Diagnostic data on an MRI technique for men with suspected prostate cancer

Haddi Browne made this Freedom of Information request to Cardiff and Vale University Health Board

This request has been closed to new correspondence. Contact us if you think it should be reopened.

The request was successful.

Dear Cardiff and Vale University Health Board,

Prostate Cancer UK undertook a Freedom of Information Act (FOI) request of all Trusts, Health Boards and Health and Social Care Trusts in 2016 with the aim of achieving a state of the nation overview of the use of mpMRI before biopsy.

With a 100% completion rate, we gained an in-depth understanding of the current status of mpMRI before prostate biopsy across the UK. We have used the data to make the case to National Commissioners for implementation support. It has also guided our funding and development of resources that respond to some of the challenges and barriers to implementation that centres told us they faced.

This second round of questions is our means of understanding what progress has been made and to identify where we can target our resources and National Commissioners’ support to have maximum impact. Your help with this, is really appreciated.

To make responding easier we have created an automated means for you to provide us with the data we are requesting. Please follow this link: https://www.surveymonkey.com/r/VNZBNDX

Alternatively you can manually fill in the answers below and return them to us.

If you have any questions regarding this FOI request please contact Haddi Browne, Impact and Quality Officer on 020 3310 7214 or on email: [email address]

1. Please tell us which Trust, Health Board or Health and Social Care Trust you are responding on behalf of?
_____________________________________________________________________________________

2. Do you conduct multi-parametric MRI (mpMRI) scans before first prostate biopsy as part of the initial diagnostic process?
Please indicate with a X

___Yes, using T2-weighted, diffusion-weighted (multi-b ADC and high/long b) and dynamic contrast enhanced (DCE) sequences
___Yes, using T2-weighted, diffusion-weighted (multi-b ADC and high/long b) sequences but not DCE
___No

3. Do you refer men to another Trust/centre for mpMRI before biopsy?
Please indicate with a X

___Yes
___No

4. What are your eligibility criteria/exclusion criteria for men to receive pre-biopsy mpMRI?
_____________________________________________________________________________________

5. What percentage of eligible men receive an mpMRI scan before biopsy as part of the initial diagnostic process?

_____________________________________________________________________________________

6. Has the percentage of eligible men receiving an mpMRI scan before biopsy increased in the last year?
Please indicate with a X

___Yes
___No

If Yes, how much would you estimate it has increased by? __________________________________

7. Are you using mpMRI before biopsy to rule some men out of a biopsy as part of the initial diagnostic process?
Please indicate with a X

___Yes
___No

What percentage of men are ruled out of a biopsy? _________________________________________

8. What mpMRI scores and/or other clinical factors are used to rule men out of biopsy?
Please indicate with a X

___PIRADS
___LIKERT
___PSAD
___OTHER
9. Do you intend to rule some men out of a biopsy in future?

_________________________________________________

10. Do you carry out targeted biopsies in men with mpMRI lesions in addition to systematic biopsies?
Please indicate with a X

___Yes – cognitive/visual estimation
___Yes – image-fusion
___No – systematic only
11. In the last year, have you been successful in securing funding or new resources to provide or increase the use of mpMRI before biopsy?
Please indicate with a X

___Yes
___No

If Yes please provide further information (e.g where from and for what)

___________________________________________________

12. Which of the following, if any, would help you adopt the use of mpMRI before biopsy?
Please indicate with a X

___An additional or new MRI scanner
___Increased MRI scanner availability
___Reduced mpMRI scan time
___Agreement to use Dynamic Contrast Enhancement
___A scanner/magnet upgrade
___Support with scanner optimisation
___Increased staffing levels
___Additional training for radiologists
___Other

If you ticked 'Reduced mpMRI scan time' please estimate current scan time _________________________________

13. Which of the following, if any, would help you further increase the use of mpMRI before biopsy?
Please indicate with a X

__An additional or new MRI scanner
__Increased MRI scanner availability
__Reduced mpMRI scan time
__Agreement to use Dynamic Contrast Enhancement
__A scanner/magnet upgrade
__Support with scanner optimisation
__Increased staffing levels
__Additional training for radiologists
__Other

If you ticked 'Reduced mpMRI scan time' please estimate current scan time ____________________________________

Thank you for taking the time to complete this FOI request.

Yours faithfully,

Haddi Browne

Ann Morgan (Cardiff and Vale UHB - Information Governance), Cardiff and Vale University Health Board

I am currently out of the office.

 

For anything urgent, please contact Paul Rothwell or Denise Gulley

 

 

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FOI Requests (Cardiff and Vale UHB - Information Governance), Cardiff and Vale University Health Board

Dear Ms Browne,

I am writing in response to your e-mail below requesting information from Cardiff and Vale University Health Board (the UHB) under the Freedom of Information Act 2000.

The Freedom of Information Act 2000 gives individuals the right to access official information. The Act allows the right to request any recorded information held by a public authority, such as Cardiff and Vale UHB. A request can be made for any information it is thought a public authority may hold. The right only covers recorded information which includes information held on computers, in emails and in printed or handwritten documents as well as images, video and audio recordings.

A request can take the form of a question, rather than a request for specific documents, but an authority does not have to answer your question if this would mean creating new information or giving an opinion or judgment that is not already recorded.

As you are making a request under the Freedom of Information Act the UHB will consider your request in accordance with the Act and in line with the appropriate guidance issued by the Information Commissioner as detailed below.
The UHB will:
• identify which questions amount to requests for information held on record;
• be ready to offer advice and assistance that is reasonable in the circumstances; and
• provide a response in line with the requirements of the legislation.

I would now like to confirm that your request has been forwarded to the relevant department to action. A further response will be issued in due course.
As your request is being dealt with under FoI there is a deadline of 20 working days for response to be issued.

Yours sincerely

Ann Morgan

Llywodraethu Corfforaethol - Uwch Reolwr Gwybodaeth a Chyfathrebu
Corporate Governance – Senior Information and Communication Manager
Bwrdd Iechyd Prifysgol Caerdydd a'r Fro / Cardiff and Vale UHB
Tel 02920 7443747/4870

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FOI Requests (Cardiff and Vale UHB - Information Governance), Cardiff and Vale University Health Board

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    FoI.18.092.Data on MRI Technique for Men with Suspected Prostate Cancer.pdf

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Dear Ms Browne

I am writing further to your e-mail below seeking information from Cardiff and Vale University Health Board (the UHB) under the Freedom of Information Act 2000.

I can now confirm that the UHB has completed a search of its records and has established it does hold information falling within the confines of your request as is in a position to respond to your request. Please see attached above the response from the UHB which I trust is sufficient for your purposes.

If you are unhappy with the service you have received in relation to your request and wish to make a complaint or request a review of our decision, you should write to:
Mr Peter Welsh
Director of Corporate Governance
Cardiff and Vale University Local Health Board
Executive Headquarters
University Hospital of Wales
Heath Park
Cardiff
CF14 4XW

If you are not content with the outcome of any complaint, you may apply directly to the Information Commissioner for a decision. Generally the Information Commissioners Office cannot make a decision unless you have exhausted the complaints procedure provided by the UHB.
The Information Commissioner can be contacted at:
Information Commissioner’s Office - Wales
2nd Floor Churchill House
Churchill Way
Cardiff
CF10 2HH

Yours sincerely

Ann Morgan

Llywodraethu Corfforaethol - Uwch Reolwr Gwybodaeth a Chyfathrebu
Corporate Governance – Senior Information and Communication Manager
Bwrdd Iechyd Prifysgol Caerdydd a'r Fro / Cardiff and Vale UHB
Tel 02920 744870

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