Slide 1

LOWER URINARY TRACT SYMPTOM MANAGEMENT CLINICJulia TaylorNurse ConsultantSalford Royal Hospital NHS Foundation Trust

1AIMS OF SERVICETo provide a clinically appropriate tier 2 service in a primary care setting

To provide a cost effective care pathway

To respond to the local health needs

Build on development of Urology i CATS model - timely appointments

Clinic run in primary care / i CATS facility

To ensure auditable pathway

Utilise a structured clinical governance framework

Deliver : Safe , Clean & Personal Salford Royal Foundation Trust

2Ambition to be the best & manitain the high standard of careDevelop networks with the PCTs

Already demonstrated our success as an organisationOne of the best hospitals in the NHS : for 3 consecutive years Health Care Commission rated quality services as excellentSelected as finalist as Best acute hospital in the national awards and won the national Patient safety awardImportant when considering all servicesCURRENT SITUATIONManagement LUTS in primary care NICE

15% referrals to urology department for patients with LUTS* audit 12 weeks iCAT model triage clinicExisting model of nurse led service in secondary care * British Association Urological NursesBAUN 2003Existing equipment availability portable

Clinical governance framework includes :- regular audit - assessment of competencies - Clinical supervision

3

4CAPACITY & STAFFINGFortnightly clinic5 New 4 Follow Up patientsProvided by secondary careUrology Specalist Nurse (0.21 wte)Health Care assistant (0.21 wte)Provided by Primary CareManagerial & Administration staff

5CLINIC PROTOCOLEligibility Criteria Adult male patients

Lower Urinary Tract Symptoms

Normal Renal Function

Normal Age Specific PSA

Urinalysis / MSU NAD

Exclusion Criteria Suspected Cancer TWW referrals

Abnormal /Absent Pre Clinic

Investigations

Presence of Secondary Urological Problems

6Triage outcomes

7

8

Outcomes from new appointments

9Not just the with reference to the new appointment skilled practitioners allow more efficient pathway via service

Outcomes from follow up appointments

10BENEFITSEase for GP to refer into serviceStreamlined pathwayRapid ongoing referralTreatment regimes - Non Medical Prescriber [NMP]Lifestyle adviceMedical treatment advice to GPReferral for further investigationReferral for surgical treatmentFollow up as required - NMP review * National Prescribing Centre CompetenciesStructured Clinical Governance frameworkSafe Clean & Personal Salford Royal Foundation

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12Median values used (data not normally distributed (ie skewed))CONCLUSIONUncomplicated LUTS can be effectively managed in a primary care setting

High patient satisfaction levels

A robust system for patient selection is required

Ongoing professional development and clinical governance arrangements important to the delivery of a safe patient focused service

13New appointment pie chart (2)103483

Outcomes from new appointments

secondary care bar chart21221111196211114

Abnormal DREAcute retention of urineAlready on dual therapyHaematuriaNeeds general urology referralNeeds ED and Andrology appNeeds UrodynamicsNot suitable otherNot suitable due to medical historyProstatitisRaised PSARecurrent UTI`sReferred for surgeryRenal colicUnspecifiedReferrals to secondary clinic

Secondary care pie chart21221111196211114

Referrals to secondary care

Secondary care referralsAbnormal DREAcute retention of urineAlready on dual therapyAlready on dual therapyHaematuriaHaematuriaAbnormal DRENeeds general urology referralNeeds ED and Andrology appNeeds UrodynamicsNot suitable otherNot suitable due to medical historyProstatitisProstatitisProstatitisProstatitisProstatitisProstatitisProstatitisProstatitisProstatitisRaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARecurrent UTI`sReferred for surgeryRenal colicUnspecifiedUnspecifiedUnspecifiedUnspecifiedUnspecifiedUnspecifiedUnspecifiedUnspecifiedUnspecifiedUnspecifiedUnspecifiedUnspecifiedUnspecifiedUnspecifiedAbnormal DRE2Acute retention of urine1Already on dual therapy2Haematuria2Needs general urology referral1Needs ED and Andrology app1Needs Urodynamics1Not suitable other1Not suitable due to medical history1Prostatitis9Raised PSA62Recurrent UTI`s1Referred for surgery1Renal colic1Unspecified14

Triage pie chart110100

2 year data1/19/071Raised PSA1/19/071Raised PSA1/23/071Raised PSA1/25/071Haematuria2/15/071Raised PSA2/15/071Raised PSA2/20/071Raised PSA2/20/071Prostatitis2/20/071Raised PSA2/20/071Raised PSA2/20/071Raised PSA2/23/071Raised PSA2/27/071Raised PSA3/8/071Raised PSA3/15/071Raised PSA3/15/071Raised PSA3/15/0713/23/071Raised PSA3/29/071Raised PSA3/29/071Raised PSA4/12/071Raised PSA4/12/071Raised PSA4/13/071Raised PSA4/26/071Raised PSA5/17/071need general urology referal5/22/071Raised PSA5/24/0716/5/0716/5/0716/12/0716/28/071Irregular DRE6/29/071Raised PSA7/12/07111Renal colic7/20/071Acute retention of urine7/24/071Raised PSA7/24/071Raised PSA7/24/071Raised PSA8/8/0718/10/0718/10/0718/16/0718/30/071Prostatitis9/10/071Prostatitis9/14/071Recurrent UTI`s9/20/071Raised PSA9/21/071Raised PSA9/26/071Raised PSA9/27/071Raised PSA10/11/071Raised PSA10/11/071Raised PSA10/11/071Raised PSA10/15/071Raised PSA10/23/071Haematuria10/23/071Raised PSA11/12/071Prostatitis11/20/071Needs Urodynamics11/20/07112/5/071Referred for surgery12/5/071Prostatitis12/10/071Raised PSA12/13/071Prostatitis12/13/071Raised PSA12/28/071Raised PSA12/28/071? Prostatitis1/11/081Raised PSA1/17/0811/22/081Prostatitis1/22/081Already on dual therapy1/22/081Raised PSA2/21/081Raised PSA2/21/081Raised PSA2/22/081Raised PSA2/28/081Raised PSA2/28/081Already on dual therapy2/28/081Raised PSA3/6/081Raised PSA3/14/081Not suitable due to medical history3/14/081Raised PSA3/20/081Raised PSA3/20/081Raised PSA3/20/081Raised PSA3/25/081Raised PSA4/8/0811Raised PSA4/24/081Raised PSA5/19/081Abnormal DRE6/16/081Raised PSA6/16/081Not suitable7/30/0818/14/081Raised PSA8/26/081Raised PSA8/26/081Raised PSA8/29/0818/29/081Raised PSA9/8/081Raised PSA9/8/081Raised PSA9/9/081Raised PSA9/9/081Prostatitis9/10/081Needs ED and Andrology app9/23/081Prostatitis10/4/081Raised PSA10/1/06121Attended 2nd Fu further fu in 3/1211/16/061111/24/06111112/15/0612no U&Es, letter sent 3.1.06, rang practice 8.1.06 patient has appt for blood test tomorrow12/18/06101noU&E GP faxed 19/12/0612/18/0610111noU&E GP faxed 19/12/0612/19/0612No U&E GP Faxed12/22/06111112/29/0611112/29/06111/11/0711No U&E GP faxed.1/16/071111`1/16/0711/23/07111/23/071111/23/071Raised PSA2/8/07112/15/0711112/15/0711No U&E or PSA GP Faxed2/20/07112/20/071112/23/0711112/27/071113/2/071213/15/07111PSA and U&E3/15/0713/23/071113/23/071111U&E3/29/0711U&E3/29/071114/12/0711214/19/0711115/17/07115/25/071115/25/07116/7/07116/12/0716/26/0711116/26/07117/5/0711Discharged on follow up appointment7/5/07117/11/0711127/12/0711117/16/07117/16/071117/20/0711117/23/0717/31/0717/31/0717/31/0718/2/071128/10/071118/16/07118/16/0718/17/07118/23/071118/23/0718/30/0718/30/0719/10/071119/10/0711No U&E results9/14/07119/14/0719/18/071110/4/07112110/10/0711110/11/0711110/16/07111110/16/07110/23/071110/24/071110/25/071110/25/071110/25/071111/3/071211/8/07111211/15/071111/15/07111/20/071111/28/071111/29/071112/13/071112/19/07112/19/07111/17/08111/22/081221/30/0812/4/08112/28/08112/28/08112/28/0813/6/0813/14/0813/20/0814/18/0811114/18/08115/19/08116/11/0816/11/0817/13/0817/13/0817/13/0817/22/0819/8/0819/9/0819/9/0819/9/0819/10/0819/30/0819/30/081Triaged to LUTS clinicTriaged to Secondary Care110100

Follow up pie chart2743273

Outcomes from follow up appointment

Follow up appointment outcomesDischargedReferred to secondary careDiagnosticsGiven follow up appointmentDNA2743273

New appointment pie chart103483

Outcomes from new appointments

New appointment outcomesDischarged on first visitReferred to secondary careGiven follow up appointmentDNA103483

