St George's University Hospitals NHS Foundation Trust

Specialist MDT: The Royal Marsden NHS Foundation Trust

View Provider Services

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
    • Isotope bone scan
  • Treatment Facilities:
    • Robot assisted laparoscopic prostatectomy
    • Chemotherapy
    • Joint specialist MDT clinic
  • Support Service Facilities:
    • Prostate cancer clinical nurse specialist (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 238 1349
Performance Status recorded 12% 46%
PSA completed 6% 61%
Gleason Score completed 91% 88%
TNM completed 79% 79%
Risk group assigned 89% 87%

Disease Presentation

Specialist MDT National
No. of men with disease status determined 1203 49027
Percentage of men diagnosed with metastatic disease 10% 13%

Management

Specialist MDT National
No. of men diagnosed with low-risk localised disease 60 3055
Percentage of men with low-risk localised disease receiving radical treatment 2% 5%
No. of men diagnosed with locally advanced disease 444 19663
Percentage of men diagnosed with locally advanced disease receiving radical treatment 76% 71%
No. of men diagnosed with M1 (metastases) 126 6136
Percentage of men diagnosed with M1 (metastases) receiving docetaxel 33% 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 294 10750
Percentage of men who responded 70% 78%
No. of men who completed CNS question 199 8137
Percentage of men who were ‘given the name of a CNS’ 88% 87%
No. of men who rated their overall care on a scale of 1-10 194 7878
Percentage of men who rated their overall care as 8 or above 91% 91%

Outcome

Treatment Centre
No. of men who received radical prostatectomy (2018-2019) 160
Adjusted percentage of men who had an emergency readmission within 90 days of radical prostatectomy (%) 7%
No. of men who received radical prostatectomy (2017) 109
Adjusted percentage of men experiencing at least one GU complication requiring a procedural/surgical intervention (%) 11%

Patient-reported outcomes

Treatment Centre
No. of men diagnosed 1st April 18 - 30th Sept 18 who received radical prostatectomy and were sent a questionnaire 64
Percentage of men who responded 61%
No. of men who completed sufficient information for a validated EPIC-26 urinary incontinence score to be determined 38
Adjusted EPIC-26 urinary incontinence score (0=worst to 100=best) 66
No. of men who completed sufficient information for a validated EPIC-26 sexual function score to be determined 39
Adjusted EPIC-26 sexual function score (0=worst to 100=best) 35

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