Urology department: Impact of COVID-19 on prostate cancer diagnosis, treatment and support

The request was partially successful.

Dear Pennine Acute Hospitals NHS Trust,

Prostate Cancer UK are undertaking a Freedom of Information Act (FOI) request of all Trusts, Health Boards and Health and Social Care Trusts, with the aim of assessing the impact of COVID-19 on prostate cancer diagnosis, treatment and support pathways.

Data will be used to identify how we can target future resources to ensure that all patients with suspected prostate cancer have access to pre-biopsy MRI and biopsy, treatment within a safe time period and support, with minimal risk of contracting COVID-19.

We really appreciate your help with this, especially as we understand that there are currently potential limitations on resources. Please pass the below on to your urology department for them to complete. If this is not possible, we would really appreciate your help to provide as much information as you can.

We ask that you please indicate your answer by marking with an “X” next to any answers that apply or by deleting all answers that do not apply. Please avoid answering by italics, underlining or bold, as these do not show up when we process your response.

Yours faithfully,

Thomas Harding (Knowledge Officer, Prostate Cancer UK)

1. Did you suspend your MRI before biopsy service for patients with suspected prostate cancer as a result of the COVID-19 pandemic?
a. Yes
b. No
c. We did not offer MRI before biopsy before the pandemic

2. If yes, have you now resumed MRI before biopsy for patients with suspected prostate cancer?
a. Yes
b. No
c. No, but we refer patients elsewhere (Please state the referral area:)
d. N /A

3. Do you currently use a pre-MRI clinical triage for patients with suspected prostate cancer? By pre-MRI clinical triage, we mean a process, often Clinical Nurse Specialist led, that determines patient suitability for MRI before biopsy
a. Yes
b. No

4. Has your radiology department introduced any new MRI exclusion criteria for patients with suspected prostate cancer as a result of COVID-19?
a. Yes (please specify:)
b. No
c. N/A

5. If yes, do you plan to maintain any of these exclusion criteria once restrictions to limit patients’ COVID-19 risk are lifted?
a. Yes (please specify:)
b. No
c. N/A

6. Did you stop conducting biopsies for patients with suspected prostate cancer as a result of COVID-19 infection risks?
a. Yes
b. No

7. If yes, have you resumed biopsy services for patients with suspected prostate cancer?
a. Yes
b. Yes, but only for a subset of patients (please specify:)
c. No
d. No, but we refer patients elsewhere for prostate biopsy (Please state the referral area:)

8. Do you offer transperineal biopsy under local anaesthetic?
a. Yes
b. No
c. No, but we plan to in future (please specify when if possible:)

9. Following an MRI scan for suspected prostate cancer, what criteria do you use to select patients for biopsy? Please include all that apply:
a. Patients with a PI-RADSs or Likert score of 1 or greater
b. Patients with a PI-RADS or Likert score of 2 or greater
c. Patients with a PI-RADS or Likert score of 3 or greater
d. Patients with a PI-RADS or Likert score of 3 or greater, but only if PI-RADS or Likert score 3 patients have other clinical indications (such as age, ethnicity, PSA density) that make them higher risk
e. Patients with a PI-RADS or Likert score of 4 or greater
f. We do not offer MRI before biopsy
g. We do not currently biopsy patients

10. Did you delay radiotherapy treatment for prostate cancer patients as a result of COVID-19?
a. Yes
b. No
c. Partially (please specify:)
d. N/A (please specify:)

11. If yes, have you cleared your backlog for prostate cancer radiotherapy treatment?
a. Yes
b. No
c. N/A – We did not delay prostate cancer radiotherapy treatment

12. Did you delay radical prostatectomy for prostate cancer patients as a result of COVID-19?
a. Yes
b. No
c. Partially (please specify:)
d. N/A (please specify:)

13. If yes, have you cleared your radical prostatectomy backlog?
a. Yes
b. No
c. N/A – We did not delay radical prostatectomy for prostate cancer patients

14. To address your backlog did or are you using a protocol to risk stratify patients and prioritise patients with high-risk and locally advanced prostate cancer for treatment within 3 months?
a. Yes
b. No
c. No, we did not have a sufficient backlog to require patient prioritisation

15. Does your protocol apply to new patients with high-risk and locally advanced prostate cancer with the intention to radically treat them within 3 months of diagnosis?
a. Yes
b. No
c. N/A - We do not have a protocol for patient prioritisation

16. Do you have prostate cancer Personalised Stratified Follow Up (PSFU) protocols in place?
a. Yes
b. No
c. We are in the process of developing PSFU protocols

17. If Yes, do you have a digital remote monitoring system in place for follow up?
a. Yes (Please specify the name of the system used: e.g My Medical Record, Patient Knows Best)
b. No

18. If no, do you plan to implement a digital remote monitoring system for follow up?
a. Yes - (Please specify the name of the system you plan to implement: e.g My Medical Record, Patient Knows Best)
b. No

19. Which of the following criteria are part of your follow up protocols? (please mark all that apply:)
a. Patients have access to a Support Worker who acts as their key worker for the duration of their follow up care.
b. Patients have access to an online patient service that allows them to check test results, complete assessments, view patient information and message their clinical team.
c. Patients attend a 4-hour supported self-management workshop with a group of 8 to 10 men to develop knowledge, skills and confidence to self-manage their condition
d. Patients do not need to attend routine appointments unless an issue arises.