Core datablue = completed episodeyellow = waiting for info from GP`demographicsICATS triage outcomeoutcome of appointmentComments (info missing from referral & any contact with patients GP)Date Referral ReceivedDate TriagedPatient NameDOBGPPracticeBack to GP for more infotriaged to LUTS clinictriaged to Secondary CareSeen in LUTS dischargedSeen in LUTS clinic given FU apptAttended FU apptreferred to secondary careDNA2011210030693912211/16/06mario parise5/15/34BerryEllesmere Med Cent01112/15/06steven Kennerley6/26/55Burneycheadle medical practice0102no U&Es, letter sent 3.1.06, rang practice 8.1.06 patient has appt for blood test tomorrow12/7/0612/18/06john ferguson6/27/42Tinsley11001noU&E GP faxed 19/12/0612/14/0612/18/06anthony stansfield12/18/62Shipstoncheadle hulme HC1100111noU&E GP faxed 19/12/0611/24/06Ian Kennedy11/11/54LargeHeaton Norris01011110/1/06trevor Gaunt8/18/511021Attended 2nd Fu further fu in 3/129/14/069/14/06george adams4/9/37HallMarple M C1229/14/069/14/06Gordon Griffin2/10/29ColeSth Reddish MC11119/14/069/14/06Ronald Busby12/12/44HallMarple M C12112/27/0612/29/06Denis Gaskell4/22/47ValluriMarple M C11112/13/0612/19/06Mohammed Munif12/19/40WynnHeaton Mersey112No U&E GP Faxed12/20/0612/22/06Joseph Breen6/10/50ParkinsonManor Med Pract111112/5/06Patrick Gallagher10/1/54WynnHeaton Mersey11No U & E Gp Faxed12/29/06Stephen Berrisford6/17/48Holdercheadle hulme HC111/15/071/16/07Martin Angell5/2/50BayesBramhall Park MC1111`1/16/071/16/07David Hazelhurst9/19/59ParkinsonManor Med Pract11/18/071/19/07Eric Hales3/9/43Tinsley1Raised PSA1/18/071/19/07Gareth Burgess1/5/48warburtonHeaton Mersey1Raised PSA1/19/071/23/07Kenneth Gilbert7/5/35warburtonHeaton Mersey11!8/01/071/23/07Sammuel Heyes3/6/29WrightHeald Green HC1Raised PSA1/23/071/23/07Jess Roebuck9/12/32rodgersMarple Bridge Surgery1111/10/071/11/07Reginald Spring5/30/21Daviescheadle hulme HC111No U&E GP faxed.1/22/066/29/07Geoffrey Smith8/1/44Hastingscheadle hulme HC1Raised PSA2/7/072/8/07James Dixon10/21/30AdairHeaton Moor Med Centre111/19/071/23/07john Doyle4/24/48PontefractThe family Surg Reddish11Raised PSA1/24/071/25/07James MasseyColeSth Reddish MC1Haematuria Raised PSA2/14/072/15/07Leslie AtkinsonTinsley1Raised PSA2/14/072/15/07Edward Lockett1/24/41ParkinsonManor Med Pract11112/7/072/15/07Petere DonohueAzmy1Raised PSA2/9/072/15/07John HallardMathewsonHigh Lane MC111No U&E or PSA GP Faxed2/21/072/23/07Norman Robinson7/27/36JonesChadsfield med Pract.Romiley1raised PSA2/17/072/20/07Arnold Harrison4/23/18warburtonHeaton Mersey1raised PSA2/16/072/20/07christopher Cowlishaw2/3/43HickEastholme Surgery112/16/072/20/07Frank Wood9/25/26Mehtacheadle medical practice1112/19/072/20/07Harold Radcliffe12/1/46rodgersMarple Bridge Surgery1No Luts ? Prostatitis2/16/072/20/07Rory Alkin4/7/50warburtonHeaton Mersey1Raised PSA2/16/072/20/07Frederick Emery5/17/32WebsterEllesmere Med Cent1Raised PSA2/16/072/20/07Herber Duffey10/30/26DeanHeald Green HC1Raised PSA2/23/072/23/07Geoffrey Thompson9/10/39Mehtacheadle medical practice11112/23/077/23/07Richard Morris12/8/48Mehtacheadle medical practice12/27/072/27/07Ronald Smith11/13/25higginbotham-jones Manor Medical Practice1raised PSA2/28/073/2/07Micheal SnapeEyres1213/7/073/8/07John Adshead2/6/45MorganChadsfield med Pract.Romiley1raised PSA2/26/072/27/07Alan Camm9/18/48Adamscheadle medical practice11113/15/07Stephen Andrew4/2/51HickEastholme Surgery1raised PSA8/3/15/07James Sutton10/21/42rodgersmarplebridge surgery1raised PSA3/15/073/15/07David Mitchell4/5/52The family Surg Reddish1111PSA and U&E3/14/073/15/07Albert Tonge9/5/29AllanBeech House Med Cent1PSA and U&E3/14/073/15/07Ian Goulden8/7/49Gaduzocheadle medical practice13/14/073/15/07Brian Hutchinson12/4/36Seabrookcheadle hulme HC13/28/073/29/07Frank Doidge3/13/07WoodworthChadsfield med Pract.Romiley1raised PSA3/29/073/29/07Robin Axten8/14/42warburtonHeaton Mersey1raised PSA3/28/073/29/07Peter williams6/12/49Gaduzocheadle medical practice111U&E3/26/073/29/07Raymond Tubman4/6/40AllanBeech House Med Cent1113/21/073/23/07Lewis Phillips11/16/23Wynn-JonesMarple Medical Practice1raised PSA3/19/073/23/07John Gallagher9/14/54Enam-UI Haquecheadle medical practice1113/21/073/23/07Terry smith5/8/54WoodworthChadsfield med Pract.Romiley11111U&E4/10/074/12/07george Penkett7/7/34BerchtoldMarple Bridge Surgery1raised PSA4/4/074/12/07Ian Duddridge4/11/61MathewsonHigh Lane MC1raised PSA4/6/074/12/07thomas Harper9/30/34BayesShaw Heath H C11214/13/074/13/07Cliff Brown1/7/52Holdercheadle hulme HC1raised PSA4/18/074/19/07Brian Felstead6/17/35ParkinsonManor Med Pract11114/23/074/26/07Alan Cheetham2/23/42MathewsonHigh Lane MC1raised PSA5/4/075/8/07Gwynne Lloyd10/28/53Gaduzocheadle medical practice1U&E5/15/075/22/07Alan Jacob1/14/43GrahamBramhall Health Centre1raised PSA5/4/075/8/07Gwynne Lloyd10/28/53GaduzoCheadle Med Practice1need u&e5/15/075/17/07Dominic Gallagher1/15/31HickEastholme Surgery1need general urology referal5/15/075/17/07Philip Riley4/23/64WhiteAdswood road surgery116/7/076/12/07Royston Eckersall6/11/46Gaduzocheadle medical practice16/8/076/12/07Roy Cairns7/17/32RodgersMarple Bridge Surgery16/4/076/7/07Brian Chapman9/14/54ParkinsonManor Med Pract116/5/076/5/07Peter Bluer6/10/41DeanHeald Green HC15/23/076/5/07William Stroud9/28/25Johnson50 Church Street15/23/075/24/07Albert Bowdler3/18/34Daycheadle hulme HC15/23/075/25/07Thomas Sharpe2/10/48BillingtonHeaton Moor Med Centre1115/22/075/25/07Peter Hampson7/18/29WarburtonHeaton Mersey116/25/076/26/07Allan Fleet9/20/40ColeSouth Reddish Medical Centre11116/26/07George Hinsley11/18/35Wynne-JonesMarple Medical Practice1127/06.076/28/07Kenneth Deane6/3/46MorrisonHeaton Norris H C1Irregular DRE7/5/077/5/07David williams4/3/42Shipstoncheadle hulme HC11Discharged on follow up appointment6/28/077/5/07David walmsley11/11/62GaduzoCheadlle Medical Practice117/7/077/11/07Neville Hall1/4/32Gaduzocheadle medical practice11127/9/077/12/07William Berry3/15/36BriggsBracondale Medical Centre11117/11/077/12/07Harry Jeffries3/10/47GreenwellThe Alvanley Practice111Raised PSA ?renal colic7/13/077/16/07David Jackson1/18/51Holdercheadle hulme HC1113-Jul16-JulLawrence Whitehead2/2/42JonesChadsfield med Pract.Romiley1117/18/077/20/07Kenneth Fitzgerald6/22/39LloydCedar House Bramhall1Acute retention of urine7/20/077/20/07colin Gateley12/5/52TrenholmEllesmere Med Cent111119/20/077/20/07Albert Atkinson2/28/35AgarwalLittle Moor Surgery1No Blood results7/20/077/24/07David Clayton11/8/47MathewsonHigh Lane MC1Raised PSA7/23/077/24/07Thomas Delayney3/29/42rodgersMarple Bridge Surgery1Raised PSA7/24/077/24/07David Emberley5/22/39LevyBeech House Med Cent1Raised PSA8/8/078/8/07Roy Wrigley3/15/34Wilsoncheadle medical practice18/3/078/3/07Ian Fraser1/29/43BerchtoldMarple Bridge Surgery18/1/078/2/07David Moat12/12/52HardmanHeaton Norris H C1127/27/077/31/07Colin Cheetham1/26/44RodgersMarple Bridge Surgery17/27/077/31/07Kenneth Noyer6/13/30BenjaminSouth Reddish Medical Centre17/30/077/31/07Lloyd Marston11/5/35AllanBeech House Med Cent17/30/077/31/07Daid Tracey8/17/63AllanBeech House Med Cent18/17/078/17/07Kenneth Du Noyer6/13/30coleSouth Reddish Medical Centre118/15/078/16/07Eric Blackburn2/3/31SharmaThe Sugery Offerton118/14/078/16/07Robert Johnson9/19/43GhafoorBents Lane Medical Practice18/16/078/16/07Douglas Williams10/30/38Mamelockcheadle medical practice18/10/078/10/07Harry Connell10/16/35TinsleyCale Green Surgery18/10/078/10/07Nigel Parfitt5/13/70LloydCedar House Bramhall18/10/078/10/07Harold Wood8/3/43Haguecheadle medical practice1118/17/078/23/07George Hinsley11/18/35Wynne-JonesMarple Medical Practice1118/10/078/23/07Harry Connell10/16/35TinsleyCale Green Surgery18/24/078/30/07Neville Blair12/18/60MarshallHeaton Norris H C18/30/078/30/07David Dale2/13/46ColeSouth Reddish Medical Centre18/29/078/30/07Brian Roberts1Not Suitable Prostatitis8/31/079/10/07Ian Fraser1/29/43FrenchMarple Bridge Surgery1? Prostatitis9/6/079/10/07Arthur Broadhurst8/15/32ParkinsonManor Med Pract1119/7/079/10/07keith Gilbert smith7/1/37GilmanBrinnington Surgeries11No U&E results9/11/079/14/07Geoffrey Astley12/15/42PriceStockport Medical Practice119/11/079/14/07William Steckles6/8/20ParkinsonManor Med Pract1Recurrent UTI`s9/11/079/14/07Brian Horton4/5/32GillStockport Medical Practice19/17/079/18/07Thomas Sheehan2/20/56ColeSouth Reddish Medical Centre119/20/07Edward Farnworth5/21/33ParkinsonManor Med Pract1Raised PSA9/21/079/21/07robert Burchell3/31/41warburtonHeaton Mersey Med Pract1Raised PSA9/22/0726/0907John Hallworth8/26/36RafiqueHaider Medical Centre1Raised PSA9/25/079/27/07James Higgins6/14/23MarshallHeaton Norris H C1Raised PSA10/1/0710/4/08Leslie Morton1/6/32Shipstonwilmslow Road Medical centre1Raised PSA10/2/0710/4/07Joseph Bullough6/15/47higginbotham-jones Manor Medical Practice112110/3/0710/9/07john Crawley10/25/63BriggsBracondale Medical Centre110/10/0710/10/07Frank Swinglehurst3/15/26Mathercheadle hulme HC11110/9/0710/11/07Bernard Burke11/13/29warburtonHeaton Mersey Med Pract11110/11/0710/11/07Graham Rutley4/4/49BainAlvanley1Raised PSA10/11/0710/11/07Thomas Hempstall07/11/GriffithsHeald Green HC1Raised PSA10/11/0710/11/07thomas Dowdall6/27/47MarshallHeaton Norris H C1Raised PSA10/22/0710/24/07Paul Kedian10/9/70Haquecheadle medical practice1110/18/0710/23/07Donald Hulme2/2/32WoodworthRomiley Health Centre1Needs flexi10/17/0710/23/07Alphonso Benjamin4/20/38MarshallHeaton Norris H C1Raised PSA10/19/0710/23/07Robert Braden Brown3/14/35AllanBeech House Med Cent1110/11/0710/16/07Andrew McDougall3/19/60HallsEllesmere Med Cent111110/6/0710/15/07George Payton1/17/29Gilbertcheadle1Raised PSA10/10/0710/16/07John Crawley10/25/63BriggsBracondale Medical Centre110/25/0710/25/07Edmund Roskell8/16/46Mehtacheadle medical practice1110/25/0710/25/07Peter Murray2/11/53Mehtacheadle medical practice1110/25/0710/25/07Alan Horsfield5/11/36Daycheadle hulme HC1110/31/0711/3/07Samuel Mendick6/24/30Ahmedcheadle medical practice1211/7/0711/8/07sydney fletcher7/26/30morrisBeech House Med Cent111211/8/0711/12/07Simon Barron3/3/81rodgersMarple Bridge Surgery1? Prostatitis11/8/0711/12/07Joseph Connelly9/27/32JeffsAdswood road surgery1No PSA11/13/0711/15/07Thomas Burniston11/2/37Hastingswilmslow Road Medical centre1111/14/0711/15/07Christopher Gleave4/1/58ArifLittle Moor Surgery111/20/0711/20/07Robert Johnson9/19/43GhafoorBents Lane Medical Practice1Needs Urodynamics11/20/0711/20/07John Murphy5/31/24AllanBeech House Med Cent111/15/0711/20/07Neil Lynsdale5/8/36AllanBeech House Med Cent1112/3/0712/5/07Robert Gardiner3/4/38CarterMarple Medical Practice1?needs surgery11/27/0711/28/07John Vosper1/22/34Al-KhaffafHeald Green HC1111/26/0711/29/07Micheal Taylor9/21/56Hastingswilmslow Road Medical centre1112/3/0712/5/07John Jackson12/31/41OwenManor Med Pract1? Prostatitis12/12/0712/13/07Carl fawley6/13/62LockeLittle Moor Surgery1? Prostatitis12/12/0712/13/07Gordon Harris5/14/29HickEastholme Surgery1Raised PSA11/11/0712/13/07Norman walsh11/1/48AllanBeech House Med Cent1112/9/0712/10/07Ian Kirk2/27/54MarshallHeaton Norris H C1Raised PSA12/17/0712/19/07Lionel Adshead5/18/64BriggsBracondale Medical Centre112/17/0712/19/07Denis Arthur10/5/46MorrisBeech House Med Cent1112/20/0712/28/07James Foy2/2/37MurthyHeaton Norris H C1Raised PSA12/21/0712/28/07John Webster1/12/72AdamsCheadle Med Practice? Prostatitis1/10/081/11/08Derek Hill8/14/33DavisonGatley Group Practice1Raised PSA1/10/081/17/08Harry Bradshaw2/14/41ParkinsonManor Med Pract111/15/081/17/08Charles Walton9/7/30RodgersMarple Bridge Surgery11/21/081/22/08Christopher Mallinson10/1/82HussainPark View Group Practice1? Prostatitis1/21/081/22/08Dennis Jones9/24/28Richardsoncheadle hulme HC1Already on dual therapy1/21/081/22/08Kenneth Mace2/8/37RafiqueHaider Medical Centre1Raised PSA1/22/081/22/08Brian Bailey11/29/46HollandBeech House Med Cent1221/29/081/30/08Peter Johnson3/11/51RodgersMarple Bridge Surgery12/4/082/4/08David Phillips8/21/42AllanBeech House Med Cent112/20/082/21/08Ian Slinger5/21/55GreenwellBredbury Medical Center1Raised PSA2/20/082/21/08Stelios Antoniou11/23/36GeorgeSprigfield Surgery1Raised PSA2/21/082/22/08Charles Saynor5/31/31GallagherAlvanley Practice1No PSA2/28/082/28/08Anthony Francis1/16/55MurrayOfferton Health Center1PSA not recorded2/27/082/28/08John Sutton8/20/46CarterMarple Medical Practice112/26/082/28/08David Walton1/3/40HowlingBrinnington Joint Practices1Already on dual theropy2/26/082/28/08Leonard Hinks4/16/24ColeSouth Reddish Medical Centre112/27/082/28/08John Rowarth11/29/37DawsonHeaton Moor Med Centre12/22/082/28/08Michael Walker5/17/43LennoxWoodley Health Center1No PSA2/29/083/6/08Terrence Mahon8/12/47HerbertAlvanley Practice1Not suited raised PSA3/5/083/6/08Brian Blackshaw6/24/41ProcterLowfield Surgery13/11/083/14/08Paul Ideson5/8/59NeedhamMarple Bridge Surgery1Not suitable due to medical history3/11/083/14/08Elwyn Roberts11/15/25Glichercheadle medical practice1Raised PSA3/10/083/14/08Terrence Walker10/26/38Adamscheadle medical practice13/18/083/20/08Gabriel Villalon3/24/34GoldspinkThe Village Surgery Bramhall1Raised PSA3/19/083/20/08Dennis Robinson3/26/34BeardsellBredbury Medical Center1Raised PSA3/18/083/20/08John Hallworth2/12/41HopeBracondale Medical Centre1Raised PSA3/19/083/20/08Jean Dennis11/10/50AshrafBracondale Medical Centre13/23/083/25/08Stuart Hales11/11/44GilbertAdshall Road Medical Center1Raised PSA4/4/084/8/08Richard Hardman6/17/62ShettyDial House Medical Center11No bloods taken4/17/084/18/08Derek Booth10/13/29RodgersMarple Bridge Surgery11114/17/084/18/08George Bingham1/4/48ArifLittle Moor Surgery114/23/084/24/08Allan Cooke5/20/20BriggsBracondale Medical Centre1No PSA5/15/085/19/08Keith Nelson6/17/67Shahcheadle hulme HC1Abnormal DRE5/14/085/19/08James Taylor1/19/61Seabrookcheadle hulme HC115/28/0811/06/20008Warren Woodhead11/6/40ColeSouth Reddish Medical Centre16/5/086/11/08Michael Poynton16/16/086/16/08Patrick O'Dea6/26/48HendersonHeaton Moor Med Centre1Needs repeat PSA6/13/086/16/08Willliam Hooley9/14/29HickEastholme Surgery1Not suitable7/18/087/22/08John Underwood10/31/32BeardsellBredbury Medical Center17/9/087/13/08Mohd Saeed6/3/46HerdEastholme Surgery17/12/087/13/08Geoffrey Kendal9/3/40AllanBeech House Med Cent17/12/087/13/08Richard Johnson1/10/26ValluriMarple Medical Practice17/28/087/30/08Daniel Doolan2/6/39TinsleyCale Green Surgery18/11/088/14/08Anthony Kendrick6/27/55ArmstrongBredbury Medical Center1Raised PSA8/18/088/26/08Tariq Khawaja1/9/60MorrisHeald Green HC1Raised PSA8/21/088/26/08Derek Beresford9/19/27ArmstrongBredbury Medical Center1Raised PSA8/28/088/29/08Handel Evans4/10/34ValluriMarple Medical Practice18/29/088/29/08Peter Smith2/14/27Daycheadle hulme HC1Raised PSA9/2/089/8/08John Sadler10/8/51McleanBrinnington Joint Practices19/2/089/8/08Glenn Forrester3/14/56BeardsellBredbury Medical Center1Raised PSA9/3/089/8/08Ernest Bannister8/9/31Seabrookcheadle hulme HC1Raised PSA9/5/089/9/08James Axford9/8/33SalimBeech House Med Cent19/5/089/9/08Trevor Woodcock3/23/38CarneGately Group Practice19/8/089/9/08Colin Sedgley5/19/52GreenwellBredbury Medical Center1Raised PSA9/2/089/9/08Peter Bulger4/11/43Wongcheadle medical practice19/5/089/9/08Philip Jones2/21/70Sinhacheadle medical practice1Prostatitis9/9/089/10/08Derrick Weate6/20/29AllanBeech House Med Cent19/9/089/10/08Paul Minshull11/3/50OwenManor Med Pract1Needs ED and Andrology app9/22/089/23/08Thomas Walton2/26/45BeardsellBredbury Medical Center1? Prostititis9/23/089/30/08David Crofts6/27/42Daviescheadle hulme HC19/23/089/30/08Malcolm Pimlot8/22/57LennoxWoodley Health Center1

