We don't know whether the most recent response to this request contains information or not – if you are Lizzie Ellis please sign in and let everyone know.

Urology department MRI use for Prostate Cancer Diagnosis.

Lizzie Ellis made this Freedom of Information request to Airedale NHS Foundation Trust

This request has been closed to new correspondence from the public body. Contact us if you think it ought be re-opened.

We're waiting for Lizzie Ellis to read a recent response and update the status.

Dear Airedale 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, and again in 2018, with the aim of achieving a state of the nation overview of the use of mpMRI before biopsy.

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 third and final 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.

We really appreciate your help with this. 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.

Yours faithfully,

Lizzie Ellis

1. Do you routinely conduct prostate MRI (bpMRI/mpMRI) scans before first prostate biopsy as part of the initial diagnostic process? (please tick all that apply):
a. Yes, using T2-weighted, diffusion-weighted (multi-b ADC and high/long b) and dynamic contrast enhanced (DCE) sequences
b. Yes, using T2-weighted, diffusion-weighted (multi-b ADC and high/long b) sequences but not DCE
c. No but we refer to another provider (please provide details)
d. No (please provide details)

2. If yes, to 1a: What percentage of men with suspected prostate cancer receive mpMRI before biopsy as part of the initial diagnostic process?

3. If yes, to 1b: What percentage of men with suspected prostate cancer receive bpMRI before biopsy as part of the initial diagnostic process?

4. What are your eligibility criteria/exclusion criteria for prostate MRI? (please tick all that apply):
a. Age (please provide details)
b. Symptoms (please provide details)
c. Life expectancy (please provide details)
d. Contra-indications (please provide details)
e. Other (please provide details)

5. Are you using results from the prostate MRI before biopsy to rule some men out of biopsy as part of the initial diagnostic process? (yes/no)

6. Do you biopsy all PI-RADS or LIKERT 3 scores?
a. Yes
b. No
c. Dependent on patient histology

7. What threshold do you mostly use for ruling men out of biopsy?
a. PI-RADs 3 and above
b. LIKERT 3 and above
c. PI-RADs 4 and above
d. LIKERT 4 and above
e. Varies depending on age (Please provide detail)
f. Varies depending on other factors (Please provide detail)

8. What percentage of men do you estimate are ruled out of biopsy?

9. Have there been any changes to your prostate MRI capacity in the last year? (please choose all that apply):
a. An additional or new MRI scanner
b. Increased MRI scanner slots for prostate
c. Agreement to use Dynamic Contrast Enhancement
d. No longer using Dynamic Contrast Enhancement
e. A scanner/magnet upgrade
f. other (free text)

10. Has the number of radiologists at your trust/health board who report prostate MRI scans changed in the last year?
a. Increased
b. Decreased
c. Stayed the same

11. How many radiologists at your trust/health board report at least 250 prostate MRI scans per year?

12. Which of the following processes do you follow to manage men ruled out of an immediate biopsy, but with a raised PSA?
a. NICE Guidelines: prostate cancer diagnosis and management (NG131)
b. A local protocol (please provide details)
c. Other (please provide details)

Dear Airedale NHS Foundation Trust,

Further to our Freedom of Information request of 14th August 2019, we have received a large number of responses, however, we are still awaiting a response from your Trust. Please provide a response as soon as possible as the deadline has passed.
Please let me know if you are having any problems completing the request.

Yours faithfully,

Lizzie Ellis

Dear Ms Ellis
I'm sorry for the delay. I have received some of the data you requested but not all. I have written to the relevant consultant again today to ask that he respond as soon as possible.
I hope the delay isn't causing too much inconvenience.
With kind regards

Deborah Cocker
Information Governance Asst, IT Business Centre, Airedale NHS Foundation Trust,
KEIGHLEY BD20 6TD
Tel. 01535 294842 (direct) Email [email address]
My usual working pattern is Mon - Thur

show quoted sections

Dear FOI,

Please can you advise when this FOI will be returned. Your response is now long overdue.

