Colchester Hospital University NHS Foundation Trust

Specialist MDT: Southend University Hospital NHS Foundation Trust

NB Ipswich Hospital NHS Trust and Colchester Hospital University NHS Foundation Trust have merged to form East Suffolk and North Essex 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
    • Laparoscopic prostatectomy
    • External beam radiotherapy (EBRT)
    • Intensity-modulated radiotherapy
    • Low-dose rate brachytherapy
    • High-dose rate brachytherapy
    • Joint specialist MDT clinic
  • Support Service Facilities:
    • Prostate cancer-specific CNSs
    • Sexual function services
    • Specialist continence services
    • Psychological counselling

Data Quality

Diagnosing Trust Specialist MDT
No. of Cancer Registry records 364 1265
Performance Status recorded 4% 18%
PSA completed 51% 61%
Gleason Score completed 81% 83%
TNM completed 53% 66%
Multiparametric MRI performed 11% 36%
At least 1 treatment modality recorded 95% 96%

Disease Presentation

Specialist MDT National
No. of men with disease status determined 1114 39534
Percentage of men diagnosed with metastatic disease 14% 16%

Management

Specialist MDT National
No. of men diagnosed with low-risk localised disease 99 2948
Percentage of men with low-risk localised disease receiving radical treatment 15% 4%
No. of men diagnosed with locally advanced disease 393 15404
Percentage of men diagnosed with locally advanced disease receiving radical treatment 62% 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 955 35162
Percentage of men who responded 75% 73%
No. of men who completed ‘diagnosis information’ question 709 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 704 25041
Percentage of men who were ‘involved as much as they were to be’ in decisions about their treatment and care 74% 73%
No. of men who completed CNS question 691 24569
Percentage of men who were ‘given the name of a CNS’ 89% 83%
No. of men who rated their overall care on a scale of 1-10 668 23809
Percentage of men who rated their overall care as 8 or above 89% 89%

Outcome

Treatment Centre
No. of men who received radical prostatectomy (2016-2017) 105
Adjusted percentage of men who had an emergency readmission within 90 days of radical prostatectomy (%) 18%
No. of men who received radical prostatectomy (2015) 78
Adjusted percentage of men experiencing at least one GU complication (%) 16%
No. of men who received radical radiotherapy (2015) 173
Adjusted percentage of men experiencing at least one GI complication (%)

Patient-reported outcomes

Treatment Centre
No. of men diagnosed April 15 - Sept 16 who received radical prostatectomy and were sent a questionnaire 107
Percentage of men who responded 80%
No. of men who completed sufficient information for a validated EPIC-26 urinary incontinence score to be determined 85
Adjusted EPIC-26 urinary incontinence score 70
No. of men who completed sufficient information for a validated EPIC-26 sexual function score to be determined 82
Adjusted EPIC-26 sexual function score 18
No. of men diagnosed April 15 - Sept 16 who received external beam radiotherapy and were sent a questionnaire 225
Percentage of men who responded 77%
No. of men who completed sufficient information for a validated EPIC-26 bowel function score to be determined 149
Adjusted EPIC-26 bowel function score 85
No. of men who completed sufficient information for a validated EPIC-26 sexual function score to be determined 158
Adjusted EPIC-26 sexual function score 20

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