Thank you for taking the time to complete this survey. We expect it to take no more than 10 minutes

We are interested in the role and value of multi-professional clinics (as distinct from multi-disciplinary team meetings).
We are seeking the opinions and experiences of all professionals involved in the management of patient with head and neck cancer across the UK - please distribute to other members of your MDT.
We would like to identify your professional group (question 9) but all responses will be anonymous.

* 2. Please consider the following clinical vignettes (5 in total) and select the appropriate professionals to see the patient.

62 year old man with a T1b SCC of the glottic larynx. Node negative. Ex-smoker. No co-morbidities.
MDT recommendation for radical radiotherapy

  Oncology consultant / registrar ENT consultant / registrar Clinical Nurse Specialist (CNS) Speech and Language Therapist (SALT) Anaesthetics consultant / registrar  Maxillofacial (MaxFax) consultant / registrar Specialist Radiographer Dietician Dentist/ Restorative dentist
This patient IS ROUTINELY SEEN by these professionals in the multi-disciplinary clinic at my hospital (please tick all that apply).
If you don't have a multi-disciplinary clinic at your hospital please leave this row blank & complete the row below
In an ideal world this patient SHOULD BE SEEN ROUTINELY by these professionals in a multi-disciplinary clinic (please tick all that apply)
In an ideal world this patient SHOULD BE SEEN ROUTINELY by these professionals but not within the multi-disciplinary clinic (i.e. on another day) (please tick all that apply)

* 3. 55 year old woman with a T2N1 base of tongue SCC (P16 positive) with no significant swallowing problems. 
MDT recommendation - for radical chemo-radiotherapy

  Oncology consultant / registrar ENT consultant / registrar Clinical Nurse Specialist (CNS) Speech and Language Therapist (SALT) Anaesthetics consultant / registrar  Maxillofacial (MaxFax) consultant / registrar Specialist radiographer Dietician Dentist/restorative dentist
This patient IS ROUTINELY SEEN by these professionals in the multi-disciplinary clinic at my hospital (please tick all that apply).
If you don't have a multi-disciplinary clinic at your hospital please leave this row blank & complete the row below
In an ideal world this patient SHOULD BE SEEN ROUTINELY by these professionals in a multi-disciplinary clinic (please tick all that apply)
In an ideal world this patient SHOULD BE SEEN ROUTINELY by these professionals but not within the multi-disciplinary clinic (i.e. on another day) (please tick all that apply)

* 4. 65 year old man with a T4N1 hypopharyngeal SCC. Smoker, history of hypertension &T2DM. 
MDT recommendation- surgery with free-flap reconstruction followed by radiotherapy.

  Oncology consultant / registrar ENT consultant / registrar Clinical Nurse Specialist (CNS) Speech and Language Therapist (SALT) Anaesthetics consultant / registrar  Maxillofacial (MaxFax) consultant / registrar Specialist radiographer Dietician Dentist/restorative dentist
This patient IS ROUTINELY SEEN by these professionals in the multi-disciplinary clinic at my hospital (please tick all that apply).
If you don't have a multi-disciplinary clinic at your hospital please leave this row blank & complete the rows below
In an ideal world this patient SHOULD BE SEEN ROUTINELY by these professionals in a multi-disciplinary clinic (please tick all that apply)
In an ideal world this patient SHOULD BE SEEN ROUTINELY by these professionals but not within the multi-disciplinary clinic (i.e. on another day) (please tick all that apply)

* 5. 74 year old man with a T2 SCC of right lateral tongue. 
MDT recommendation - for wedge excision

  Oncology Consultant/Registrar ENT Consultant/Registrar MaxFax Consultant/Registrar Clinical Nurse Specialist Speech and Language Therapist Anaesthetist Specialist radiographer Dietician Dentist/restorative dentist
This patient IS ROUTINELY SEEN by these professionals in the multi-disciplinary clinic at my hospital (please tick all that apply).
If you don't have a multi-disciplinary clinic at your hospital please leave this row blank & complete the rows below
In an ideal world this patient SHOULD BE SEEN ROUTINELY by these professionals in a multi-disciplinary clinic (please tick all that apply)
In an ideal world this patient SHOULD BE SEEN ROUTINELY by these professionals but not within the multi-disciplinary clinic (i.e. on another day) (please tick all that apply)

* 6. 69 year old man with T4N2M0 SCC of pharynx.
MDT recommendation for palliative radiotherapy or chemotherapy.

  Oncology Consultant/Registrar ENT Consultant/Registrar MaxFax Consultant/Registrar Clinical Nurse Specialist Speech and Language therapist Anaethetist Specialist Radiographer Dietician Dentist / restorative dentist
This patient IS ROUTINELY SEEN by these professionals in the multi-disciplinary clinic at my hospital (please tick all that apply).
If you don't have a multi-disciplinary clinic at your hospital please leave this row blank & complet
In an ideal world this patient SHOULD BE SEEN ROUTINELY by these professionals in a multi-disciplinary clinic (please tick all that apply)
In an ideal world this patient SHOULD BE SEEN ROUTINELY by these professionals but not within the multi-disciplinary clinic (i.e. on another day) (please tick all that apply)

* 7. In your experience what are the advantages or disadvantages of a multi-professional clinic for patients and families?

  Strongly disagree Disagree Neither agree nor disagree Agree Strongly agree
Ability to see Oncology & Surgery in 1 visit
Patients and families able to be presented with both options where there is a choice of treatment
Shortens patient pathway by allowing joint review
Allows AHP assessment and management in the same visit as medical review
Makes clinic visit too long due to waiting to see multiple people
Overwhelming for patient to receive so much information about treatment options in one visit
Overwhelming experience for patient due to shear number of people seen in one visit
Overwhelming to undergo AHP assessment in the same visit as oncology/surgical counselling about treatment

* 8. In your experience what are the advantages and disadvantages of multi-disciplinary clinics for health care professionals and the NHS?

  Not provided and not needed Not provided but would be valuble Provided and of some benefit Provided and valuble/important
Educational opportunity for yourself
Educational opportunity for other members of the MDT
Opportunity to train juniors
Improves the dynamics between the team as a whole due to time spent together
Protects you medico-legally as a professional
Opportunity to plan the specifics of the patient's management with the team (e.g. surgical approach or radiotherapy technique plans)
Efficient use of NHS resources
Shortens patient pathway to avoid breaches
Frustrating for professionals waiting for others to be available to see the patient together 

* 9. What is your professional role?

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