Prostate Cancer Patient Information Prescription
Prostate Cancer
Patient Information Prescription
Richmond Urology Unit, Leigh Infirmary
- Author ID: WK
- Leaflet ref: Urol 002
- Version: 3
- Leaflet title: Prostate Cancer Patient Information Prescription
- Last review: May 2025
- Expiry Date: May 2027
Prostate Cancer Patient Information Prescription
Patient Name: ................................................................ Date: .............................................
Healthcare Professional: ......................................................................................................
Contact details for CNS/keyworker given? | Yes c | No c |
Copy of initial consultation letter offered? | Yes c | No c |
Information given about free prescriptions? | Yes c | No c |
MDT/SMDT/Green File information given? | Yes c | No c |
Key Information Providers
British Association of Urological Surgeons (BAUS)
www.baus.org.uk
Telephone 0207 869 6950
Local available information (LO)
www.nhs.uk/ips
Telephone 0161 276 3645
Macmillan Cancer Care (MAC)
Telephone 0808 808 0000
Prostate Cancer Research Centre (PCRC)
www.prostate-cancer-research.org.uk
Telephone 020 7679 9366
Prostate Cancer UK (PCUK)
www.prostatecanceruk.org
Telephone 0800 074 8383
UrologyNurses@wwl.nhs.uk
Telephone 01942 264491 Monday to Friday
Prostate Cancer Support Association (Bolton)
info@prostatecancersupport.org
Helpline: 0845 4560678
Office: 0161 474 8222
| 1. Investigations | Provider | Sign and Date | |
|
| Given | Recommended |
Bone Scan | PCRC/MAC |
|
|
CT Scan | PCRC/MAC |
|
|
MR Scan | PCRC/MAC |
|
|
Trans-rectal prostate Ultrasound and biopsies Local anaesthetic trans-perineal prostate biopsies (LATP) | BAUS |
|
|
| 2. Staging & Diagnosis | Provider | Sign and Date | |
Active surveillance | PCRC/MAC |
|
|
Brachytherapy | BAUS/PCRC/MAC |
|
|
Dealing with the side effects of treatment | MAC |
|
|
External beam radiotherapy | PCRC/MAC |
|
|
Hormone therapy | MAC |
|
|
Radical prostatectomy | BAUS |
|
|
Transurethral resection of prostate (TURP) | BAUS |
|
|
Watchful waiting | MAC |
|
|
| 3. Treatment options/side effects | Provider | Sign and Date | |
Chemotherapy | MAC |
|
|
Surgery | MAC/BAUS |
|
|
Radiotherapy | MAC |
|
|
| 4. Hospital stay/operation enhanced recovery information | Provider | Sign and Date | |
Anaesthetic | LO |
|
|
Discharge | LO |
|
|
Pain relief | LO |
|
|
Pre-operative | LO |
|
|
| 5. Lifestyle /Follow up | Provider | Sign and Date | |
Emotional support | MAC |
|
|
Employment support | MAC |
|
|
Financial support | MAC |
|
|
Help at home | MAC |
|
|
Travel | MAC |
|
|
Your information prescription does not replace face to face contact with the people providing your care so please contact them if you need advice.
Last modified 14th April 2026 11:44:36 am