New appointment pie chart (2)103483

Outcomes from new appointments

secondary care bar chart21221111196211114

Abnormal DREAcute retention of urineAlready on dual therapyHaematuriaNeeds general urology referralNeeds ED and Andrology appNeeds UrodynamicsNot suitable otherNot suitable due to medical historyProstatitisRaised PSARecurrent UTI`sReferred for surgeryRenal colicUnspecifiedReferrals to secondary clinic

Secondary care pie chart

Secondary care referralsAbnormal DREAcute retention of urineAlready on dual therapyAlready on dual therapyHaematuriaHaematuriaAbnormal DRERequiring general urology referralNeeds ED and Andrology appNeeds UrodynamicsRequiring general urology referralRequiring general urology referralProstatitisProstatitisProstatitisProstatitisProstatitisProstatitisProstatitisProstatitisProstatitisRaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARecurrent UTI`sReferred for surgeryRenal colicUnspecifiedUnspecifiedUnspecifiedUnspecifiedUnspecifiedUnspecifiedUnspecifiedUnspecifiedUnspecifiedUnspecifiedUnspecifiedUnspecifiedUnspecifiedUnspecifiedAbnormal DRE2Acute retention of urine1On dual therapy2Haematuria2Requiring general urology referral3Erectile dysfunction1Requiring urodynamics1Prostatitis9Raised PSA62Recurrent UTI`s1Referred for surgery1Renal colic1Unspecified14

Triage pie chart110100

Triage outcome

2 year data1/19/071Raised PSA1/19/071Raised PSA1/23/071Raised PSA1/25/071Haematuria2/15/071Raised PSA2/15/071Raised PSA2/20/071Raised PSA2/20/071Prostatitis2/20/071Raised PSA2/20/071Raised PSA2/20/071Raised PSA2/23/071Raised PSA2/27/071Raised PSA3/8/071Raised PSA3/15/071Raised PSA3/15/071Raised PSA3/15/0713/23/071Raised PSA3/29/071Raised PSA3/29/071Raised PSA4/12/071Raised PSA4/12/071Raised PSA4/13/071Raised PSA4/26/071Raised PSA5/17/071need general urology referal5/22/071Raised PSA5/24/0716/5/0716/5/0716/12/0716/28/071Irregular DRE6/29/071Raised PSA7/12/07111Renal colic7/20/071Acute retention of urine7/24/071Raised PSA7/24/071Raised PSA7/24/071Raised PSA8/8/0718/10/0718/10/0718/16/0718/30/071Prostatitis9/10/071Prostatitis9/14/071Recurrent UTI`s9/20/071Raised PSA9/21/071Raised PSA9/26/071Raised PSA9/27/071Raised PSA10/11/071Raised PSA10/11/071Raised PSA10/11/071Raised PSA10/15/071Raised PSA10/23/071Haematuria10/23/071Raised PSA11/12/071Prostatitis11/20/071Needs Urodynamics11/20/07112/5/071Referred for surgery12/5/071Prostatitis12/10/071Raised PSA12/13/071Prostatitis12/13/071Raised PSA12/28/071Raised PSA12/28/071? Prostatitis1/11/081Raised PSA1/17/0811/22/081Prostatitis1/22/081Already on dual therapy1/22/081Raised PSA2/21/081Raised PSA2/21/081Raised PSA2/22/081Raised PSA2/28/081Raised PSA2/28/081Already on dual therapy2/28/081Raised PSA3/6/081Raised PSA3/14/081Not suitable due to medical history3/14/081Raised PSA3/20/081Raised PSA3/20/081Raised PSA3/20/081Raised PSA3/25/081Raised PSA4/8/0811Raised PSA4/24/081Raised PSA5/19/081Abnormal DRE6/16/081Raised PSA6/16/081Not suitable7/30/0818/14/081Raised PSA8/26/081Raised PSA8/26/081Raised PSA8/29/0818/29/081Raised PSA9/8/081Raised PSA9/8/081Raised PSA9/9/081Raised PSA9/9/081Prostatitis9/10/081Needs ED and Andrology app9/23/081Prostatitis10/4/081Raised PSA10/1/06121Attended 2nd Fu further fu in 3/1211/16/061111/24/06111112/15/0612no U&Es, letter sent 3.1.06, rang practice 8.1.06 patient has appt for blood test tomorrow12/18/06101noU&E GP faxed 19/12/0612/18/0610111noU&E GP faxed 19/12/0612/19/0612No U&E GP Faxed12/22/06111112/29/0611112/29/06111/11/0711No U&E GP faxed.1/16/071111`1/16/0711/23/07111/23/071111/23/071Raised PSA2/8/07112/15/0711112/15/0711No U&E or PSA GP Faxed2/20/07112/20/071112/23/0711112/27/071113/2/071213/15/07111PSA and U&E3/15/0713/23/071113/23/071111U&E3/29/0711U&E3/29/071114/12/0711214/19/0711115/17/07115/25/071115/25/07116/7/07116/12/0716/26/0711116/26/07117/5/0711Discharged on follow up appointment7/5/07117/11/0711127/12/0711117/16/07117/16/071117/20/0711117/23/0717/31/0717/31/0717/31/0718/2/071128/10/071118/16/07118/16/0718/17/07118/23/071118/23/0718/30/0718/30/0719/10/071119/10/0711No U&E results9/14/07119/14/0719/18/071110/4/07112110/10/0711110/11/0711110/16/07111110/16/07110/23/071110/24/071110/25/071110/25/071110/25/071111/3/071211/8/07111211/15/071111/15/07111/20/071111/28/071111/29/071112/13/071112/19/07112/19/07111/17/08111/22/081221/30/0812/4/08112/28/08112/28/08112/28/0813/6/0813/14/0813/20/0814/18/0811114/18/08115/19/08116/11/0816/11/0817/13/0817/13/0817/13/0817/22/0819/8/0819/9/0819/9/0819/9/0819/10/0819/30/0819/30/081triaged to LUTS clinictriaged to Secondary Care110100

Follow up pie chart2743273

Outcomes from follow up appointment

Follow up appointment outcomesDischargedReferred to secondary careDiagnosticsGiven follow up appointmentDNA2743273

New appointment pie chart103483

Outcomes from new appointments

New appointment outcomesDischarged on first visitReferred to secondary careGiven follow up appointmentDNA103483

