What is multi-disciplinary working?

A Personalised Care and Support Plan (PCSP) will document whether a Multi-Disciplinary Team (MDT) will be required.

The MDT should include all professionals who are required to meet the needs of the individual from across the system, including partners from the social and voluntary sectors. The MDT’s role is to review the PCSP and then plan, coordinate and deliver a package of care and support.

How do you do it?

An MDT should be tailored to the individual’s requirements, and may include, but not be limited to:

  •   GPs
  •   Nurses
  •   Social care workers
  •   Relevant specialist clinicians
  •   Mental health team members
  •   Allied Health Professions (AHPs)
  •   Pharmacists
  •   Social prescribers
  •   Housing team members
  •   VCSE sector / volunteers

Regular MDT meetings are recommended in order to carry out continuous reviews.

Minimum MDT membership should be:

  •   Administrative support
  •   Designated chair
  •   Patient’s named care co-ordinator

The attendance for each meeting can be confirmed in advance, based on the cases to be discussed. This means that not all MDT members need to attend every meeting.


Useful tools

The following tools can help with Multi-Disciplinary Working:

Case studies