Norfolk and Norwich University Hospitals NHS Foundation Trust

Specialist MDT: Norfolk and Norwich 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 general anaesthetic
    • Choline PET
    • Isotope bone scan
  • Treatment Facilities:
    • Robot assisted laparoscopic prostatectomy
    • Laparoscopic prostatectomy
    • External beam radiotherapy
    • High-dose rate brachytherapy
    • Cryotherapy
  • 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 683 909
Performance Status recorded 39% 50%
PSA completed 65% 70%
Gleason Score completed 85% 84%
TNM completed 64% 70%
Risk group assigned 88% 89%

Disease Presentation

Specialist MDT National
No. of men with disease status determined 832 49027
Percentage of men diagnosed with metastatic disease 14% 13%

Management

Specialist MDT National
No. of men diagnosed with low-risk localised disease 44 3055
Percentage of men with low-risk localised disease receiving radical treatment 2% 5%
No. of men diagnosed with locally advanced disease 395 19663
Percentage of men diagnosed with locally advanced disease receiving radical treatment 77% 71%
No. of men diagnosed with M1 (metastases) 118 6136
Percentage of men diagnosed with M1 (metastases) receiving docetaxel 34% 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 215 10750
Percentage of men who responded 80% 78%
No. of men who completed CNS question 169 8137
Percentage of men who were ‘given the name of a CNS’ 80% 87%
No. of men who rated their overall care on a scale of 1-10 162 7878
Percentage of men who rated their overall care as 8 or above 89% 91%

Outcome

Treatment Centre
No. of men who received radical prostatectomy (2018-2019) 202
Adjusted percentage of men who had an emergency readmission within 90 days of radical prostatectomy (%) 18%
No. of men who received radical prostatectomy (2017) 132
Adjusted percentage of men experiencing at least one GU complication requiring a procedural/surgical intervention (%) 5%
No. of men who received radical radiotherapy (2017) 290
Adjusted percentage of men receiving a procedure of the large bowel and a diagnosis indicating radiation toxicity (GI complication) (%) 25%

Patient-reported outcomes

Treatment Centre
No. of men diagnosed 1st April 18 - 30th Sept 18 who received radical prostatectomy and were sent a questionnaire 87
Percentage of men who responded 86%
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 (0=worst to 100=best) 68
No. of men who completed sufficient information for a validated EPIC-26 sexual function score to be determined 73
Adjusted EPIC-26 sexual function score (0=worst to 100=best) 22
No. of men diagnosed 1st April 18 - 30th Sept 18 who received external beam radiotherapy and were sent a questionnaire 159
Percentage of men who responded 77%
No. of men who completed sufficient information for a validated EPIC-26 bowel function score to be determined 102
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 113
Adjusted EPIC-26 sexual function score (0=worst to 100=best) 19

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