Macmillan virtual multi-disciplinary team (vMDT)

625,000 people experience long-term consequences following their cancer treatment. Some of these are complex in nature and may benefit from expert advice from a range of specialities. We have produced the Macmillan virtual multi-disciplinary team (vMDT) platform to facilitate this.

The vMDT is a secure online forum providing healthcare professionals quick and easy access to multi-specialist advice for their patients complex or severe chronic symptoms following cancer treatment. The aim is to improve the outcomes and quality of life for people experiencing these issues.

Healthcare professionals who refer their patients to the vMDT will receive a response within two weeks, helping shared decision making regarding future care.

Healthcare professionals can select which advice to follow and maintain responsibility for their patient throughout. Referrals to the vMDT will be accepted from UK wide oncology teams. The vMDT is a two-year project supported by The Christie.

Referral criteria

We will accept referrals from UK-wide oncology teams for patients experiencing complex or severe chronic symptoms following cancer treatment:

  • People treated for cancer in childhood through to young adulthood
  • People who have undergone a bone marrow transplant
  • People who have been treated for pelvic cancers by any treatment modality

We will also accept referrals from healthcare professionals seeking a second opinion or support for complex patients they have already treated if the referral criteria is met. 

Please note that the vMDT is not suitable for people experiencing emergency problems or who need a quick response.


Background of the vMDT

By 2020, almost half of the population will get cancer at some point in their lives, but the proportion of people who survive will also continue to rise. This means that even more people will be living with the long-term effects of cancer and its treatment.

In 2013, a pilot of a virtual multi-disciplinary team (vMDT) was conducted with the University of Dundee to facilitate online MDT meetings for patients experiencing late effects following a diagnosis of cancer in childhood.

The conclusion from this was that the vMDT provided the opportunity for patients to receive personally tailored multi-disciplinary advice, regardless of the services and expertise available in their local area. This could be used to reduce geographical inequalities, while helping to ensure that the most appropriate, effective care is recommended for each and every patient.