SlideShare a Scribd company logo

Home Dialysis RA 2017

At UK Kidney Week, the KQuIP team presented their work on Home Dialysis

1 of 18
Download to read offline
Home Dialysis
Improvement project
Why?
• Home dialysis
• Includes PD and HD
• Includes self and assisted care models
• Benefits
• Personal
• Medical
• Quality of life
• System
• Resources
Guidance
• Professional guidance
• NICE
• 2002
https://www.nice.org.uk/guidance/t
a48
• Renal Association
• Peritoneal Dialysis in Adults and
Children June 2017
• Research evidence
• Patient organisations
Attitudes positive in the main …..
BMC Nephrol. 2014 Jan 15;15:16. doi: 10.1186/1471-2369-15-16.
…… but disconnect with delivery
UK Renal Registry 18th Annual Report
Variation across UK is high
0.0
5.0
10.0
15.0
20.0
25.0
Carsh L Barts L Guys L Kings L Rfree L St.G L West
Data taken from UK Renal Registry % prevalent patients on home dialysis modality
0.0
5.0
10.0
15.0
20.0
25.0
30.0
35.0
40.0
45.0

Recommended

KQuIP presentation UKWW 2017
KQuIP presentation UKWW 2017KQuIP presentation UKWW 2017
KQuIP presentation UKWW 2017Renal Association
 
KQuIP Industry Presentation
KQuIP Industry Presentation KQuIP Industry Presentation
KQuIP Industry Presentation Renal Association
 
NHS partnership with Virginia Mason Institute - our journey so far
NHS partnership with Virginia Mason Institute - our journey so farNHS partnership with Virginia Mason Institute - our journey so far
NHS partnership with Virginia Mason Institute - our journey so farHealth and Care Innovation Expo
 
New Models of General Practice: Practical and policy lessons
New Models of General Practice: Practical and policy lessonsNew Models of General Practice: Practical and policy lessons
New Models of General Practice: Practical and policy lessonsNuffield Trust
 
NHS Quality conference - David Wood
NHS Quality conference - David WoodNHS Quality conference - David Wood
NHS Quality conference - David WoodAlexis May
 

More Related Content

What's hot

Keynote address - Secretary of State for Health Jeremy Hunt
Keynote address - Secretary of State for Health Jeremy HuntKeynote address - Secretary of State for Health Jeremy Hunt
Keynote address - Secretary of State for Health Jeremy HuntHealth and Care Innovation Expo
 
Extended Primary Care Access in Southwark
Extended Primary Care Access in Southwark Extended Primary Care Access in Southwark
Extended Primary Care Access in Southwark Nuffield Trust
 
North West Coast innovation showcase
North West Coast innovation showcase North West Coast innovation showcase
North West Coast innovation showcase Innovation Agency
 
Evidencing the quality and productivity of Allied Health Professionals' (AHPs...
Evidencing the quality and productivity of Allied Health Professionals' (AHPs...Evidencing the quality and productivity of Allied Health Professionals' (AHPs...
Evidencing the quality and productivity of Allied Health Professionals' (AHPs...NHS Improvement
 
Pharmacy working together to put Lord Carter’s recommendations into practice
Pharmacy working together to put Lord Carter’s recommendations into practicePharmacy working together to put Lord Carter’s recommendations into practice
Pharmacy working together to put Lord Carter’s recommendations into practiceHealth and Care Innovation Expo
 
Preparing for the Board Assurance framework for 7DS with guest speaker from U...
Preparing for the Board Assurance framework for 7DS with guest speaker from U...Preparing for the Board Assurance framework for 7DS with guest speaker from U...
Preparing for the Board Assurance framework for 7DS with guest speaker from U...NHS England
 
Jon Rouse pc reform presentation west pennine lmc 21-02-17
Jon Rouse   pc reform presentation west pennine lmc 21-02-17Jon Rouse   pc reform presentation west pennine lmc 21-02-17
Jon Rouse pc reform presentation west pennine lmc 21-02-17amirhannan
 
Sharing and Learning Together to Deliver High Quality End of Life Care for All
Sharing and Learning Together to Deliver High Quality End of Life Care for AllSharing and Learning Together to Deliver High Quality End of Life Care for All
Sharing and Learning Together to Deliver High Quality End of Life Care for AllNHS Improving Quality
 
The path to integration: health and social care – Elaine Bayliss
The path to integration: health and social care – Elaine BaylissThe path to integration: health and social care – Elaine Bayliss
The path to integration: health and social care – Elaine BaylissNHS Improving Quality
 
RCGP presentation 2017
RCGP presentation 2017RCGP presentation 2017
RCGP presentation 2017amirhannan
 
Integrated care in Trafford: progress to date
Integrated care in Trafford: progress to dateIntegrated care in Trafford: progress to date
Integrated care in Trafford: progress to dateNuffield Trust
 
Seven day services transformational improvement programme community of practice
Seven day services transformational improvement programme community of practiceSeven day services transformational improvement programme community of practice
Seven day services transformational improvement programme community of practiceNHS Improving Quality
 
'HSC Bereavement Network - Celebrating 10 years' (Poster at HFH 2016 Conference)
'HSC Bereavement Network - Celebrating 10 years' (Poster at HFH 2016 Conference)'HSC Bereavement Network - Celebrating 10 years' (Poster at HFH 2016 Conference)
'HSC Bereavement Network - Celebrating 10 years' (Poster at HFH 2016 Conference)Irish Hospice Foundation
 
