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:

  • Diagnostic Facilities:
    • Multiparametric MRI
    • Transperineal biopsy under local anaesthetic
    • Transperineal biopsy under general anaesthetic
    • Choline PET
    • PSMA (prostate-specific membrane antigen) PET scan
    • Isotope bone scan
  • Treatment Facilities:
    • Radical prostatectomy
    • Robot assisted laparoscopic prostatectomy
    • External beam radiotherapy (EBRT)
    • High-dose rate brachytherapy
    • Chemotherapy
  • Support Service Facilities:
    • Clinical Nurse Specialist (CNS) in all clinics
    • Prostate cancer-specific CNSs
    • Advanced PCa CNS
    • Urology CNS
    • Sexual function services
    • Specialist continence services

Data Quality

Diagnosing Trust Specialist MDT
No. of Cancer Registry records 363 486
Performance Status recorded 61% 67%
PSA completed 30% 47%
Gleason Score completed N/A N/A
TNM completed 60% 60%
Stage variable assigned 77% 75%

Disease Presentation

Specialist MDT National
No. of men with disease status determined 382 23477
Percentage of men diagnosed with metastatic disease 23% 17%
No. of men diagnosed with M1 (metastases) 86 N/A

Management

These indicators could not be reported this year for England as we were unable to assign a patient to a particular risk group due to the unavailability of information on Gleason score in the Rapid Cancer Registration Dataset

Outcome

Treatment Centre
No. of men who received radical prostatectomy (2020-2021) 109
Adjusted percentage of men who had an emergency readmission within 90 days of radical prostatectomy (%) 13%
No. of men who received radical prostatectomy (2019) 146
Adjusted percentage of men experiencing at least one GU complication (%) 7%
No. of men who received radical radiotherapy (2019) 266
Adjusted percentage of men experiencing at least one GI complication (%)

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