North Bristol NHS Trust

Specialist MDT: North Bristol NHS 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 local anaesthetic
    • Transperineal biopsy under general anaesthetic
    • Choline PET
    • Whole body MRI
    • Isotope bone scan
  • Treatment Facilities:
    • Robot assisted laparoscopic prostatectomy
    • Stereotactic body radiation therapy (SBRT)
    • Cryotherapy
    • Chemotherapy
    • Joint specialist MDT clinic
  • Support Service Facilities:
    • Prostate cancer clinical nurse specialist (PCa CNS)
    • Advanced PCa CNS
    • Urology CNS
    • Oncology CNS
    • Sexual function services
    • Specialist continence services
    • Psychological counselling

Data Quality

Diagnosing Trust Specialist MDT
No. of Cancer Registry records 757 1881
Performance Status recorded 87% 75%
PSA completed 83% 85%
Gleason Score completed 88% 85%
TNM completed 80% 81%
Risk group assigned 94% 93%

Disease Presentation

Specialist MDT National
No. of men with disease status determined 1780 49027
Percentage of men diagnosed with metastatic disease 13% 13%

Management

Specialist MDT National
No. of men diagnosed with low-risk localised disease 140 3055
Percentage of men with low-risk localised disease receiving radical treatment 6% 5%
No. of men diagnosed with locally advanced disease 679 19663
Percentage of men diagnosed with locally advanced disease receiving radical treatment 69% 71%
No. of men diagnosed with M1 (metastases) 224 6136
Percentage of men diagnosed with M1 (metastases) receiving docetaxel 32% 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 358 10750
Percentage of men who responded 75% 78%
No. of men who completed CNS question 260 8137
Percentage of men who were ‘given the name of a CNS’ 90% 87%
No. of men who rated their overall care on a scale of 1-10 255 7878
Percentage of men who rated their overall care as 8 or above 94% 91%

Outcome

Treatment Centre
No. of men who received radical prostatectomy (2018-2019) 359
Adjusted percentage of men who had an emergency readmission within 90 days of radical prostatectomy (%) 14%
No. of men who received radical prostatectomy (2017) 193
Adjusted percentage of men experiencing at least one GU complication requiring a procedural/surgical intervention (%) 7%

Patient-reported outcomes

Treatment Centre
No. of men diagnosed 1st April 18 - 30th Sept 18 who received radical prostatectomy and were sent a questionnaire 153
Percentage of men who responded 76%
No. of men who completed sufficient information for a validated EPIC-26 urinary incontinence score to be determined 113
Adjusted EPIC-26 urinary incontinence score (0=worst to 100=best) 76
No. of men who completed sufficient information for a validated EPIC-26 sexual function score to be determined 110
Adjusted EPIC-26 sexual function score (0=worst to 100=best) 26

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