SlideShare a Scribd company logo
1 of 20
Download to read offline
An Update on Think Kidneys for the
Strategic Clinical Networks
Karen Thomas, Head of Programmes, UK Renal Registry
8th October 2015
Think Kidneys objectives
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
Update on the Think Kidneys national programme Karen Thomas 08/10/15 | 2
Developed case studies of patients at risk of acute kidney injury
Communities at risk document published describing the communities
who are at risk of acute kidney injury
Members of the workstream working on an AKI risk calculator for
secondary care
Members of the workstream working on an AKI risk calculator for
primary care
Patient leaflet
| 3
Risk workstream
Update on the Think Kidneys national programme Karen Thomas 08/10/15
Develop a risk matrix – one page decision tree linked to Map of
Medicine
Develop prevention bundle / guidance for 1° and 2°care for ‘at risk’
Integration of the identification of AKI into current care planning tools
and link with Year of Care
Production of ‘stop’ card for patients
| 4
Risk workstream – coming next…..
Update on the Think Kidneys national programme Karen Thomas 08/10/15
Identification of credible educational products that already exist
Identifying endorsement of educational products
Running events for primary care, pharmacists, care home stakeholder.
Developing changes to primary care curriculum with RCGP and others
Planning public campaign to increase general knowledge of kidney
function and hydration
| 5
Education workstream….work to date
Update on the Think Kidneys national programme Karen Thomas 08/10/15
Discussing with GPC extending curriculum to include renal and AKI for
pharmacy
Approach nursing schools to extend curriculum to include renal and AKI
for nurses
Review primary care bundle being produced by the intervention
workstream
Identify a suitable education resource for those who have had an
episode of AKI
Develop and deliver the public campaign
| 6
Education workstream….coming next
Update on the Think Kidneys national programme Karen Thomas 08/10/15
Visited LIMS suppliers to discuss compliance with algorithm
requirements
Responded to enquiries from the UK Renal Registry email helpline
Set up a JISCMAIL internet discussion forum - archived and monitored
discussions
Published best practice guidance document for implementing the AKI
warning algorithm - on the Think Kidneys website. Followed with ‘top
tips’ publication
Monitored the integrity of the algorithm and implementation issues on
the ground via the algorithm sub-group
| 7
Detection workstream…..success so far
Update on the Think Kidneys national programme Karen Thomas 08/10/15
Identify potential refinement for the algorithm based on data
associated with the AKI Warning Alert
Produce secondary care case studies of implementation of the
algorithm
Working with primary care IT suppliers to ensure they can deliver the
warning stage test results
Work with Intervention workstream on how warning stage test results
trigger interruptive alerts - inform by gathering case studies
| 8
Detection workstream….coming next
Update on the Think Kidneys national programme Karen Thomas 08/10/15
Setting minimum standard content for discharge summary – linked to
NHS England work on discharge standards
Production of the secondary care bundle
Medicines management toolkit published - comprehensive advice for
prescribers on drug treatment, dose adjustment and drug withdrawal in
the context of AKI
Sick day rules position statement –
| 9
Intervention workstream…. work to date
Update on the Think Kidneys national programme Karen Thomas 08/10/15
Sick day rules
Bristol CLAHRC undertaking formal evidence review
Plan to use this to build consensus with other stakeholders e.g. British
Hypertension Society, British Society for Heart Failure
Interim position statement prepared for Think Kidneys website
bit.ly/TK-Sick-Day-Rules
| 10
Update on the Think Kidneys national programme Karen Thomas 08/10/15
As health professionals one of our key aims is to reduce the risk of
avoidable harm to our patients. Some people are at increased risk of
Acute Kidney Injury (AKI), for example those with Chronic Kidney Disease
(CKD), heart failure, or those taking particular medications (1).
Many health care professionals provide advice to such patients that
certain drugs should be temporarily discontinued during acute
intercurrent illnesses, particularly where there is disturbed fluid balance.
This advice is commonly described as ‘sick day rules’ or to take a ‘drug
holiday’.
| 11
Sick Day Rules position statement
Update on the Think Kidneys national programme Karen Thomas 08/10/15
The theory
The evidence on implementation and effectiveness
Welcome comment and debate
| 12
Sick Day Rules position statement
Update on the Think Kidneys national programme Karen Thomas 08/10/15
Medicines management toolkit being developed for primary care
Advice on dietetic management of inpatients with AKI being created
Formal literature search under way: this will be used to generate
consensus statement (BSH, BHS, RA, RCGP, others)
| 13
Intervention workstream…. What next?
Update on the Think Kidneys national programme Karen Thomas 08/10/15
Developed and implemented a CQUIN for secondary care. Now in
second year
Developed and implemented a local enhanced service for primary care
Working with number of CCGs to develop commissioning drivers
Development of a commissioning lever for use with care homes.
| 14
Implementation workstream….work to date
Update on the Think Kidneys national programme Karen Thomas 08/10/15
Reformed group as commissioner expert group
Develop commissioning tools - for DGH without renal unit, care homes,
community pharmacists etc.
Development of a commissioner tool kit for the Think Kidneys website
to include
• Case studies of lessons learnt from the CCGs implementing commissioning levers
• Examples of commissioning levers to cover the patient pathway
• Links to available data on performance and outcomes
• Map of activity with links to enable connections
| 15
Implementation workstream….next steps
Update on the Think Kidneys national programme Karen Thomas 08/10/15
The UKRR applied for National Information Governance Board’s approval to collect
patient identifiable data for AKI patients in England
Developed final specification for the master patient index (MPI) enabling the UKRR
to identify core information about the extent of AKI in England
Ensured data transfer between Trusts and UKRR was feasible; tested data and refined
format; ensured alert and creatinine files were received by UKRR
Analysis in 3 phases –
1. Reporting of data completeness,
2. Adding of date of admission to core data set and establishing link with HES,
3. Reporting data at patient level, CCG level, Trust level including incidence, progression of AKI and
other outcomes
| 16
Measurement workstream….work to date
Update on the Think Kidneys national programme Karen Thomas 08/10/15
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
Link with National Diabetes and CKD audit during 2016
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
| 17
Measurement workstream….next steps
Update on the Think Kidneys national programme Karen Thomas 08/10/15
40 laboratories routinely sending data into the UKRR
1/3 of all laboratories
Currently checking for completeness of data received
UKRR to contact 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/
| 18
Update on data received
Update on the Think Kidneys national programme Karen Thomas 08/10/15
National campaign to educate the public, patients and carers as well as
health and care professionals
Established Care Home Working Group
Raising awareness of our work across health and social care
Paediatric nephrology and mental health issues
Working with CPPE on the autumn education campaign for pharmacists
and pharmacy technicians
| 19
Focus now……
Update on the Think Kidneys national programme Karen Thomas 08/10/15
Karen Thomas
Think Kidneys Programme Manager
Head of Programmes
UK Renal Registry
Karen.Thomas@renalregistry.nhs.uk
| 20
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 08/10/15

