Audit of a Streamlined Multidisciplinary Team Meeting (MDT) to Results Clinic Pathway in Urology: Evaluating the Impact of a Nurse-Led Intervention on Consultant Clinic Waiting Times

This two-cycle audit included data from January to May 2023 and 2024 (Cycle 1, pre-intervention baseline), and prospective data from January to May 2025 (Cycle 2, post-intervention). Average waiting times across five consultant clinics were calculated on a monthly basis. A weekly eight-slot nurse-led results clinic was opened in October 2024, enabling select patients to be booked directly from MDT to have prompt discussions, shared decision-making, and timely initiation of treatment plans. Results: The mean wait time for consultant-led clinics dropped from 34.1 days (SD 7.89) in 2023 and 2024 to 16.0 days (SD 3.16) in 2025; a 53.1% reduction. The difference was statistically significant: Welch's t-test, t(12.75) = 6.31, p = 0.00003; paired t-test by month, t(4) = -7.64, p = 0.0016. The effect size was large (Cohen's d = -2.66). Conclusion: This nurse-led intervention significantly reduced waiting times for consultant-led clinics, as well as having the direct benefit of reviewing eight patients a week directly from MDT in less than a week. The model is sustainable and scalable, with implications for wider service redesign across outpatient specialties.