Background
Methods
Setting
Study design
Eligibility
Comparator
The Programme
Study integrity
Data collection
Outcome measures
Cancer survivors’ unmet needs
Treatment side effects
Cancer specific quality of life
Psychological wellbeing
Fear of cancer recurrence
Activation for self-management
General health behaviours
Service use
Satisfaction with care
Analysis
Programme effectiveness
Economic evaluation
Results
Participants
Baseline characteristics
All | Programme group | Comparator group | |
---|---|---|---|
(n = 627) | (n = 293) | (n = 334) | |
Centre | |||
1 | 155 (25) | 99 (34) | 56 (17) |
2 | 202 (32) | 100 (34) | 102 (31) |
3 | 146 (23) | 53 (18) | 93 (28) |
4 | 124 (20) | 41 (14) | 83 (25) |
Ethnicitya | |||
White | 607 (97) | 281 (97) | 326 (99) |
Mixed | 2 (0) | 1 (0) | 1 (0) |
Asian | 4 (1) | 3 (1) | 1 (0) |
Black | 4 (1) | 4 (1) | 0 |
Other | 4 (1) | 2 (1) | 2 (1) |
Missing | 6 (1) | 2 (1) | 4 (1) |
Qualificationsa | |||
No qualifications | 166 (27) | 70 (24) | 96 (30) |
GCSE/O level | 106 (17) | 46 (16) | 60 (18) |
Vocational | 131 (21) | 63 (22) | 68 (21) |
A level | 45 (7) | 28 (10) | 17 (5) |
Undergraduate | 54 (9) | 27 (9) | 27 (8) |
Postgraduate | 34 (6) | 21 (7) | 13 (4) |
Other | 81 (13) | 35 (12) | 46 (14) |
Missing | 10 (2) | 3 (1) | 7 (2) |
Employment statusa | |||
Retired | 479 (77) | 224 (77) | 255 (77) |
Employed full time | 56 (9) | 27 (9) | 29 (9) |
Employed part time | 34 (5) | 18 (6) | 16 (5) |
Employed on sick leave | 5 (1) | 1 (0) | 4 (1) |
Self employed | 33 (5) | 16 (6) | 17 (5) |
Disabled or long term sick | 13 (2) | 3 (1) | 10 (3) |
Unemployed | 3 (0) | 2 (1) | 1 (0) |
Missing | 4 (1) | 2 (1) | 2 (1) |
Marital statusa | |||
Married/civil partnership | 507 (81) | 233 (80) | 274 (82) |
Widowed | 36 (6) | 19 (6) | 17 (5) |
Living with partner | 33 (5) | 17 (6) | 16 (5) |
Divorced/separated | 31 (5) | 15 (5) | 16 (5) |
Single | 19 (3) | 9 (3) | 10 (3) |
Missing | 1 (0) | 0 | 1 (0) |
Living | |||
In own home | 554 (88) | 260 (89) | 294 (88) |
In rented home | 57 (9) | 29 (10) | 28 (8) |
Temporary accommodation | 3 (1) | 1 (0) | 2 (1) |
Other | 13 (2) | 3 (1) | 10 (3) |
Caring responsibilities for children or adultsa | |||
Yes | 75 (12) | 41 (14) | 34 (10) |
No | 548 (88) | 251 (86) | 297 (90) |
Missing | 4 (1) | 1 (0) | 3 (1) |
Access to the internet at homea | |||
Yes | 530 (85) | 254 (87) | 276 (83) |
No | 96 (15) | 39 (13) | 57 (17) |
Missing | 1 (0) | 0 | 1 (0) |
Index of Multiple Deprivation decilea | |||
1 | 25 (4) | 13 (5) | 12 (4) |
2 | 28 (5) | 15 (5) | 13 (4) |
3 | 51 (8) | 21 (7) | 30 (9) |
4 | 88 (14) | 39 (14) | 49 (15) |
5 | 89 (15) | 36 (13) | 53 (16) |
6 | 75 (12) | 34 (12) | 41 (13) |
7 | 64 (10) | 34 (12) | 30 (9) |
8 | 72 (12) | 41 (14) | 31 (9) |