7DS Taunton Durham&darlington ian briggs
7DS Taunton Durham&darlington ian briggs7DS Taunton Durham&darlington ian briggs
7DS Taunton Durham&darlington ian briggsNHS Improving Quality
 
Arvind Madan, NHS England
Arvind Madan, NHS England Arvind Madan, NHS England
Arvind Madan, NHS England Nuffield Trust
 
Impact and celebration event - delivering better care by Brighton and Hove CCG
Impact and celebration event - delivering better care by Brighton and Hove CCGImpact and celebration event - delivering better care by Brighton and Hove CCG
Impact and celebration event - delivering better care by Brighton and Hove CCGNHS Improving Quality
 

What's hot (20)

Clinical and patient leadership
Clinical and patient leadershipClinical and patient leadership
Clinical and patient leadership
 
Keynote address - Secretary of State for Health Jeremy Hunt
Keynote address - Secretary of State for Health Jeremy HuntKeynote address - Secretary of State for Health Jeremy Hunt
Keynote address - Secretary of State for Health Jeremy Hunt
 
Extended Primary Care Access in Southwark
Extended Primary Care Access in Southwark Extended Primary Care Access in Southwark
Extended Primary Care Access in Southwark
 
North West Coast innovation showcase
North West Coast innovation showcase North West Coast innovation showcase
North West Coast innovation showcase
 
Evidencing the quality and productivity of Allied Health Professionals' (AHPs...
Evidencing the quality and productivity of Allied Health Professionals' (AHPs...Evidencing the quality and productivity of Allied Health Professionals' (AHPs...
Evidencing the quality and productivity of Allied Health Professionals' (AHPs...
 
Pharmacy working together to put Lord Carter’s recommendations into practice
Pharmacy working together to put Lord Carter’s recommendations into practicePharmacy working together to put Lord Carter’s recommendations into practice
Pharmacy working together to put Lord Carter’s recommendations into practice
 
Preparing for the Board Assurance framework for 7DS with guest speaker from U...
Preparing for the Board Assurance framework for 7DS with guest speaker from U...Preparing for the Board Assurance framework for 7DS with guest speaker from U...
Preparing for the Board Assurance framework for 7DS with guest speaker from U...
 
Jon Rouse pc reform presentation west pennine lmc 21-02-17
Jon Rouse   pc reform presentation west pennine lmc 21-02-17Jon Rouse   pc reform presentation west pennine lmc 21-02-17
Jon Rouse pc reform presentation west pennine lmc 21-02-17
 
Sharing and Learning Together to Deliver High Quality End of Life Care for All
Sharing and Learning Together to Deliver High Quality End of Life Care for AllSharing and Learning Together to Deliver High Quality End of Life Care for All
Sharing and Learning Together to Deliver High Quality End of Life Care for All
 
The path to integration: health and social care – Elaine Bayliss
The path to integration: health and social care – Elaine BaylissThe path to integration: health and social care – Elaine Bayliss
The path to integration: health and social care – Elaine Bayliss
 
Understanding virtual fracture clinics
Understanding virtual fracture clinicsUnderstanding virtual fracture clinics
Understanding virtual fracture clinics
 
RCGP presentation 2017
RCGP presentation 2017RCGP presentation 2017
RCGP presentation 2017
 
Integrated care in Trafford: progress to date
Integrated care in Trafford: progress to dateIntegrated care in Trafford: progress to date
Integrated care in Trafford: progress to date
 
Seven day services transformational improvement programme community of practice
Seven day services transformational improvement programme community of practiceSeven day services transformational improvement programme community of practice
Seven day services transformational improvement programme community of practice
 
'HSC Bereavement Network - Celebrating 10 years' (Poster at HFH 2016 Conference)
'HSC Bereavement Network - Celebrating 10 years' (Poster at HFH 2016 Conference)'HSC Bereavement Network - Celebrating 10 years' (Poster at HFH 2016 Conference)
'HSC Bereavement Network - Celebrating 10 years' (Poster at HFH 2016 Conference)
 
7DS Taunton Durham&darlington ian briggs
7DS Taunton Durham&darlington ian briggs7DS Taunton Durham&darlington ian briggs
7DS Taunton Durham&darlington ian briggs
 
Arvind Madan, NHS England
Arvind Madan, NHS England Arvind Madan, NHS England
Arvind Madan, NHS England
 
Achieving innovation at scale in the NHS
Achieving innovation at scale in the NHSAchieving innovation at scale in the NHS
Achieving innovation at scale in the NHS
 
How community pharmacies support STPs and vanguards
How community pharmacies support STPs and vanguardsHow community pharmacies support STPs and vanguards
How community pharmacies support STPs and vanguards
 
Impact and celebration event - delivering better care by Brighton and Hove CCG
Impact and celebration event - delivering better care by Brighton and Hove CCGImpact and celebration event - delivering better care by Brighton and Hove CCG
Impact and celebration event - delivering better care by Brighton and Hove CCG
 

Similar to Home Dialysis RA 2017

Developing and Implementing a Patient Reported Experience Measure
Developing and Implementing a Patient Reported Experience MeasureDeveloping and Implementing a Patient Reported Experience Measure
Developing and Implementing a Patient Reported Experience MeasureRenal Association
 
Towards informed and innovative commissioning, Workshop for LKS October 2013
Towards informed and innovative commissioning, Workshop for LKS October 2013Towards informed and innovative commissioning, Workshop for LKS October 2013
Towards informed and innovative commissioning, Workshop for LKS October 2013suelb
 
