Multi-Disciplinary Consultation (National Tariff Payment System)

A Multi-Disciplinary Consultation (National Tariff Payment System)  is a CARE CONTACT.

A Multi-Disciplinary Consultation (National Tariff Payment System)  is an attendance where two or more CONSULTANTS representing different MAIN SPECIALTIES  see a PATIENT together, in the same attendance, at the same time. Additional CARE PROFESSIONALS  may also be involved in the  Multi-Disciplinary Consultation (National Tariff Payment System). Where a PATIENT is seen by two or more CONSULTANTS  representing the same  MAIN SPECIALTY, this should be recorded as a Multi-Professional Consultation (National Tariff Payment System).

It does not apply where a PATIENT sees single CARE PROFESSIONALS sequentially as part of the same Out-Patient Clinic, or  CLINIC OR FACILITY.

A Multi-Disciplinary Consultation (National Tariff Payment System)  should be recorded when a PATIENT benefits in terms of care and convenience from accessing the expertise of two or more CARE PROFESSIONALS at the same time. The CARE PROFESSIONALS  present must include at least two CONSULTANTS representing different MAIN SPECIALTIES. It does not apply if one CARE PROFESSIONAL is supporting another, either clinically or otherwise, for example in the taking of notes, acting as a chaperone, training, professional update purposes, operating equipment and passing instruments, etc.

The clinical input of Multi-Disciplinary Consultations (National Tariff Payment System) must be evidenced in the relevant clinical notes and/or other relevant documentation.

A Multi-Disciplinary Consultation (National Tariff Payment System) does not apply to multi-disciplinary meetings, where CARE PROFESSIONALS  meet in the absence of the PATIENT.

For the purposes of the National Tariff Payment System, a Multi-Disciplinary Consultation (National Tariff Payment System)  is reported in the Out-Patient Commissioning Data Set:

• as one Out-Patient Appointment  attended with one CARE PROFESSIONAL  recognised as the lead CARE PROFESSIONAL  for the Multi-Disciplinary Consultation (National Tariff Payment System), and

• using the OPCS-4  code X62.3 Assessment by Multidisciplinary team NEC