Core datablue = completed episodeyellow = waiting for info from GP`demographicsICATS triage outcomeoutcome of appointmentComments (info missing from referral & any contact with patients GP)Date Referral ReceivedDate TriagedPatient NameDOBGPPracticeBack to GP for more infotriaged to LUTS clinictriaged to Secondary CareSeen in LUTS dischargedSeen in LUTS clinic given FU apptAttended FU apptreferred to secondary careDNA2011210030693912211/16/06mario parise5/15/34BerryEllesmere Med Cent01112/15/06steven Kennerley6/26/55Burneycheadle medical practice0102no U&Es, letter sent 3.1.06, rang practice 8.1.06 patient has appt for blood test tomorrow12/7/0612/18/06john ferguson6/27/42Tinsley11001noU&E GP faxed 19/12/0612/14/0612/18/06anthony stansfield12/18/62Shipstoncheadle hulme HC1100111noU&E GP faxed 19/12/0611/24/06Ian Kennedy11/11/54LargeHeaton Norris01011110/1/06trevor Gaunt8/18/511021Attended 2nd Fu further fu in 3/129/14/069/14/06george adams4/9/37HallMarple M C1229/14/069/14/06Gordon Griffin2/10/29ColeSth Reddish MC11119/14/069/14/06Ronald Busby12/12/44HallMarple M C12112/27/0612/29/06Denis Gaskell4/22/47ValluriMarple M C11112/13/0612/19/06Mohammed Munif12/19/40WynnHeaton Mersey112No U&E GP Faxed12/20/0612/22/06Joseph Breen6/10/50ParkinsonManor Med Pract111112/5/06Patrick Gallagher10/1/54WynnHeaton Mersey11No U & E Gp Faxed12/29/06Stephen Berrisford6/17/48Holdercheadle hulme HC111/15/071/16/07Martin Angell5/2/50BayesBramhall Park MC1111`1/16/071/16/07David Hazelhurst9/19/59ParkinsonManor Med Pract11/18/071/19/07Eric Hales3/9/43Tinsley1Raised PSA1/18/071/19/07Gareth Burgess1/5/48warburtonHeaton Mersey1Raised PSA1/19/071/23/07Kenneth Gilbert7/5/35warburtonHeaton Mersey11!8/01/071/23/07Sammuel Heyes3/6/29WrightHeald Green HC1Raised PSA1/23/071/23/07Jess Roebuck9/12/32rodgersMarple Bridge Surgery1111/10/071/11/07Reginald Spring5/30/21Daviescheadle hulme HC111No U&E GP faxed.1/22/066/29/07Geoffrey Smith8/1/44Hastingscheadle hulme HC1Raised PSA2/7/072/8/07James Dixon10/21/30AdairHeaton Moor Med Centre111/19/071/23/07john Doyle4/24/48PontefractThe family Surg Reddish11Raised PSA1/24/071/25/07James MasseyColeSth Reddish MC1Haematuria Raised PSA2/14/072/15/07Leslie AtkinsonTinsley1Raised PSA2/14/072/15/07Edward Lockett1/24/41ParkinsonManor Med Pract11112/7/072/15/07Petere DonohueAzmy1Raised PSA2/9/072/15/07John HallardMathewsonHigh Lane MC111No U&E or PSA GP Faxed2/21/072/23/07Norman Robinson7/27/36JonesChadsfield med Pract.Romiley1raised PSA2/17/072/20/07Arnold Harrison4/23/18warburtonHeaton Mersey1raised PSA2/16/072/20/07christopher Cowlishaw2/3/43HickEastholme Surgery112/16/072/20/07Frank Wood9/25/26Mehtacheadle medical practice1112/19/072/20/07Harold Radcliffe12/1/46rodgersMarple Bridge Surgery1No Luts ? Prostatitis2/16/072/20/07Rory Alkin4/7/50warburtonHeaton Mersey1Raised PSA2/16/072/20/07Frederick Emery5/17/32WebsterEllesmere Med Cent1Raised PSA2/16/072/20/07Herber Duffey10/30/26DeanHeald Green HC1Raised PSA2/23/072/23/07Geoffrey Thompson9/10/39Mehtacheadle medical practice11112/23/077/23/07Richard Morris12/8/48Mehtacheadle medical practice12/27/072/27/07Ronald Smith11/13/25higginbotham-jones Manor Medical Practice1raised PSA2/28/073/2/07Micheal SnapeEyres1213/7/073/8/07John Adshead2/6/45MorganChadsfield med Pract.Romiley1raised PSA2/26/072/27/07Alan Camm9/18/48Adamscheadle medical practice11113/15/07Stephen Andrew4/2/51HickEastholme Surgery1raised PSA8/3/15/07James Sutton10/21/42rodgersmarplebridge surgery1raised PSA3/15/073/15/07David Mitchell4/5/52The family Surg Reddish1111PSA and U&E3/14/073/15/07Albert Tonge9/5/29AllanBeech House Med Cent1PSA and U&E3/14/073/15/07Ian Goulden8/7/49Gaduzocheadle medical practice13/14/073/15/07Brian Hutchinson12/4/36Seabrookcheadle hulme HC13/28/073/29/07Frank Doidge3/13/07WoodworthChadsfield med Pract.Romiley1raised PSA3/29/073/29/07Robin Axten8/14/42warburtonHeaton Mersey1raised PSA3/28/073/29/07Peter williams6/12/49Gaduzocheadle medical practice111U&E3/26/073/29/07Raymond Tubman4/6/40AllanBeech House Med Cent1113/21/073/23/07Lewis Phillips11/16/23Wynn-JonesMarple Medical Practice1raised PSA3/19/073/23/07John Gallagher9/14/54Enam-UI Haquecheadle medical practice1113/21/073/23/07Terry smith5/8/54WoodworthChadsfield med Pract.Romiley11111U&E4/10/074/12/07george Penkett7/7/34BerchtoldMarple Bridge Surgery1raised PSA4/4/074/12/07Ian Duddridge4/11/61MathewsonHigh Lane MC1raised PSA4/6/074/12/07thomas Harper9/30/34BayesShaw Heath H C11214/13/074/13/07Cliff Brown1/7/52Holdercheadle hulme HC1raised PSA4/18/074/19/07Brian Felstead6/17/35ParkinsonManor Med Pract11114/23/074/26/07Alan Cheetham2/23/42MathewsonHigh Lane MC1raised PSA5/4/075/8/07Gwynne Lloyd10/28/53Gaduzocheadle medical practice1U&E5/15/075/22/07Alan Jacob1/14/43GrahamBramhall Health Centre1raised PSA5/4/075/8/07Gwynne Lloyd10/28/53GaduzoCheadle Med Practice1need u&e5/15/075/17/07Dominic Gallagher1/15/31HickEastholme Surgery1need general urology referal5/15/075/17/07Philip Riley4/23/64WhiteAdswood road surgery116/7/076/12/07Royston Eckersall6/11/46Gaduzocheadle medical practice16/8/076/12/07Roy Cairns7/17/32RodgersMarple Bridge Surgery16/4/076/7/07Brian Chapman9/14/54ParkinsonManor Med Pract116/5/076/5/07Peter Bluer6/10/41DeanHeald Green HC15/23/076/5/07William Stroud9/28/25Johnson50 Church Street15/23/075/24/07Albert Bowdler3/18/34Daycheadle hulme HC15/23/075/25/07Thomas Sharpe2/10/48BillingtonHeaton Moor Med Centre1115/22/075/25/07Peter Hampson7/18/29WarburtonHeaton Mersey116/25/076/26/07Allan Fleet9/20/40ColeSouth Reddish Medical Centre11116/26/07George Hinsley11/18/35Wynne-JonesMarple Medical Practice1127/06.076/28/07Kenneth Deane6/3/46MorrisonHeaton Norris H C1Irregular DRE7/5/077/5/07David williams4/3/42Shipstoncheadle hulme HC11Discharged on follow up appointment6/28/077/5/07David walmsley11/11/62GaduzoCheadlle Medical Practice117/7/077/11/07Neville Hall1/4/32Gaduzocheadle medical practice11127/9/077/12/07William Berry3/15/36BriggsBracondale Medical Centre11117/11/077/12/07Harry Jeffries3/10/47GreenwellThe Alvanley Practice111Raised PSA ?renal colic7/13/077/16/07David Jackson1/18/51Holdercheadle hulme HC1113-Jul16-JulLawrence Whitehead2/2/42JonesChadsfield med Pract.Romiley1117/18/077/20/07Kenneth Fitzgerald6/22/39LloydCedar House Bramhall1Acute retention of urine7/20/077/20/07colin Gateley12/5/52TrenholmEllesmere Med Cent111119/20/077/20/07Albert Atkinson2/28/35AgarwalLittle Moor Surgery1No Blood results7/20/077/24/07David Clayton11/8/47MathewsonHigh Lane MC1Raised PSA7/23/077/24/07Thomas Delayney3/29/42rodgersMarple Bridge Surgery1Raised PSA7/24/077/24/07David Emberley5/22/39LevyBeech House Med Cent1Raised PSA8/8/078/8/07Roy Wrigley3/15/34Wilsoncheadle medical practice18/3/078/3/07Ian Fraser1/29/43BerchtoldMarple Bridge Surgery18/1/078/2/07David Moat12/12/52HardmanHeaton Norris H C1127/27/077/31/07Colin Cheetham1/26/44RodgersMarple Bridge Surgery17/27/077/31/07Kenneth Noyer6/13/30BenjaminSouth Reddish Medical Centre17/30/077/31/07Lloyd Marston11/5/35AllanBeech House Med Cent17/30/077/31/07Daid Tracey8/17/63AllanBeech House Med Cent18/17/078/17/07Kenneth Du Noyer6/13/30coleSouth Reddish Medical Centre118/15/078/16/07Eric Blackburn2/3/31SharmaThe Sugery Offerton118/14/078/16/07Robert Johnson9/19/43GhafoorBents Lane Medical Practice18/16/078/16/07Douglas Williams10/30/38Mamelockcheadle medical practice18/10/078/10/07Harry Connell10/16/35TinsleyCale Green Surgery18/10/078/10/07Nigel Parfitt5/13/70LloydCedar House Bramhall18/10/078/10/07Harold Wood8/3/43Haguecheadle medical practice1118/17/078/23/07George Hinsley11/18/35Wynne-JonesMarple Medical Practice1118/10/078/23/07Harry Connell10/16/35TinsleyCale Green Surgery18/24/078/30/07Neville Blair12/18/60MarshallHeaton Norris H C18/30/078/30/07David Dale2/13/46ColeSouth Reddish Medical Centre18/29/078/30/07Brian Roberts1Not Suitable Prostatitis8/31/079/10/07Ian Fraser1/29/43FrenchMarple Bridge Surgery1? Prostatitis9/6/079/10/07Arthur Broadhurst8/15/32ParkinsonManor Med Pract1119/7/079/10/07keith Gilbert smith7/1/37GilmanBrinnington Surgeries11No U&E results9/11/079/14/07Geoffrey Astley12/15/42PriceStockport Medical Practice119/11/079/14/07William Steckles6/8/20ParkinsonManor Med Pract1Recurrent UTI`s9/11/079/14/07Brian Horton4/5/32GillStockport Medical Practice19/17/079/18/07Thomas Sheehan2/20/56ColeSouth Reddish Medical Centre119/20/07Edward Farnworth5/21/33ParkinsonManor Med Pract1Raised PSA9/21/079/21/07robert Burchell3/31/41warburtonHeaton Mersey Med Pract1Raised PSA9/22/0726/0907John Hallworth8/26/36RafiqueHaider Medical Centre1Raised PSA9/25/079/27/07James Higgins6/14/23MarshallHeaton Norris H C1Raised PSA10/1/0710/4/08Leslie Morton1/6/32Shipstonwilmslow Road Medical centre1Raised PSA10/2/0710/4/07Joseph Bullough6/15/47higginbotham-jones Manor Medical Practice112110/3/0710/9/07john Crawley10/25/63BriggsBracondale Medical Centre110/10/0710/10/07Frank Swinglehurst3/15/26Mathercheadle hulme HC11110/9/0710/11/07Bernard Burke11/13/29warburtonHeaton Mersey Med Pract11110/11/0710/11/07Graham Rutley4/4/49BainAlvanley1Raised PSA10/11/0710/11/07Thomas Hempstall07/11/GriffithsHeald Green HC1Raised PSA10/11/0710/11/07thomas Dowdall6/27/47MarshallHeaton Norris H C1Raised PSA10/22/0710/24/07Paul Kedian10/9/70Haquecheadle medical practice1110/18/0710/23/07Donald Hulme2/2/32WoodworthRomiley Health Centre1Needs flexi10/17/0710/23/07Alphonso Benjamin4/20/38MarshallHeaton Norris H C1Raised PSA10/19/0710/23/07Robert Braden Brown3/14/35AllanBeech House Med Cent1110/11/0710/16/07Andrew McDougall3/19/60HallsEllesmere Med Cent111110/6/0710/15/07George Payton1/17/29Gilbertcheadle1Raised PSA10/10/0710/16/07John Crawley10/25/63BriggsBracondale Medical Centre110/25/0710/25/07Edmund Roskell8/16/46Mehtacheadle medical practice1110/25/0710/25/07Peter Murray2/11/53Mehtacheadle medical practice1110/25/0710/25/07Alan Horsfield5/11/36Daycheadle hulme HC1110/31/0711/3/07Samuel Mendick6/24/30Ahmedcheadle medical practice1211/7/0711/8/07sydney fletcher7/26/30morrisBeech House Med Cent111211/8/0711/12/07Simon Barron3/3/81rodgersMarple Bridge Surgery1? Prostatitis11/8/0711/12/07Joseph Connelly9/27/32JeffsAdswood road surgery1No PSA11/13/0711/15/07Thomas Burniston11/2/37Hastingswilmslow Road Medical centre1111/14/0711/15/07Christopher Gleave4/1/58ArifLittle Moor Surgery111/20/0711/20/07Robert Johnson9/19/43GhafoorBents Lane Medical Practice1Needs Urodynamics11/20/0711/20/07John Murphy5/31/24AllanBeech House Med Cent111/15/0711/20/07Neil Lynsdale5/8/36AllanBeech House Med Cent1112/3/0712/5/07Robert Gardiner3/4/38CarterMarple Medical Practice1?needs surgery11/27/0711/28/07John Vosper1/22/34Al-KhaffafHeald Green HC1111/26/0711/29/07Micheal Taylor9/21/56Hastingswilmslow Road Medical centre1112/3/0712/5/07John Jackson12/31/41OwenManor Med Pract1? Prostatitis12/12/0712/13/07Carl fawley6/13/62LockeLittle Moor Surgery1? Prostatitis12/12/0712/13/07Gordon Harris5/14/29HickEastholme Surgery1Raised PSA11/11/0712/13/07Norman walsh11/1/48AllanBeech House Med Cent1112/9/0712/10/07Ian Kirk2/27/54MarshallHeaton Norris H C1Raised PSA12/17/0712/19/07Lionel Adshead5/18/64BriggsBracondale Medical Centre112/17/0712/19/07Denis Arthur10/5/46MorrisBeech House Med Cent1112/20/0712/28/07James Foy2/2/37MurthyHeaton Norris H C1Raised PSA12/21/0712/28/07John Webster1/12/72AdamsCheadle Med Practice? Prostatitis1/10/081/11/08Derek Hill8/14/33DavisonGatley Group Practice1Raised PSA1/10/081/17/08Harry Bradshaw2/14/41ParkinsonManor Med Pract111/15/081/17/08Charles Walton9/7/30RodgersMarple Bridge Surgery11/21/081/22/08Christopher Mallinson10/1/82HussainPark View Group Practice1? Prostatitis1/21/081/22/08Dennis Jones9/24/28Richardsoncheadle hulme HC1Already on dual therapy1/21/081/22/08Kenneth Mace2/8/37RafiqueHaider Medical Centre1Raised PSA1/22/081/22/08Brian Bailey11/29/46HollandBeech House Med Cent1221/29/081/30/08Peter Johnson3/11/51RodgersMarple Bridge Surgery12/4/082/4/08David Phillips8/21/42AllanBeech House Med Cent112/20/082/21/08Ian Slinger5/21/55GreenwellBredbury Medical Center1Raised PSA2/20/082/21/08Stelios Antoniou11/23/36GeorgeSprigfield Surgery1Raised PSA2/21/082/22/08Charles Saynor5/31/31GallagherAlvanley Practice1No PSA2/28/082/28/08Anthony Francis1/16/55MurrayOfferton Health Center1PSA not recorded2/27/082/28/08John Sutton8/20/46CarterMarple Medical Practice112/26/082/28/08David Walton1/3/40HowlingBrinnington Joint Practices1Already on dual theropy2/26/082/28/08Leonard Hinks4/16/24ColeSouth Reddish Medical Centre112/27/082/28/08John Rowarth11/29/37DawsonHeaton Moor Med Centre12/22/082/28/08Michael Walker5/17/43LennoxWoodley Health Center1No PSA2/29/083/6/08Terrence Mahon8/12/47HerbertAlvanley Practice1Not suited raised PSA3/5/083/6/08Brian Blackshaw6/24/41ProcterLowfield Surgery13/11/083/14/08Paul Ideson5/8/59NeedhamMarple Bridge Surgery1Not suitable due to medical history3/11/083/14/08Elwyn Roberts11/15/25Glichercheadle medical practice1Raised PSA3/10/083/14/08Terrence Walker10/26/38Adamscheadle medical practice13/18/083/20/08Gabriel Villalon3/24/34GoldspinkThe Village Surgery Bramhall1Raised PSA3/19/083/20/08Dennis Robinson3/26/34BeardsellBredbury Medical Center1Raised PSA3/18/083/20/08John Hallworth2/12/41HopeBracondale Medical Centre1Raised PSA3/19/083/20/08Jean Dennis11/10/50AshrafBracondale Medical Centre13/23/083/25/08Stuart Hales11/11/44GilbertAdshall Road Medical Center1Raised PSA4/4/084/8/08Richard Hardman6/17/62ShettyDial House Medical Center11No bloods taken4/17/084/18/08Derek Booth10/13/29RodgersMarple Bridge Surgery11114/17/084/18/08George Bingham1/4/48ArifLittle Moor Surgery114/23/084/24/08Allan Cooke5/20/20BriggsBracondale Medical Centre1No PSA5/15/085/19/08Keith Nelson6/17/67Shahcheadle hulme HC1Abnormal DRE5/14/085/19/08James Taylor1/19/61Seabrookcheadle hulme HC115/28/0811/06/20008Warren Woodhead11/6/40ColeSouth Reddish Medical Centre16/5/086/11/08Michael Poynton16/16/086/16/08Patrick O'Dea6/26/48HendersonHeaton Moor Med Centre1Needs repeat PSA6/13/086/16/08Willliam Hooley9/14/29HickEastholme Surgery1Not suitable7/18/087/22/08John Underwood10/31/32BeardsellBredbury Medical Center17/9/087/13/08Mohd Saeed6/3/46HerdEastholme Surgery17/12/087/13/08Geoffrey Kendal9/3/40AllanBeech House Med Cent17/12/087/13/08Richard Johnson1/10/26ValluriMarple Medical Practice17/28/087/30/08Daniel Doolan2/6/39TinsleyCale Green Surgery18/11/088/14/08Anthony Kendrick6/27/55ArmstrongBredbury Medical Center1Raised PSA8/18/088/26/08Tariq Khawaja1/9/60MorrisHeald Green HC1Raised PSA8/21/088/26/08Derek Beresford9/19/27ArmstrongBredbury Medical Center1Raised PSA8/28/088/29/08Handel Evans4/10/34ValluriMarple Medical Practice18/29/088/29/08Peter Smith2/14/27Daycheadle hulme HC1Raised PSA9/2/089/8/08John Sadler10/8/51McleanBrinnington Joint Practices19/2/089/8/08Glenn Forrester3/14/56BeardsellBredbury Medical Center1Raised PSA9/3/089/8/08Ernest Bannister8/9/31Seabrookcheadle hulme HC1Raised PSA9/5/089/9/08James Axford9/8/33SalimBeech House Med Cent19/5/089/9/08Trevor Woodcock3/23/38CarneGately Group Practice19/8/089/9/08Colin Sedgley5/19/52GreenwellBredbury Medical Center1Raised PSA9/2/089/9/08Peter Bulger4/11/43Wongcheadle medical practice19/5/089/9/08Philip Jones2/21/70Sinhacheadle medical practice1Prostatitis9/9/089/10/08Derrick Weate6/20/29AllanBeech House Med Cent19/9/089/10/08Paul Minshull11/3/50OwenManor Med Pract1Needs ED and Andrology app9/22/089/23/08Thomas Walton2/26/45BeardsellBredbury Medical Center1? Prostititis9/23/089/30/08David Crofts6/27/42Daviescheadle hulme HC19/23/089/30/08Malcolm Pimlot8/22/57LennoxWoodley Health Center1