9 | 70 (11) | 29 (10) | 41 (13) |
10 | 53 (9) | 24 (8) | 29 (9) |
Missing | 12 (2) | 7 (2) | 5 (2) |
Age of participant (in years) | |||
Mean (SD) | 70 (7) | 70 (7) | 71 (7) |
Min to max | 44 to 91 | 45 to 84 | 44 to 91 |
Time since diagnosis (in years)a | |||
Mean (SD) | 2 (2) | 2 (2) | 2 (2) |
Min to max | 0 to 14 | 0 to 14 | 0 to 14 |
n | 623 | 292 | 331 |
Time from treatmenta | |||
0–1 years | 314 (51) | 160 (56) | 154 (47) |
> 1–2 years | 185 (30) | 69 (24) | 116 (35) |
> 2–3 years | 114 (19) | 56 (20) | 58 (18) |
Missing | 14 (2) | 8 (3) | 6 (2) |
Number of comorbidities | |||
Mean (SD) | 2 (1) | 2 (1) | 2 (1) |
Min to max | 0 to 6 | 0 to 5 | 0 to 6 |
Treatmenta | |||
Radical prostatectomy | 178 (29) | 83 (29) | 95 (29) |
External Beam Radiotherapy (EBRT) | 54 (9) | 23 (8) | 31 (9) |
Hormone therapy (HT) | 91 (15) | 27 (9) | 64 (19) |
Brachytherapy (BT) | 4 (1) | 2 (1) | 2 (1) |
EBRT and HT | 264 (43) | 143 (50) | 121 (37) |
BT and HT | 14 (2) | 9 (3) | 5 (2) |
BT and EBRT | 3 (1) | 1 (0) | 2 (1) |
BT and EBRT and HT | 12 (2) | 1 (0) | 11 (3) |
Missing | 7 (1) | 4 (1) | 3 (1) |
T Stagea | |||
T1 | 64 (11) | 32 (11) | 32 (11) |
T2 | 255 (44) | 119 (42) | 136 (45) |
T3 | 237 (40) | 118 (42) | 119 (39) |
T4 | 24 (4) | 12 (4) | 12 (4) |
T stage unknown | 4 (1) | 1 (0) | 3 (1) |
Missing | 43 (7) | 11 (4) | 32 (10) |
N Stagea | |||
N0 | 528 (91) | 262 (91) | 266 (92) |
N1 | 33 (6) | 14 (5) | 19 (7) |
N stage unknown | 17 (3) | 12 (4) | 5 (2) |
Missing | 49 (8) | 5 (2) | 44 (13) |
M Stagea | |||
M0 | 551 (95) | 273 (95) | 278 (95) |
M1 | 19 (3) | 7 (2) | 12 (4) |
M stage unknown | 12 (2) | 8 (3) | 4 (1) |
Missing | 45 (7) | 5 (2) | 40 (12) |
PSA at diagnosisa | |||
Less than 10 | 287 (48) | 142 (49) | 145 (46) |
10 to 20 | 163 (27) | 83 (29) | 80 (26) |
More than 20 | 154 (25) | 65 (22) | 89 (28) |
Missing | 23 (4) | 3 (1) | 20 (6) |
Risk stratification (3) | |||
Advanced (metastatic) | 17 (3) | 7 (2) | 10 (3) |
Localised high risk | 65 (10) | 31 (11) | 34 (10) |
Localised intermediate risk | 183 (29) | 96 (33) | 87 (26) |
Localised low risk | 36 (6) | 15 (5) | 21 (6) |
Localised risk unknown | 8 (1) | 3 (1) | 5 (2) |
Locally advanced | 245 (39) | 123 (42) | 122 (37) |
Insufficient data | 73 (12) | 18 (6) | 55 (17) |
Study outcomes
Primary outcome –Cancer survivors’ unmet needs (CaSUN)
Outcome (Direction) Subscales (Range) | |||||
---|---|---|---|---|---|
Assessment | Programme group Mean (SD) n = 293 | Comparator group Mean (SD) n = 334 | Programme– comparator difference (95% CI)a | P value | Direction favours Programme |
CaSUN Strength of need (higher = more need) | |||||
Total score (0 to 140) | |||||
Baseline | 24.4 (17.2) n = 288 | 23.4 (17.7) n = 330 | |||
