Originally Posted by: Online Community Member
The NHS trust has commissioned urology services out to GP Care UK Ltd in an attempt to manage cases in the community. It is an absolute scandal and men in the South-West area are being failed. However, the company gets great ratings in its CQC inspections so nothing will change.
When I complained on the phone to GP Care UK Ltd about how long things were taking, they advised me that they met the NHS requirements and added that if I didn't like it I should go private. I emailed them twice asking for answers to some specific questions and they didn't have the decency to reply. I copied my GP in on the questions and he did at least ask me if I had received a response. My email dated 24th March 2018 edited to remove names etc. is copied below:
On 22nd February, 2018 I was referred to your NHS Community Urology Service by my GP - Dr <n1>. My PSA test result was 33.
Without a prior consultation with a Urologist, I was asked to visit the GP Care clinic at Yate on 6th March 2018 and given instructions to prepare for a Trans-rectal Ultrasound Biopsy.
At the clinic I met with Consultant Nurse – <n2> and I queried a statement included in the information sent to me i.e.
These tests are the only way to obtain these results. No other test is available.
I had seen in the news and through the internet that a Multi Parametric Magnetic Resonance Imaging (mpMRI) scan may be less invasive and possibly a more accurate initial test:
In January 2016, the results of the Prostate MRI Imaging Study (PROMIS) were published in the Lancet and showed that giving a man a multi-parametric Magnetic Resonance Imaging (mpMRI) scan before a biopsy can radically improve the accuracy of the diagnostic process for prostate cancer.
<n2> performed a digital examination which indicated that my prostate was enlarged and proposed sending me to Southmead for an MRI scan which I attended on 21st March 2018. I now need to wait for up to 4 weeks for the results.
I have a number of questions about my treatment at this stage which I would be grateful if you could answer.
1. Do I have a Consultant Urologist overseeing my case? If so who is he/she? Which organisation does he/she report to for my case?
On my MRI scan reference information it stated GP Care - Dr <n2>. I have contacted his secretary at Southmead but was advised that his name would just have been used as a doctors name is required in order to access the radiology facilities at Southmead.
2. I would like to know if my scan was carried out using a multi-parametric Magnetic Resonance Imaging (mpMRI) scanner or a different type of MRI scanner?
The notes on my appointment say: MRI Pelvis Prostate , MRI Pelvis Prostate with Gadolinium.
3. According to the North Bristol Trust – NHS – Urology website there is a One Stop 2 Week Waiting Urology Service available at Southmead. Could I have been diagnosis sooner if I had been referred there?
Edited by member 30 Jul 2018 at 23:24
| Reason: paragraph numbering tidied up.