More Related Content

What's hot

Ayo Akinrinmade - Cambridge Rare Disease Summit 2015
Ayo Akinrinmade - Cambridge Rare Disease Summit 2015Ayo Akinrinmade - Cambridge Rare Disease Summit 2015
Ayo Akinrinmade - Cambridge Rare Disease Summit 2015CamRARE Disease Network
 
Sarah Vibert, policy the next 21 years
Sarah Vibert, policy   the next 21 yearsSarah Vibert, policy   the next 21 years
Sarah Vibert, policy the next 21 yearsMS Trust
 
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
 
Tue 14 jun ilias eu-us- 14-6-11
Tue 14 jun ilias   eu-us- 14-6-11Tue 14 jun ilias   eu-us- 14-6-11
Tue 14 jun ilias eu-us- 14-6-113GDR
 
The vision, priorities & approach for ucl partners AHSN
The vision, priorities & approach for ucl partners AHSNThe vision, priorities & approach for ucl partners AHSN
The vision, priorities & approach for ucl partners AHSNPM Society
 
Transformational healthcare, professionalism and sustainability
Transformational healthcare, professionalism and sustainabilityTransformational healthcare, professionalism and sustainability
Transformational healthcare, professionalism and sustainabilityHealth Informatics New Zealand
 
How will technology shape care delivery and design in future.
How will technology shape care delivery and design in future.How will technology shape care delivery and design in future.
How will technology shape care delivery and design in future.Architects for Health
 
Commissioning for sustainable healthcare
Commissioning for sustainable healthcareCommissioning for sustainable healthcare
Commissioning for sustainable healthcareOECD Governance
 