4 months | 18.3 (15.5) n = 262 | 20.6 (18.1) n = 296 | −2.4 (−4.5, −0.3) n = 524 | 0.025 | YES |
8 months | 17.9 (16.2) n = 260 | 19.7 (18.5) n = 286 | −1.7 (−3.7, 0.3) n = 517 | 0.106 | YES |
Change (b-4 m) | 4.8 n = 248 | 1.8 n = 292 | |||
Change (b-8 m) | 5.5 n = 251 | 3.4 n = 283 | |||
Existential Survivorship (0 to 56) | |||||
Baseline | 4.8 (6.7) n = 290 | 4.5 (6.3) n = 330 | |||
4 months | 3.4 (5.6) n = 266 | 4.1 (6.0) n = 300 | −0.7 (−1.4, −0.02) n = 533 | 0.041 | YES |
8 months | 3.2 (5.6) n = 261 | 4.0 (6.3) n = 287 | −0.6 (−1.3, 0.04) n = 519 | 0.065 | YES |
Change (b-4 m) | 0.9 n = 254 | 0.1 n = 296 | |||
Change (b-8 m) | 1.1 n = 252 | 0.1 n = 284 | |||
Comprehensive cancer care (0 to 24) | |||||
Baseline | 10.0 (5.5) n = 292 | 9.3 (5.9) n = 330 | |||
4 months | 8.0 (5.8) n = 262 | 8.2 (6.1) n = 299 | −0.3 (−1.2, 0.4) n = 530 | 0.39 | YES |
8 months | 7.7 (5.8) n = 260 | 7.8 (6.108) n = 287 | −0.2 (−1.1, 0.5) n = 521 | 0.554 | YES |
Change (b-4 m) | 1.9 n = 252 | 1.0 n = 295 | |||
Change (b-8 m) | 1.9 n = 253 | 1.5 n = 284 | |||
Information (0 to 12) | |||||
Baseline | 3.4 (3.0) n = 291 | 3.5 (3.2) n = 330 | |||
4 months | 2.5 (2.9) n = 263 | 2.8 (3.0) n = 300 | −0.1 (−0.6, 0.2) n = 531 | 0.462 | YES |
8 months | 2.4 (2.8) n = 260 | 2.5 (2.8) n = 292 | 0.1 (−0.3, 0.5) n = 524 | 0.627 | NO |
Change (b-4 m) | 0.8 n = 252 | 0.6 n = 296 | |||
Change (b-8 m) | 0.8 n = 252 | 0.9 n = 289 | |||
Quality of life (0 to 8) | |||||
Baseline | 1.3 (1.5) n = 288 | 1.3 (1.6) n = 329 | |||
4 months | 0.9 (1.4) n = 266 | 1.1 (1.5) n = 300 | −0.1 (−0.4, 0.06) n = 531 | 0.146 | YES |
8 months | 0.9 (1.4) n = 259 | 1.1 (1.5) n = 287 | −0.2 (− 0.4, 0.02) n = 517 | 0.083 | YES |
Change (b-4 m) | 0.2 n = 253 | 0.08 n = 295 | |||
Change (b-8 m) | 0.3 n = 250 | 0.1 n = 284 | |||
Relationships (0 to 12) | |||||
Baseline | 1.7 (2.1) n = 290 | 1.6 (2.0) n = 331 | |||
4 months | 1.3 (1.9) n = 264 | 1.5 (2.0) n = 298 | −0.1 (− 0.4, 0.1) n = 531 | 0.283 | YES |
8 months | 1.2 (1.9) n = 261 | 1.4 (1.9) n = 289 | −0.1 (− 0.4, 0.08) n = 523 | 0.187 | YES |
Change (b-4 m) | 0.2 n = 252 | 0.05 n = 295 | |||
Change (b-8 m) | 0.3 n = 253 | 0.1 n = 287 | |||
CaSUN Unmet needs (higher = more need) | |||||
Total number of unmet needs (0 to 35) | |||||
Baseline | 12.8 (8.2) n = 288 | 12.1 (8.6) n = 330 | |||
4 months | 10.1 (7.9) n = 262 | 11.1 (8.8) n = 296 | −1.2 (−2.3, −0.2) n = 524 | 0.02 | YES |
8 months | 10.0 (8.0) n = 260 | 10.9 (9.4) n = 286 | −0.9 (−2.0, 0.1) n = 517 | 0.097 | YES |
Change (b-4 m) | 2.0 n = 248 | 0.7 n = 292 | |||
Change (b-8 m) | 2.2 n = 251 | 1.1 n = 283 | |||
Existential Survivorship (0 to 14) | |||||
Baseline | 3.3 (3.7) n = 290 | 3.1 (3.7) n = 330 | |||
4 months | 2.5 (3.4) n = 266 | 2.9 (3.6) n = 300 | −0.524 (−0.9, −0.07) n = 533 | 0.022 | YES |