Transforming outpatient services - Nuffield Trust/NHS Improvement Event
Transforming outpatient services - Nuffield Trust/NHS Improvement EventTransforming outpatient services - Nuffield Trust/NHS Improvement Event
Transforming outpatient services - Nuffield Trust/NHS Improvement EventNuffield Trust
 
Safety, Quality and Patient Experience Programme (SQE)
Safety, Quality and Patient Experience Programme (SQE)Safety, Quality and Patient Experience Programme (SQE)
Safety, Quality and Patient Experience Programme (SQE)Steven Kinnear
 
Nottingham University Hospitals- End of life care improvement collaborative p...
Nottingham University Hospitals- End of life care improvement collaborative p...Nottingham University Hospitals- End of life care improvement collaborative p...
Nottingham University Hospitals- End of life care improvement collaborative p...RuthEvansPEN
 
Nottingham University Hospitals- End of life care improvement collaborative p...
Nottingham University Hospitals- End of life care improvement collaborative p...Nottingham University Hospitals- End of life care improvement collaborative p...
Nottingham University Hospitals- End of life care improvement collaborative p...RuthEvansPEN
 
Opthalmology Specialty Workshop: 30 October 2017
Opthalmology Specialty Workshop: 30 October 2017Opthalmology Specialty Workshop: 30 October 2017
Opthalmology Specialty Workshop: 30 October 2017NHS England
 
L. Johnson_NR660_Standardization PPT Presentation
L. Johnson_NR660_Standardization PPT PresentationL. Johnson_NR660_Standardization PPT Presentation
L. Johnson_NR660_Standardization PPT PresentationLesley Johnson
 
NHS Quality conference - Paul Healy
NHS Quality conference - Paul HealyNHS Quality conference - Paul Healy
NHS Quality conference - Paul HealyAlexis May
 
Cadth 2015 d6 using hta to inform policy and practice 2015 cadth symposium fi...
Cadth 2015 d6 using hta to inform policy and practice 2015 cadth symposium fi...Cadth 2015 d6 using hta to inform policy and practice 2015 cadth symposium fi...
Cadth 2015 d6 using hta to inform policy and practice 2015 cadth symposium fi...CADTH Symposium
 
February 22 2018 team based care webinar 2
February 22 2018 team based care webinar 2February 22 2018 team based care webinar 2
February 22 2018 team based care webinar 2CHC Connecticut
 
2014 engaging communities in education and research - SNOCAP introduction - w...
2014 engaging communities in education and research - SNOCAP introduction - w...2014 engaging communities in education and research - SNOCAP introduction - w...
2014 engaging communities in education and research - SNOCAP introduction - w...Donald Nease
 
Oct 24 CAPHC Breakfast Symposium - Sponsored by CIHI
Oct 24   CAPHC Breakfast Symposium - Sponsored by CIHIOct 24   CAPHC Breakfast Symposium - Sponsored by CIHI
Oct 24 CAPHC Breakfast Symposium - Sponsored by CIHIGlenna Gosewich
 
CQC GM Feb 2017 v2
CQC GM Feb 2017 v2CQC GM Feb 2017 v2
CQC GM Feb 2017 v2amirhannan
 
MiPCT Webinar 6/20/2012
MiPCT Webinar 6/20/2012MiPCT Webinar 6/20/2012
MiPCT Webinar 6/20/2012mednetone
 

Similar to Home Dialysis RA 2017 (20)

Developing and Implementing a Patient Reported Experience Measure
Developing and Implementing a Patient Reported Experience MeasureDeveloping and Implementing a Patient Reported Experience Measure
Developing and Implementing a Patient Reported Experience Measure
 
Towards informed and innovative commissioning, Workshop for LKS October 2013
Towards informed and innovative commissioning, Workshop for LKS October 2013Towards informed and innovative commissioning, Workshop for LKS October 2013
Towards informed and innovative commissioning, Workshop for LKS October 2013
 
Transforming outpatient services - Nuffield Trust/NHS Improvement Event
Transforming outpatient services - Nuffield Trust/NHS Improvement EventTransforming outpatient services - Nuffield Trust/NHS Improvement Event
Transforming outpatient services - Nuffield Trust/NHS Improvement Event
 
Safety, Quality and Patient Experience Programme (SQE)
Safety, Quality and Patient Experience Programme (SQE)Safety, Quality and Patient Experience Programme (SQE)
Safety, Quality and Patient Experience Programme (SQE)
 
Nottingham University Hospitals- End of life care improvement collaborative p...
Nottingham University Hospitals- End of life care improvement collaborative p...Nottingham University Hospitals- End of life care improvement collaborative p...
Nottingham University Hospitals- End of life care improvement collaborative p...
 
Nottingham University Hospitals- End of life care improvement collaborative p...
Nottingham University Hospitals- End of life care improvement collaborative p...Nottingham University Hospitals- End of life care improvement collaborative p...
Nottingham University Hospitals- End of life care improvement collaborative p...
 
