Barking, Havering and Redbridge University Hospitals NHS Trust

Specialist MDT: Barking, Havering and Redbridge University Hospitals NHS Trust

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Men diagnosed at this hospital trust can access the following services (updated 2019):

  • Diagnostic Facilities:
    • Multiparametric MRI
    • Transperineal biopsy under general anaesthetic
    • Choline PET
    • Isotope bone scan
  • Treatment Facilities:
    • Robot assisted laparoscopic prostatectomy
    • Laparoscopic prostatectomy
    • External beam radiotherapy
    • Intensity-modulated radiotherapy
    • Low-dose rate brachytherapy
    • High-dose rate brachytherapy
    • Stereotactic body radiation therapy (SBRT)
    • HIFU
    • Cryotherapy
    • Chemotherapy
    • Joint specialist MDT clinic
  • Support Service Facilities:
    • Prostate cancer clinical nurse specialist (PCa CNS)
    • Advanced PCa CNS
    • Urology CNS
    • Sexual function services
    • Specialist continence services
    • Psychological counselling

Data Quality

Diagnosing Trust Specialist MDT
No. of Cancer Registry records 603 603
Performance Status recorded 8% 8%
PSA completed 95% 95%
Gleason Score completed 73% 73%
TNM completed 86% 86%
Risk group assigned 82% 82%

Disease Presentation

Specialist MDT National
No. of men with disease status determined 564 49027
Percentage of men diagnosed with metastatic disease 7% 13%

Management

Specialist MDT National
No. of men diagnosed with locally advanced disease 184 19663
Percentage of men diagnosed with locally advanced disease receiving radical treatment 71% 71%
No. of men diagnosed with M1 (metastases) 40 6136
Percentage of men diagnosed with M1 (metastases) receiving docetaxel 31% 36%

Patient experience of care

Specialist MDT National
No. of men diagnosed 1st April 18 - 30th Sept 18 who had radical treatment (surgery or radiotherapy) and were sent a questionnaire 154 10750
Percentage of men who responded 67% 78%
No. of men who completed CNS question 98 8137
Percentage of men who were ‘given the name of a CNS’ 84% 87%
No. of men who rated their overall care on a scale of 1-10 93 7878
Percentage of men who rated their overall care as 8 or above 94% 91%

Outcome

Treatment Centre
No. of men who received radical radiotherapy (2017) 151
Adjusted percentage of men receiving a procedure of the large bowel and a diagnosis indicating radiation toxicity (GI complication) (%) 16%

Patient-reported outcomes

Treatment Centre
No. of men diagnosed 1st April 18 - 30th Sept 18 who received external beam radiotherapy and were sent a questionnaire 93
Percentage of men who responded 67%
No. of men who completed sufficient information for a validated EPIC-26 bowel function score to be determined 52
Adjusted EPIC-26 bowel function score (0=worst to 100=best) 82
No. of men who completed sufficient information for a validated EPIC-26 sexual function score to be determined 53
Adjusted EPIC-26 sexual function score (0=worst to 100=best) 14

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