City Hospitals Sunderland NHS Foundation Trust

Specialist MDT: City Hospitals Sunderland NHS Foundation Trust

NB On 1 April 2019, City Hospitals Sunderland merged with South Tyneside to form South Tyneside and Sunderland NHS Foundation Trust

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Men diagnosed at this hospital trust can access the following services:

  • Diagnostic Facilities:
    • Multiparametric MRI
    • Transperineal biopsy under local anaesthetic
    • Choline PET
    • Isotope bone scan
  • Treatment Facilities:
    • Radical prostatectomy
    • Robot assisted laparoscopic prostatectomy
    • Laparoscopic prostatectomy
    • External beam radiotherapy
    • Intensity-modulated radiotherapy
    • Low-dose rate brachytherapy
    • Stereotactic body radiation therapy (SBRT)
    • Cryotherapy
    • Joint specialist MDT clinic
  • 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 366 380
Performance Status recorded 51% 50%
PSA completed 81% 80%
Gleason Score completed 70% 68%
TNM completed 60% 59%
Multiparametric MRI performed 70% 70%
At least 1 treatment modality recorded 99% 98%

Disease Presentation

Specialist MDT National
No. of men with disease status determined 355 39534
Percentage of men diagnosed with metastatic disease 23% 16%

Management

Specialist MDT National
No. of men diagnosed with low-risk localised disease 33 2948
Percentage of men with low-risk localised disease receiving radical treatment 0% 4%
No. of men diagnosed with locally advanced disease 127 15404
Percentage of men diagnosed with locally advanced disease receiving radical treatment 41% 67%

Patient experience of care

Specialist MDT National
No. of men diagnosed April 15 - Sept 16 who were candidates, or who had radical treatment (surgery or radiotherapy) and were sent a questionnaire 296 35162
Percentage of men who responded 68% 73%
No. of men who completed ‘diagnosis information’ question 196 25248
Percentage of men who were given the ‘right amount’ of information about their condition and treatment 89% 90%
No. of men who completed ‘treatment involvement’ question 195 25041
Percentage of men who were ‘involved as much as they were to be’ in decisions about their treatment and care 63% 73%
No. of men who completed CNS question 197 24569
Percentage of men who were ‘given the name of a CNS’ 93% 83%
No. of men who rated their overall care on a scale of 1-10 182 23809
Percentage of men who rated their overall care as 8 or above 85% 89%

Outcome

Treatment Centre
No. of men who received radical prostatectomy (2016-2017) 85
Adjusted percentage of men who had an emergency readmission within 90 days of radical prostatectomy (%) 18%
No. of men who received radical prostatectomy (2015) 62
Adjusted percentage of men experiencing at least one GU complication (%) 14%

Patient-reported outcomes

Treatment Centre
No. of men diagnosed April 15 - Sept 16 who received radical prostatectomy and were sent a questionnaire 99
Percentage of men who responded 79%
No. of men who completed sufficient information for a validated EPIC-26 urinary incontinence score to be determined 72
Adjusted EPIC-26 urinary incontinence score 68
No. of men who completed sufficient information for a validated EPIC-26 sexual function score to be determined 76
Adjusted EPIC-26 sexual function score 21

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