The pituitary MDT (Multi-Disciplinary Team) at University Hospitals of North Midlands has been in place for several years, originally set up by Professor Richard Clayton, Mr Vere Carlin and the Late Mr Jagmohan Singh. It provides multi-disciplinary care for pituitary patients across Staffordshire and Shropshire.
Our centre has been at the forefront of adapting state of the art surgical techniques, having been one of the pioneering centres for endoscopic trans-nasal hypophysectomy. We use advanced imaging and digital navigation techniques to enhance the procedure further.
The UHNM MDT has recently developed direct links with the long-established University Hospitals of Birmingham pituitary MDT and pathology departments. We have also joined the Pituitary Foundation, thus ensuring that patients are provided with all the appropriate support throughout their journey from diagnosis to treatment.
The addition of two endocrine nurses to the team has improved the core membership and will provide direct access for patients who have a concern or question about their condition or the treatment.
The referrals from UHNM specialities, GPs or outside UHNM's area are received by neurosurgery, ENT surgery or Endocrinology. All referrals are passed on to the pituitary MDT co-ordinator, who with help from the pituitary endocrinologist will prepare the patient details for discussion at the next available MDT meeting. Patients may be contacted for pituitary blood tests, visual field tests and further scans before the case details can be discussed at the MDT meeting.
Well-established monthly Pituitary MDT Meeting
The MRI scans, visual field results and pituitary bloods are reviewed at the meeting and a joint decision is taken after considering all clinically relevant information in each individual case. Those who need surgery are brought to the joint clinic attended by the endocrinologists and pituitary surgeons.