Opthalmology Specialty Workshop: 30 October 2017
Opthalmology Specialty Workshop: 30 October 2017Opthalmology Specialty Workshop: 30 October 2017
Opthalmology Specialty Workshop: 30 October 2017
 
David page cord standards of care 05 03-2015
David page cord standards of  care 05 03-2015David page cord standards of  care 05 03-2015
David page cord standards of care 05 03-2015
 
HSCIC: Clinical Audit Service
HSCIC: Clinical Audit ServiceHSCIC: Clinical Audit Service
HSCIC: Clinical Audit Service
 
L. Johnson_NR660_Standardization PPT Presentation
L. Johnson_NR660_Standardization PPT PresentationL. Johnson_NR660_Standardization PPT Presentation
L. Johnson_NR660_Standardization PPT Presentation
 
NHS Quality conference - Paul Healy
NHS Quality conference - Paul HealyNHS Quality conference - Paul Healy
NHS Quality conference - Paul Healy
 
Cadth 2015 d6 using hta to inform policy and practice 2015 cadth symposium fi...
Cadth 2015 d6 using hta to inform policy and practice 2015 cadth symposium fi...Cadth 2015 d6 using hta to inform policy and practice 2015 cadth symposium fi...
Cadth 2015 d6 using hta to inform policy and practice 2015 cadth symposium fi...
 
February 22 2018 team based care webinar 2
February 22 2018 team based care webinar 2February 22 2018 team based care webinar 2
February 22 2018 team based care webinar 2
 
2014 engaging communities in education and research - SNOCAP introduction - w...
2014 engaging communities in education and research - SNOCAP introduction - w...2014 engaging communities in education and research - SNOCAP introduction - w...
2014 engaging communities in education and research - SNOCAP introduction - w...
 
Oct 24 CAPHC Breakfast Symposium - Sponsored by CIHI
Oct 24 CAPHC Breakfast Symposium - Sponsored by CIHIOct 24 CAPHC Breakfast Symposium - Sponsored by CIHI
Oct 24 CAPHC Breakfast Symposium - Sponsored by CIHI
 
Oct 24 CAPHC Breakfast Symposium - Sponsored by CIHI
Oct 24   CAPHC Breakfast Symposium - Sponsored by CIHIOct 24   CAPHC Breakfast Symposium - Sponsored by CIHI
Oct 24 CAPHC Breakfast Symposium - Sponsored by CIHI
 
The Forth Valley Dementia Project
The Forth Valley Dementia ProjectThe Forth Valley Dementia Project
The Forth Valley Dementia Project
 
CQC GM Feb 2017 v2
CQC GM Feb 2017 v2CQC GM Feb 2017 v2
CQC GM Feb 2017 v2
 
Clinical Audit Service
Clinical Audit ServiceClinical Audit Service
Clinical Audit Service
 
MiPCT Webinar 6/20/2012
MiPCT Webinar 6/20/2012MiPCT Webinar 6/20/2012
MiPCT Webinar 6/20/2012
 

More from Renal Association

Undergraduate nurses year three FINAL reviewed October 2020
Undergraduate nurses year three FINAL reviewed October 2020Undergraduate nurses year three FINAL reviewed October 2020
Undergraduate nurses year three FINAL reviewed October 2020Renal Association
 
Year One Undergraduate Nurses AKI Education UPDATED 2020
Year One Undergraduate Nurses AKI Education UPDATED 2020Year One Undergraduate Nurses AKI Education UPDATED 2020
Year One Undergraduate Nurses AKI Education UPDATED 2020Renal Association
 
Palliative care in ESRD an overview RA platform powerpoint with audio
Palliative care in ESRD  an overview RA platform powerpoint with audio Palliative care in ESRD  an overview RA platform powerpoint with audio
Palliative care in ESRD an overview RA platform powerpoint with audio Renal Association
 
Oxford and Thames Valley Region KQuIP day 2018 MAGIC project
Oxford and Thames Valley Region KQuIP day 2018 MAGIC projectOxford and Thames Valley Region KQuIP day 2018 MAGIC project
Oxford and Thames Valley Region KQuIP day 2018 MAGIC projectRenal Association
 
Oxford and Thames Valley Region KQuIP day 2018 Vascular Access Data
Oxford and Thames Valley Region KQuIP day 2018 Vascular Access DataOxford and Thames Valley Region KQuIP day 2018 Vascular Access Data
Oxford and Thames Valley Region KQuIP day 2018 Vascular Access DataRenal Association
 
Oxford and Thames Valley Region KQuIP day 2018 Home Therapies Project
Oxford and Thames Valley Region KQuIP day 2018 Home Therapies ProjectOxford and Thames Valley Region KQuIP day 2018 Home Therapies Project
Oxford and Thames Valley Region KQuIP day 2018 Home Therapies ProjectRenal Association
 
Oxford and Thames Valley Region KQuIP day 2018 Home Therapies Data
Oxford and Thames Valley Region KQuIP day 2018 Home Therapies DataOxford and Thames Valley Region KQuIP day 2018 Home Therapies Data
Oxford and Thames Valley Region KQuIP day 2018 Home Therapies DataRenal Association
 
Oxford and Thames Valley Region KQuIP day 2018 LKD
Oxford and Thames Valley Region KQuIP day 2018 LKDOxford and Thames Valley Region KQuIP day 2018 LKD
Oxford and Thames Valley Region KQuIP day 2018 LKDRenal Association
 
Oxford and Thames Valley Region KQuIP day 2018 Transplant First
Oxford and Thames Valley Region KQuIP day 2018 Transplant FirstOxford and Thames Valley Region KQuIP day 2018 Transplant First
Oxford and Thames Valley Region KQuIP day 2018 Transplant FirstRenal Association
 