New appointment pie chart (2)103483

Outcomes from new appointments

secondary care bar chart21221111196211114

Abnormal DREAcute retention of urineAlready on dual therapyHaematuriaNeeds general urology referralNeeds ED and Andrology appNeeds UrodynamicsNot suitable otherNot suitable due to medical historyProstatitisRaised PSARecurrent UTI`sReferred for surgeryRenal colicUnspecifiedReferrals to secondary clinic

Secondary care pie chart2121711962131

Referrals to secondary care

Secondary care referralsAbnormal DREAcute retention of urineReferred for surgeryReferred for surgeryHaematuriaHaematuriaAbnormal DRERequiring general urologyNeeds ED and Andrology appNeeds UrodynamicsRequiring general urologyRequiring general urologyProstatitisProstatitisProstatitisProstatitisProstatitisProstatitisProstatitisProstatitisProstatitisRaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARecurrent UTI`sReferred for surgeryRenal colicRequiring general urologyRequiring general urologyRequiring general urologyRequiring general urologyRequiring general urologyRequiring general urologyRequiring general urologyRequiring general urologyRequiring general urologyRequiring general urologyRequiring general urologyRequiring general urologyRequiring general urologyRequiring general urologyAbnormal DRE2Acute retention of urine1Haematuria2Requiring general urology17Erectile dysfunction1Requiring urodynamics1Prostatitis9Raised PSA62Recurrent UTI`s1Referred for surgery3Renal colic1

Triage pie chart110100

Triage outcome

2 year data1/19/071Raised PSA1/19/071Raised PSA1/23/071Raised PSA1/25/071Haematuria2/15/071Raised PSA2/15/071Raised PSA2/20/071Raised PSA2/20/071Prostatitis2/20/071Raised PSA2/20/071Raised PSA2/20/071Raised PSA2/23/071Raised PSA2/27/071Raised PSA3/8/071Raised PSA3/15/071Raised PSA3/15/071Raised PSA3/15/0713/23/071Raised PSA3/29/071Raised PSA3/29/071Raised PSA4/12/071Raised PSA4/12/071Raised PSA4/13/071Raised PSA4/26/071Raised PSA5/17/071need general urology referal5/22/071Raised PSA5/24/0716/5/0716/5/0716/12/0716/28/071Irregular DRE6/29/071Raised PSA7/12/07111Renal colic7/20/071Acute retention of urine7/24/071Raised PSA7/24/071Raised PSA7/24/071Raised PSA8/8/0718/10/0718/10/0718/16/0718/30/071Prostatitis9/10/071Prostatitis9/14/071Recurrent UTI`s9/20/071Raised PSA9/21/071Raised PSA9/26/071Raised PSA9/27/071Raised PSA10/11/071Raised PSA10/11/071Raised PSA10/11/071Raised PSA10/15/071Raised PSA10/23/071Haematuria10/23/071Raised PSA11/12/071Prostatitis11/20/071Needs Urodynamics11/20/07112/5/071Referred for surgery12/5/071Prostatitis12/10/071Raised PSA12/13/071Prostatitis12/13/071Raised PSA12/28/071Raised PSA12/28/071? Prostatitis1/11/081Raised PSA1/17/0811/22/081Prostatitis1/22/081Already on dual therapy1/22/081Raised PSA2/21/081Raised PSA2/21/081Raised PSA2/22/081Raised PSA2/28/081Raised PSA2/28/081Already on dual therapy2/28/081Raised PSA3/6/081Raised PSA3/14/081Not suitable due to medical history3/14/081Raised PSA3/20/081Raised PSA3/20/081Raised PSA3/20/081Raised PSA3/25/081Raised PSA4/8/0811Raised PSA4/24/081Raised PSA5/19/081Abnormal DRE6/16/081Raised PSA6/16/081Not suitable7/30/0818/14/081Raised PSA8/26/081Raised PSA8/26/081Raised PSA8/29/0818/29/081Raised PSA9/8/081Raised PSA9/8/081Raised PSA9/9/081Raised PSA9/9/081Prostatitis9/10/081Needs ED and Andrology app9/23/081Prostatitis10/4/081Raised PSA10/1/06121Attended 2nd Fu further fu in 3/1211/16/061111/24/06111112/15/0612no U&Es, letter sent 3.1.06, rang practice 8.1.06 patient has appt for blood test tomorrow12/18/06101noU&E GP faxed 19/12/0612/18/0610111noU&E GP faxed 19/12/0612/19/0612No U&E GP Faxed12/22/06111112/29/0611112/29/06111/11/0711No U&E GP faxed.1/16/071111`1/16/0711/23/07111/23/071111/23/071Raised PSA2/8/07112/15/0711112/15/0711No U&E or PSA GP Faxed2/20/07112/20/071112/23/0711112/27/071113/2/071213/15/07111PSA and U&E3/15/0713/23/071113/23/071111U&E3/29/0711U&E3/29/071114/12/0711214/19/0711115/17/07115/25/071115/25/07116/7/07116/12/0716/26/0711116/26/07117/5/0711Discharged on follow up appointment7/5/07117/11/0711127/12/0711117/16/07117/16/071117/20/0711117/23/0717/31/0717/31/0717/31/0718/2/071128/10/071118/16/07118/16/0718/17/07118/23/071118/23/0718/30/0718/30/0719/10/071119/10/0711No U&E results9/14/07119/14/0719/18/071110/4/07112110/10/0711110/11/0711110/16/07111110/16/07110/23/071110/24/071110/25/071110/25/071110/25/071111/3/071211/8/07111211/15/071111/15/07111/20/071111/28/071111/29/071112/13/071112/19/07112/19/07111/17/08111/22/081221/30/0812/4/08112/28/08112/28/08112/28/0813/6/0813/14/0813/20/0814/18/0811114/18/08115/19/08116/11/0816/11/0817/13/0817/13/0817/13/0817/22/0819/8/0819/9/0819/9/0819/9/0819/10/0819/30/0819/30/081triaged to LUTS clinictriaged to Secondary Care110100

Follow up pie chart2743273

Outcomes from follow up appointment

Follow up appointment outcomesDischargedReferred to secondary careDiagnosticsGiven follow up appointmentDNA2743273

New appointment pie chart103483

Outcomes from new appointments

New appointment outcomesDischarged on first visitReferred to secondary careGiven follow up appointmentDNA103483

