2. What are MDTs and why are they
important to integration?
Multidisciplinary teams (MDTs) are the mechanism for organising and coordinating
health and care services to meet the needs of individuals with complex care needs.
The teams bring together the expertise and skills of different professionals to assess,
plan and manage care jointly. Based in the community, and networked with primary
care, MDTs are expected to work proactively to support individuals’ care goals.
Through accessing a range of health, social care and other community services, MDTs
focus on keeping people well and independent, delivering the right care at home or in
the community to prevent unnecessary hospital care.
3. How do MDTs support integration?
MDTs consist of practitioners and professionals from health, care and
allied disciplines and sectors that work together to provide holistic,
person-centred and coordinated care and support.
The composition of MDTs varies depending on delivery models and
settings but it may include: GPs, specialist doctors, nurses,
physiotherapists, occupational therapists, pharmacists, social workers
and, increasingly, representatives of the housing and voluntary sectors.
MDTs also often include link workers or care navigators, who can support
social prescribing by connecting individuals with local groups and
community support services
4. Improve the quality of a patient's care
Advantages of multidisciplinary teams
This kind of team includes professionals with a range
of experience and knowledge. Because each member
receives training in a different specialty
A multidisciplinary team can improve the quality of a
patient's care, whether the patient is at an in-patient or
outpatient facility.
5. Increase employee satisfaction
Advantages of multidisciplinary teams
A multidisciplinary team can benefit individual
employees. Working within a unit like this encourages
a sense of community and interaction among a
facility's physicians, nurses, nutritionists and other
professionals.
Enhance patient outcomes
Multidisciplinary teams can also improve a patient's outcome.
As a unit, a multidisciplinary team can take a more holistic
approach to a patient's health w.
6. joint assessments and care planning,
informed by service users’ own goals
and decisions
better communication and
information-sharing across the team
and with the service user
greater involvement of the service
user, or their carers, in decisions
about care
a single point of access through a key
worker or named coordinator
Led by a nominated care coordinator or lead, MDTs can
ensure significant benefits for service users:
7. Research evidence indicates that integrated care, and
MDTs in particular, are especially suitable for people with
complex needs and long term-conditions, who benefit
most from a holistic provision of care.
MDTs and inter-professional collaboration is a flexible and
adaptable approach, shown to be effective for a whole
range of populations, including older people, children and
people with mental health problems.
Which service users will benefit from an
MDT’s care coordination?
8. trusting relationships within the team
a shared vision of integrated care and clear goals
For MDTs to succeed with care coordination and management, a
number of enablers and contextual factors need to be in place. The
evidence indicates that these include:
What support and conditions do MDTs need
to fulfil their role?
strong system and team leadership, accompanied by
consistent working practices and protocols
9. good access to shared resources across partner organisations
a broad range of community-based services from which to
provide proactive care management
opportunities for informal communication and reflective team
learning
dedicated case managers taking responsibility for individual
service users
shared access to the care records of service users
10. What is the evidence for outcomes
and impact?
better treatment planning and compliance
more services provided at home or close to home
The evidence suggests that MDT approaches are
associated with improved outcomes for people who use
services, including:
11. reduction in service utilisation (hospital admission, A&E
attendance, readmission and length of stay)
greater self-management and better preventative care to stay
well
improved service user experience
people’s engagement and activation through social prescribing
and shared decision-making