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An Update on Think Kidneys for the
Strategic Clinical Networks
Karen Thomas, Head of Programmes, UK Renal Registry
10th December 2015
Think Kidneys objectives - reminder
Develop and implement tools and interventions for
prevention, detection, treatment and enhanced recovery
Promote effective management of AKI
Provide evidence-based education and training
programmes
Highlight importance of AKI to commissioners, health
care professionals and managers
| 2
Update on the Think Kidneys national programme Karen Thomas 10/12/15
Finalise minimum care bundle for secondary care
Guidance for mental health professionals re acute kidney injury
Guidance for understanding Acute kidney injury results in pregnant
women
Guidance for laboratories on how to communicate test results to
primary care
Finalise secondary care matrix for those at risk of acute kidney injury
Produce case studies of how Trusts have implemented the algorithm
| 3
Think Kidneys – Secondary care - 1
Update on the Think Kidneys national programme Karen Thomas 10/12/15
Members of the risk workstream working on an AKI risk calculator for
secondary care
Guidance for paediatrics re acute kidney injury
Finalise dietary guidance for those at risk of acute kidney injury
Top tips guidance for clinical biochemists
Review sick day guidance position statement
Produce guidance on discharge management
| 4
Think Kidneys – Secondary care - 2
Update on the Think Kidneys national programme Karen Thomas 10/12/15
Think Kidneys – Offer to Primary Care - 1
Develop a handy guide for Primary Care on responding to e-alerts
Patient leaflet for those who have had an episode of acute kidney
injury
Patient leaflet for those who are at risk of acute kidney injury
STOP credit card for those who are at risk of acute kidney injury
Members of the workstream working on an AKI risk calculator for
primary care
Disseminate GPTV film
| 5
Update on the Think Kidneys national programme Karen Thomas 10/12/15
Think Kidneys – Offer to Primary Care - 2
RCGP Post-graduate Education module amended to incorporate AKI
Medicines optimisation for primary care
Integration of the identification of AKI into current care planning
tools and link with Year of Care
Development of case scenarios for primary care
Exploring options with primary care suppliers for resources and
education to be built into IT systems
Primary Care risk matrix
| 6
Update on the Think Kidneys national programme Karen Thomas 10/12/15
Think Kidneys – Education - 1
Develop posters for public campaign, identify a media partner,
general kidney education, explore links with a number of celebrities
Work with pharmacy schools to incorporate acute kidney injury into
curriculum and produce best practice
Work with nursing schools to incorporate acute kidney injury into
curriculum and produce best practice
Explore educational resources for community/primary care nurses
| 7
Update on the Think Kidneys national programme Karen Thomas 10/12/15
Think Kidneys – Education - 2
Work with medical schools to incorporate acute kidney
injury into curriculum and produce best practice examples
Agree sustainable endorsement of locally produced
educational resources
Finalise GPTV film
| 8
Update on the Think Kidneys national programme Karen Thomas 10/12/15
Think Kidneys – Care Homes
Established a Care Home working group
Identified a number of care homes who will act as
focus groups
Develop a Ten for Ten training package
Develop an educational powerpoint presentation
to be incorporated in the Ten for Ten
| 9
Update on the Think Kidneys national programme Karen Thomas 10/12/15
42 laboratories routinely sending data into the UKRR
Just over a 1/3 of all laboratories
Currently checking for completeness of data received
UKRR has contacted all Trusts
Data on who is sending data will be published through normal UKRR
routes
Find latest info -
https://www.thinkkidneys.nhs.uk/workstreams/measurement-
workstream/full-data/
| 10
Update on data received
Update on the Think Kidneys national programme Karen Thomas 10/12/15
Discuss with HSCIC future linkage to obtain other core data items
Link UKRR AKI dataset of RRT requirement in UK to obtain data
regarding need for RRT and non-recovery of AKI
Identify which Trusts compliant with the Patient Safety Alert, then work
with Detection to check variability and reliability of data collected
Analyse demographic information demonstrating size of at risk group
by linking with other registries/networks
| 11
Data - next steps
Update on the Think Kidneys national programme Karen Thomas 10/12/15
1. Who are the wider audience you wish to share your work with?
• CCGs
• Provider Trusts
• other professionals in our area
• Other networks
• Improvement organisations
• Primary care
• Community services
• NHS England
• Individual clinicians – nurse specialists
• Patients, public and independent sector
| 12
SCNs – Linkage with Think Kidneys website
Update on the Think Kidneys national programme Karen Thomas 10/12/15
2. And which of these two options do you think would be most
appropriate to share information on the website?