Core datablue = completed episodeyellow = waiting for info from GP`demographicsICATS triage outcomeoutcome of appointmentComments (info missing from referral & any contact with patients GP)Date Referral ReceivedDate TriagedPatient NameDOBGPPracticeBack to GP for more infotriaged to LUTS clinictriaged to Secondary CareSeen in LUTS dischargedSeen in LUTS clinic given FU apptAttended FU apptreferred to secondary careDNA2011210030693912211/16/06mario parise5/15/34BerryEllesmere Med Cent01112/15/06steven Kennerley6/26/55Burneycheadle medical practice0102no U&Es, letter sent 3.1.06, rang practice 8.1.06 patient has appt for blood test tomorrow12/7/0612/18/06john ferguson6/27/42Tinsley11001noU&E GP faxed 19/12/0612/14/0612/18/06anthony stansfield12/18/62Shipstoncheadle hulme HC1100111noU&E GP faxed 19/12/0611/24/06Ian Kennedy11/11/54LargeHeaton Norris01011110/1/06trevor Gaunt8/18/511021Attended 2nd Fu further fu in 3/129/14/069/14/06george adams4/9/37HallMarple M C1229/14/069/14/06Gordon Griffin2/10/29ColeSth Reddish MC11119/14/069/14/06Ronald Busby12/12/44HallMarple M C12112/27/0612/29/06Denis Gaskell4/22/47ValluriMarple M C11112/13/0612/19/06Mohammed Munif12/19/40WynnHeaton Mersey112No U&E GP Faxed12/20/0612/22/06Joseph Breen6/10/50ParkinsonManor Med Pract111112/5/06Patrick Gallagher10/1/54WynnHeaton Mersey11No U & E Gp Faxed12/29/06Stephen Berrisford6/17/48Holdercheadle hulme HC111/15/071/16/07Martin Angell5/2/50BayesBramhall Park MC1111`1/16/071/16/07David Hazelhurst9/19/59ParkinsonManor Med Pract11/18/071/19/07Eric Hales3/9/43Tinsley1Raised PSA1/18/071/19/07Gareth Burgess1/5/48warburtonHeaton Mersey1Raised PSA1/19/071/23/07Kenneth Gilbert7/5/35warburtonHeaton Mersey11!8/01/071/23/07Sammuel Heyes3/6/29WrightHeald Green HC1Raised PSA1/23/071/23/07Jess Roebuck9/12/32rodgersMarple Bridge Surgery1111/10/071/11/07Reginald Spring5/30/21Daviescheadle hulme HC111No U&E GP faxed.1/22/066/29/07Geoffrey Smith8/1/44Hastingscheadle hulme HC1Raised PSA2/7/072/8/07James Dixon10/21/30AdairHeaton Moor Med Centre111/19/071/23/07john Doyle4/24/48PontefractThe family Surg Reddish11Raised PSA1/24/071/25/07James MasseyColeSth Reddish MC1Haematuria Raised PSA2/14/072/15/07Leslie AtkinsonTinsley1Raised PSA2/14/072/15/07Edward Lockett1/24/41ParkinsonManor Med Pract11112/7/072/15/07Petere DonohueAzmy1Raised PSA2/9/072/15/07John HallardMathewsonHigh Lane MC111No U&E or PSA GP Faxed2/21/072/23/07Norman Robinson7/27/36JonesChadsfield med Pract.Romiley1raised PSA2/17/072/20/07Arnold Harrison4/23/18warburtonHeaton Mersey1raised PSA2/16/072/20/07christopher Cowlishaw2/3/43HickEastholme Surgery112/16/072/20/07Frank Wood9/25/26Mehtacheadle medical practice1112/19/072/20/07Harold Radcliffe12/1/46rodgersMarple Bridge Surgery1No Luts ? Prostatitis2/16/072/20/07Rory Alkin4/7/50warburtonHeaton Mersey1Raised PSA2/16/072/20/07Frederick Emery5/17/32WebsterEllesmere Med Cent1Raised PSA2/16/072/20/07Herber Duffey10/30/26DeanHeald Green HC1Raised PSA2/23/072/23/07Geoffrey Thompson9/10/39Mehtacheadle medical practice11112/23/077/23/07Richard Morris12/8/48Mehtacheadle medical practice12/27/072/27/07Ronald Smith11/13/25higginbotham-jones Manor Medical Practice1raised PSA2/28/073/2/07Micheal SnapeEyres1213/7/073/8/07John Adshead2/6/45MorganChadsfield med Pract.Romiley1raised PSA2/26/072/27/07Alan Camm9/18/48Adamscheadle medical practice11113/15/07Stephen Andrew4/2/51HickEastholme Surgery1raised PSA8/3/15/07James Sutton10/21/42rodgersmarplebridge surgery1raised PSA3/15/073/15/07David Mitchell4/5/52The family Surg Reddish1111PSA and U&E3/14/073/15/07Albert Tonge9/5/29AllanBeech House Med Cent1PSA and U&E3/14/073/15/07Ian Goulden8/7/49Gaduzocheadle medical practice13/14/073/15/07Brian Hutchinson12/4/36Seabrookcheadle hulme HC13/28/073/29/07Frank Doidge3/13/07WoodworthChadsfield med Pract.Romiley1raised PSA3/29/073/29/07Robin Axten8/14/42warburtonHeaton Mersey1raised PSA3/28/073/29/07Peter williams6/12/49Gaduzocheadle medical practice111U&E3/26/073/29/07Raymond Tubman4/6/40AllanBeech House Med Cent1113/21/073/23/07Lewis Phillips11/16/23Wynn-JonesMarple Medical Practice1raised PSA3/19/073/23/07John Gallagher9/14/54Enam-UI Haquecheadle medical practice1113/21/073/23/07Terry smith5/8/54WoodworthChadsfield med Pract.Romiley11111U&E4/10/074/12/07george Penkett7/7/34BerchtoldMarple Bridge Surgery1raised PSA4/4/074/12/07Ian Duddridge4/11/61MathewsonHigh Lane MC1raised PSA4/6/074/12/07thomas Harper9/30/34BayesShaw Heath H C11214/13/074/13/07Cliff Brown1/7/52Holdercheadle hulme HC1raised PSA4/18/074/19/07Brian Felstead6/17/35ParkinsonManor Med Pract11114/23/074/26/07Alan Cheetham2/23/42MathewsonHigh Lane MC1raised PSA5/4/075/8/07Gwynne Lloyd10/28/53Gaduzocheadle medical practice1U&E5/15/075/22/07Alan Jacob1/14/43GrahamBramhall Health Centre1raised PSA5/4/075/8/07Gwynne Lloyd10/28/53GaduzoCheadle Med Practice1need u&e5/15/075/17/07Dominic Gallagher1/15/31HickEastholme Surgery1need general urology referal5/15/075/17/07Philip Riley4/23/64WhiteAdswood road surgery116/7/076/12/07Royston Eckersall6/11/46Gaduzocheadle medical practice16/8/076/12/07Roy Cairns7/17/32RodgersMarple Bridge Surgery16/4/076/7/07Brian Chapman9/14/54ParkinsonManor Med Pract116/5/076/5/07Peter Bluer6/10/41DeanHeald Green HC15/23/076/5/07William Stroud9/28/25Johnson50 Church Street15/23/075/24/07Albert Bowdler3/18/34Daycheadle hulme HC15/23/075/25/07Thomas Sharpe2/10/48BillingtonHeaton Moor Med Centre1115/22/075/25/07Peter Hampson7/18/29WarburtonHeaton Mersey116/25/076/26/07Allan Fleet9/20/40ColeSouth Reddish Medical Centre11116/26/07George Hinsley11/18/35Wynne-JonesMarple Medical Practice1127/06.076/28/07Kenneth Deane6/3/46MorrisonHeaton Norris H C1Irregular DRE7/5/077/5/07David williams4/3/42Shipstoncheadle hulme HC11Discharged on follow up appointment6/28/077/5/07David walmsley11/11/62GaduzoCheadlle Medical Practice117/7/077/11/07Neville Hall1/4/32Gaduzocheadle medical practice11127/9/077/12/07William Berry3/15/36BriggsBracondale Medical Centre11117/11/077/12/07Harry Jeffries3/10/47GreenwellThe Alvanley Practice111Raised PSA ?renal colic7/13/077/16/07David Jackson1/18/51Holdercheadle hulme HC1113-Jul16-JulLawrence Whitehead2/2/42JonesChadsfield med Pract.Romiley1117/18/077/20/07Kenneth Fitzgerald6/22/39LloydCedar House Bramhall1Acute retention of urine7/20/077/20/07colin Gateley12/5/52TrenholmEllesmere Med Cent111119/20/077/20/07Albert Atkinson2/28/35AgarwalLittle Moor Surgery1No Blood results7/20/077/24/07David Clayton11/8/47MathewsonHigh Lane MC1Raised PSA7/23/077/24/07Thomas Delayney3/29/42rodgersMarple Bridge Surgery1Raised PSA7/24/077/24/07David Emberley5/22/39LevyBeech House Med Cent1Raised PSA8/8/078/8/07Roy Wrigley3/15/34Wilsoncheadle medical practice18/3/078/3/07Ian Fraser1/29/43BerchtoldMarple Bridge Surgery18/1/078/2/07David Moat12/12/52HardmanHeaton Norris H C1127/27/077/31/07Colin Cheetham1/26/44RodgersMarple Bridge Surgery17/27/077/31/07Kenneth Noyer6/13/30BenjaminSouth Reddish Medical Centre17/30/077/31/07Lloyd Marston11/5/35AllanBeech House Med Cent17/30/077/31/07Daid Tracey8/17/63AllanBeech House Med Cent18/17/078/17/07Kenneth Du Noyer6/13/30coleSouth Reddish Medical Centre118/15/078/16/07Eric Blackburn2/3/31SharmaThe Sugery Offerton118/14/078/16/07Robert Johnson9/19/43GhafoorBents Lane Medical Practice18/16/078/16/07Douglas Williams10/30/38Mamelockcheadle medical practice18/10/078/10/07Harry Connell10/16/35TinsleyCale Green Surgery18/10/078/10/07Nigel Parfitt5/13/70LloydCedar House Bramhall18/10/078/10/07Harold Wood8/3/43Haguecheadle medical practice1118/17/078/23/07George Hinsley11/18/35Wynne-JonesMarple Medical Practice1118/10/078/23/07Harry Connell10/16/35TinsleyCale Green Surgery18/24/078/30/07Neville Blair12/18/60MarshallHeaton Norris H C18/30/078/30/07David Dale2/13/46ColeSouth Reddish Medical Centre18/29/078/30/07Brian Roberts1Not Suitable Prostatitis8/31/079/10/07Ian Fraser1/29/43FrenchMarple Bridge Surgery1? Prostatitis9/6/079/10/07Arthur Broadhurst8/15/32ParkinsonManor Med Pract1119/7/079/10/07keith Gilbert smith7/1/37GilmanBrinnington Surgeries11No U&E results9/11/079/14/07Geoffrey Astley12/15/42PriceStockport Medical Practice119/11/079/14/07William Steckles6/8/20ParkinsonManor Med Pract1Recurrent UTI`s9/11/079/14/07Brian Horton4/5/32GillStockport Medical Practice19/17/079/18/07Thomas Sheehan2/20/56ColeSouth Reddish Medical Centre119/20/07Edward Farnworth5/21/33ParkinsonManor Med Pract1Raised PSA9/21/079/21/07robert Burchell3/31/41warburtonHeaton Mersey Med Pract1Raised PSA9/22/0726/0907John Hallworth8/26/36RafiqueHaider Medical Centre1Raised PSA9/25/079/27/07James Higgins6/14/23MarshallHeaton Norris H C1Raised PSA10/1/0710/4/08Leslie Morton1/6/32Shipstonwilmslow Road Medical centre1Raised PSA10/2/0710/4/07Joseph Bullough6/15/47higginbotham-jones Manor Medical Practice112110/3/0710/9/07john Crawley10/25/63BriggsBracondale Medical Centre110/10/0710/10/07Frank Swinglehurst3/15/26Mathercheadle hulme HC11110/9/0710/11/07Bernard Burke11/13/29warburtonHeaton Mersey Med Pract11110/11/0710/11/07Graham Rutley4/4/49BainAlvanley1Raised PSA10/11/0710/11/07Thomas Hempstall07/11/GriffithsHeald Green HC1Raised PSA10/11/0710/11/07thomas Dowdall6/27/47MarshallHeaton Norris H C1Raised PSA10/22/0710/24/07Paul Kedian10/9/70Haquecheadle medical practice1110/18/0710/23/07Donald Hulme2/2/32WoodworthRomiley Health Centre1Needs flexi10/17/0710/23/07Alphonso Benjamin4/20/38MarshallHeaton Norris H C1Raised PSA10/19/0710/23/07Robert Braden Brown3/14/35AllanBeech House Med Cent1110/11/0710/16/07Andrew McDougall3/19/60HallsEllesmere Med Cent111110/6/0710/15/07George Payton1/17/29Gilbertcheadle1Raised PSA10/10/0710/16/07John Crawley10/25/63BriggsBracondale Medical Centre110/25/0710/25/07Edmund Roskell8/16/46Mehtacheadle medical practice1110/25/0710/25/07Peter Murray2/11/53Mehtacheadle medical practice1110/25/0710/25/07Alan Horsfield5/11/36Daycheadle hulme HC1110/31/0711/3/07Samuel Mendick6/24/30Ahmedcheadle medical practice1211/7/0711/8/07sydney fletcher7/26/30morrisBeech House Med Cent111211/8/0711/12/07Simon Barron3/3/81rodgersMarple Bridge Surgery1? Prostatitis11/8/0711/12/07Joseph Connelly9/27/32JeffsAdswood road surgery1No PSA11/13/0711/15/07Thomas Burniston11/2/37Hastingswilmslow Road Medical centre1111/14/0711/15/07Christopher Gleave4/1/58ArifLittle Moor Surgery111/20/0711/20/07Robert Johnson9/19/43GhafoorBents Lane Medical Practice1Needs Urodynamics11/20/0711/20/07John Murphy5/31/24AllanBeech House Med Cent111/15/0711/20/07Neil Lynsdale5/8/36AllanBeech House Med Cent1112/3/0712/5/07Robert Gardiner3/4/38CarterMarple Medical Practice1?needs surgery11/27/0711/28/07John Vosper1/22/34Al-KhaffafHeald Green HC1111/26/0711/29/07Micheal Taylor9/21/56Hastingswilmslow Road Medical centre1112/3/0712/5/07John Jackson12/31/41OwenManor Med Pract1? Prostatitis12/12/0712/13/07Carl fawley6/13/62LockeLittle Moor Surgery1? Prostatitis12/12/0712/13/07Gordon Harris5/14/29HickEastholme Surgery1Raised PSA11/11/0712/13/07Norman walsh11/1/48AllanBeech House Med Cent1112/9/0712/10/07Ian Kirk2/27/54MarshallHeaton Norris H C1Raised PSA12/17/0712/19/07Lionel Adshead5/18/64BriggsBracondale Medical Centre112/17/0712/19/07Denis Arthur10/5/46MorrisBeech House Med Cent1112/20/0712/28/07James Foy2/2/37MurthyHeaton Norris H C1Raised PSA12/21/0712/28/07John Webster1/12/72AdamsCheadle Med Practice? Prostatitis1/10/081/11/08Derek Hill8/14/33DavisonGatley Group Practice1Raised PSA1/10/081/17/08Harry Bradshaw2/14/41ParkinsonManor Med Pract111/15/081/17/08Charles Walton9/7/30RodgersMarple Bridge Surgery11/21/081/22/08Christopher Mallinson10/1/82HussainPark View Group Practice1? Prostatitis1/21/081/22/08Dennis Jones9/24/28Richardsoncheadle hulme HC1Already on dual therapy1/21/081/22/08Kenneth Mace2/8/37RafiqueHaider Medical Centre1Raised PSA1/22/081/22/08Brian Bailey11/29/46HollandBeech House Med Cent1221/29/081/30/08Peter Johnson3/11/51RodgersMarple Bridge Surgery12/4/082/4/08David Phillips8/21/42AllanBeech House Med Cent112/20/082/21/08Ian Slinger5/21/55GreenwellBredbury Medical Center1Raised PSA2/20/082/21/08Stelios Antoniou11/23/36GeorgeSprigfield Surgery1Raised PSA2/21/082/22/08Charles Saynor5/31/31GallagherAlvanley Practice1No PSA2/28/082/28/08Anthony Francis1/16/55MurrayOfferton Health Center1PSA not recorded2/27/082/28/08John Sutton8/20/46CarterMarple Medical Practice112/26/082/28/08David Walton1/3/40HowlingBrinnington Joint Practices1Already on dual theropy2/26/082/28/08Leonard Hinks4/16/24ColeSouth Reddish Medical Centre112/27/082/28/08John Rowarth11/29/37DawsonHeaton Moor Med Centre12/22/082/28/08Michael Walker5/17/43LennoxWoodley Health Center1No PSA2/29/083/6/08Terrence Mahon8/12/47HerbertAlvanley Practice1Not suited raised PSA3/5/083/6/08Brian Blackshaw6/24/41ProcterLowfield Surgery13/11/083/14/08Paul Ideson5/8/59NeedhamMarple Bridge Surgery1Not suitable due to medical history3/11/083/14/08Elwyn Roberts11/15/25Glichercheadle medical practice1Raised PSA3/10/083/14/08Terrence Walker10/26/38Adamscheadle medical practice13/18/083/20/08Gabriel Villalon3/24/34GoldspinkThe Village Surgery Bramhall1Raised PSA3/19/083/20/08Dennis Robinson3/26/34BeardsellBredbury Medical Center1Raised PSA3/18/083/20/08John Hallworth2/12/41HopeBracondale Medical Centre1Raised PSA3/19/083/20/08Jean Dennis11/10/50AshrafBracondale Medical Centre13/23/083/25/08Stuart Hales11/11/44GilbertAdshall Road Medical Center1Raised PSA4/4/084/8/08Richard Hardman6/17/62ShettyDial House Medical Center11No bloods taken4/17/084/18/08Derek Booth10/13/29RodgersMarple Bridge Surgery11114/17/084/18/08George Bingham1/4/48ArifLittle Moor Surgery114/23/084/24/08Allan Cooke5/20/20BriggsBracondale Medical Centre1No PSA5/15/085/19/08Keith Nelson6/17/67Shahcheadle hulme HC1Abnormal DRE5/14/085/19/08James Taylor1/19/61Seabrookcheadle hulme HC115/28/0811/06/20008Warren Woodhead11/6/40ColeSouth Reddish Medical Centre16/5/086/11/08Michael Poynton16/16/086/16/08Patrick O'Dea6/26/48HendersonHeaton Moor Med Centre1Needs repeat PSA6/13/086/16/08Willliam Hooley9/14/29HickEastholme Surgery1Not suitable7/18/087/22/08John Underwood10/31/32BeardsellBredbury Medical Center17/9/087/13/08Mohd Saeed6/3/46HerdEastholme Surgery17/12/087/13/08Geoffrey Kendal9/3/40AllanBeech House Med Cent17/12/087/13/08Richard Johnson1/10/26ValluriMarple Medical Practice17/28/087/30/08Daniel Doolan2/6/39TinsleyCale Green Surgery18/11/088/14/08Anthony Kendrick6/27/55ArmstrongBredbury Medical Center1Raised PSA8/18/088/26/08Tariq Khawaja1/9/60MorrisHeald Green HC1Raised PSA8/21/088/26/08Derek Beresford9/19/27ArmstrongBredbury Medical Center1Raised PSA8/28/088/29/08Handel Evans4/10/34ValluriMarple Medical Practice18/29/088/29/08Peter Smith2/14/27Daycheadle hulme HC1Raised PSA9/2/089/8/08John Sadler10/8/51McleanBrinnington Joint Practices19/2/089/8/08Glenn Forrester3/14/56BeardsellBredbury Medical Center1Raised PSA9/3/089/8/08Ernest Bannister8/9/31Seabrookcheadle hulme HC1Raised PSA9/5/089/9/08James Axford9/8/33SalimBeech House Med Cent19/5/089/9/08Trevor Woodcock3/23/38CarneGately Group Practice19/8/089/9/08Colin Sedgley5/19/52GreenwellBredbury Medical Center1Raised PSA9/2/089/9/08Peter Bulger4/11/43Wongcheadle medical practice19/5/089/9/08Philip Jones2/21/70Sinhacheadle medical practice1Prostatitis9/9/089/10/08Derrick Weate6/20/29AllanBeech House Med Cent19/9/089/10/08Paul Minshull11/3/50OwenManor Med Pract1Needs ED and Andrology app9/22/089/23/08Thomas Walton2/26/45BeardsellBredbury Medical Center1? Prostititis9/23/089/30/08David Crofts6/27/42Daviescheadle hulme HC19/23/089/30/08Malcolm Pimlot8/22/57LennoxWoodley Health Center1

New appointment pie chart (2)103483

Outcomes from new appointments

secondary care bar chart21221111196211114

Abnormal DREAcute retention of urineAlready on dual therapyHaematuriaNeeds general urology referralNeeds ED and Andrology appNeeds UrodynamicsNot suitable otherNot suitable due to medical historyProstatitisRaised PSARecurrent UTI`sReferred for surgeryRenal colicUnspecifiedReferrals to secondary clinic

