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Restarting the MDT in Virtual Clinics
Since 2015, Rheumatology patients in our trust have had access to same day review by specialist physiotherapists within MDT clinics. The MDT clinic was initially lost during the Covid pandemic as clinics changed to virtual format and each clinician sent out a separate appointment to the patient.
This involved the necessity for the rheumatology patient to be referred to the physiotherapy department, which in turn led to an increased administrative burden on the service. It also disrupted the patient journey as they were required to schedule a second virtual appointment for another day.
As of June we plan to start running MDT telephone / video clinics where the patients can be transferred over to the rheumatology specialist physiotherapist for virtual review within the same session as seeing another member of the MDT. Patients will complete an anonymous feedback questionnaire about their MDT appointment.
What is needed to sustain the change?
Although this has so far only looked at parts of the MDT, if successful then investment is required to ensure physical infrastructure (IT / telecoms) are in place to allow clinics to run smoothly for all clinicians from team.
Data to support the use of the virtual clinics being as effective as face to face reviews for patients using them (although we are aware that not all patients can be assessed treated remotely).
Access to good quality electronic patient information. Early use of telephone clinics highlighted patients requesting information sent to them electronically and sometimes preferred in video format.
What is your region?
North West
Hi Gary
Thanks for sharing this
We're giving some thought to whether we can have joint OT and physio virtual appointments for newly diagnosed IA patients where appropriate
What resources do you use for patients for advice about exercises, our physios send out exercise sheets and guidance using PhysioTools
Lizzy MacPhie
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Hi Gary
I am really interested to know what platform you are using to do this and the practicalities of perhaps not having a clinician available at that given moment that their expertise is required.
Do patients sit in a virtual waiting room in this instance or do you reschedule? Do you run to such a schedule that you can avoid overlap?
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Status labels added: Choice, Referral Pathway Redesign, Technology (Software/ Apps), Video Consulting, Virtual Consulting, Virtual MDT, Horizon 1
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Status labels added: Collaboration, Effective Team Working, Home Working / Remote Working, Investment In Technology, Patient Selection, Telephone Consulting, Horizon 2
Status label removed: Horizon 1
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The idea has been progressed to the next milestone.
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Status label added: Triage
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Status labels removed: Choice, Collaboration, Effective Team Working, Home Working / Remote Working, Investment In Technology, Patient Selection, Referral Pathway Redesign, Technology (Software/ Apps), Telephone Consulting, Triage, Video Consulting, Virtual Consulting, Virtual MDT
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