Draft 5 – January 2007

3.3 ROLE OF THE CORE MDT

The core MDT meets regularly (as a minimum quarterly).

The role of the North Wales Haematological Cancers core MDT is to:

• 
  Agree an operational policy for the delivery of haematological cancer services across North Wales based on current national guidance and accepted best practice
  
• 
  Ensure the operational policy is implemented effectively on all three sites and reviewed and updated annually
  
• 
  Agree referral and clinical guidelines for haematological malignancies in North Wales
  
• 
  Agree optimum patient pathways for each disease type
  
• 
  Ensure service improvement is embedded in local teams and initiate MDT wide initiatives
  
• 
  Agree a minimum data set and analyse clinical data capture, performance and outcomes
  
• 
  Agree and implement an annual audit programme
  
• 
  Address any MDT wide governance or operational issues raised by the local clinical teams
  
• 
  Identify core MDT training needs and agree an ongoing educational programme
  
• 
  Agree a list of clinical trials and prepare any submissions for clinical trials
  
• 
  Prepare any submissions for new drugs
  
• 
  Agree an annual work plan
  
• 
  Act as the Network advisory group for haematological malignancies, advising on service provision and making recommendations for service development/reconfiguration
  

Full terms of reference are attached as Appendix 1.

3.4 CORE MDT LEAD CLINICIAN

The core MDT lead clinician has responsibility for the development and overall running of the North Wales Haematological Cancers MDT, in particular:

• 
  To agree the membership and role of the core MDT and ensure it meets at least quarterly
  
• 
  To ensure the core MDT agrees an operational policy and clinical guidelines for the optimum management of haematological cancer patients based on accepted best practice.
  
• 
  To ensure the operational policy is reviewed and updated annually
  
• 
  To ensure clinical guidelines and patient pathways are reviewed and updated regularly
  
• 
  To ensure that care is delivered on all three sites in line with the agreed operational policy and clinical guidelines
  
• 
  To ensure the MDT fulfils its full role as defined in its terms of reference
  
• 
  To agree an annual work plan for the core MDT
  
• 
  To attend both Trust and Network cancer meetings and provide expert advice on the tumour site as appropriate, including fulfilling the role as the designated Network Board member
  

The lead clinician’s duties are included in his/her job plan.

A full job description is attached as Appendix 2.

3.5 LOCAL CLINICAL TEAM MEMBERS

The local clinical teams comprise members of each core discipline required to provide treatment as part of the North Wales Haematological Cancers MDT. In addition each has extended members who offer advice to the team as required.

YSBYTY GWYNEDD

Name	Title	Telephone	Cover
Dr J Seale	Consultant Haematologist; lead clinician	01248 384370	Internal cross-cover
Dr D Edwards	Cons Haematologist; transplant lead	01248 384369
Dr H Korn	Locum Cons Haematologist (part-time)	01248 384384 x5227
Dr H Parry	Locum Cons Haematologist (part-time) NB Leaves March ‘07	01248 384369
Dr E Mitchell	Staff Grade Haematologist (part-time)	01248 384369
Dr S Griffiths	Staff Grade Haematologist (part-time)	01248 384369
Dr I Tahan	Staff Grade Haematologist	01248 384369
Dr T Caslin	Consultant Histopathologist	01248 394719	Internal cross-cover
Dr M Lord	Consultant Histopathologist	01248 394719
Dr S Andrew	Consultant Histopathologist	01248 394719
Dr T Nethersall	Consultant Clinical Oncologist, NWCTC	01745 445157	No cover
Dr R Williams	Associate Specialist, Oncology (haem)	01248 384150	No cover
Dr S Wenham	Consultant Radiologist	01248 384690	No cover
Linda Jones	Specialist Nurse in Haematology	01248 384384 x5171	Internal cross-cover
Manon Jones	Senior Nurse, Alaw Unit	01248 384945
Jackie Jones	Ward Sister, Alaw Ward	01248 384945
Laura Edge	Ward Sister, Alaw Day Unit	01248 384008
Elaine Wain	Deputy Sister, Alaw Day Unit	01248 384008
Dr A Fowell	Macmillan Consultant in Palliative Care	01248 384384 x5142	L Roberts
Tania Seale	Haematology Research Nurse	01248 384994	Internal cross-cover
Alice Thomas	Haematology Research Nurse	01248 384995
Mark Hankey	Data co-ordinator	01248 384384 x5191	Sec team
Plus the following extended team members:
Dr S Darcey	Consultant Microbiologist	01248 384367
M Hughes	Pharmacist	01248 384140