RightCare: Improving Population, The Power Of Variation
RightCare: Improving Population, The Power Of VariationRightCare: Improving Population, The Power Of Variation
RightCare: Improving Population, The Power Of VariationHIMSS UK
 
Dr Murray Ellender
Dr Murray EllenderDr Murray Ellender
Dr Murray EllenderLucia Garcia
 
Plantwise Side Event at CPM8
Plantwise Side Event at CPM8Plantwise Side Event at CPM8
Plantwise Side Event at CPM8juledenn
 
BMA 2018-19 Contract update
BMA 2018-19 Contract updateBMA 2018-19 Contract update
BMA 2018-19 Contract updateamirhannan
 
The Danish Market for Telemedicine Solutions 2015
The Danish Market for Telemedicine Solutions 2015 The Danish Market for Telemedicine Solutions 2015
The Danish Market for Telemedicine Solutions 2015 Welfare Tech
 
OpenTele presentation - Silverbullet
OpenTele presentation - SilverbulletOpenTele presentation - Silverbullet
OpenTele presentation - SilverbulletHealthcare DENMARK
 
Patient First Conference AKI Outcomes Dan Lasserson
Patient First Conference AKI Outcomes Dan LassersonPatient First Conference AKI Outcomes Dan Lasserson
Patient First Conference AKI Outcomes Dan LassersonRenal Association
 

What's hot (20)

Ayo Akinrinmade - Cambridge Rare Disease Summit 2015
Ayo Akinrinmade - Cambridge Rare Disease Summit 2015Ayo Akinrinmade - Cambridge Rare Disease Summit 2015
Ayo Akinrinmade - Cambridge Rare Disease Summit 2015
 
Sarah Vibert, policy the next 21 years
Sarah Vibert, policy   the next 21 yearsSarah Vibert, policy   the next 21 years
Sarah Vibert, policy the next 21 years
 
Presentación NHS
Presentación NHSPresentación NHS
Presentación NHS
 
Simon Bourne, My mHealth
Simon Bourne, My mHealthSimon Bourne, My mHealth
Simon Bourne, My mHealth
 
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
 
Tue 14 jun ilias eu-us- 14-6-11
Tue 14 jun ilias   eu-us- 14-6-11Tue 14 jun ilias   eu-us- 14-6-11
Tue 14 jun ilias eu-us- 14-6-11
 
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
 
The vision, priorities & approach for ucl partners AHSN
The vision, priorities & approach for ucl partners AHSNThe vision, priorities & approach for ucl partners AHSN
The vision, priorities & approach for ucl partners AHSN
 
Transformational healthcare, professionalism and sustainability
Transformational healthcare, professionalism and sustainabilityTransformational healthcare, professionalism and sustainability
Transformational healthcare, professionalism and sustainability
 
How will technology shape care delivery and design in future.
How will technology shape care delivery and design in future.How will technology shape care delivery and design in future.
How will technology shape care delivery and design in future.
 
Ruth Chambers
Ruth ChambersRuth Chambers
Ruth Chambers
 
Commissioning for sustainable healthcare
Commissioning for sustainable healthcareCommissioning for sustainable healthcare
Commissioning for sustainable healthcare
 
RightCare: Improving Population, The Power Of Variation
RightCare: Improving Population, The Power Of VariationRightCare: Improving Population, The Power Of Variation
RightCare: Improving Population, The Power Of Variation
 
David Allison
David AllisonDavid Allison
David Allison
 
Dr Murray Ellender
Dr Murray EllenderDr Murray Ellender
Dr Murray Ellender
 
Plantwise Side Event at CPM8
Plantwise Side Event at CPM8Plantwise Side Event at CPM8
Plantwise Side Event at CPM8
 
BMA 2018-19 Contract update
BMA 2018-19 Contract updateBMA 2018-19 Contract update
BMA 2018-19 Contract update
 
The Danish Market for Telemedicine Solutions 2015
The Danish Market for Telemedicine Solutions 2015 The Danish Market for Telemedicine Solutions 2015
The Danish Market for Telemedicine Solutions 2015
 
OpenTele presentation - Silverbullet
OpenTele presentation - SilverbulletOpenTele presentation - Silverbullet
OpenTele presentation - Silverbullet
 
