Histology clinic – patient is invited to histology clinic to discuss biopsy results as soon after biopsy results are reported as possible. Patient will be contacted by secretarial staff to offer 1^st available appointment and be advised that they are welcome to bring a family member or friend to the appointment.

Urology Oncology Clinical Nurse Specialist (CNS) with relevant competency will review the patient details, ensuring all dates and investigation are correct. He/she will gather all information of the patient’s investigations/results and sensitively discuss and explain the results/diagnosis allowing time for the patient/family member to clarify or ask questions as they go.

The CNS will provide validated written information and document patient results within the documentation for them to take home to aid understanding example Macmillan cancer information or Prostate cancer UK.  Contact details will provided to all patients allowing them or their family, providing patient consent obtained, to contact if they have concerns or questions following the appointment.

The CNS will request Urgent scans as per protocol, such as MRI +/- Bonescan +/- CT scan. The CNS is responsible for ensuring all relevant clinical details are correct and sufficient to justify the requested scans.  Patient should be advised to expect to receive appointment dates to attend for scans and understand the purpose of the scans (to assess disease extent). The CNS requires to satisfy the Radiology department that they are suitable trained and competent to request X-rays under protocol ensuring IRMER training continually updated.

The CNS will dictate all relevant information pertaining to the patient to allow the patients case to be reviewed at the Multi-disciplinary Team Meeting (MDT). Information required includes performance status, body mass index, past medical history, current medications and symptoms to allow the team to make a full assessment and appropriate treatment recommendations.

Secretarial staff will type all information dictated by the nurse to an agreed proforma. This will be used to present the patient case at the weekly MDT meeting. Copies of Pathology and scan reports will be included in the proforma which becomes a legal document saved to patient notes and used to update GPs regarding patient management.

The CNS is responsible for dictating a letter to GP and other health care professional directly involved in the patients care detailing all clinical information. He/she must incorporate a detail account of the discussion, assessment and any treatment recommendations. Also included should be details of any written information provided to patients or their families. The letter will be sent to the GP at the earliest opportunity and saved to the patient’s medical file.