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

Response to this request is long overdue. By law, under all circumstances, Manchester University NHS Foundation Trust should have responded by now (details). You can complain by requesting an internal review.

Dear Manchester University NHS Foundation Trust,

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/VT3L2TS

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. What percentage of men receive mpMRI before biopsy as part of the initial diagnostic process using T2-weighted, diffusion-weighted (multi-b ADC and high/long b) and dynamic contrast enhanced (DCE) sequences?
__________________________________________________________________________

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

4. Are you using mpMRI before biopsy to rule some men out of biopsy as part of the initial diagnostic process?
_________________________________________________________________________

5. What mpMRI scores and/or other clinical factors are used to rule men out of biopsy?
__________________________________________________________________________

6. Do you intend to use mpMRI to rule men out of biopsy in the future?
__________________________________________________________________________

7. How many men annually are referred
(Please provide corresponding numbers)

a) On suspicion of prostate cancer? _________________

b) Eligible for mpMRI? __________________

c) Scanned? _________________

d) Biopsied? _________________

8. If you are unable to provide numbers for question 6, please estimate the percentage of all men referred for b, c and d.

b) Eligible for mpMRI? _______________

c) Scanned? _______________________

d) Biopsied? _______________________

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

______ Yes – cognitive/visual estimation
______ Yes – image-fusion
______ No – systematic only

If No, what are the reasons for not carrying this out? (eg. expertise, equipment, don’t believe it makes a difference)
__________________________________________________________________________________

10. If you do not currently carry out targeted biopsies, but wish to in the future, what are the current barriers to doing so?
(Please indicate with a X below)

_____Expertise
_____Image-fusion equipment
_____Time factor
_____Other

11. Please indicate the number of uroradiologists undertaking prostate MRI
__________________________________________________________________

12. How many scanners do you have available for mpMRI before biopsy?

____ 0
____ 1-2
____ 3-4
____ +5

Has this increased in the last 12 months?
_______________________________________________________________________

13. What percentage of scanner time is dedicated to mpMRI before biopsy?
_______________________________________________________________________

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

Yours faithfully,

Haddi Browne

FOI (R0A) Manchester University NHS FT, Manchester University NHS Foundation Trust

1 Attachment

Dear Ms Browne

 

We are writing to acknowledge receipt of your request for information
under the Freedom of Information Act 2000. 

 

Your request has been assigned the following reference number FOI 143-18
and we would be grateful if you could quote this reference number in any
future correspondence relating to your request.

 

We will endeavor to respond to your request at the earliest opportunity
and within the statutory 20 working day time limit, subject to the
following constraints:-

 

The Freedom of Information Act 2000 defines a number of exemptions, which
may prevent the release of the information you have requested.  If any of
the exemption categories apply, the information will not be released to
you and we will advise you accordingly, including your rights of appeal.

 

Further information is also available from the Information Commissioner
at:-

Information Commissioner’s Office

Wycliffe House

Water Lane

Wilmslow

SK9 5AF

 

Telephone: 0303 123 1113

Website: [1]www.ico.org.uk

 

If you require any further information regarding your request please do
not hesitate to contact us.

 

Yours sincerely,

 

 

FOI Team

Manchester University NHS Foundation Trust
Cobbett House
Oxford Road
Manchester
M13 9WL

E: [2][MFT request email]

 

[3]cid:image003.png@01D3A999.BF9638E0

 

[4]www.mft.nhs.uk

 

 

show quoted sections

FOI (R0A) Manchester University NHS FT, Manchester University NHS Foundation Trust

3 Attachments

Dear Ms Browne,  

 

Please find attached the response to your recent FOI request.

 

Kind regards,

FOI Team

 

FOI Team

Informatics

 

Manchester University NHS Foundation Trust Headquarters

Cobbett House

Oxford Road

Manchester M13 9WL

 

T: 0161 701 0375

E: [1][MFT request email]

 

[2]cid:image003.png@01D33B54.1A16CD70

 

    [3]www.mft.nhs.uk

 

Privacy and Confidentiality Notice: The information contained in this
e-mail is intended for the named recipient(s) only. It may contain
privileged and confidential information. If you are not an intended
recipient, you must not copy, distribute or take any action in reliance on
it. If you have received this e-mail in error, we would be grateful if you
would notify us immediately. Thank you for your assistance.

Please note that e-mails sent or received by our staff may be disclosed
under the Freedom of Information Act (unless exempt).

References

Visible links
1. mailto:[MFT request email]
3. http://www.mft.nhs.uk/

Dear FOI (R0A) Manchester University NHS FT,

We sent a follow up email on 23/02/18 asking for the original request sent on 22/02/18 to be disregarded and replaced with the new one. Was that email received?

Yours sincerely,

Haddi Browne