Wessex neuro-oncology multi-disciplinary team

The doctors looking after you may refer your case to the Wessex neuro-oncology multi-disciplinary team (MDT) for an opinion on the best way of investigating and treating your condition. The following information explains why this is necessary and what happens next.

What is a neuro-oncology multi-disciplinary team?

A group of professionals with expert knowledge in the investigation and treatment of patients who may have a brain tumour. Not every patient referred to this team has got a tumour; this might be one of several possibilites.

There are many members of the team and these include:

  • neuroradiologists (to look at scans)
  • neurosurgeons (to carry out surgery)
  • neuro-oncologists (to give radiotherapy and chemotherapy)
  • neuropathologists (to look at biopsies)
  • neurologists (to manage epilepsy, vascular and inflammatory conditions)
  • specialist nurses (to help look after patients)

Who is in the Wessex neuro-oncology MDT?

There are many members of the group, they include the following:

  • Mr Paul Grundy, consultant neurosurgeon, MDT lead clinician
  • Mr Jonathan Duffill, consultant neurosurgeon
  • Dr Geoff Sharpe and Mr Omar AlSalihi, consultant neuro-oncologists, Southampton
  • Dr Danny Dubois, consultant neuro-oncologist, Portsmouth
  • Dr Joe Davis and Dr Darcy Goode, consultant neuro-oncologists, Poole
  • Dr Harriet Joy and Dr Adam Ditchfield, consultant neuroradiologists
  • Prof James Nicoll and Dr Ingrid Mazanti, consultant neuropathologists
  • Janet Day and Stephanie Crawford, clinical nurse specialists
  • Debbie Adams, MDT coordinator

When is the neuro-oncology MDT meeting?

Members meet every Tuesday between 9.30 amd 11.30am. They discuss the management of every new patient who is diagnosed with a suspected brain tumour and review patients who have already had treatment. The recommendations of the MDT will be sent back to your local doctor by fax within 48 hours of the meeting - provided all the relevant documentation and scans are available for review in the meeting.

Why do we have to wait for this meeting?

Brain tumours are rare and the management is complex and specialised. In order for your case to be managed in the best possible way there is a need for it to be discussed (before any treatment) by this group of experts. It's now a national recommendation of NICE (the National Institute for Health and Clinical Excellence) that all patients are discussed in this meeting and are treated by dedicated specialists. This provides you with the best care.

What will happen from now?

Your local doctor may have already discussed your case with a member of the neurosurgery team and will probably have already started medical treatment. You may have had a CT scan of the head and you will usually need an MRI scan of the brain and sometimes CT scans of the rest of your body. This is to allow us to make the best decision about your treatment.

If you are well enough you will probably be discharged home and will be contacted with the outcome of the MDT meeting either by your local doctor or by the MDT. The next steps will then be explained – you may need more tests either at your local hospital or at the Wessex Neurological Centre and you may be seen in a clinic by a specialist or be admitted or transferred here for further care.

I have some more questions – who should I ask?

Your local doctor and your GP should be able to answer all of your questions initially. They will receive written advice from the MDT by the first Thursday after the meeting. Please discuss any problems with them in the first instance - the MDT coordinator will not be able to provide you with any more information until after this time.