8 months | 2.3 (3.2) n = 261 | 2.9 (3.9) n = 287 | −0.4 (− 0.8, 0.05) n = 519 | 0.083 | YES |
Change (b-4 m) | 0.5 n = 254 | 0.07 n = 296 | |||
Change (b-8 m) | 0.7 n = 252 | 0.08 n = 284 | |||
Comprehensive Cancer Care (0 to 6) | |||||
Baseline | 4.2 (1.8) n = 292 | 3.8 (2.1) n = 330 | |||
4 months | 3.5 (2.1) n = 262 | 3.5 (2.2) n = 299 | −0.1 (−0.4, 0.2) n = 530 | 0.437 | YES |
8 months | 3.6 (2.2) n = 260 | 3.5 (2.3) n = 287 | −0.07 (− 0.4, 0.2) n = 521 | 0.671 | YES |
Change (b-4 m) | 0.5 n = 252 | 0.2 n = 295 | |||
Change (b-8 m) | 0.4 n = 253 | 0.3 n = 284 | |||
Information (0 to 3) | |||||
Baseline | 1.7 (1.3) n = 291 | 1.6 (1.3) n = 330 | |||
4 months | 1.3 (1.3) n = 263 | 1.4 (1.3) n = 300 | −0.03 (−0.2, 0.1) n = 531 | 0.78 | YES |
8 months | 1.3 (1.3) n = 260 | 1.4 (1.3) n = 292 | −0.01 (− 0.2, 0.2) n = 524 | 0.911 | YES |
Change (b-4 m) | 0.3 n = 252 | 0.2 n = 296 | |||
Change (b-8 m) | 0.3 n = 252 | 0.2 n = 289 | |||
Quality of life (0 to 2) | |||||
Baseline | 0.8 (0.8) n = 288 | 0.8 (0.8) n = 329 | |||
4 months | 0.6 (0.8) n = 266 | 0.7 (0.8) n = 300 | −0.1 (−0.2, 0.02) n = 531 | 0.108 | YES |
8 months | 0.6 (0.8) n = 259 | 0.7 (0.8) n = 287 | −0.1 (− 0.2, 0.00) n = 517 | 0.064 | YES |
Change (b-4 m) | 0.1 n = 253 | 0.05 n = 295 | |||
Change (b-8 m) | 0.1 n = 250 | 0.04 n = 284 | |||
Relationships (0 to 3) | |||||
Baseline | 1.0 (1.0) n = 290 | 0.9 (1.0) n = 331 | |||
4 months | 0.7 (1.0) n = 264 | 0.8 (1.0) n = 298 | −0.06 (−0.2, 0.08) n = 531 | 0.385 | YES |
8 months | 0.7 (1.0) n = 261 | 0.8 (1.0) n = 289 | −0.08 (− 0.2, 0.06) n = 523 | 0.263 | YES |
Change (b-4 m) | 0.1 n = 252 | 0.07 n = 295 | |||
Change (b-8 m) | 0.1 n = 253 | 0.09 n = 287 | |||
CaSUN Positive changes in life (higher = better) | |||||
Number of positive changes (0 to 6) | |||||
Baseline | 2.0 (1.8) n = 288 | 1.9 (1.7) n = 331 | |||
4 months | 2.1 (1.9) n = 267 | 1.8 (1.8) n = 303 | 0.2 (−0.08, 0.5) n = 535 | 0.166 | YES |
8 months | 2.1 (1.8) n = 259 | 1.6 (1.9) n = 288 | 0.221 (−0.1, 0.5) n = 517 | 0.179 | YES |
Change (b-4 m) | −0.06 n = 252 | 0.1 n = 300 | |||
Change (b-8 m) | −0.04 n = 250 | 0.3 n = 284 |
Secondary outcomes
Patient satisfaction
Strongly agree N (%) | Agree N (%) | Neither agree nor disagree N (%) | Disagree N (%) | Strongly disagree N (%) | Mann Whitney U | p-value | |
---|---|---|---|---|---|---|---|
4 months | |||||||
I have felt reassured | |||||||
Programme group | 73 (29) | 124 (50) | 51 (21) | 0 (0) | 0 (0) | 27,356 | 0.000 |
Comparator group | 56 (20) | 119 (43) | 81 (29) | 8 (3) | 12 (5) | ||
I have known who to contact with any problems | |||||||
Programme group | 125 (50) | 115 (46) | 8 (3) | 0 (0) | 0 (0) | 65,139 | 0.000 |
Comparator group | 86 (31) | 158 (57) | 14 (5) | 7 (2) | 13 (5) | ||