YSBYTY GLAN CLWYD

Name	Title	Telephone	Cover
Dr C Hoyle	Consultant Haematologist; lead clinician	01745 534881	Internal cross-cover
Dr M Goodrick	Consultant Haematologist	01745 536739
Dr E Heartin	Consultant Haematologist	01745 534377
Dr M Hassan	Staff Grade Haematologist	01745 534881
Dr M Atkinson	Consultant Histopathologist	01745 534064	Dr Giles
Dr T Nethersell	Consultant Clinical Oncologist	01745 445157	Dr Azam
Dr Widdowson	Consultant Radiologist	01745 534115	Internal cross-cover/SpR
Dr P Travis	Consultant Radiologist	01745 534516
Steph Jackson	Haematology Nurse Practitioner	01745 445272	Internal cross-cover
Gwyneth Davis	Clinical Trials Nurse	01745 445211
Nerys Wilkes	Sister, Enfys Ward	01745 445251
Dr C Usborne	Consultant in Palliative Care	01745 445909	Yvonne Rose
Sue Randles	MDT co-ordinator	01745 445170	Anne Hughes
Plus the following extended team members:
Dr D Edwards	Transplant Director, Ysbyty Gwynedd	01248 384369
Dr N Looker	Consultant Microbiologist	01745 534356
Dr P Manion	Consultant Microbiologist	01745 534708
Dr C Bell	Consultant Anaesthetist	01745 534650
H Flint	Clinical Lead Pharmacist, Haematology	01745 535242
C Wood	Radiotherapist	01745 445130
C Vickering	Dietician	01745 445239

YSBYTY MAELOR, WREXHAM

Name	Title	Telephone	Cover
Dr D Watson	Consultant Haematologist; lead clinician	01978 725100	Internal cross-cover
Dr J Duguid	Consultant Haematologist	01978 725866
Dr L DeSoysa	Associate Specialist, Haematology	01978 725081
Dr P Smith	Staff Grade, Haematology/Oncology	01978 727603
Dr R Williams	Consultant Histopathologist	01978 725610	Internal cross-cover
Dr A Burdge	Consultant Histopathologist	01978 725079
Dr K Pradeep	Consultant Histopathologist	01978 725611
Dr A Al-Samarraie	Consultant Clinical Oncologist, NWCTC	01745 445158	No cover
Dr M Elias	Consultant Radiologist	01978 727800	Internal cross-cover
Dr J Klafkowski	Consultant Radiologist	01978 725493
Jayne Samuels	Clinical Nurse Specialist, Haematology	01978 727130	Internal cross-cover/Wenna Hammond
Anne-Marie Humphreys	Sister, Shooting Star Day Unit	01978 727603
Sr T Vipond	Ward sister, Mason Ward	01978 725443
Dr M Makin	Consultant in Palliative Care	01978 290919	Macmillan CNS
Sandra Davies	MDT co-ordinator/patient tracker	01978 725199	Other cancer co-ordinator
Plus the following extended team members:
Dr E Liailopoulou	Transplant Director, Christie Hospital	0161 446 8488
Dr C Cefai	Consultant Microbiologist	01978 725861
A Ellis-Jones	Pharmacist	01978 725959

In addition the MDT has access as required to the following specialities on each site: dietetics, orthopaedic surgery, dermatology, gastroenterology, ENT, interventional radiology, renal medicine, social work, physiotherapy, occupational therapy, psychology and counselling.