» a) The Think Kidneys team could add the SCN work to the site by dividing it into
the relevant sections on the site e.g. events could go on our calendar with links back
to the SCN to register etc., case studies in case studies, other documents in
resources etc.
» b) The second option is to have the SCNs as a body in the resources section of the
website and add links for each SCN back to their individual websites, or to other
areas of the think Kidneys website where we could add material as content. We
could add a dropdown from the resources tab, listed as SCNs and put links to the
SCNs or specific content on separate pages.
| 13
SCNs – Linkage with Think Kidneys website
Update on the Think Kidneys national programme Karen Thomas 10/12/15
Mixed responses to Question 2 so not one size fits all approach.
8 responses in total out of 12
5 in favour of Option B,
2 in favour of Option A
1 felt it wasn’t relevant for their work
| 14
SCNs – Linkage with Think Kidneys website
Update on the Think Kidneys national programme Karen Thomas 10/12/15
Karen Thomas
Think Kidneys Programme Manager
Head of Programmes
UK Renal Registry
Karen.Thomas@renalregistry.nhs.uk
| 15
Thank you……….Questions?
www.linkedin.com/company/think-kidneys
www.twitter.com/ThinkKidneys
www.facebook.com/thinkkidneys
www.youtube.com/user/thinkkidneys
www.slideshare.net/ThinkKidneys
www.thinkkidneys.nhs.uk
Update on the Think Kidneys national programme Karen Thomas 10/12/15

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Strategic clinical network webinar

  • 1. An Update on Think Kidneys for the Strategic Clinical Networks Karen Thomas, Head of Programmes, UK Renal Registry 10th December 2015
  • 2. Think Kidneys objectives - reminder Develop and implement tools and interventions for prevention, detection, treatment and enhanced recovery Promote effective management of AKI Provide evidence-based education and training programmes Highlight importance of AKI to commissioners, health care professionals and managers | 2 Update on the Think Kidneys national programme Karen Thomas 10/12/15
  • 3. Finalise minimum care bundle for secondary care Guidance for mental health professionals re acute kidney injury Guidance for understanding Acute kidney injury results in pregnant women Guidance for laboratories on how to communicate test results to primary care Finalise secondary care matrix for those at risk of acute kidney injury Produce case studies of how Trusts have implemented the algorithm | 3 Think Kidneys – Secondary care - 1 Update on the Think Kidneys national programme Karen Thomas 10/12/15
  • 4. Members of the risk workstream working on an AKI risk calculator for secondary care Guidance for paediatrics re acute kidney injury Finalise dietary guidance for those at risk of acute kidney injury Top tips guidance for clinical biochemists Review sick day guidance position statement Produce guidance on discharge management | 4 Think Kidneys – Secondary care - 2 Update on the Think Kidneys national programme Karen Thomas 10/12/15
  • 5. Think Kidneys – Offer to Primary Care - 1 Develop a handy guide for Primary Care on responding to e-alerts Patient leaflet for those who have had an episode of acute kidney injury Patient leaflet for those who are at risk of acute kidney injury STOP credit card for those who are at risk of acute kidney injury Members of the workstream working on an AKI risk calculator for primary care Disseminate GPTV film | 5 Update on the Think Kidneys national programme Karen Thomas 10/12/15
  • 6. Think Kidneys – Offer to Primary Care - 2 RCGP Post-graduate Education module amended to incorporate AKI Medicines optimisation for primary care Integration of the identification of AKI into current care planning tools and link with Year of Care Development of case scenarios for primary care Exploring options with primary care suppliers for resources and education to be built into IT systems Primary Care risk matrix | 6 Update on the Think Kidneys national programme Karen Thomas 10/12/15