Patient First Conference AKI Outcomes Dan Lasserson
Patient First Conference AKI Outcomes Dan LassersonPatient First Conference AKI Outcomes Dan Lasserson
Patient First Conference AKI Outcomes Dan Lasserson
 

Viewers also liked

Renal failure yapa.wijeratne
Renal failure yapa.wijeratneRenal failure yapa.wijeratne
Renal failure yapa.wijeratneYapa
 
kidney injury-Hamisi Mkindi,Presentation
kidney injury-Hamisi Mkindi,Presentationkidney injury-Hamisi Mkindi,Presentation
kidney injury-Hamisi Mkindi,PresentationMkindi Mkindi
 
Dudley CCG Think Kidneys Update
Dudley CCG Think Kidneys UpdateDudley CCG Think Kidneys Update
Dudley CCG Think Kidneys UpdateRenal Association
 
Think kidneys primary care and commissions workshop 240315 master slide deck ...
Think kidneys primary care and commissions workshop 240315 master slide deck ...Think kidneys primary care and commissions workshop 240315 master slide deck ...
Think kidneys primary care and commissions workshop 240315 master slide deck ...Renal Association
 
Acute renal failure by dr. rafique
Acute renal failure by dr. rafiqueAcute renal failure by dr. rafique
Acute renal failure by dr. rafiqueMuhammad Rafique
 
‘Think Kidneys': Improving the management of acute kidney injury in the NHS
‘Think Kidneys': Improving the management of acute kidney injury in the NHS ‘Think Kidneys': Improving the management of acute kidney injury in the NHS
‘Think Kidneys': Improving the management of acute kidney injury in the NHS Renal Association
 
Acute Tubular Necrosis
Acute Tubular NecrosisAcute Tubular Necrosis
Acute Tubular Necrosiskdiwavvou
 
Patient First Conference AKI R Fluck J Russell
Patient First Conference AKI R Fluck J RussellPatient First Conference AKI R Fluck J Russell
Patient First Conference AKI R Fluck J RussellRenal Association
 
57765772 acute-renal-failure-case-study
57765772 acute-renal-failure-case-study57765772 acute-renal-failure-case-study
57765772 acute-renal-failure-case-studyhomeworkping3
 
02 Radhakrishnan Acute Renal Failure Update
02 Radhakrishnan   Acute Renal Failure Update02 Radhakrishnan   Acute Renal Failure Update
02 Radhakrishnan Acute Renal Failure Updateguest2379201
 
Acute kidney injury (aki) final
Acute kidney injury (aki) finalAcute kidney injury (aki) final
Acute kidney injury (aki) finalEmad Kelantan
 
Continuous renal replacement therapy in AKI
Continuous renal replacement therapy in AKIContinuous renal replacement therapy in AKI
Continuous renal replacement therapy in AKIAbduzhappar Gaipov
 
Summarizing nephrology
Summarizing nephrologySummarizing nephrology
Summarizing nephrologySaima Ahsan
 

Viewers also liked (20)

Reporting Guidelines
Reporting GuidelinesReporting Guidelines
Reporting Guidelines
 
Renal failure yapa.wijeratne
Renal failure yapa.wijeratneRenal failure yapa.wijeratne
Renal failure yapa.wijeratne
 
Medicine 5th year, 2nd & 3rd lectures (Dr. Kawa Husain)
Medicine 5th year, 2nd & 3rd lectures (Dr. Kawa Husain)Medicine 5th year, 2nd & 3rd lectures (Dr. Kawa Husain)
Medicine 5th year, 2nd & 3rd lectures (Dr. Kawa Husain)
 
kidney injury-Hamisi Mkindi,Presentation
kidney injury-Hamisi Mkindi,Presentationkidney injury-Hamisi Mkindi,Presentation
kidney injury-Hamisi Mkindi,Presentation
 
Dudley CCG Think Kidneys Update
Dudley CCG Think Kidneys UpdateDudley CCG Think Kidneys Update
Dudley CCG Think Kidneys Update
 
Think kidneys primary care and commissions workshop 240315 master slide deck ...
Think kidneys primary care and commissions workshop 240315 master slide deck ...Think kidneys primary care and commissions workshop 240315 master slide deck ...
Think kidneys primary care and commissions workshop 240315 master slide deck ...
 