Secondary care pie chart21221111196211114

Referrals to secondary care

Secondary care referralsAbnormal DREAcute retention of urineAlready on dual therapyAlready on dual therapyHaematuriaHaematuriaAbnormal DRENeeds general urology referralNeeds ED and Andrology appNeeds UrodynamicsNot suitable otherNot suitable due to medical historyProstatitisProstatitisProstatitisProstatitisProstatitisProstatitisProstatitisProstatitisProstatitisRaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARecurrent UTI`sReferred for surgeryRenal colicUnspecifiedUnspecifiedUnspecifiedUnspecifiedUnspecifiedUnspecifiedUnspecifiedUnspecifiedUnspecifiedUnspecifiedUnspecifiedUnspecifiedUnspecifiedUnspecifiedAbnormal DRE2Acute retention of urine1Already on dual therapy2Haematuria2Needs general urology referral1Needs ED and Andrology app1Needs Urodynamics1Not suitable other1Not suitable due to medical history1Prostatitis9Raised PSA62Recurrent UTI`s1Referred for surgery1Renal colic1Unspecified14

Triage pie chart110100

Triage outcome

2 year data10/1/06121Attended 2nd Fu further fu in 3/1211/16/061111/24/06111112/15/0612no U&Es, letter sent 3.1.06, rang practice 8.1.06 patient has appt for blood test tomorrow12/18/06101noU&E GP faxed 19/12/0612/18/0610111noU&E GP faxed 19/12/0612/19/0612No U&E GP Faxed12/22/06111112/29/0611112/29/06111/11/0711No U&E GP faxed.1/16/071111`1/16/0711/19/071Raised PSA1/19/071Raised PSA1/23/071Raised PSA1/23/07111/23/071111/23/071Raised PSA1/25/071Haematuria2/8/07112/15/071Raised PSA2/15/071Raised PSA2/15/0711112/15/0711No U&E or PSA GP Faxed2/20/071Raised PSA2/20/071Prostatitis2/20/071Raised PSA2/20/071Raised PSA2/20/071Raised PSA2/20/07112/20/071112/23/071Raised PSA2/23/0711112/27/071Raised PSA2/27/071113/2/071213/8/071Raised PSA3/15/071Raised PSA3/15/071Raised PSA3/15/0713/15/07111PSA and U&E3/15/0713/23/071Raised PSA3/23/071113/23/071111U&E3/29/071Raised PSA3/29/071Raised PSA3/29/0711U&E3/29/071114/12/071Raised PSA4/12/071Raised PSA4/12/0711214/13/071Raised PSA4/19/0711114/26/071Raised PSA5/17/071need general urology referal5/17/07115/22/071Raised PSA5/24/0715/25/071115/25/07116/5/0716/5/0716/7/07116/12/0716/12/0716/26/0711116/26/07116/28/071Irregular DRE6/29/071Raised PSA7/5/0711Discharged on follow up appointment7/5/07117/11/0711127/12/07111Renal colic7/12/0711117/16/07117/16/071117/20/071Acute retention of urine7/20/0711117/23/0717/24/071Raised PSA7/24/071Raised PSA7/24/071Raised PSA7/31/0717/31/0717/31/0718/2/071128/8/0718/10/0718/10/0718/10/071118/16/0718/16/07118/16/0718/17/07118/23/071118/23/0718/30/071Prostatitis8/30/0718/30/0719/10/071Prostatitis9/10/071119/10/0711No U&E results9/14/071Recurrent UTI`s9/14/07119/14/0719/18/07119/20/071Raised PSA9/21/071Raised PSA9/26/071Raised PSA9/27/071Raised PSA10/4/07112110/10/0711110/11/071Raised PSA10/11/071Raised PSA10/11/071Raised PSA10/11/0711110/15/071Raised PSA10/16/07111110/16/07110/23/071Haematuria10/23/071Raised PSA10/23/071110/24/071110/25/071110/25/071110/25/071111/3/071211/8/07111211/12/071Prostatitis11/15/071111/15/07111/20/071Needs Urodynamics11/20/07111/20/071111/28/071111/29/071112/5/071Referred for surgery12/5/071Prostatitis12/10/071Raised PSA12/13/071Prostatitis12/13/071Raised PSA12/13/071112/19/07112/19/071112/28/071Raised PSA12/28/071? Prostatitis1/11/081Raised PSA1/17/0811/17/08111/22/081Prostatitis1/22/081Already on dual therapy1/22/081Raised PSA1/22/081221/30/0812/4/08112/21/081Raised PSA2/21/081Raised PSA2/22/081Raised PSA2/28/081Raised PSA2/28/081Already on dual therapy2/28/081Raised PSA2/28/08112/28/08112/28/0813/6/081Raised PSA3/6/0813/14/081Not suitable due to medical history3/14/081Raised PSA3/14/0813/20/081Raised PSA3/20/081Raised PSA3/20/081Raised PSA3/20/0813/25/081Raised PSA4/8/0811Raised PSA4/18/0811114/18/08114/24/081Raised PSA5/19/081Abnormal DRE5/19/08116/11/0816/11/0816/16/081Raised PSA6/16/081Not suitable7/13/0817/13/0817/13/0817/22/0817/30/0818/14/081Raised PSA8/26/081Raised PSA8/26/081Raised PSA8/29/0818/29/081Raised PSA9/8/081Raised PSA9/8/081Raised PSA9/8/0819/9/081Raised PSA9/9/081Prostatitis9/9/0819/9/0819/9/0819/10/081Needs ED and Andrology app9/10/0819/23/081Prostatitis9/30/0819/30/08110/4/081Raised PSAtriaged to LUTS clinictriaged to Secondary Care110100

Follow up pie chart2743273

Outcomes from follow up appointment

Follow up appointment outcomesDischargedReferred to secondary careDiagnosticsGiven follow up appointmentDNA2743273

New appointment pie chart103483

New appointment outcomesDischarged on first visitReferred to secondary careGiven follow up appointmentDNA103483