  • 7. Think Kidneys – Education - 1 Develop posters for public campaign, identify a media partner, general kidney education, explore links with a number of celebrities Work with pharmacy schools to incorporate acute kidney injury into curriculum and produce best practice Work with nursing schools to incorporate acute kidney injury into curriculum and produce best practice Explore educational resources for community/primary care nurses | 7 Update on the Think Kidneys national programme Karen Thomas 10/12/15
  • 8. Think Kidneys – Education - 2 Work with medical schools to incorporate acute kidney injury into curriculum and produce best practice examples Agree sustainable endorsement of locally produced educational resources Finalise GPTV film | 8 Update on the Think Kidneys national programme Karen Thomas 10/12/15
  • 9. Think Kidneys – Care Homes Established a Care Home working group Identified a number of care homes who will act as focus groups Develop a Ten for Ten training package Develop an educational powerpoint presentation to be incorporated in the Ten for Ten | 9 Update on the Think Kidneys national programme Karen Thomas 10/12/15
  • 10. 42 laboratories routinely sending data into the UKRR Just over a 1/3 of all laboratories Currently checking for completeness of data received UKRR has contacted all Trusts Data on who is sending data will be published through normal UKRR routes Find latest info - https://www.thinkkidneys.nhs.uk/workstreams/measurement- workstream/full-data/ | 10 Update on data received Update on the Think Kidneys national programme Karen Thomas 10/12/15
  • 11. Discuss with HSCIC future linkage to obtain other core data items Link UKRR AKI dataset of RRT requirement in UK to obtain data regarding need for RRT and non-recovery of AKI Identify which Trusts compliant with the Patient Safety Alert, then work with Detection to check variability and reliability of data collected Analyse demographic information demonstrating size of at risk group by linking with other registries/networks | 11 Data - next steps Update on the Think Kidneys national programme Karen Thomas 10/12/15
  • 12. 1. Who are the wider audience you wish to share your work with? • CCGs • Provider Trusts • other professionals in our area • Other networks • Improvement organisations • Primary care • Community services • NHS England • Individual clinicians – nurse specialists • Patients, public and independent sector | 12 SCNs – Linkage with Think Kidneys website Update on the Think Kidneys national programme Karen Thomas 10/12/15
  • 13. 2. And which of these two options do you think would be most appropriate to share information on the website? » a) The Think Kidneys team could add the SCN work to the site by dividing it into the relevant sections on the site e.g. events could go on our calendar with links back to the SCN to register etc., case studies in case studies, other documents in resources etc. » b) The second option is to have the SCNs as a body in the resources section of the website and add links for each SCN back to their individual websites, or to other areas of the think Kidneys website where we could add material as content. We could add a dropdown from the resources tab, listed as SCNs and put links to the SCNs or specific content on separate pages. | 13 SCNs – Linkage with Think Kidneys website Update on the Think Kidneys national programme Karen Thomas 10/12/15
  • 14. Mixed responses to Question 2 so not one size fits all approach. 8 responses in total out of 12 5 in favour of Option B, 2 in favour of Option A 1 felt it wasn’t relevant for their work | 14 SCNs – Linkage with Think Kidneys website Update on the Think Kidneys national programme Karen Thomas 10/12/15
  • 15. Karen Thomas Think Kidneys Programme Manager Head of Programmes UK Renal Registry Karen.Thomas@renalregistry.nhs.uk | 15 Thank you……….Questions? www.linkedin.com/company/think-kidneys www.twitter.com/ThinkKidneys www.facebook.com/thinkkidneys www.youtube.com/user/thinkkidneys www.slideshare.net/ThinkKidneys www.thinkkidneys.nhs.uk Update on the Think Kidneys national programme Karen Thomas 10/12/15