Biomarkers of acute kidney injuries
Biomarkers of acute kidney injuriesBiomarkers of acute kidney injuries
Biomarkers of acute kidney injuries
 
Acute renal failure by dr. rafique
Acute renal failure by dr. rafiqueAcute renal failure by dr. rafique
Acute renal failure by dr. rafique
 
‘Think Kidneys': Improving the management of acute kidney injury in the NHS
‘Think Kidneys': Improving the management of acute kidney injury in the NHS ‘Think Kidneys': Improving the management of acute kidney injury in the NHS
‘Think Kidneys': Improving the management of acute kidney injury in the NHS
 
Acute Tubular Necrosis
Acute Tubular NecrosisAcute Tubular Necrosis
Acute Tubular Necrosis
 
Patient First Conference AKI R Fluck J Russell
Patient First Conference AKI R Fluck J RussellPatient First Conference AKI R Fluck J Russell
Patient First Conference AKI R Fluck J Russell
 
Renal presentation
Renal presentationRenal presentation
Renal presentation
 
57765772 acute-renal-failure-case-study
57765772 acute-renal-failure-case-study57765772 acute-renal-failure-case-study
57765772 acute-renal-failure-case-study
 
Oliguria
OliguriaOliguria
Oliguria
 
7 arf in icu
7 arf in icu7 arf in icu
7 arf in icu
 
02 Radhakrishnan Acute Renal Failure Update
02 Radhakrishnan   Acute Renal Failure Update02 Radhakrishnan   Acute Renal Failure Update
02 Radhakrishnan Acute Renal Failure Update
 
Acute kidney injury (aki) final
Acute kidney injury (aki) finalAcute kidney injury (aki) final
Acute kidney injury (aki) final
 
Atn csbrp
Atn csbrpAtn csbrp
Atn csbrp
 
Continuous renal replacement therapy in AKI
Continuous renal replacement therapy in AKIContinuous renal replacement therapy in AKI
Continuous renal replacement therapy in AKI
 
Summarizing nephrology
Summarizing nephrologySummarizing nephrology
Summarizing nephrology
 

Similar to Strategic clinical network webinar final 081015

Strategic clinical network webinar
Strategic clinical network webinarStrategic clinical network webinar
Strategic clinical network webinarRenal Association
 
Stakeholder event master slide deck final
Stakeholder event master slide deck finalStakeholder event master slide deck final
Stakeholder event master slide deck finalRenal Association
 
Think kidneys strategic clinical network webinar final - 111214
Think kidneys   strategic clinical network webinar final - 111214Think kidneys   strategic clinical network webinar final - 111214
Think kidneys strategic clinical network webinar final - 111214Renal Association
 
Patient First Conference Charlie Tomson
Patient First Conference Charlie TomsonPatient First Conference Charlie Tomson
Patient First Conference Charlie TomsonRenal Association
 
22 oct15 fast followers workshop ltc
22 oct15 fast followers workshop ltc22 oct15 fast followers workshop ltc
22 oct15 fast followers workshop ltcNHS Improving Quality
 
Towards an international Patient Summary Standard
Towards an international Patient Summary StandardTowards an international Patient Summary Standard
Towards an international Patient Summary Standardchronaki
 
Think Kidneys UK Kidney Week
Think Kidneys UK Kidney WeekThink Kidneys UK Kidney Week
Think Kidneys UK Kidney WeekRenal Association
 
Arvind Madan, NHS England
Arvind Madan, NHS England Arvind Madan, NHS England
Arvind Madan, NHS England Nuffield Trust
 
Responding to Non COVID-19: Identification of deterioration in children
Responding to Non COVID-19: Identification of deterioration in childrenResponding to Non COVID-19: Identification of deterioration in children
Responding to Non COVID-19: Identification of deterioration in childrenInnovation Agency
 
3. Fetal anomaly screening programmes update
3. Fetal anomaly screening programmes update3. Fetal anomaly screening programmes update
3. Fetal anomaly screening programmes updatePHEScreening
 
Early Implementers Workshop 23rd March 2016
Early Implementers Workshop 23rd March 2016Early Implementers Workshop 23rd March 2016
Early Implementers Workshop 23rd March 2016NHS Improving Quality
 
Nick Selby's AKI San Diego presentation on patient safety alerts
Nick Selby's AKI San Diego presentation on patient safety alertsNick Selby's AKI San Diego presentation on patient safety alerts
Nick Selby's AKI San Diego presentation on patient safety alertsRenal Association
 
