Betsi Cadwaladr University Health Board

Specialist MDT: Betsi Cadwaladr University Health Board

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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
    • Isotope bone scan
  • Treatment Facilities:
    • Laparoscopic prostatectomy
    • External beam radiotherapy
    • Intensity-modulated radiotherapy
    • Chemotherapy
  • Support Service Facilities:
    • Prostate cancer clinical nurse specialist (PCa CNS)
    • Sexual function services
    • Specialist continence services
    • Psychological counselling

Data Quality

Diagnosing Trust Specialist MDT
No. of Cancer Registry records 735 735
Performance Status recorded 100% 100%
PSA completed 93% 93%
Gleason Score completed 93% 93%
TNM completed 75% 75%
Risk group assigned 95% 95%

Disease Presentation

Specialist MDT National
No. of men with disease status determined 711 49027
Percentage of men diagnosed with metastatic disease 10% 13%

Management

Specialist MDT National
No. of men diagnosed with low-risk localised disease 51 3055
Percentage of men with low-risk localised disease receiving radical treatment 17% 5%
No. of men diagnosed with locally advanced disease 271 19663
Percentage of men diagnosed with locally advanced disease receiving radical treatment 74% 71%

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 51 10750
Percentage of men who responded 80% 78%
No. of men who completed CNS question 41 8137
Percentage of men who were ‘given the name of a CNS’ 83% 87%
No. of men who rated their overall care on a scale of 1-10 39 7878
Percentage of men who rated their overall care as 8 or above 95% 91%

Outcome

Treatment Centre
No. of men who received radical prostatectomy (2018-2019) 22
Adjusted percentage of men who had an emergency readmission within 90 days of radical prostatectomy (%) 0%
No. of men who received radical prostatectomy (2017) 26
Adjusted percentage of men experiencing at least one GU complication requiring a procedural/surgical intervention (%) 8%
No. of men who received radical radiotherapy (2017) 170
Adjusted percentage of men receiving a procedure of the large bowel and a diagnosis indicating radiation toxicity (GI complication) (%) 9%

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 28
Percentage of men who responded 82%
No. of men who completed sufficient information for a validated EPIC-26 bowel function score to be determined 18
Adjusted EPIC-26 bowel function score (0=worst to 100=best) 88
No. of men who completed sufficient information for a validated EPIC-26 sexual function score to be determined 20
Adjusted EPIC-26 sexual function score (0=worst to 100=best) 15

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