15.1 Mechanical circulatory support programme organization An LT-MCS programme requires organization, planning and appropriate personnel to constitute a core MCS team [25, 37, 71, 137, 284, 354–362]. Mid- and long-term success for outpatients on LT-MCS therapy depends on a multidisciplinary approach. Such success is achieved by combining the expertise of MCS coordinators, advanced HF cardiologists, cardiovascular surgeons and other health care providers.