Yours sincerely,

Lizzie Ellis

Dear FOI,
We still have not received a response to our FOI request from 14th August 2019 regarding the use of multi-parametric MRI for prostate cancer. Despite a reminder (sent 3rd October) and a further grace period, the Trust has failed to fulfil its statutory obligation under the Freedom of Information Act 2000.

If we do not receive a response by the end of next week, we will have no alternative but to report our concern to the Information Commissioner’s Office.

If you would like to discuss any issues you have in completing this request, please call Lizzie Ellis on 020 3310 7089.

Yours sincerely,

Lizzie Ellis

FOI (AIREDALE NHS FOUNDATION TRUST), Airedale NHS Foundation Trust

Dear Ms Ellis
I can only apologise again for the delay. We have had a difficult issue with our email service compounded by staff sickness last week and I have only just reached your email. I have written again today to the Consultant who may be able to provide the data to answer the remaining unanswered questions in your request and asked that he give the matter his attention as soon as possible. As soon as I have a response, I will of course forward this to you. In the meantime, if it would help you to receive our partially completed response, then please let me know.
With kind regards
Deborah

Deborah Cocker
Information Governance Asst, IT Business Centre, Airedale NHS Foundation Trust,
KEIGHLEY BD20 6TD
Tel. 01535 294842 (direct) Email [email address]
My usual working pattern is Mon - Thur

show quoted sections

Dear FOI (AIREDALE NHS FOUNDATION TRUST),
Please could you let me know when we can expect to receive this response?

Specifically we would like the answers to the following questions:

1. Do you routinely conduct prostate MRI (bpMRI/mpMRI) scans before first prostate biopsy as part of the initial diagnostic process? (please tick all that apply)
a. Yes, using T2-weighted, diffusion-weighted (multi-b ADC and high/long b) and dynamic contrast enhanced (DCE) sequences
b. Yes, using T2-weighted, diffusion-weighted (multi-b ADC and high/long b) sequences but not DCE
c. No but we refer to another provider (please provide details)
d. No (please provide details)

2. If yes, to 1a: What percentage of men with suspected prostate cancer receive mpMRI before biopsy as part of the initial diagnostic process?

If yes, to 1b: What percentage of men with suspected prostate cancer receive bpMRI before biopsy as part of the initial diagnostic process?

Yours sincerely,

Lizzie Ellis

COCKER, Deborah (AIREDALE NHS FOUNDATION TRUST), Airedale NHS Foundation Trust

2 Attachments

Dear Ms Ellis

 

I write further to your application to access information under the
Freedom of Information Act (ANHSFT REF. 4011 ).  I received some
information back from our clinical staff some time ago but despite
frequent follow up, I have not been sent the final piece of information. 
We are in the middle of some senior staff changes and I imagine it’s
difficult for them.  I do apologise, I know it must be very frustrating. 
To be as helpful as possible I have shown below the information I have
received to date.  It would help me enormously if you could confirm
whether this will be sufficient for your needs, or if you want me to
continue to chase the clinical staff for the remainder.    

 

1.            Do you routinely conduct prostate MRI (bpMRI/mpMRI) scans
before first prostate biopsy as part of the initial diagnostic process?
(please tick all that apply):

a.            Yes, using T2-weighted, diffusion-weighted (multi-b ADC and
high/long b) and dynamic contrast enhanced (DCE) sequences

b.            Yes, using T2-weighted, diffusion-weighted (multi-b ADC and
high/long b) sequences but not DCE

c.            No but we refer to another provider (please provide details)

d.            No (please provide details)

 

2.            If yes, to 1a: What percentage of men with suspected
prostate cancer receive mpMRI before biopsy as part of the initial
diagnostic process?    

