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Multidisciplinary care

Your care team

Serious illness is handled by a team, and most people only ever meet two or three of them. Knowing who does what is the difference between waiting six months and asking the right person on Tuesday.

Doctor / consultant

Diagnosis, treatment plan, prognosis, referrals.

Ask them about: The aim of treatment, options, what to expect, and referral to anyone below.

Specialist nurse

Day-to-day guidance, symptom management, coordination.

Ask them about: Symptoms, side effects, what is urgent, and who to call out of hours.

Psychologist / counsellor

Assessment and talking therapy for patients, caregivers and families.

Ask them about: Anxiety, low mood, adjustment, trauma, fear of dying, family conflict.

Registered dietitian

Individualised nutrition assessment, therapeutic diets and supplements.

Ask them about: Weight change, appetite loss, swallowing, renal or diabetic diets, tube feeding.

Social worker

Benefits, housing, care packages, safeguarding, family support.

Ask them about: Money, care at home, respite, and entitlements you may not know exist.

Physiotherapist

Mobility, strength, breathlessness, falls prevention.

Ask them about: Safe exercise, fatigue pacing, equipment, getting up after a fall.

Occupational therapist

Daily function, home adaptation, energy conservation.

Ask them about: Aids, bathroom and stair safety, returning to work, pacing routines.

Speech and language therapist

Communication and swallowing.

Ask them about: Aphasia, voice, coughing while eating, texture-modified diets.

Pharmacist

Medication review, interactions, timing, side effects.

Ask them about: Simplifying regimens, what to take with food, and supplement interactions.

Palliative care specialist

Symptom control and quality of life at any stage of serious illness.

Ask them about: Pain, breathlessness, nausea, fatigue, advance care planning.

Chaplain / spiritual care

Meaning, faith, doubt, ritual — for people of any faith or none.

Ask them about: Existential distress, ceremonies, and someone to sit with the unanswerable.

Getting more from appointments

  • Write your three most important questions down before you go — anxiety erases them in the room.
  • Take someone with you. A second pair of ears remembers what you will not.
  • Ask them to write down the plan, or ask permission to record the conversation.
  • Ask 'what is the aim of this treatment?' — cure, control or comfort. The answer shapes everything else.
  • Ask 'what should make us call you, and on which number?'
  • Say plainly if you have not understood. Clinicians routinely overestimate how clear they were.
  • Ask about referral to psychology, dietetics, social work or palliative care — none of these require you to be at the end of anything.

The one-page summary

Worth an hour of anyone's time

Keep one page at the front of a folder, or as a photo on your phone: diagnoses, current medicines and doses, allergies, key contacts, and the out-of-hours number. In every emergency and every new department, it saves hours — and in a crisis it is often the caregiver's single most useful possession.

Afya Companion offers education and self-help support. It does not diagnose, treat or replace care from your doctor, nurse, psychologist or dietitian. If something in your health changes, speak to your care team.

Afya CompanionYou are not alone in your care journey. Education and self-help support; not a substitute for professional medical care.