Brighton and Sussex University Hospitals NHS Trust

Specialist MDT: Brighton and Sussex 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:
    • External beam radiotherapy
    • Intensity-modulated radiotherapy
    • High-dose rate brachytherapy
    • HIFU
    • Chemotherapy
  • Support Service Facilities:
    • Prostate cancer clinical nurse specialist (PCa CNS)
    • Urology CNS
    • Sexual function services
    • Specialist continence services
    • Psychological counselling

Data Quality

Diagnosing Trust Specialist MDT
No. of Cancer Registry records 384 930
Performance Status recorded 4% 4%
PSA completed 64% 54%
Gleason Score completed 69% 79%
TNM completed 65% 78%
Risk group assigned 72% 85%

Disease Presentation

Specialist MDT National
No. of men with disease status determined 802 49027
Percentage of men diagnosed with metastatic disease 13% 13%

Management

Specialist MDT National
No. of men diagnosed with low-risk localised disease 16 3055
Percentage of men with low-risk localised disease receiving radical treatment 0% 5%
No. of men diagnosed with locally advanced disease 357 19663
Percentage of men diagnosed with locally advanced disease receiving radical treatment 58% 71%
No. of men diagnosed with M1 (metastases) 107 6136
Percentage of men diagnosed with M1 (metastases) receiving docetaxel 32% 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 149 10750
Percentage of men who responded 79% 78%
No. of men who completed CNS question 118 8137
Percentage of men who were ‘given the name of a CNS’ 86% 87%
No. of men who rated their overall care on a scale of 1-10 111 7878
Percentage of men who rated their overall care as 8 or above 95% 91%

Outcome

Treatment Centre
No. of men who received radical radiotherapy (2017) 282
Adjusted percentage of men receiving a procedure of the large bowel and a diagnosis indicating radiation toxicity (GI complication) (%) 6%

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 196
Percentage of men who responded 79%
No. of men who completed sufficient information for a validated EPIC-26 bowel function score to be determined 140
Adjusted EPIC-26 bowel function score (0=worst to 100=best) 87
No. of men who completed sufficient information for a validated EPIC-26 sexual function score to be determined 147
Adjusted EPIC-26 sexual function score (0=worst to 100=best) 19

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