3.            If yes, to 1b: What percentage of men with suspected
prostate cancer receive bpMRI before biopsy as part of the initial
diagnostic process? 100

 

4.            What are your eligibility criteria/exclusion criteria for
prostate MRI? (please tick all that apply):

a.            Age YES generally less than 75 but not strict- decided by
referrer.

b.            Symptoms -NO

c.            Life expectancy- decided by referer

d.            Contra-indications (MRI contraindications only)

e.            Other (please provide details) High PSA, Abnormal DRE,
abnormal prostate on another modality of imaging.

 

5.            Are you using results from the prostate MRI before biopsy to
rule some men out of biopsy as part of the initial diagnostic process?
(yes)

 

6.            Do you biopsy all PI-RADS or LIKERT 3 scores?

a.            Yes

b.            No

c.            Dependent on patient histology ( don’t understand this
option? You don’t have histology until you biopsy)

 

7.            What threshold do you mostly use for ruling men out of
biopsy?

a.            PI-RADs 3 and above

b.            LIKERT 3 and above

c.            PI-RADs 4 and above

d.            LIKERT 4 and above

e.            Varies depending on age (Please provide detail)

f.            Varies depending on other factors (Please provide detail)

Im not sure this question is phrased correctly. Do you mean what threshold
do you apply to decide who to biopsy? We biopsy all likert 3 and above.
Occasionally biopsy likery 2 if patient preference or other clinical
concern

 

8.            What percentage of men do you estimate are ruled out of
biopsy?

Not sure ? about 20%

 

9.            Have there been any changes to your prostate MRI capacity in
the last year? (please choose all that apply):

a.            An additional or new MRI scanner

b.            Increased MRI scanner slots for prostate

c.            Agreement to use Dynamic Contrast Enhancement

d.            No longer using Dynamic Contrast Enhancement

e.            A scanner/magnet upgrade

f.            other (free text) Carved out slots

 

10.         Has the number of radiologists at your trust/health board who
report prostate MRI scans changed in the last year?

a.            Increased

b.            Decreased

c.            Stayed the same

 

11.         How many radiologists at your trust/health board report at
least 250 prostate MRI scans per year? 2

 

12.  Which of the following processes do you follow to manage men ruled
out of an immediate biopsy, but with a raised PSA?

a. NICE Guidelines: prostate cancer diagnosis and management (NG131)

b. A local protocol (please provide details)

c. Other (please provide details)

 

We trust you find our response helpful.  If you feel we are not complying
with our publication scheme, you feel your request has not been properly
handled, or you are dissatisfied, you can write within 40 working days to
Brendan Brown, Chief Executive at the address below to request a review. 
You also have the right to complain to the Information Commissioner under
section 50 of the Freedom of Information Act 2000 if you are dissatisfied
with the outcome of that review.

 

Unless identified as another party's copyright, you may use and re-use the
information we have provided (not including logos or photographs), free of
charge in any format or medium, under the terms of the Open Government
Licence which can be viewed via the link below.

 [1]http://www.nationalarchives.gov.uk/doc/o...

 

Yours sincerely

 

Deborah Cocker

FOI Administrator

Airedale NHS Foundation Trust, Steeton, KEIGHLEY, BD20 6TD

Location: IT Business Centre | Zone C | Department 48

FOI:  01535 294842

My usual working pattern is Mon-Thurs

 

 

 

[2]http://www.airedale-trust.nhs.uk / Follow us on Twitter
[3]@AiredaleNHSFT

 

 

 

 

 

 

 

 

 

 

 

 

Deborah Cocker

Information Governance Asst, IT Business Centre, Airedale NHS Foundation
Trust,

KEIGHLEY BD20 6TD

Tel. 01535 294842 (direct) Email [4][email address]

My usual weekly work pattern is 30 hours - Mon, Tues, Wed & short day Thu

[5]cid:image001.png@01D3FC16.49C195E0

 

show quoted sections

We don't know whether the most recent response to this request contains information or not – if you are Lizzie Ellis please sign in and let everyone know.