Think Kidneys programme update 2017
Think Kidneys programme update 2017Think Kidneys programme update 2017
Think Kidneys programme update 2017Renal Association
 
KQuIP presentation Yorks & Humber regional day 060717
KQuIP presentation Yorks & Humber regional day 060717KQuIP presentation Yorks & Humber regional day 060717
KQuIP presentation Yorks & Humber regional day 060717Renal Association
 
Patient reported experience presentation
Patient reported experience presentationPatient reported experience presentation
Patient reported experience presentationRenal Association
 
Undergraduate Nurses AKI Year Three
Undergraduate Nurses AKI Year ThreeUndergraduate Nurses AKI Year Three
Undergraduate Nurses AKI Year ThreeRenal Association
 
Undergraduate Nurses AKI Year Two
Undergraduate Nurses AKI Year TwoUndergraduate Nurses AKI Year Two
Undergraduate Nurses AKI Year TwoRenal Association
 
Undergraduate Nurses AKI Year One
Undergraduate Nurses AKI Year OneUndergraduate Nurses AKI Year One
Undergraduate Nurses AKI Year OneRenal Association
 
Engaging clinicians and patients in the concept and importance of activation
Engaging clinicians and patients in the concept and importance of activationEngaging clinicians and patients in the concept and importance of activation
Engaging clinicians and patients in the concept and importance of activationRenal Association
 
Patient Activation and Patient Reported Outcome Measures
Patient Activation and Patient Reported Outcome Measures Patient Activation and Patient Reported Outcome Measures
Patient Activation and Patient Reported Outcome Measures Renal Association
 
How supportive are clinical teams of patients self-managing
How supportive are clinical teams of patients self-managingHow supportive are clinical teams of patients self-managing
How supportive are clinical teams of patients self-managingRenal Association
 
Richard Fluck AKI Frontiers Slide Set
Richard Fluck AKI Frontiers Slide SetRichard Fluck AKI Frontiers Slide Set
Richard Fluck AKI Frontiers Slide SetRenal Association
 

More from Renal Association (20)

Undergraduate nurses year three FINAL reviewed October 2020
Undergraduate nurses year three FINAL reviewed October 2020Undergraduate nurses year three FINAL reviewed October 2020
Undergraduate nurses year three FINAL reviewed October 2020
 
Year One Undergraduate Nurses AKI Education UPDATED 2020
Year One Undergraduate Nurses AKI Education UPDATED 2020Year One Undergraduate Nurses AKI Education UPDATED 2020
Year One Undergraduate Nurses AKI Education UPDATED 2020
 
Palliative care in ESRD an overview RA platform powerpoint with audio
Palliative care in ESRD  an overview RA platform powerpoint with audio Palliative care in ESRD  an overview RA platform powerpoint with audio
Palliative care in ESRD an overview RA platform powerpoint with audio
 
Oxford and Thames Valley Region KQuIP day 2018 MAGIC project
Oxford and Thames Valley Region KQuIP day 2018 MAGIC projectOxford and Thames Valley Region KQuIP day 2018 MAGIC project
Oxford and Thames Valley Region KQuIP day 2018 MAGIC project
 
Oxford and Thames Valley Region KQuIP day 2018 Vascular Access Data
Oxford and Thames Valley Region KQuIP day 2018 Vascular Access DataOxford and Thames Valley Region KQuIP day 2018 Vascular Access Data
Oxford and Thames Valley Region KQuIP day 2018 Vascular Access Data
 
Oxford and Thames Valley Region KQuIP day 2018 Home Therapies Project
Oxford and Thames Valley Region KQuIP day 2018 Home Therapies ProjectOxford and Thames Valley Region KQuIP day 2018 Home Therapies Project
Oxford and Thames Valley Region KQuIP day 2018 Home Therapies Project
 
Oxford and Thames Valley Region KQuIP day 2018 Home Therapies Data
Oxford and Thames Valley Region KQuIP day 2018 Home Therapies DataOxford and Thames Valley Region KQuIP day 2018 Home Therapies Data
Oxford and Thames Valley Region KQuIP day 2018 Home Therapies Data
 
Oxford and Thames Valley Region KQuIP day 2018 LKD
Oxford and Thames Valley Region KQuIP day 2018 LKDOxford and Thames Valley Region KQuIP day 2018 LKD
Oxford and Thames Valley Region KQuIP day 2018 LKD
 
Oxford and Thames Valley Region KQuIP day 2018 Transplant First
Oxford and Thames Valley Region KQuIP day 2018 Transplant FirstOxford and Thames Valley Region KQuIP day 2018 Transplant First
Oxford and Thames Valley Region KQuIP day 2018 Transplant First
 
Think Kidneys programme update 2017
Think Kidneys programme update 2017Think Kidneys programme update 2017
Think Kidneys programme update 2017
 
KQuIP presentation Yorks & Humber regional day 060717
KQuIP presentation Yorks & Humber regional day 060717KQuIP presentation Yorks & Humber regional day 060717
KQuIP presentation Yorks & Humber regional day 060717
 
AKI and Care Homes
AKI and Care HomesAKI and Care Homes
AKI and Care Homes
 
Patient reported experience presentation
Patient reported experience presentationPatient reported experience presentation
Patient reported experience presentation
 
Undergraduate Nurses AKI Year Three
Undergraduate Nurses AKI Year ThreeUndergraduate Nurses AKI Year Three
Undergraduate Nurses AKI Year Three
 
