The Royal Wolverhampton NHS Trust

Specialist MDT: University Hospitals of North Midlands 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 general anaesthetic
    • Choline PET
    • PSMA (prostate-specific membrane antigen) PET scan
    • Isotope bone scan
  • Treatment Facilities:
    • Robot assisted laparoscopic prostatectomy
    • External beam radiotherapy
    • Intensity-modulated radiotherapy
    • Chemotherapy
  • 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 411 1851
Performance Status recorded 56% 57%
PSA completed 92% 66%
Gleason Score completed 89% 89%
TNM completed 82% 83%
Risk group assigned 96% 95%

Disease Presentation

Specialist MDT National
No. of men with disease status determined 1800 49027
Percentage of men diagnosed with metastatic disease 15% 13%

Management

Specialist MDT National
No. of men diagnosed with low-risk localised disease 51 3055
Percentage of men with low-risk localised disease receiving radical treatment 2% 5%
No. of men diagnosed with locally advanced disease 782 19663
Percentage of men diagnosed with locally advanced disease receiving radical treatment 75% 71%
No. of men diagnosed with M1 (metastases) 268 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 454 10750
Percentage of men who responded 80% 78%
No. of men who completed CNS question 355 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 1-10 347 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) 188
Adjusted percentage of men who had an emergency readmission within 90 days of radical prostatectomy (%) 15%
No. of men who received radical prostatectomy (2017) 120
Adjusted percentage of men experiencing at least one GU complication requiring a procedural/surgical intervention (%) 3%
No. of men who received radical radiotherapy (2017) 221
Adjusted percentage of men receiving a procedure of the large bowel and a diagnosis indicating radiation toxicity (GI complication) (%) 9%

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 80%
No. of men who completed sufficient information for a validated EPIC-26 urinary incontinence score to be determined 50
Adjusted EPIC-26 urinary incontinence score (0=worst to 100=best) 71
No. of men who completed sufficient information for a validated EPIC-26 sexual function score to be determined 49
Adjusted EPIC-26 sexual function score (0=worst to 100=best) 27
No. of men diagnosed 1st April 18 - 30th Sept 18 who received external beam radiotherapy and were sent a questionnaire 153
Percentage of men who responded 78%
No. of men who completed sufficient information for a validated EPIC-26 bowel function score to be determined 99
Adjusted EPIC-26 bowel function score (0=worst to 100=best) 83
No. of men who completed sufficient information for a validated EPIC-26 sexual function score to be determined 114
Adjusted EPIC-26 sexual function score (0=worst to 100=best) 11

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