The Royal Marsden NHS Foundation Trust

Specialist MDT: The Royal Marsden NHS Foundation Trust

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Men diagnosed at this hospital trust can access the following services (updated 2022):

  • Diagnostic Facilities:
    • Multiparametric MRI
    • Transperineal biopsy under local anaesthetic
    • Transperineal biopsy under general anaesthetic
    • Choline PET
    • PSMA (prostate-specific membrane antigen) PET scan
    • Whole body MRI
    • Isotope bone scan
    • One-stop diagnostic clinic
  • Treatment Facilities:
    • Radical prostatectomy
    • Robot assisted laparoscopic prostatectomy
    • External beam radiotherapy (EBRT)
    • Stereotactic body radiation therapy (SBRT)
    • HIFU
    • Chemotherapy
    • Joint specialist MDT clinic
  • Support Service Facilities:
    • Clinical Nurse Specialist (CNS) in all clinics
    • Prostate cancer-specific CNSs
    • Advanced PCa CNS
    • Urology CNS
    • Specialist continence services
    • Psychological counselling
    • Genetic counselling
    • Onco-geriatric service

Data Quality

Diagnosing Trust Specialist MDT
No. of Cancer Registry records 112 985
Performance Status recorded 20% 33%
PSA completed 1% 23%
Gleason Score completed 88% 87%
TNM completed 52% 68%

Disease Presentation

Specialist MDT National
No. of men with disease status determined 761 31258
Percentage of men diagnosed with metastatic disease 14% 19%

Management

Specialist MDT National
No. of men diagnosed with low-risk localised disease 68 3680
Percentage of men with low-risk localised disease receiving radical treatment 2% 9%
No. of men diagnosed with locally advanced disease 222 11503
Percentage of men diagnosed with locally advanced disease receiving radical treatment 78% 69%

Outcome

Treatment Centre
No. of men who received radical prostatectomy (Apr 2021 - Mar 2022) 184
Adjusted percentage of men who had an emergency readmission within 90 days of radical prostatectomy (%) 11%
No. of men who received radical prostatectomy (Sep 2019 - August 2020) 161
Adjusted percentage of men experiencing at least one GU complication (%) 5%
No. of men who received radical radiotherapy (Sep 2019 - August 2020) 392
Adjusted percentage of men experiencing at least one GI complication (%) 11%

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