Buckinghamshire Healthcare NHS Trust

Specialist MDT: Oxford University Hospitals NHS Foundation 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 local anaesthetic
    • Transperineal biopsy under general anaesthetic
    • Whole body MRI
    • Isotope bone scan
  • Treatment Facilities:
    • Laparoscopic prostatectomy
    • Chemotherapy
  • Support Service Facilities:
    • Prostate cancer clinical nurse specialist (PCa CNS)
    • Urology CNS
    • Oncology CNS
    • Sexual function services
    • Specialist continence services
    • Psychological counselling

Data Quality

Diagnosing Trust Specialist MDT
No. of Cancer Registry records 360 1288
Performance Status recorded 51% 35%
PSA completed 89% 44%
Gleason Score completed 90% 92%
TNM completed 81% 84%
Risk group assigned 94% 94%

Disease Presentation

Specialist MDT National
No. of men with disease status determined 1234 49027
Percentage of men diagnosed with metastatic disease 12% 13%

Management

Specialist MDT National
No. of men diagnosed with low-risk localised disease 92 3055
Percentage of men with low-risk localised disease receiving radical treatment 0% 5%
No. of men diagnosed with locally advanced disease 482 19663
Percentage of men diagnosed with locally advanced disease receiving radical treatment 59% 71%
No. of men diagnosed with M1 (metastases) 151 6136
Percentage of men diagnosed with M1 (metastases) receiving docetaxel 38% 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 272 10750
Percentage of men who responded 81% 78%
No. of men who completed CNS question 217 8137
Percentage of men who were ‘given the name of a CNS’ 81% 87%
No. of men who rated their overall care on a scale of 1-10 204 7878
Percentage of men who rated their overall care as 8 or above 91% 91%

Outcome

Treatment Centre
No. of men who received radical prostatectomy (2018-2019) 85
Adjusted percentage of men who had an emergency readmission within 90 days of radical prostatectomy (%) 10%
No. of men who received radical prostatectomy (2017) 42
Adjusted percentage of men experiencing at least one GU complication requiring a procedural/surgical intervention (%) 9%

Patient-reported outcomes

Treatment Centre
No. of men diagnosed 1st April 18 - 30th Sept 18 who received radical prostatectomy and were sent a questionnaire 32
Percentage of men who responded 91%
No. of men who completed sufficient information for a validated EPIC-26 urinary incontinence score to be determined 28
Adjusted EPIC-26 urinary incontinence score (0=worst to 100=best) 69
No. of men who completed sufficient information for a validated EPIC-26 sexual function score to be determined 28
Adjusted EPIC-26 sexual function score (0=worst to 100=best) 19

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