I have felt comfortable about contacting the doctors and nurses with any problems | |||||||
Programme group | 113 (46) | 121 (48) | 12 (5) | 2 (1) | 0 (0) | 67,705 | 0.000 |
Comparator group | 93 (33) | 143 (51) | 22 (8) | 6 (2) | 15 (6) | ||
I have felt isolated | |||||||
Programme group | 1 (1) | 6 (2) | 18 (7) | 85 (34) | 138 (56) | 37,907 | 0.019 |
Comparator group | 7 (3) | 11 (4) | 34 (12) | 91 (33) | 133 (48) | ||
I have felt that the care received was thorough | |||||||
Programme group | 103 (42) | 116 (47) | 27 (11) | 0 (0) | 1 (0) | 67,212 | 0.000 |
Comparator group | 80 (29) | 134 (48) | 48 (17) | 6 (2) | 12 (4) | ||
I have felt able to ask questions | |||||||
Programme group | 112 (45) | 127 (51) | 9 (4) | 1 (0) | 0 (0) | 67,944.50 | 0.000 |
Comparator group | 93 (33) | 143 (51) | 26 (9) | 4 (2) | 14 (5) | ||
I have felt that the doctors/nurses spent enough time with me | |||||||
Programme group | 97 (39) | 117 (47) | 31 (13) | 1 (.5) | 1 (.5) | 68,095 | 0.000 |
Comparator group | 78 (28) | 137 (49) | 41 (15) | 7 (3) | 17 (6) | ||
I have felt involved in decisions about my care | |||||||
Programme group | 93 (38) | 114 (46) | 36 (15) | 2 (1) | 1 (0) | 67,553.50 | 0.000 |
Comparator group | 72 (26) | 132 (47) | 55 (19) | 8 (3) | 13 (5) | ||
Has the health care you received been acceptable | yes | no | unsure | ||||
Programme group | 230 (93) | 0 (0) | 18 (7) | 35,521 | 0.278 | ||
Comparator group | 251 (90) | 4 (1) | 24 (9) | ||||
Has the health care you received met your expectations | exceeded | met | Fell short | unsure | |||
Programme group | 36 (15) | 186 (75) | 8 (3) | 17 (7) | 36,827.50 | 0.033 | |
Comparator group | 25 (9) | 213 (77) | 13 (5) | 25 (9) | |||
How would you rate the quality of care you have received | Excellent | Very good | Good | Fair | Poor | ||
Programme group | 70 (29) | 94 (38) | 66 (27) | 12 (5) | 2 (1) | 35,232 | 0.264 |
Comparator group | 69 (25) | 109 (40) | 67 (25) | 26 (9) | 3 (1) | ||
8 months | |||||||
I have felt reassured | |||||||
Programme group | 45 (19) | 122 (50) | 64 (26) | 6 (3) | 5 (2) | 33,946 | 0.906 |
Comparator group | 61 (23) | 125 (45) | 81 (29) | 8 (2) | 4 (1) | ||
I have known who to contact with any problems | |||||||
Programme group | 98 (40) | 139 (56) | 6 (2) | 1 (1) | 3 (1) | 30,686 | 0.015 |
Comparator group | 85 (31) | 173 (62) | 11 (4) | 6 (2) | 3 (1) | ||
I have felt comfortable about contacting the doctors and nurses with any problems | |||||||
Programme group | 91 (37) | 132 (54) | 17 (7) | 1 (1) | 3 (1) | 31,896.50 | 0.207 |
Comparator group | 86 (31) | 168 (61) | 15 (5) | 5 (2) | 3 (1) | ||
I have felt isolated | |||||||
Programme group | 4 (2) | 8 (3) | 28 (11) | 71 (29) | 134 (55) | 34,774 | 0.535 |