Undergraduate Nurses AKI Year Two
Undergraduate Nurses AKI Year TwoUndergraduate Nurses AKI Year Two
Undergraduate Nurses AKI Year Two
 
Undergraduate Nurses AKI Year One
Undergraduate Nurses AKI Year OneUndergraduate Nurses AKI Year One
Undergraduate Nurses AKI Year One
 
Engaging clinicians and patients in the concept and importance of activation
Engaging clinicians and patients in the concept and importance of activationEngaging clinicians and patients in the concept and importance of activation
Engaging clinicians and patients in the concept and importance of activation
 
Patient Activation and Patient Reported Outcome Measures
Patient Activation and Patient Reported Outcome Measures Patient Activation and Patient Reported Outcome Measures
Patient Activation and Patient Reported Outcome Measures
 
How supportive are clinical teams of patients self-managing
How supportive are clinical teams of patients self-managingHow supportive are clinical teams of patients self-managing
How supportive are clinical teams of patients self-managing
 
Richard Fluck AKI Frontiers Slide Set
Richard Fluck AKI Frontiers Slide SetRichard Fluck AKI Frontiers Slide Set
Richard Fluck AKI Frontiers Slide Set
 

Recently uploaded

Employee Wellness Program, New Wellness Program
Employee Wellness Program, New Wellness ProgramEmployee Wellness Program, New Wellness Program
Employee Wellness Program, New Wellness ProgramBartolomeDimautangan
 
Respiratory Emergencies and CPR -FON.pptx
Respiratory Emergencies and CPR -FON.pptxRespiratory Emergencies and CPR -FON.pptx
Respiratory Emergencies and CPR -FON.pptxdhivbhar91
 
endo diagnosis ppt friday.pptx [Autosaved].pptx
endo diagnosis ppt friday.pptx [Autosaved].pptxendo diagnosis ppt friday.pptx [Autosaved].pptx
endo diagnosis ppt friday.pptx [Autosaved].pptxAmanSachdeva32
 
SINGLE MAXILLARY DENTURE AND ITS MANAGEMENT
SINGLE MAXILLARY DENTURE AND ITS MANAGEMENTSINGLE MAXILLARY DENTURE AND ITS MANAGEMENT
SINGLE MAXILLARY DENTURE AND ITS MANAGEMENTWajihaZia4
 
The Natural Formula That Supports Men’s Virility And Libido
The Natural Formula That Supports Men’s Virility And LibidoThe Natural Formula That Supports Men’s Virility And Libido
The Natural Formula That Supports Men’s Virility And LibidoZaheerJamal1
 
second stage c.s-Dr Ahmed Abdelmotaleb .pptx
second stage c.s-Dr Ahmed Abdelmotaleb .pptxsecond stage c.s-Dr Ahmed Abdelmotaleb .pptx
second stage c.s-Dr Ahmed Abdelmotaleb .pptxAhmedMostafa669
 
Understanding Peptic Ulcers Causes, Symptoms, and Treatment Options at Gokuld...
Understanding Peptic Ulcers Causes, Symptoms, and Treatment Options at Gokuld...Understanding Peptic Ulcers Causes, Symptoms, and Treatment Options at Gokuld...
Understanding Peptic Ulcers Causes, Symptoms, and Treatment Options at Gokuld...Gokuldas Hospital
 
Air Pollution.pptx
Air Pollution.pptxAir Pollution.pptx
Air Pollution.pptxleptopmarket
 
Different Types of Heart Surgery Offered at Gokuldas Hospital Exploring Treat...
Different Types of Heart Surgery Offered at Gokuldas Hospital Exploring Treat...Different Types of Heart Surgery Offered at Gokuldas Hospital Exploring Treat...
Different Types of Heart Surgery Offered at Gokuldas Hospital Exploring Treat...Gokuldas Hospital
 
Postgraduate Diploma in Hospital Management and Operational Excellence - Broc...
Postgraduate Diploma in Hospital Management and Operational Excellence - Broc...Postgraduate Diploma in Hospital Management and Operational Excellence - Broc...
Postgraduate Diploma in Hospital Management and Operational Excellence - Broc...د حاتم البيطار
 
Private Contracting for Universal Health Coverage Short version.pdf
Private Contracting for Universal Health Coverage Short version.pdfPrivate Contracting for Universal Health Coverage Short version.pdf
Private Contracting for Universal Health Coverage Short version.pdfAlaa Hamed
 
Breast cancer awareness by Dr. Dodul Mondal
Breast cancer awareness by Dr. Dodul MondalBreast cancer awareness by Dr. Dodul Mondal
Breast cancer awareness by Dr. Dodul MondalDr Dodul Mondal
 
RED EYE Public health Publication for IPC
RED EYE Public health Publication for IPCRED EYE Public health Publication for IPC
RED EYE Public health Publication for IPCStephenKigotho
 
Vitamin C Face wash Brands in India - Harriet Healthcare
Vitamin C Face wash Brands in India - Harriet HealthcareVitamin C Face wash Brands in India - Harriet Healthcare
Vitamin C Face wash Brands in India - Harriet Healthcaredehawebhopers
 
Top Antifungal Creams in India - Hariet Healthcare
Top Antifungal Creams in India - Hariet HealthcareTop Antifungal Creams in India - Hariet Healthcare
Top Antifungal Creams in India - Hariet Healthcaredehawebhopers
 
