ATT. 2
North Wales Haematological Cancers Core Multi Disciplinary Team
Membership and Terms of Reference
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Purpose
The core MDT is responsible for the overall running of the North Wales haematological
cancers service. It aims to achieve the best possible outcomes for patients by ensuring
access to a uniformly high quality of care across North Wales . It does this by defining and
monitoring the operational policy by which all clinicians providing haematological cancer
services in North Wales should operate; this operational policy is based on best clinical
practice and national guidance. The MDT also works with hospitals and specialist
centres outside of the North Wales Cancer Network as appropriate.
The core MDT is also the main source of clinical advice to the North Wales Cancer Network
Management Board on all matters relating to haematology.
Membership
The membership of the core MDT includes representatives from each site providing
treatment as part of the North Wales Haematological Cancers MDT:
o Ysbyty Gwynedd, Bangor, part of North West Wales NHS Trust
o Ysbyty Glan Clwyd, Bodelwyddan, part of Conwy and Denbighshire NHS Trust
o Ysbyty Maelor, Wrexham, part of North East Wales NHS Trust
The membership includes representatives of all disciplines involved in the provision of
haematology services, and named deputies, in line with Improving Outcomes in
Haematological Cancers (NICE, 2003):
o Haematologists
o Pathologists
o Oncologists
o Radiologists
o Nurses
o Palliative care specialists
o Pharmacists
o Data co-ordinators
Other disciplines may be co-opted to join the group as appropriate.
In addition the Network Director, Project Lead and User advisor may be invited as required.
The Chair must ensure there is adequate representation from each site and each staff group
at the MDT meeting to ensure their full involvement.
3.
Chair and Deputy Chair
The Chair and Deputy Chair roles are each for a maximum of five years’ duration. The Chair
and Deputy Chair will be nominated by members of the MDT. If there are two or more people
nominated, there will be a vote to decide who is elected. The Chair and Deputy Chair will both
be agreed by the North Wales Cancer Network Board. The Chair and Deputy Chair will not be
from the same Trust.
4.
Administrative support
Administrative support will be provided.
5.
Frequency of meetings
Meetings will be held at least quarterly.
6.
Terms of reference
Service planning
 To act as the Network advisory group for haematological malignancies, advising on service
provision and making recommendations for service improvement/development/
reconfiguration
 To advise the Network on the implications of national policy issues as they arise
 To agree an operational policy for the delivery of haematological cancer services across
North Wales based on current national guidance and accepted best clinical practice. To
review and update this policy annually
 To agree referral and clinical guidelines for haematological malignancies. To review and
update these guidelines annually and audit their implementation
 To agree the optimum patient pathways for each disease type and audit implementation
Service improvement and redesign
 To ensure service improvement is embedded within each local team and initiate MDT wide
improvements as appropriate
 To ensure users are involved in the planning and redesign of services
Service quality monitoring
 To ensure clinical services are delivered in accordance with required national standards i.e.
JACIE, WAG cancer standards and NICE Improving Outcomes Guidance.
 To ensure that the MDT operational policy is implemented effectively on all three sites
 To ensure adequate facilities and staff exist on each site to allow full implementation of this
policy
 To ensure adequate processes are in place on each site to allow full multi-disciplinary
involvement in treatment decisions for individual patients. Where necessary to ensure
mechanisms are in place for the North Wales MDT to advise on complex individual cases
 To agree a minimum data set for haematological malignancies and ensure it is collected on
all three sites; to analyse performance and outcome data and take necessary actions
 To agree and implement an annual audit programme and review the results of these audits
 To ensure services meet national performance targets and quality standards
 To address any MDT wide clinical governance concerns raised by local clinical teams
Workforce development
 To identify core MDT members’ training needs
 To agree an annual educational programme
Research and development
 To agree a list of clinical trials, prepare submissions for new trials and ensure all eligible
patients are offered the opportunity of entering a clinical trial as appropriate
 To work with the Network Drugs and Therapeutics group to agree the implementation of new
drugs, preparing all necessary submissions
Annual work plan
 To agree an annual work plan for the MDT
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
Dr D Edwards
Dr J R C Seale
Dr C F Hoyle
Title
Location
Cover
Consultant Haematologist (lead)
Ysbyty Gwynedd
Internal crosscover
Consultant Haematologist
Ysbyty Gwynedd
Consultant Haematologist
Ysbyty Glan Clwyd
(deputy)
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 L DeSoysa
Locum Consultant Haematologist
Ysbyty Maelor
To be agreed
Middle grade
To be agreed
Dr A Nethersell
Consultant Clinical Oncologist
Ysbyty Glan Clwyd
No cover
Dr D J Widdowson
Consultant Radiologist
Ysbyty Glan Clwyd
Internal crosscover
Dr S Wenham
Consultant Radiologist
Ysbyty Gwynedd
Dr S Dojcinov
Consultant Pathologist
All Wales
Internal crossLymphoma Panel
cover
Dr R Attanoos
Consultant Pathologist
Linda Jones
Specialist Nurse in Haematology
Ysbyty Gwynedd
Internal crosscover
Steph Jackson
Haematology Nurse Practitioner
Ysbyty Glan Clwyd
Jayne Samuels
Clinical Nurse Specialist, Haem
Ysbyty Maelor
Dr C Usborne
Consultant in Palliative Care
Ysbyty Glan Clwyd
To be agreed
To be agreed
Pharmacist
To be agreed
Nicola Andrews
Data lead
Ysbyty Glan Clwyd
Graeme Mounsey* JACIE Project Manager
Ysbyty Gwynedd
Damian Heron*
Director
NWCN
Beryl Roberts*
Lead Nurse
NWCN
Caroline Williams*
Project lead
NWCN
Gillian Evans
User advisor
NWCN/PGLC
* where appropriate; Network officers’ role is to facilitate discussion, problem solve, monitor
performance and provide commissioning link