Draft 5 – January 2007

2.1 RESOURCES AVAILABLE AT EACH SITE

YSBYTY GWYNEDD

Inpatient facilities	Alaw Ward - an 18 bedded haematology, oncology and palliative care ward; 8 single rooms, of which 6 are ensuite
Day care facilities	Alaw Day Unit - a dedicated haematology/oncology day case and outpatient unit; 5 beds and 5 chairs for day case treatments
Support services	All laboratories on site; on-site CT, MRI, bronchoscopy, ITU and HDU
Medical staff	4 consultant haematologists (inc. 2 part-time); 1 full-time and 2 part-time Staff Grades; 1 Associate Specialist in Oncology for stem cell work
Nursing staff	1 specialist nurse in haematology; chemotherapy and haematology trained nurses on Alaw Unit (inc. venous access)
Pharmacy	On-site pharmacy using open laminar flow system; Trust developing business case for on site aseptic unit. Lead pharmacist for oncology

YSBYTY GLAN CLWYD

Inpatient facilities	Enfys Ward - a 20 bedded haematology and oncology ward within the North Wales Cancer Treatment Centre (NWCTC); 8 single rooms with ensuite including 3 with HEPA filtration for stem cell re-infusion.
Day care facilities	Heulwen Day Care Unit – a dedicated haematology/oncology treatment unit within the NWCTC; 16 chairs/beds for day case treatments
Support services	All laboratories on site; on-site CT, MRI, bronchoscopy, ITU and HDU
Medical staff	4 consultant haematologists (of whom 3 are full-time haemato-oncologists); 1 Staff Grade and 1 ST1
Nursing staff	1 haematology nurse practitioner; chemotherapy and haematology trained nurses on Enfys and Heulwen (inc venous access)
Pharmacy	On-site aseptic unit; dedicated pharmacist for haematology

YSBYTY MAELOR

Inpatient facilities	Access to 6 inpatient beds on Mason Ward (medical ward) with scope for more if required; 5 single rooms inc. 2 en-suite
Day care facilities	Shooting Star Unit - a purpose built, dedicated haematology/oncology day case and outpatient unit; 5 beds and 6 chairs for day treatments
Support services	All laboratories on site; on-site CT, MRI, bronchoscopy and ITU
Medical staff	2 consultant haematologists; 1 Associate Specialist and 0.5wte Staff Grade
Nursing staff	1 haematology clinical nurse specialist; chemotherapy and haematology trained nurses on Mason Ward and the Shooting Star unit (inc. venous access)
Pharmacy	On-site aseptic unit; dedicated pharmacist for haematology

3.0 MDT STRUCTURE AND IMPLEMENTATION

The North Wales Haematological Cancers MDT recognises that a multi-disciplinary approach is essential to the management of haematological cancer patients.

MDT working ensures the provision of high quality care through the sharing of knowledge and expertise. Both policy development and individual patient treatment planning decisions are improved through review, discussion and agreement by experienced clinicians from a range of specialties.

3.1 NORTH WALES MDT MODEL

The North Wales Haematological Cancers MDT has adopted a model whereby the service is overseen by a core North Wales MDT with care delivered to patients on three different sites; this ensures access to a high quality local service for the entire North Wales population.

The North Wales MDT membership therefore reflects two levels of involvement:

1. 
   Core MDT members – these members are responsible for the overall running of the North Wales haematological cancers service by defining its operational policy
   

2. 
   Local clinical team members – these members are the local arm of the North Wales MDT and are responsible for local service delivery in line with the overarching MDT operational policy
   

3.2 CORE MDT MEMBERS

The core MDT is representative of each core discipline and each site providing treatment as part of the North Wales Haematological Cancers MDT. Additional members of the clinical teams may be invited to attend core team meetings as required.

Name	Title	Location
Dr D Edwards	Consultant Haematologist and lead clinician	Ysbyty Gwynedd
Dr J R C Seale	Consultant Haematologist	Ysbyty Gwynedd
Dr C F Hoyle	Consultant Haematologist	Ysbyty Glan Clwyd
Dr M J Goodrick	Consultant Haematologist	Ysbyty Glan Clwyd
Dr E Heartin	Consultant Haematologist	Ysbyty Glan Clwyd
Dr D Watson	Consultant Haematologist	Ysbyty Maelor
Dr J Duguid	Consultant Haematologist	Ysbyty Maelor
To be agreed	Pathologist (local/Lymphoma Panel rep)
Dr A Nethersell	Consultant Clinical Oncologist	Ysbyty Glan Clwyd
Dr D J Widdowson	Consultant Radiologist	Ysbyty Glan Clwyd
Linda Jones	Specialist Nurse in Haematology	Ysbyty Gwynedd
Steph Jackson	Haematology Nurse Practitioner	Ysbyty Glan Clwyd
Jayne Samuels	Clinical Nurse Specialist, Haematology	Ysbyty Maelor
To be agreed	Ward sisters
To be agreed	Palliative care specialist
Nicola Andrews	Data lead	Ysbyty Glan Clwyd
Damian Heron*	Director	NWCN
Caroline Williams*	Project lead	NWCN
Gillian Evans*	User advisor	NWCN

* where appropriate