‘My Outcomes’ book for BPC patients heralds a new level of surgeon accountability

Mr Alan Doherty
“The ‘My Outcomes’ book enables myself and the patient to have all the relevant information in one place, so we can evaluate outcomes in an informed way, with all the information to hand. Several studies have shown that patients who are most informed in and involved with their treatment do better than those who are less informed and involved.”
Mr Alan Doherty, Consultant Urologist, Birmingham Prostate Clinic

BPC has launched ‘My Outcomes’ – a groundbreaking new approach which enables patients to hold key information about their treatment.

Every BPC patient undergoing prostate cancer surgery will be given a ‘My Outcomes’ book, which focuses on two key measures – erectile function and continence after surgery.

One of the distinctive things about ‘My Outcomes’ is that surgeon Alan Doherty will record the outcomes he predicts for each patient in the book. This can then easily be compared with actual outcomes.

“This introduces an entirely new level of surgeon accountability,” explains Mr Doherty. “We start by discussing what I believe the outcomes of surgery will be for my patient, depending upon the type of prostate cancer he has, his age and any other relevant factors.

“I will record my predicted outcomes and these are based upon my own results, which I know and record (rather than just quoting figures from national studies involving other surgeons).

“If actual outcomes are worse than predicted outcomes, I will need to explain why to my patient and reflect upon the factors involved. So the accountability here is clear, measurable and on a wholly new level to anything in place before.”

The rationale for the ‘My Outcomes’ book is also to enable the patient to hold key information about their treatment. Normally, this information is contained in forms held in clinic and in letters to the patient’s GP following each appointment.

“I was struck by the fact that from a patient’s point of view, this is very fragmented. They will receive a copy of each letter to their GP, but it is not written directly to them and it means all the information is held separately – in individual letters and in records held in clinic.

“From my point of view, it is not optimal either. I want to be able to quickly compare, for example, how a patient was getting on three months after surgery, in order to explain and reflect on how they are at 12 months post-operatively.

“This book enables myself and the patient to have all the relevant information in one place, so we can evaluate outcomes in an informed way, with all the information to hand.

“It is also very important that although we also record the same information in clinic, ‘My Outcomes’ is held by the patient. Several studies have shown that patients who are most informed in and involved with their treatment do better than those who are less informed and involved.”

Every patient’s results, recorded at three months and 12 months post-operatively, are processed by audit staff and published in our live results centre.