INTRODUCTION TO EMERGENCY NURSING LECTURE
INTRODUCTION TO EMERGENCY NURSING LECTUREINTRODUCTION TO EMERGENCY NURSING LECTURE
INTRODUCTION TO EMERGENCY NURSING LECTURERommel Luis III Israel
 
NAA NORLEY BROCHURE.pdf
NAA NORLEY BROCHURE.pdfNAA NORLEY BROCHURE.pdf
NAA NORLEY BROCHURE.pdfKweku Zurek
 
Operation Theatre LED Surgical Light MI Nova
Operation Theatre LED Surgical Light MI NovaOperation Theatre LED Surgical Light MI Nova
Operation Theatre LED Surgical Light MI NovaMorbros India
 
CRO Audit & Monitoring Quality Perspectives.pdf
CRO Audit & Monitoring Quality Perspectives.pdfCRO Audit & Monitoring Quality Perspectives.pdf
CRO Audit & Monitoring Quality Perspectives.pdfDr Prashant Bodhe
 
'Quick Wellness,' your shortcut to a healthier, happier you!
'Quick Wellness,' your shortcut to a healthier, happier you!'Quick Wellness,' your shortcut to a healthier, happier you!
'Quick Wellness,' your shortcut to a healthier, happier you!akashdashjsr99
 

Recently uploaded (20)

Employee Wellness Program, New Wellness Program
Employee Wellness Program, New Wellness ProgramEmployee Wellness Program, New Wellness Program
Employee Wellness Program, New Wellness Program
 
Respiratory Emergencies and CPR -FON.pptx
Respiratory Emergencies and CPR -FON.pptxRespiratory Emergencies and CPR -FON.pptx
Respiratory Emergencies and CPR -FON.pptx
 
endo diagnosis ppt friday.pptx [Autosaved].pptx
endo diagnosis ppt friday.pptx [Autosaved].pptxendo diagnosis ppt friday.pptx [Autosaved].pptx
endo diagnosis ppt friday.pptx [Autosaved].pptx
 
SINGLE MAXILLARY DENTURE AND ITS MANAGEMENT
SINGLE MAXILLARY DENTURE AND ITS MANAGEMENTSINGLE MAXILLARY DENTURE AND ITS MANAGEMENT
SINGLE MAXILLARY DENTURE AND ITS MANAGEMENT
 
The Natural Formula That Supports Men’s Virility And Libido
The Natural Formula That Supports Men’s Virility And LibidoThe Natural Formula That Supports Men’s Virility And Libido
The Natural Formula That Supports Men’s Virility And Libido
 
second stage c.s-Dr Ahmed Abdelmotaleb .pptx
second stage c.s-Dr Ahmed Abdelmotaleb .pptxsecond stage c.s-Dr Ahmed Abdelmotaleb .pptx
second stage c.s-Dr Ahmed Abdelmotaleb .pptx
 
Understanding Peptic Ulcers Causes, Symptoms, and Treatment Options at Gokuld...
Understanding Peptic Ulcers Causes, Symptoms, and Treatment Options at Gokuld...Understanding Peptic Ulcers Causes, Symptoms, and Treatment Options at Gokuld...
Understanding Peptic Ulcers Causes, Symptoms, and Treatment Options at Gokuld...
 
Air Pollution.pptx
Air Pollution.pptxAir Pollution.pptx
Air Pollution.pptx
 
Different Types of Heart Surgery Offered at Gokuldas Hospital Exploring Treat...
Different Types of Heart Surgery Offered at Gokuldas Hospital Exploring Treat...Different Types of Heart Surgery Offered at Gokuldas Hospital Exploring Treat...
Different Types of Heart Surgery Offered at Gokuldas Hospital Exploring Treat...
 
Postgraduate Diploma in Hospital Management and Operational Excellence - Broc...
Postgraduate Diploma in Hospital Management and Operational Excellence - Broc...Postgraduate Diploma in Hospital Management and Operational Excellence - Broc...
Postgraduate Diploma in Hospital Management and Operational Excellence - Broc...
 
Private Contracting for Universal Health Coverage Short version.pdf
Private Contracting for Universal Health Coverage Short version.pdfPrivate Contracting for Universal Health Coverage Short version.pdf
Private Contracting for Universal Health Coverage Short version.pdf
 
Breast cancer awareness by Dr. Dodul Mondal
Breast cancer awareness by Dr. Dodul MondalBreast cancer awareness by Dr. Dodul Mondal
Breast cancer awareness by Dr. Dodul Mondal
 
RED EYE Public health Publication for IPC
RED EYE Public health Publication for IPCRED EYE Public health Publication for IPC
RED EYE Public health Publication for IPC
 
Vitamin C Face wash Brands in India - Harriet Healthcare
Vitamin C Face wash Brands in India - Harriet HealthcareVitamin C Face wash Brands in India - Harriet Healthcare
Vitamin C Face wash Brands in India - Harriet Healthcare
 
Top Antifungal Creams in India - Hariet Healthcare
Top Antifungal Creams in India - Hariet HealthcareTop Antifungal Creams in India - Hariet Healthcare
Top Antifungal Creams in India - Hariet Healthcare
 
INTRODUCTION TO EMERGENCY NURSING LECTURE
INTRODUCTION TO EMERGENCY NURSING LECTUREINTRODUCTION TO EMERGENCY NURSING LECTURE
INTRODUCTION TO EMERGENCY NURSING LECTURE
 
NAA NORLEY BROCHURE.pdf
NAA NORLEY BROCHURE.pdfNAA NORLEY BROCHURE.pdf
NAA NORLEY BROCHURE.pdf
 
Operation Theatre LED Surgical Light MI Nova
Operation Theatre LED Surgical Light MI NovaOperation Theatre LED Surgical Light MI Nova
Operation Theatre LED Surgical Light MI Nova
 
CRO Audit & Monitoring Quality Perspectives.pdf
CRO Audit & Monitoring Quality Perspectives.pdfCRO Audit & Monitoring Quality Perspectives.pdf
CRO Audit & Monitoring Quality Perspectives.pdf
 
'Quick Wellness,' your shortcut to a healthier, happier you!
'Quick Wellness,' your shortcut to a healthier, happier you!'Quick Wellness,' your shortcut to a healthier, happier you!
'Quick Wellness,' your shortcut to a healthier, happier you!
 

