PSA Testing Conducted & Supported by The Graham Fulford Charitable Trust

July 2013

Startling Lack of PSA testing at NHS Hospitals

SUMMARY OF 419 RESEARCH TELEPHONE CALLS TO 302 HOSPITALS –
NHS AND PRIVATE SECTOR –
TO CHECK AVAILABILITY OF PSA TESTING


TOTAL NO OF HOSPITALS 302 100%

OFFERING PSA TESTING 75 24.84%

NOT OFFERING PSA TESTING 181 59.93%

COULDN’T REACH AT ALL
46 15.23%
302 100%

OF THOSE OFFERING PSA TESTING

OFFERING “FREE TO TOTAL” RATIO 40 53.33%

NOT OFFERING “FREE TO TOTAL”
35 46.67%
75 100%

OF THE 40-29 WERE AT THE CLINICIANS REQUEST RATHER
THAN AS A MATTER OF COURSE


OFFERING FREE TO TOTAL AS A PERCENTAGE OF THE WHOLE 13.25%

OFFERING FREE TO TOTAL AS A MATTER OF COURSE AS A
PERCENTAGE OF THE WHOLE
9.6%


NOTES



IT CAN PROBABLY BE FAIRLY SAFELY ASSUMED THAT THE 46 HOSPITALS CONTACTED WHO DIDN’T RESPOND TO THE QUESTIONS (UP TO 4 CALLS WERE MADE TO THEM) DON’T OFFER TESTING WHICH IS WHY THEY DIDN’T RESPOND.

THE CALLS WERE MADE AT THE REQUEST OF DAVID BAXTER SMITH (Retired) TO INCLUDE IN A PAPER HE IS WRITING ABOUT THE IMPORTANCE OF “FREE TO TOTAL” TESTING. IN A STAGGERING 95% OR SO OF THE 586 CANCERS FOUND TO DATE WHERE FREE TO TOTAL FACILITIES WERE AVAILABLE – AROUND 80% IN TOTAL –DAVID BAXTER SMITH FOUND THE MAN INVOLVED ALSO HAD AN “ABNORMAL” FREE TO TOTAL (LESS THAN 18 IS HIS MARKER FOR ABNORMAL)

HIS LONG HELD VIEW OF THE IMPORTANCE OF THIS RATIO IS BOURNE OUT BY THE INITIAL FINDINGS OF THE 49 HK2 TESTS CARRIED OUT TO DATE WHEREIN IN THE VIEW OF PROSTATE HEALTH UK – 19 OF THE 21 MEN WITH AN “ABNORMAL” FREE TO TOTAL ALSO HAD A RELATIVELY HIGH RISK (7.5% OR ABOVE) OF HAVING A HIGH GRADE CANCER. SEE SEPARATE REPORT.

SUPPLY FOLLOWS DEMAND. AS A LEADING MEMBER OF THE TEAM IN THE LABORATORY AT THE UNIVERSITY HOSPITAL COVENTRY AND WARWICKSHIRE ONCE SAID TO ME “MOST HOSPITAL LABORATORIES WILL GEAR THEIR FACILITIES FOR LOCAL DEMAND – IF THERE’S A CALL FOR IT THERES USUALLY A SOUND COMMERCIAL ARGUMENT FOR SUPPLYING IT”. THIS BEGS THE QUESTION – JUST HOW “EVEN HANDED” ARE GP’S WHEN DEALING WITH REQUESTS FROM MEN FOR A PSA TEST? THE EVIDENCE INDICATES THEY LEAN TOWARDS NOT RECOMMENDING IT – HENCE THE LACK OF DEMAND AND SUBSEQUENTLY SUPPLY.

© 2014 Malcolm Cook Contact Me