Urology department MRI use for Prostate Cancer Diagnosis

The request was successful.

Dear Salford Royal 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)

Freedom of information request, Salford Royal NHS Foundation Trust

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The Freedom of Information Team

PennineFOI atSalford, Salford Royal NHS Foundation Trust

Dear Lizzie

RE: Freedom of Information Acknowledgement Ref code FOI 9604

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
Northern Care Alliance
Salford/North Manchester/Oldham/Rochdale/Fairfield
Tel: 0161 206 6610

(NB all PAT & combined related responses should be addressed to the PAT dedicated FOI email address)
[email address]

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PennineFOI atSalford, Salford Royal NHS Foundation Trust

1 Attachment

Dear Lizzie

 

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

 

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

Northern Care Alliance

Salford/North Manchester/Oldham/Rochdale/Fairfield

Tel: 0161 206 6610

 

(NB all PAT & combined related responses should be addressed to the PAT
dedicated FOI email address)

[1][email address]

 

 

 

 

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