Comparator group | 3 (1) | 11 (4) | 32 (12) | 88 (32) | 142 (51) | ||
I have felt that the care received was thorough | |||||||
Programme group | 73 (30) | 122 (51) | 42 (17) | 3 (1) | 2 (1) | 32,951 | 0.834 |
Comparator group | 79 (29) | 144 (52) | 44 (16) | 5 (2) | 3 (1) | ||
I have felt able to ask questions | |||||||
Programme group | 87 (36) | 135 (55) | 21 (9) | 0 (0) | 1 (0) | 33,267.50 | 0.850 |
Comparator group | 92 (34) | 164 (60) | 12 (4) | 4 (1) | 3 (1) | ||
I have felt that the doctors/nurses spent enough time with me | |||||||
Programme group | 77 (32) | 122 (50) | 38 (16) | 6 (2) | 1 (0) | 32,749 | 0.506 |
Comparator group | 80 (29) | 143 (52) | 43 (15) | 8 (3) | 3 (1) | ||
I have felt involved in decisions about my care | |||||||
Programme group | 74 (31) | 120 (49) | 45 (19) | 3 (1) | 1 (0) | 32,089.50 | 0.317 |
Comparator group | 72 (26) | 146 (53) | 50 (18) | 7 (2) | 2 (1) | ||
Has the health care you received been acceptable | yes | no | unsure | ||||
Programme group | 219 (91) | 3 (1) | 19 (8) | 33,257.50 | 0.491 | ||
Comparator group | 241 (89) | 7 (3) | 23 (9) | ||||
Has the health care you received met your expectations | exceeded | met | Fell short | unsure | |||
Programme group | 24 (10) | 192 (80) | 6 (2) | 18 (8) | 32,853 | 0.480 | |
Comparator group | 23 (9) | 213 (80) | 12 (5) | 19 (7) | |||
How would you rate the quality of care you have received | Excellent | Very good | Good | Fair | Poor | ||
Programme group | 51 (23) | 85 (38) | 74 (33) | 10 (5) | 3 (1) | 28,942.50 | 0.913 |
Comparator group | 63 (24) | 101 (39) | 71 (27) | 23 (9) | 3 (1) |
Health economic analysis
Programme group (N = 206) | Comparator group (N = 265) | |||||||
---|---|---|---|---|---|---|---|---|
mean | sd | min | max | mean | sd | min | max | |
Total Cost | ||||||||
288.7 | 413.5 | 33.7 | 4185.0 | 327.3 | 1037.2 | 0 | 12,632.8 | |
Subtotal | ||||||||
Direct cost of Intervention | 102.3 | 21.0 | 18.8 | 200.9 | 58.6 | 90.5 | 0 | 639.0 |
Total cost of Service use | 186.3 | 411.4 | 0 | 4069.3 | 268.6 | 1020.7 | 0 | 12,499.4 |
Programme group follow up care costs | ||||||||
Screening Cost | 4.1 | 0.00 | 4.1 | 4.1 | ||||
Introduction to support worker | 6.2 | 0.00 | 6.2 | 6.2 | ||||
Set up on PSA tracker system | 5.0 | 0.00 | 5.0 | 5.0 | ||||
PSA Reviews | 6.2 | 2.9 | 0 | 14.7 | ||||
Signed up to Online Portal | 4.1 | 2.7 | 0 | 6.0 | ||||
Conducted Electronic Health Needs Assessment (HNA) | 2.8 | 5.0 | 0 | 25.0 | ||||
Conducted Paper Health Needs Assessment (HNA) | 2.4 | 1.5 | 0 | 3.4 | ||||
Staff Member electronic Messages | 1.0 | 2.4 | 0 | 16.5 | ||||
Patient electronic Messages | 0.8 | 2.4 | 0 | 21.0 | ||||
Cost of delivery of workshop (per patient) | 62.9 | 11.8 | 0 | 65.1 | ||||
