Urology department MRI use for Prostate Cancer Diagnosis

The request was successful.

Dear Stockport 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)

FOI, Stockport NHS Foundation Trust

Dear Ms Ellis,

 

Thank you for your request for information, which we received via email on
the 21/08/2019.

 

Your request will be dealt with under the terms of the Freedom of
Information Act 2000.

 

In some circumstances a fee may be payable and, if that is the case, you
will be informed by way of a fees notice and you will be required to pay
before we will proceed to deal with your request.

 

Please contact me using the address below if you have any queries.

 

Yours Sincerely

 

Laura Sillitoe

Freedom of Information and Information Governance Support Officer

Stockport NHS Foundation Trust

Stepping Hill Hospital

Poplar Grove

Stockport

Cheshire. SK2 7JE

Tel: 0161 419 4160 / 5295

Email: [1][Stockport NHS Foundation Trust request email]

 

 

This e-mail and any attachments transmitted with it are confidential and
are for the intended recipient only. If you have received this email in
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Dear FOI,
Further to our Freedom of Information request of 21st 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 long since passed.
Please let me know if you are having any problems completing the request.

Yours sincerely,

Lizzie Ellis

FOI, Stockport NHS Foundation Trust

Dear Ms Ellis,

Please accept our apologies for the delay in our response, I will chase this immediately and try to have full response by the end of the working day.

Kind regards

Laura Sillitoe
Freedom of Information and Information Governance Support Officer
Stockport NHS Foundation Trust
Stepping Hill Hospital
Poplar Grove
Stockport
Cheshire. SK2 7JE
Tel: 0161 419 4160 / 5295
Email: [Stockport NHS Foundation Trust request email]

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FOI, Stockport NHS Foundation Trust

1 Attachment

Dear Ms Ellis,

 

Thank you for your request for information, which we received on the
21/08/2019.

 

Please accept our apologies for the delay in our response.

 

We are pleased to attach our response to your request, which is in
portable document format (PDF) and will require Acrobat reader software to
view the document.

 

The FOI Act gives the applicant the right to access information but does
not give an automatic right to re-use the information. The re-use of
public sector information regulations 2005 regulates how individuals or
companies re-use public sector information and provides a licensing scheme
for re-use.

 

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Appropriate remedies will be sought in respect of any unsolicited
marketing information supplied.

 

If you have any queries about our response, please contact me, quoting the
reference number above in any future communications.

 

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 me in the first instance at the address below.

 

If you are not content with the outcome of your complaint, you may apply
directly to the Information Commissioner for a decision. Generally, the
Information Commissioner cannot make a decision unless you have exhausted
the complaints procedure provided by the Trust.

The Information Commissioner can be contacted at: The Information
Commissioner’s Office, Wycliffe House, Water Lane, Wilmslow, Cheshire SK9
5AF.

 

Yours sincerely

 

Laura Sillitoe

Freedom of Information and Information Governance Support Officer

Stockport NHS Foundation Trust

Stepping Hill Hospital

Poplar Grove

Stockport

Cheshire. SK2 7JE

Tel: 0161 419 4160 / 5295

Email: [1][Stockport NHS Foundation Trust request email]

 

This e-mail and any attachments transmitted with it are confidential and
are for the intended recipient only. If you have received this email in
error, any reading, printing, storage, disclosure, copying or any other
action taken in respect of this e-mail is prohibited and may be unlawful.
Please notify the sender immediately by reply email and then permanently
delete the email. This e-mail and its attachments have been scanned for
viruses but we cannot guarantee that they are virus free. The recipient
should check this e-mail and any attachments for viruses. The information
contained in this email may be subject to public disclosure under the
Freedom of Information Act 2000. Unless legally exempt from disclosure,
the confidentiality of this email and your reply cannot be guaranteed

References

Visible links
1. mailto:[Stockport NHS Foundation Trust request email]