Core procedures
C4Daily Brief & Complex MDT
- Owner
- Clinical team. Admin maintains the tab and records outcomes.
- Trigger
- A case reaches an expiry point, an investigation has been chased more than 6 times, a patient has DNA'd twice, or any clinician raises a case for discussion.
Uses
Referenced by
Purpose
The escalation gateway. Every decision that carries clinical risk - issuing a warning, stopping medication, discharging an engaged patient - passes through here before it happens.
Schedule
| Meeting | When |
|---|---|
| Daily Brief | 4pm - Monday, Wednesday, Thursday, Friday |
| Complex MDT (consultant) | 4pm - Tuesday |
Procedure
- Anyone needing discussion is added to the MDT tab, with the reason documented.
- Cases are taken at the next scheduled meeting - Daily Brief for routine escalations, Complex MDT for complex cases.
- The meeting records the outcome against the dropdown, and whether the decision is final or the case needs further discussion.
- The clinician responsible for the patient communicates the outcome to the patient. Admin does not do this.
- Where the outcome is an action for admin (send a letter, stop a script, book something), it moves to the admin task list (25). Where it is clinical, it moves to the clinical task list (24).
- Admin records that the patient has been informed, and closes the case on the tab.
Fields recorded
Date added to sheet · NHS number · name · who is bringing the case · case type (general / complex) · documented reason · case open? · chasing something? · brought to complex MDT? · outcome (dropdown) · patient informed of outcome · decision final or needs further discussion · notes
Notes
- Patient communication is always the clinician's responsibility. Admin only sends the letter and copies the reason from the clinician's notes.
- No 8-week warning and no medication discontinuation may be issued without passing through this meeting first.