Comparator group follow up care costs | ||||||||
Face to Face CLINIC, CNS Band6 | 1.5 | 5.8 | 0 | 42.0 | ||||
Face to Face CLINIC, CNS Band7 | 3.6 | 9.0 | 0 | 52.0 | ||||
Face to Face CLINIC, CNS Band8A | 0.1 | 1.1 | 0 | 10.3 | ||||
Face to Face CLINIC, Registrar Urology | 7.4 | 18.7 | 0 | 125.3 | ||||
Face to Face CLINIC, Consultant Urology | 10.8 | 35.0 | 0 | 200.0 | ||||
Face to Face CLINIC, Registrar Oncology | 0.1 | 1.9 | 0 | 31.3 | ||||
Face to Face CLINIC, Consultant Oncology | 29.6 | 81.4 | 0 | 600.0 | ||||
Telephone CLINIC, CNS Band6 | 0.00 | 0.00 | 0 | 0 | ||||
Telephone CLINIC, CNS Band7 | 3.0 | 7.9 | 0 | 39.0 | ||||
Telephone CLINIC, CNS Band8A | 0.08 | 1.2 | 0 | 20.6 | ||||
Telephone CLINIC, Consultant Oncology | 0.6 | 7.3 | 0 | 100.0 | ||||
Unplanned Clinical calls cost | ||||||||
Telephone Contact, Support worker | 3.4 | 7.2 | 0 | 36.5 | 0.04 | 0.4 | 0 | 5.0 |
Telephone Contact, CNS Band6 | 0.07 | 0.6 | 0 | 7.0 | 0.00 | 0 | 0 | 0 |
Telephone Contact, CNS Band7 | 0.9 | 3.6 | 0 | 26.0 | 1.4 | 5.8 | 0 | 60.6 |
Telephone Contact, CNS Band8A | 0.00 | 0.00 | 0 | 0 | 0.1 | 1.1 | 0 | 15.5 |
Telephone Contact, Registrar Urology | 1.0 | 6.4 | 0 | 62.6 | 0.00 | 0.00 | 0 | 0 |
Telephone Contact, Consultant Urology | 0.1 | 2.3 | 0 | 33.3 | 0.00 | 0.00 | 0 | 0 |
Telephone Contact, Consultant Oncology | 0.8 | 6.1 | 0 | 66.6 | 0.00 | 0.00 | 0 | 0 |
Other prostate related service use | ||||||||
GP Visit | 48.2 | 63.1 | 0 | 396.0 | 53.1 | 72.5 | 0 | 396.0 |
GP Tel Advice | 1.0 | 3.4 | 0 | 18.4 | 1.2 | 3.2 | 0 | 23.0 |
GP Home Visit | 1.7 | 12.7 | 0 | 92.0 | 1.3 | 11.2 | 0 | 92.0 |
GP Nurse Visit | 16.7 | 18.1 | 0 | 111.4 | 15.5 | 18.3 | 0 | 89.1 |
GP Nurse Tel advice | 1.4 | 4.4 | 0 | 31.6 | 1.1 | 3.8 | 0 | 23.7 |
GP Nurse home visit | 1.8 | 22.1 | 0 | 315.8 | 1.2 | 8.9 | 0 | 98.7 |
Social worker visit | 0.7 | 7.7 | 0 | 79.0 | 1.7 | 13.6 | 0 | 158.0 |
Physiotherapist visit NHS | 2.8 | 16.7 | 0 | 192.0 | 5.6 | 42.1 | 0 | 512.0 |
Dietician visit NHS | 1.4 | 7.9 | 0 | 64.0 | 1.8 | 21.9 | 0 | 352.0 |
Counsellor Visit NHS | 0.6 | 5.0 | 0 | 42.0 | 3.4 | 43.2 | 0 | 672.0 |
Psychiatrist/psychologist Visit NHS | 0.4 | 4.1 | 0 | 42.0 | 0.1 | 2.5 | 0 | 42.0 |
Complementary Therapist Visit NHS | 1.1 | 8.4 | 0 | 80.0 | 0.1 | 1.3 | 0 | 16.0 |
Services Helpline call | 0.1 | 1.0 | 0 | 10.5 | 0.4 | 2.7 | 0 | 31.5 |
Attended Urology Clinic | 37.8 | 86.0 | 0 | 464.9 | 0.00 | 0.00 | 0 | 0 |
Other Clinic Cost | 20.4 | 70.1 | 0 | 468.0 | 30.7 | 130.5 | 0 | 1560.0 |
A&E | 9.5 | 137.6 | 0 | 1976.0 | 26.1 | 199.9 | 0 | 1976.0 |
Hospital Day Case | 31.1 | 162.1 | 0 | 1426.0 | 64.5 | 340.8 | 0 | 2852.0 |
Hospital Inpatient Cost | 8.9 | 95.7 | 0 | 1232.0 | 59.3 | 534.8 | 0 | 5800.0 |
Ambulance use | 0.00 | 0.00 | 0 | 0 | 0.7 | 8.5 | 0 | 98.0 |