PennineFOI atSalford, Pennine Acute Hospitals NHS Trust

Good morning,

RE: Freedom of Information Acknowledgement Ref code FOI

Thank you for your recent Freedom of Information requests made in relation to information held by Pennine Acute Trust and Salford Royal Foundation Trust. You have made two identical or very similar FOI requests and the responses will both be dealt with in the same administrative process. You will receive one set of correspondence dealing with both requests.

Requests for information from one of the Care Organisations making up Pennine Acute Trust (Fairfield General Hospital, Rochdale Infirmary and Community Service, The Royal Oldham Hospital and North Manchester General Hospital and Community Services) are now processed from the Salford Royal NHS Foundation Trust base of the Northern Care Alliance.

To ease processing please ensure ALL FOI related emails, including new requests, are sent to [email address] quoting the FOI reference numbers shown in the subject line of this acknowledgement

In accordance with Trust policy and the requirements of the Freedom of Information Act 2000, a period of 20 working days is assigned for processing your request. [Working days within the NHS refers to Mon-Fri.] We will provide you with an explanation if we find that there is any reason why this period may extend beyond the period prescribed by the Act.

Please contact us if you have any queries regarding the procedure.

Kind regards,

Freedom of Information Office
Digital
Northern Care Alliance
Salford/North Manchester/Oldham/Rochdale/Fairfield
Team Tel: Please note our offices are closed for the forseeable future. The best way to contact the team is via email or Microsoft teams

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PennineFOI atSalford, Pennine Acute Hospitals NHS Trust

1 Attachment

The Trust has now completed collation of data to support a response to
your recent Freedom of Information requests for Pennine Acute Hospitals
NHS Trust. Salford Royal NHS Foundation Trust information to follow
shortly.

 

Details requested have been attached to this email.

 

We trust these details will assist with your enquiries.  If we can be of
any further assistance in the future please do not hesitate to contact us
again.

 

 

Questionnaire

 

As a Trust we are keen to monitor and improve the services we offer. We’d
be grateful if you could take the time to answer the following questions
and provide us with any other feedback that may assist us with this
process:

 

               

Were you satisfied with the handling of your request?     YES/NO
Was your request handled in a timely manner?                YES/NO
Were you provided with sufficient information to assist you with YES/NO
your request?

            
                                                                                                  

 

Yours Sincerely

 

 

Freedom of Information Office

Digital

Northern Care Alliance

Salford/North Manchester/Oldham/Rochdale/Fairfield

Team Tel: Please note the team is currently working from home. The best
way to contact us is via email.

 

Email: [1][email address]

Web: [2]www.pat.nhs.uk     [3]www.srft.nhs.uk

twitter: @NCAlliance_NHS

 

 

 

 

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PennineFOI atSalford, Pennine Acute Hospitals NHS Trust

1 Attachment

Good afternoon,

 

The Trust has now completed collation of data to support a response to
your recent Freedom of Information requests for Pennine Acute Hospitals
NHS Trust and Salford Royal NHS Foundation Trust, our sincere apologies
for the delay that you have experienced in receiving Salford Royal’s
response.

 

Details requested have been attached to this email.

 

[1]https://www.srft.nhs.uk/about-us/freedom...

 

We trust these details will assist with your enquiries.  If we can be of
any further assistance in the future please do not hesitate to contact us
again.

 

 

Questionnaire

 

As a Trust we are keen to monitor and improve the services we offer. We’d
be grateful if you could take the time to answer the following questions
and provide us with any other feedback that may assist us with this
process:

 

               

Were you satisfied with the handling of your request?     YES/NO
Was your request handled in a timely manner?                YES/NO
Were you provided with sufficient information to assist you with YES/NO
your request?

            
                                                                                                  

 

Yours Sincerely

 

 

Freedom of Information Office

Digital

Northern Care Alliance

Salford/North Manchester/Oldham/Rochdale/Fairfield

Team Tel: Please note the team is currently working from home. The best
way to contact us is via email.

 

Email: [2][email address]

Web: [3]www.pat.nhs.uk     [4]www.srft.nhs.uk

twitter: @NCAlliance_NHS

 

 

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