Derby Teaching Hospitals NHS Foundation Trust

Specialist MDT: Derby Teaching Hospitals NHS Foundation Trust

NB Burton Hospitals NHS Foundation Trust and Derby Teaching Hospitals NHS Foundation Trust have merged to form University Hospitals of Derby and Burton 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 (EBRT)
    • Intensity-modulated radiotherapy
    • Low-dose rate brachytherapy
    • Stereotactic body radiation therapy (SBRT)
    • Cryotherapy
    • 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 382 773
Performance Status recorded 40% 38%
PSA completed 67% 54%
Gleason Score completed 81% 80%
TNM completed 77% 64%
Multiparametric MRI performed 66% 51%
At least 1 treatment modality recorded 92% 85%

Disease Presentation

Specialist MDT National
No. of men with disease status determined 672 39534
Percentage of men diagnosed with metastatic disease 19% 16%

Management

Specialist MDT National
No. of men diagnosed with low-risk localised disease 28 2948
Percentage of men with low-risk localised disease receiving radical treatment 0% 4%
No. of men diagnosed with locally advanced disease 303 15404
Percentage of men diagnosed with locally advanced disease receiving radical treatment 72% 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 524 35162
Percentage of men who responded 76% 73%
No. of men who completed ‘diagnosis information’ question 393 25248
Percentage of men who were given the ‘right amount’ of information about their condition and treatment 90% 90%
No. of men who completed ‘treatment involvement’ question 386 25041
Percentage of men who were ‘involved as much as they were to be’ in decisions about their treatment and care 71% 73%
No. of men who completed CNS question 378 24569
Percentage of men who were ‘given the name of a CNS’ 80% 83%
No. of men who rated their overall care on a scale of 1-10 370 23809
Percentage of men who rated their overall care as 8 or above 90% 89%

Outcome

Treatment Centre
No. of men who received radical prostatectomy (2016-2017) 91
Adjusted percentage of men who had an emergency readmission within 90 days of radical prostatectomy (%) 12%
No. of men who received radical prostatectomy (2015) 43
Adjusted percentage of men experiencing at least one GU complication (%) 17%
No. of men who received radical radiotherapy (2015) 139
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 72
Percentage of men who responded 74%
No. of men who completed sufficient information for a validated EPIC-26 urinary incontinence score to be determined 53
Adjusted EPIC-26 urinary incontinence score 64
No. of men who completed sufficient information for a validated EPIC-26 sexual function score to be determined 53
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 220
Percentage of men who responded 84%
No. of men who completed sufficient information for a validated EPIC-26 bowel function score to be determined 166
Adjusted EPIC-26 bowel function score 87
No. of men who completed sufficient information for a validated EPIC-26 sexual function score to be determined 168
Adjusted EPIC-26 sexual function score 15

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