Home Dialysis RA 2017

  • 2. Why? • Home dialysis • Includes PD and HD • Includes self and assisted care models • Benefits • Personal • Medical • Quality of life • System • Resources
  • 3. Guidance • Professional guidance • NICE • 2002 https://www.nice.org.uk/guidance/t a48 • Renal Association • Peritoneal Dialysis in Adults and Children June 2017 • Research evidence • Patient organisations
  • 4. Attitudes positive in the main ….. BMC Nephrol. 2014 Jan 15;15:16. doi: 10.1186/1471-2369-15-16.
  • 5. …… but disconnect with delivery UK Renal Registry 18th Annual Report
  • 6. Variation across UK is high 0.0 5.0 10.0 15.0 20.0 25.0 Carsh L Barts L Guys L Kings L Rfree L St.G L West Data taken from UK Renal Registry % prevalent patients on home dialysis modality 0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0
  • 7. Progress is slow (or stagnant) Fall in PD > growth in HHD UK Renal Registry 18th Annual Report
  • 8. Why? • 185 respondents • 50% at meeting • MDT mix (30% medic, 35% nurse) • Resources – red • Patient factors – dark blue • Service factors – light blue All respondents Low leadership barrier
  • 9. Responses Answer Options Rating Average (all) Rating Average Low leadership barrier Reimbursement for home dialysis (i.e. what centres get paid) 2.21 2.00 Equipment, consumables and installation cost 2.42 2.22 Patient housing unsuitable 2.91 2.82 Patient and carers choice or desire 2.82 2.63 Patient frailty or illness 3.14 3.04 Staff knowledge and confidence 2.40 2.10 The in centre HD unit referral rate 2.57 2.21 Pre dialysis team referral rate 2.21 1.92 Business planning or management support 2.70 2.32 Champions or leaders for home therapies 2.25 1.52 Bias from clinical teams 2.48 2.07 Resources for training of patients and carers 2.60 2.33 Patient knowledge and confidence 2.80 2.60 Resources to support people at home 2.72 2.48
  • 10. Why? • Financial concerns were not the main barriers. • Strong leadership and a positive organisational culture were the main contributors towards successful home dialysis programmes. • Change management skills to deliver sustainable, systematic and evidenced change are needed. • Patient factors – frailty, choice – were important determinants, but less so in some leadership systems. Manchester Home Dialysis Forum 2016 Workshops
  • 11. To increase the proportion of patients on home dialysis therapies in England Clear Vision & Purpose Leadership i) Organisational ii) Medical iii) Nursing iv) Patient Leadership Organisational Culture Values, behaviours & mindset Expertise [Knowledge& skills] Patients Determining ‘suitable’ home dialysis patients Develop patient exclusion criteria, dependent on local expertise Home dialysis training Effectiveness & experience of training pathway Patient awareness, recruitment & retention Patient Education & Informed Choice; Patient & carer experience; Peer support; Carer support Organisational Infrastructure Financial support Training facilities Commissioning dialysis consumables and machines Home modifications Access to respite care Multidisciplinary team supported by community team DRIVER DIAGRAM: Home Dialysis
  • 12. The KQuIP proposal • A national improvement project • Based upon regional collaboratives or networks • Central support from KQuIP • Coproduction
  • 13. Perception of suitability X System efficacy = Probability of home dialysis Leadership Skills, knowledge and confidence Culture Measurement
  • 14. How? • Our Shared Vision • To reduce regional variation and improve delivery of home dialysis in order to • Improve the experience of care of individual patients and their families • Improve the value of care by improving outcomes at the same or reduced cost. • Sponsored by national stakeholders • Operational support from UKRR KQuIP team • Regional networks supported by project management time • Regions to establish regional teams and provider teams to lead work – MDT & service user integrated
  • 15. Three phases to improvement at network level • Step 1: Research and discovery • What works well, regionally or nationally? • What can you use or adapt? • How will you measure success? • Step 2: Ideas • Develop long list of ideas • Refine list by discussion • Agree final list
  • 16. • Step 3: • Test ideas • Agnostic to QI methodology • Embrace uncertainty • Collect evidence • Present and refine (or abandon) • Repeat cycle Start PD pathway Plan dialysis access - insert PD catheter Patient and MDT sign off for PD pathway Assess for suitability– clinical, patient factors and home suitability Screen low clearance, Prevalent HD, Incident HD, Failed Tx Identify potential PD patients through shared decision making MDT review
  • 17. Next steps • Funding • Project plan • Steering committee established • Define data set • Clinical • Patient – PAM, PREM, PROM • Process measures • Balancing measures • Network applications • Launch for project initiation Sept 2017 • Project start (network 1) April 2018