Your medical team (MDT) is made up of different professionals, sometimes from more than one hospital. MDT members each have specialist knowledge in different areas to offer you the best care and to work towards optimal outcomes.
The team meets to discuss and plan your treatment. To do this, they take into account your individual needs, general health and preferences. Their decisions are also informed by national treatment guidelines.
You have a key worker within your MDT, who is your main point of contact for any questions or concerns.
Watch John Radford (Consultant Medical Oncologist), Bridget Wilkins (Consultant Haematopathologist), Jennifer Woods (Occupational Therapist) and Anya Aspinall (Advanced Nurse Practitioner) talk about what a MDT is, who is involved and what their role is.
Your key worker is someone within your medical team that you can contact with any questions or concerns. They are there to help you live well with and beyond lymphoma. You should have a Holistic Needs Assessment (HNA) to help with any practical, physical, social or emotional needs you might have. Macmillan Cancer Support has more information about the HNA.
Usually, your key worker is your lymphoma or haematology clinical nurse specialist (CNS).
You should be given the full name and contact details of your key worker. If you have not been given this information, you can ask your haematology doctor for it.
In this section, we outline professionals that are likely to be involved in your treatment and care. These are often called core members of the MDT.
There are also some professionals who’ll only be involved in your care from time to time, as and when they’re needed. These are sometimes called extended members of the MDT.
Some professionals are known as allied health professionals (AHPs). They work in different specialities to doctors and nurses but are still involved in various ways with supporting your physical, social and emotional wellbeing.
Core members of the MDT
Clinical nurse specialist or specialist nurse in lymphoma (CNS) specialises in looking after people with lymphoma. They can help you understand more about lymphoma and its treatment. Your specialist nurse (sometimes called a clinical nurse specialist or CNS) is usually also your key worker.
Pharmacists help make sure that your treatment is safe and suitable for you. This includes about your dose of treatment. They also consider any other medication you are taking and how this might affect or be affected by your lymphoma treatment.
Other (extended) members of the MDT
Depending on your needs, your MDT might also include some or all of the following professionals:
Dietitian can offer advice on what to eat and drink, particularly if you have difficulties with eating, for example, as a side effect of treatment.
Occupational therapist (OT) helps with supporting you to continue to engage with your day-to-day activities. This might include giving you information and advice about how to manage cancer-related fatigue. They could also suggest changes that could help you at home, such as arranging stair-rails or equipment to help you have a bath or shower.
Palliative care specialist aims to improve your quality of life in relation to a range of aspects, whether these are physical, psychological, social or spiritual needs. A key part of palliative care is in helping to control symptoms such as pain and sickness (nausea).
Physiotherapist works with you to improve physical problems and manage pain. They use techniques such as exercises to help you build up your strength and range of movement. They might also assess you to help you stay safe and independent at home if you experience treatment-related mobility problems.
Research nurse/clinical research practitioner can talk to you about clinical trials. If you decide to take part in one, they are involved in checking your health and progress. You can also ask them any questions about clinical trials that you might have.
Your emotional wellbeing
Living with lymphoma can have a huge impact on your mental and emotional wellbeing. There are professionals who can support this area of your health.
Social worker can help with aspects of day-to-day life, like giving you information about how to find out if you are eligible for financial support. They can offer support if there are complex issues regarding housing, discharge from hospital to a nursing home, safeguarding concerns and mental wellbeing challenges.
Support worker helps with practical and emotional aspects of living with lymphoma. These might include with concerns about the effect of treatment side-effects on your life, as well as things like transport for medical appointments. Support workers are in contact with your key worker to help support you. They might refer you to benefit advisors for financial support or complementary therapies, as well as signposting to services that can help with cleaning your home. A support worker might also help you to re-gain a sense of ‘normality’ and routine, particularly once you finish treatment.
Children and young people aged 16 to 24 have a teenage and young adult multidisciplinary team (TYA MDT). This team consists of the:
- core members of the MDT
- any relevant extended members
- health and social care professionals who specialise in treating young people with cancer – they can advise the core and extended members of the MDT about the specific needs of children and young people.
Professionals who work with children and young people
Children and young people’s social worker helps address emotional, social and practical needs, for example financial, educational and employment issues.
Play specialist supports young people with building social connections and helps to manage issues relating to education and employment
Young person’s community worker supports the wellbeing of a young person with cancer in their community. They help with building social connections and helping to manage issues relating to education and employment.
Youth support worker can arrange fun and relaxing activities on the hospital ward. They might also organise trips out, away from the hospital environment. This role is sometimes called something else, such as a ‘youth support coordinator’.
Frequently asked questions about medical teams that manage lymphoma
In this section, we address some of the questions you might have about medical teams. Talk to a member of your medical team for information specific to your situation.
How do MDTs decide what treatment to recommend for me?
Members of your medical team recommend your treatment based on a number of factors, including the type and stage of your lymphoma. They follow national guidelines that set out best practice. They also consider your individual needs and preferences, as well as your overall health.
Will I meet the members of my medical team?
You’ll see some members of your MDT regularly, but there are others you won’t meet, for example, those who work in a laboratory.
Can I go to an MDT meeting?
It’s not appropriate for you to attend an MDT meeting. The discussions are of a highly medical nature. They are also confidential, as members of the team will also talk about their other patients. If you have any questions or concerns, however, speak to your clinical nurse specialist or other key worker – for example, if you want to ask them to take something specific into consideration.
What are the benefits of MDTs?
Having different health professionals taking care of you means that you benefit from expertise of people from different specialities. Their aim is to ensure the highest possible quality of care and treatment of people affected by lymphoma.
Who leads the MDT?