diet.
You can ask any of your healthcare team, including your GP or District Nurse about referring you for an assessment.
The role of the physiotherapy is vital to the successful rehabilitation and management of patient with cancer and palliative care needs.
Physiotherapists conduct ongoing assessments of the needs of patients and their carers in order to apply skilled interventions which are necessary for patients’ independence and quality of life.
The Occupational Therapist aims to help you increase your independence and quality of life. They look at he activities you do on a daily basis and find ways to help you continue with those which are important to you. You can ask any of your healthcare team about referring you for an assessment.
Illness can raise questions about life and how we make sense
of it. It can also challenge faith. Most hospitals, hospices and other healthcare institutions have Chaplains as part of the
caring team. Chaplains are there to help explore and meet your religious, spiritual and pastoral needs whether you have a faith
or not. Generally they can be contacted through ward staff or the main reception. The Chaplain can also contact other religious or cultural groups in the community to give you further support if you wish.
A Research Nurse is a specialist nurse who is involved with patients participating in clinical trials.
Clinical Psychologist and UCF Counsellor
The Clinical Psychologist and the UCF Counsellor work as
part of the cancer services team. They provide psychological
and emotional support to patients and relatives who have been affected by cancer. Referral to the psychologist can be discussed with a health care professional or you can self refer directly to the counselling service.
Cancer Information Staff
These are people who can give you and those who care for you information about cancer. The Macmillan Information Centre
is based at the Ulster Hospital and you can drop in or make an appointment to speak to the Information Manager. Remember that your health and social care team can give you information, especially your Clinical Nurse Specialist if you have one.
If you require any further treatments following diagnosis these may be carried out at other hospital sites.
Surgery for lung cancer will be carried out at the Royal Victoria Hospital.
Chemotherapy treatment will be carried out in the
Mac Dermott Unit at the Ulster Hospital. However, some types of chemotherapy need to be administered as an inpatient and if this is the case you will be admitted to the Cancer Centre at the Belfast City Hospital.
Radiotherapy treatment will be carried out at the Cancer Centre at the Belfast City Hospital.
The names and telephone numbers of the professionals currently involved with your care are listed below. This may change as you progress through your treatment. You may wish to add additional names to this list as required.
?For more information
If you require more information contact your Key Worker or you may wish to use the following links:
Northern Ireland Cancer Network
Macmillan Cancer Support
Macmillan Information and Support Centre
Ulster Hospital Tel: (028) 9055 3246 Belfast City Hospital: Tel: (028) 9064 2509
Ulster Cancer Foundation
Freephone: 0800 783 3339 E-mail: [email protected]
?This information can be made available on request in alternative formats and in other languages to meet the needs of those who are not fluent in English.
Cancer Services Department, South Eastern HSC Trust Developed: January 2010
Designed by Communications Department