The multidisciplinary team should meet to discuss newly diagnosed patients before definitive treatment and as soon as possible after the initial specialist consultation so that a treatment plan can be recommended and there can be early preparation for the post-treatment phase. Patients with localised/locally advanced prostate cancer who are considering curative treatment should consult with a urologist to discuss surgical treatment options and be referred to a radiation oncologist to discuss radiation therapy treatment options. Those with metastatic prostate cancer should also be referred to a medical oncologist. The level of discussion may vary, depending on the patient’s clinical and supportive care factors. In particular, all patients with Gleason 3+3 (ISUP GG 1) disease should be discussed at an MDM prior to surgery or radiation therapy.

Some patients with non-complex cancers may not be discussed by a multidisciplinary team; instead the team may have treatment plan protocols that will be applied if the patient’s case (cancer) meets the criteria. If patients are not discussed at an MDM, they should at least be named on the agenda for noting. The proposed treatment must be recorded in the patient’s medical record and should be recorded in an MDM database where one exists.

Teams may agree on standard treatment protocols for non-complex care, facilitating patient review (by exception) and associated data capture.

Results of all relevant tests and access to images should be available for the MDM. Information about the patient’s concerns, preferences and social and cultural circumstances should also be available.