Core datablue = completed episodeyellow = waiting for info from GP`demographicsICATS triage outcomeoutcome of appointmentComments (info missing from referral & any contact with patients GP)Date Referral ReceivedDate TriagedPatient NameDOBGPPracticeBack to GP for more infotriaged to LUTS clinictriaged to Secondary CareSeen in LUTS dischargedSeen in LUTS clinic given FU apptAttended FU apptreferred to secondary careDNA2011210030693912211/16/06mario parise5/15/34BerryEllesmere Med Cent01112/15/06steven Kennerley6/26/55Burneycheadle medical practice0102no U&Es, letter sent 3.1.06, rang practice 8.1.06 patient has appt for blood test tomorrow12/7/0612/18/06john ferguson6/27/42Tinsley11001noU&E GP faxed 19/12/0612/14/0612/18/06anthony stansfield12/18/62Shipstoncheadle hulme HC1100111noU&E GP faxed 19/12/0611/24/06Ian Kennedy11/11/54LargeHeaton Norris01011110/1/06trevor Gaunt8/18/511021Attended 2nd Fu further fu in 3/129/14/069/14/06george adams4/9/37HallMarple M C1229/14/069/14/06Gordon Griffin2/10/29ColeSth Reddish MC11119/14/069/14/06Ronald Busby12/12/44HallMarple M C12112/27/0612/29/06Denis Gaskell4/22/47ValluriMarple M C11112/13/0612/19/06Mohammed Munif12/19/40WynnHeaton Mersey112No U&E GP Faxed12/20/0612/22/06Joseph Breen6/10/50ParkinsonManor Med Pract111112/5/06Patrick Gallagher10/1/54WynnHeaton Mersey11No U & E Gp Faxed12/29/06Stephen Berrisford6/17/48Holdercheadle hulme HC111/15/071/16/07Martin Angell5/2/50BayesBramhall Park MC1111`1/16/071/16/07David Hazelhurst9/19/59ParkinsonManor Med Pract11/18/071/19/07Eric Hales3/9/43Tinsley1Raised PSA1/18/071/19/07Gareth Burgess1/5/48warburtonHeaton Mersey1Raised PSA1/19/071/23/07Kenneth Gilbert7/5/35warburtonHeaton Mersey11!8/01/071/23/07Sammuel Heyes3/6/29WrightHeald Green HC1Raised PSA1/23/071/23/07Jess Roebuck9/12/32rodgersMarple Bridge Surgery1111/10/071/11/07Reginald Spring5/30/21Daviescheadle hulme HC111No U&E GP faxed.1/22/066/29/07Geoffrey Smith8/1/44Hastingscheadle hulme HC1Raised PSA2/7/072/8/07James Dixon10/21/30AdairHeaton Moor Med Centre111/19/071/23/07john Doyle4/24/48PontefractThe family Surg Reddish11Raised PSA1/24/071/25/07James MasseyColeSth Reddish MC1Haematuria Raised PSA2/14/072/15/07Leslie AtkinsonTinsley1Raised PSA2/14/072/15/07Edward Lockett1/24/41ParkinsonManor Med Pract11112/7/072/15/07Petere DonohueAzmy1Raised PSA2/9/072/15/07John HallardMathewsonHigh Lane MC111No U&E or PSA GP Faxed2/21/072/23/07Norman Robinson7/27/36JonesChadsfield med Pract.Romiley1raised PSA2/17/072/20/07Arnold Harrison4/23/18warburtonHeaton Mersey1raised PSA2/16/072/20/07christopher Cowlishaw2/3/43HickEastholme Surgery112/16/072/20/07Frank Wood9/25/26Mehtacheadle medical practice1112/19/072/20/07Harold Radcliffe12/1/46rodgersMarple Bridge Surgery1No Luts ? Prostatitis2/16/072/20/07Rory Alkin4/7/50warburtonHeaton Mersey1Raised PSA2/16/072/20/07Frederick Emery5/17/32WebsterEllesmere Med Cent1Raised PSA2/16/072/20/07Herber Duffey10/30/26DeanHeald Green HC1Raised PSA2/23/072/23/07Geoffrey Thompson9/10/39Mehtacheadle medical practice11112/23/077/23/07Richard Morris12/8/48Mehtacheadle medical practice12/27/072/27/07Ronald Smith11/13/25higginbotham-jones Manor Medical Practice1raised PSA2/28/073/2/07Micheal SnapeEyres1213/7/073/8/07John Adshead2/6/45MorganChadsfield med Pract.Romiley1raised PSA2/26/072/27/07Alan Camm9/18/48Adamscheadle medical practice11113/15/07Stephen Andrew4/2/51HickEastholme Surgery1raised PSA8/3/15/07James Sutton10/21/42rodgersmarplebridge surgery1raised PSA3/15/073/15/07David Mitchell4/5/52The family Surg Reddish1111PSA and U&E3/14/073/15/07Albert Tonge9/5/29AllanBeech House Med Cent1PSA and U&E3/14/073/15/07Ian Goulden8/7/49Gaduzocheadle medical practice13/14/073/15/07Brian Hutchinson12/4/36Seabrookcheadle hulme HC13/28/073/29/07Frank Doidge3/13/07WoodworthChadsfield med Pract.Romiley1raised PSA3/29/073/29/07Robin Axten8/14/42warburtonHeaton Mersey1raised PSA3/28/073/29/07Peter williams6/12/49Gaduzocheadle medical practice111U&E3/26/073/29/07Raymond Tubman4/6/40AllanBeech House Med Cent1113/21/073/23/07Lewis Phillips11/16/23Wynn-JonesMarple Medical Practice1raised PSA3/19/073/23/07John Gallagher9/14/54Enam-UI Haquecheadle medical practice1113/21/073/23/07Terry smith5/8/54WoodworthChadsfield med Pract.Romiley11111U&E4/10/074/12/07george Penkett7/7/34BerchtoldMarple Bridge Surgery1raised PSA4/4/074/12/07Ian Duddridge4/11/61MathewsonHigh Lane MC1raised PSA4/6/074/12/07thomas Harper9/30/34BayesShaw Heath H C11214/13/074/13/07Cliff Brown1/7/52Holdercheadle hulme HC1raised PSA4/18/074/19/07Brian Felstead6/17/35ParkinsonManor Med Pract11114/23/074/26/07Alan Cheetham2/23/42MathewsonHigh Lane MC1raised PSA5/4/075/8/07Gwynne Lloyd10/28/53Gaduzocheadle medical practice1U&E5/15/075/22/07Alan Jacob1/14/43GrahamBramhall Health Centre1raised PSA5/4/075/8/07Gwynne Lloyd10/28/53GaduzoCheadle Med Practice1need u&e5/15/075/17/07Dominic Gallagher1/15/31HickEastholme Surgery1need general urology referal5/15/075/17/07Philip Riley4/23/64WhiteAdswood road surgery116/7/076/12/07Royston Eckersall6/11/46Gaduzocheadle medical practice16/8/076/12/07Roy Cairns7/17/32RodgersMarple Bridge Surgery16/4/076/7/07Brian Chapman9/14/54ParkinsonManor Med Pract116/5/076/5/07Peter Bluer6/10/41DeanHeald Green HC15/23/076/5/07William Stroud9/28/25Johnson50 Church Street15/23/075/24/07Albert Bowdler3/18/34Daycheadle hulme HC15/23/075/25/07Thomas Sharpe2/10/48BillingtonHeaton Moor Med Centre1115/22/075/25/07Peter Hampson7/18/29WarburtonHeaton Mersey116/25/076/26/07Allan Fleet9/20/40ColeSouth Reddish Medical Centre11116/26/07George Hinsley11/18/35Wynne-JonesMarple Medical Practice1127/06.076/28/07Kenneth Deane6/3/46MorrisonHeaton Norris H C1Irregular DRE7/5/077/5/07David williams4/3/42Shipstoncheadle hulme HC11Discharged on follow up appointment6/28/077/5/07David walmsley11/11/62GaduzoCheadlle Medical Practice117/7/077/11/07Neville Hall1/4/32Gaduzocheadle medical practice11127/9/077/12/07William Berry3/15/36BriggsBracondale Medical Centre11117/11/077/12/07Harry Jeffries3/10/47GreenwellThe Alvanley Practice111Raised PSA ?renal colic7/13/077/16/07David Jackson1/18/51Holdercheadle hulme HC1113-Jul16-JulLawrence Whitehead2/2/42JonesChadsfield med Pract.Romiley1117/18/077/20/07Kenneth Fitzgerald6/22/39LloydCedar House Bramhall1Acute retention of urine7/20/077/20/07colin Gateley12/5/52TrenholmEllesmere Med Cent111119/20/077/20/07Albert Atkinson2/28/35AgarwalLittle Moor Surgery1No Blood results7/20/077/24/07David Clayton11/8/47MathewsonHigh Lane MC1Raised PSA7/23/077/24/07Thomas Delayney3/29/42rodgersMarple Bridge Surgery1Raised PSA7/24/077/24/07David Emberley5/22/39LevyBeech House Med Cent1Raised PSA8/8/078/8/07Roy Wrigley3/15/34Wilsoncheadle medical practice18/3/078/3/07Ian Fraser1/29/43BerchtoldMarple Bridge Surgery18/1/078/2/07David Moat12/12/52HardmanHeaton Norris H C1127/27/077/31/07Colin Cheetham1/26/44RodgersMarple Bridge Surgery17/27/077/31/07Kenneth Noyer6/13/30BenjaminSouth Reddish Medical Centre17/30/077/31/07Lloyd Marston11/5/35AllanBeech House Med Cent17/30/077/31/07Daid Tracey8/17/63AllanBeech House Med Cent18/17/078/17/07Kenneth Du Noyer6/13/30coleSouth Reddish Medical Centre118/15/078/16/07Eric Blackburn2/3/31SharmaThe Sugery Offerton118/14/078/16/07Robert Johnson9/19/43GhafoorBents Lane Medical Practice18/16/078/16/07Douglas Williams10/30/38Mamelockcheadle medical practice18/10/078/10/07Harry Connell10/16/35TinsleyCale Green Surgery18/10/078/10/07Nigel Parfitt5/13/70LloydCedar House Bramhall18/10/078/10/07Harold Wood8/3/43Haguecheadle medical practice1118/17/078/23/07George Hinsley11/18/35Wynne-JonesMarple Medical Practice1118/10/078/23/07Harry Connell10/16/35TinsleyCale Green Surgery18/24/078/30/07Neville Blair12/18/60MarshallHeaton Norris H C18/30/078/30/07David Dale2/13/46ColeSouth Reddish Medical Centre18/29/078/30/07Brian Roberts1Not Suitable Prostatitis8/31/079/10/07Ian Fraser1/29/43FrenchMarple Bridge Surgery1? Prostatitis9/6/079/10/07Arthur Broadhurst8/15/32ParkinsonManor Med Pract1119/7/079/10/07keith Gilbert smith7/1/37GilmanBrinnington Surgeries11No U&E results9/11/079/14/07Geoffrey Astley12/15/42PriceStockport Medical Practice119/11/079/14/07William Steckles6/8/20ParkinsonManor Med Pract1Recurrent UTI`s9/11/079/14/07Brian Horton4/5/32GillStockport Medical Practice19/17/079/18/07Thomas Sheehan2/20/56ColeSouth Reddish Medical Centre119/20/07Edward Farnworth5/21/33ParkinsonManor Med Pract1Raised PSA9/21/079/21/07robert Burchell3/31/41warburtonHeaton Mersey Med Pract1Raised PSA9/22/0726/0907John Hallworth8/26/36RafiqueHaider Medical Centre1Raised PSA9/25/079/27/07James Higgins6/14/23MarshallHeaton Norris H C1Raised PSA10/1/0710/4/08Leslie Morton1/6/32Shipstonwilmslow Road Medical centre1Raised PSA10/2/0710/4/07Joseph Bullough6/15/47higginbotham-jones Manor Medical Practice112110/3/0710/9/07john Crawley10/25/63BriggsBracondale Medical Centre110/10/0710/10/07Frank Swinglehurst3/15/26Mathercheadle hulme HC11110/9/0710/11/07Bernard Burke11/13/29warburtonHeaton Mersey Med Pract11110/11/0710/11/07Graham Rutley4/4/49BainAlvanley1Raised PSA10/11/0710/11/07Thomas Hempstall07/11/GriffithsHeald Green HC1Raised PSA10/11/0710/11/07thomas Dowdall6/27/47MarshallHeaton Norris H C1Raised PSA10/22/0710/24/07Paul Kedian10/9/70Haquecheadle medical practice1110/18/0710/23/07Donald Hulme2/2/32WoodworthRomiley Health Centre1Needs flexi10/17/0710/23/07Alphonso Benjamin4/20/38MarshallHeaton Norris H C1Raised PSA10/19/0710/23/07Robert Braden Brown3/14/35AllanBeech House Med Cent1110/11/0710/16/07Andrew McDougall3/19/60HallsEllesmere Med Cent111110/6/0710/15/07George Payton1/17/29Gilbertcheadle1Raised PSA10/10/0710/16/07John Crawley10/25/63BriggsBracondale Medical Centre110/25/0710/25/07Edmund Roskell8/16/46Mehtacheadle medical practice1110/25/0710/25/07Peter Murray2/11/53Mehtacheadle medical practice1110/25/0710/25/07Alan Horsfield5/11/36Daycheadle hulme HC1110/31/0711/3/07Samuel Mendick6/24/30Ahmedcheadle medical practice1211/7/0711/8/07sydney fletcher7/26/30morrisBeech House Med Cent111211/8/0711/12/07Simon Barron3/3/81rodgersMarple Bridge Surgery1? Prostatitis11/8/0711/12/07Joseph Connelly9/27/32JeffsAdswood road surgery1No PSA11/13/0711/15/07Thomas Burniston11/2/37Hastingswilmslow Road Medical centre1111/14/0711/15/07Christopher Gleave4/1/58ArifLittle Moor Surgery111/20/0711/20/07Robert Johnson9/19/43GhafoorBents Lane Medical Practice1Needs Urodynamics11/20/0711/20/07John Murphy5/31/24AllanBeech House Med Cent111/15/0711/20/07Neil Lynsdale5/8/36AllanBeech House Med Cent1112/3/0712/5/07Robert Gardiner3/4/38CarterMarple Medical Practice1?needs surgery11/27/0711/28/07John Vosper1/22/34Al-KhaffafHeald Green HC1111/26/0711/29/07Micheal Taylor9/21/56Hastingswilmslow Road Medical centre1112/3/0712/5/07John Jackson12/31/41OwenManor Med Pract1? Prostatitis12/12/0712/13/07Carl fawley6/13/62LockeLittle Moor Surgery1? Prostatitis12/12/0712/13/07Gordon Harris5/14/29HickEastholme Surgery1Raised PSA11/11/0712/13/07Norman walsh11/1/48AllanBeech House Med Cent1112/9/0712/10/07Ian Kirk2/27/54MarshallHeaton Norris H C1Raised PSA12/17/0712/19/07Lionel Adshead5/18/64BriggsBracondale Medical Centre112/17/0712/19/07Denis Arthur10/5/46MorrisBeech House Med Cent1112/20/0712/28/07James Foy2/2/37MurthyHeaton Norris H C1Raised PSA12/21/0712/28/07John Webster1/12/72AdamsCheadle Med Practice? Prostatitis1/10/081/11/08Derek Hill8/14/33DavisonGatley Group Practice1Raised PSA1/10/081/17/08Harry Bradshaw2/14/41ParkinsonManor Med Pract111/15/081/17/08Charles Walton9/7/30RodgersMarple Bridge Surgery11/21/081/22/08Christopher Mallinson10/1/82HussainPark View Group Practice1? Prostatitis1/21/081/22/08Dennis Jones9/24/28Richardsoncheadle hulme HC1Already on dual therapy1/21/081/22/08Kenneth Mace2/8/37RafiqueHaider Medical Centre1Raised PSA1/22/081/22/08Brian Bailey11/29/46HollandBeech House Med Cent1221/29/081/30/08Peter Johnson3/11/51RodgersMarple Bridge Surgery12/4/082/4/08David Phillips8/21/42AllanBeech House Med Cent112/20/082/21/08Ian Slinger5/21/55GreenwellBredbury Medical Center1Raised PSA2/20/082/21/08Stelios Antoniou11/23/36GeorgeSprigfield Surgery1Raised PSA2/21/082/22/08Charles Saynor5/31/31GallagherAlvanley Practice1No PSA2/28/082/28/08Anthony Francis1/16/55MurrayOfferton Health Center1PSA not recorded2/27/082/28/08John Sutton8/20/46CarterMarple Medical Practice112/26/082/28/08David Walton1/3/40HowlingBrinnington Joint Practices1Already on dual theropy2/26/082/28/08Leonard Hinks4/16/24ColeSouth Reddish Medical Centre112/27/082/28/08John Rowarth11/29/37DawsonHeaton Moor Med Centre12/22/082/28/08Michael Walker5/17/43LennoxWoodley Health Center1No PSA2/29/083/6/08Terrence Mahon8/12/47HerbertAlvanley Practice1Not suited raised PSA3/5/083/6/08Brian Blackshaw6/24/41ProcterLowfield Surgery13/11/083/14/08Paul Ideson5/8/59NeedhamMarple Bridge Surgery1Not suitable due to medical history3/11/083/14/08Elwyn Roberts11/15/25Glichercheadle medical practice1Raised PSA3/10/083/14/08Terrence Walker10/26/38Adamscheadle medical practice13/18/083/20/08Gabriel Villalon3/24/34GoldspinkThe Village Surgery Bramhall1Raised PSA3/19/083/20/08Dennis Robinson3/26/34BeardsellBredbury Medical Center1Raised PSA3/18/083/20/08John Hallworth2/12/41HopeBracondale Medical Centre1Raised PSA3/19/083/20/08Jean Dennis11/10/50AshrafBracondale Medical Centre13/23/083/25/08Stuart Hales11/11/44GilbertAdshall Road Medical Center1Raised PSA4/4/084/8/08Richard Hardman6/17/62ShettyDial House Medical Center11No bloods taken4/17/084/18/08Derek Booth10/13/29RodgersMarple Bridge Surgery11114/17/084/18/08George Bingham1/4/48ArifLittle Moor Surgery114/23/084/24/08Allan Cooke5/20/20BriggsBracondale Medical Centre1No PSA5/15/085/19/08Keith Nelson6/17/67Shahcheadle hulme HC1Abnormal DRE5/14/085/19/08James Taylor1/19/61Seabrookcheadle hulme HC115/28/0811/06/20008Warren Woodhead11/6/40ColeSouth Reddish Medical Centre16/5/086/11/08Michael Poynton16/16/086/16/08Patrick O'Dea6/26/48HendersonHeaton Moor Med Centre1Needs repeat PSA6/13/086/16/08Willliam Hooley9/14/29HickEastholme Surgery1Not suitable7/18/087/22/08John Underwood10/31/32BeardsellBredbury Medical Center17/9/087/13/08Mohd Saeed6/3/46HerdEastholme Surgery17/12/087/13/08Geoffrey Kendal9/3/40AllanBeech House Med Cent17/12/087/13/08Richard Johnson1/10/26ValluriMarple Medical Practice17/28/087/30/08Daniel Doolan2/6/39TinsleyCale Green Surgery18/11/088/14/08Anthony Kendrick6/27/55ArmstrongBredbury Medical Center1Raised PSA8/18/088/26/08Tariq Khawaja1/9/60MorrisHeald Green HC1Raised PSA8/21/088/26/08Derek Beresford9/19/27ArmstrongBredbury Medical Center1Raised PSA8/28/088/29/08Handel Evans4/10/34ValluriMarple Medical Practice18/29/088/29/08Peter Smith2/14/27Daycheadle hulme HC1Raised PSA9/2/089/8/08John Sadler10/8/51McleanBrinnington Joint Practices19/2/089/8/08Glenn Forrester3/14/56BeardsellBredbury Medical Center1Raised PSA9/3/089/8/08Ernest Bannister8/9/31Seabrookcheadle hulme HC1Raised PSA9/5/089/9/08James Axford9/8/33SalimBeech House Med Cent19/5/089/9/08Trevor Woodcock3/23/38CarneGately Group Practice19/8/089/9/08Colin Sedgley5/19/52GreenwellBredbury Medical Center1Raised PSA9/2/089/9/08Peter Bulger4/11/43Wongcheadle medical practice19/5/089/9/08Philip Jones2/21/70Sinhacheadle medical practice1Prostatitis9/9/089/10/08Derrick Weate6/20/29AllanBeech House Med Cent19/9/089/10/08Paul Minshull11/3/50OwenManor Med Pract1Needs ED and Andrology app9/22/089/23/08Thomas Walton2/26/45BeardsellBredbury Medical Center1? Prostititis9/23/089/30/08David Crofts6/27/42Daviescheadle hulme HC19/23/089/30/08Malcolm Pimlot8/22/57LennoxWoodley Health Center1

New appointment pie chart (2)103483

Outcomes from new appointments

secondary care bar chart21221111196211114

Abnormal DREAcute retention of urineAlready on dual therapyHaematuriaNeeds general urology referralNeeds ED and Andrology appNeeds UrodynamicsNot suitable otherNot suitable due to medical historyProstatitisRaised PSARecurrent UTI`sReferred for surgeryRenal colicUnspecifiedReferrals to secondary clinic

Secondary care pie chart21221111196211114

Referrals to secondary care

Secondary care referralsAbnormal DREAcute retention of urineAlready on dual therapyAlready on dual therapyHaematuriaHaematuriaAbnormal DRENeeds general urology referralNeeds ED and Andrology appNeeds UrodynamicsNot suitable otherNot suitable due to medical historyProstatitisProstatitisProstatitisProstatitisProstatitisProstatitisProstatitisProstatitisProstatitisRaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARaised PSARecurrent UTI`sReferred for surgeryRenal colicUnspecifiedUnspecifiedUnspecifiedUnspecifiedUnspecifiedUnspecifiedUnspecifiedUnspecifiedUnspecifiedUnspecifiedUnspecifiedUnspecifiedUnspecifiedUnspecifiedAbnormal DRE2Acute retention of urine1Already on dual therapy2Haematuria2Needs general urology referral1Needs ED and Andrology app1Needs Urodynamics1Not suitable