Integrated data to support service redesign decision making 19 01 2016 final
Integrated data to support service redesign decision making 19 01 2016 finalIntegrated data to support service redesign decision making 19 01 2016 final
Integrated data to support service redesign decision making 19 01 2016 finalNHS Improving Quality
 
Antenatal programme updates
Antenatal programme updatesAntenatal programme updates
Antenatal programme updatesPHEScreening
 
Antenatal programme updates
Antenatal programme updatesAntenatal programme updates
Antenatal programme updatesAndrew Anderson
 
Creating successful partnerships in yorkshire and humber
Creating successful partnerships in yorkshire and humberCreating successful partnerships in yorkshire and humber
Creating successful partnerships in yorkshire and humberPM Society
 
Creating successful partnerships in yorkshire and humber
Creating successful partnerships in yorkshire and humberCreating successful partnerships in yorkshire and humber
Creating successful partnerships in yorkshire and humberPM Society
 

Similar to Strategic clinical network webinar final 081015 (20)

Strategic clinical network webinar
Strategic clinical network webinarStrategic clinical network webinar
Strategic clinical network webinar
 
Stakeholder event master slide deck final
Stakeholder event master slide deck finalStakeholder event master slide deck final
Stakeholder event master slide deck final
 
Think kidneys strategic clinical network webinar final - 111214
Think kidneys   strategic clinical network webinar final - 111214Think kidneys   strategic clinical network webinar final - 111214
Think kidneys strategic clinical network webinar final - 111214
 
Patient First Conference Charlie Tomson
Patient First Conference Charlie TomsonPatient First Conference Charlie Tomson
Patient First Conference Charlie Tomson
 
22 oct15 fast followers workshop ltc
22 oct15 fast followers workshop ltc22 oct15 fast followers workshop ltc
22 oct15 fast followers workshop ltc
 
Towards an international Patient Summary Standard
Towards an international Patient Summary StandardTowards an international Patient Summary Standard
Towards an international Patient Summary Standard
 
Think Kidneys UK Kidney Week
Think Kidneys UK Kidney WeekThink Kidneys UK Kidney Week
Think Kidneys UK Kidney Week
 
Arvind Madan, NHS England
Arvind Madan, NHS England Arvind Madan, NHS England
Arvind Madan, NHS England
 
Responding to Non COVID-19: Identification of deterioration in children
Responding to Non COVID-19: Identification of deterioration in childrenResponding to Non COVID-19: Identification of deterioration in children
Responding to Non COVID-19: Identification of deterioration in children
 
3. Fetal anomaly screening programmes update
3. Fetal anomaly screening programmes update3. Fetal anomaly screening programmes update
3. Fetal anomaly screening programmes update
 
Early Implementers Workshop 23rd March 2016
Early Implementers Workshop 23rd March 2016Early Implementers Workshop 23rd March 2016
Early Implementers Workshop 23rd March 2016
 
NHSE safety alert
NHSE safety alertNHSE safety alert
NHSE safety alert
 
Nick Selby's AKI San Diego presentation on patient safety alerts
Nick Selby's AKI San Diego presentation on patient safety alertsNick Selby's AKI San Diego presentation on patient safety alerts
Nick Selby's AKI San Diego presentation on patient safety alerts
 
Integrated data to support service redesign decision making 19 01 2016 final
Integrated data to support service redesign decision making 19 01 2016 finalIntegrated data to support service redesign decision making 19 01 2016 final
Integrated data to support service redesign decision making 19 01 2016 final
 
Antenatal programme updates
Antenatal programme updatesAntenatal programme updates
Antenatal programme updates
 
Antenatal programme updates
Antenatal programme updatesAntenatal programme updates
Antenatal programme updates
 
Creating successful partnerships in yorkshire and humber
Creating successful partnerships in yorkshire and humberCreating successful partnerships in yorkshire and humber
Creating successful partnerships in yorkshire and humber
 
Creating successful partnerships in yorkshire and humber
Creating successful partnerships in yorkshire and humberCreating successful partnerships in yorkshire and humber
Creating successful partnerships in yorkshire and humber
 
AKI Manchester 2017
AKI Manchester 2017AKI Manchester 2017
AKI Manchester 2017
 
Population level commissioning
Population level commissioningPopulation level commissioning
Population level commissioning
 

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
 
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
 
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
 

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
 
KQUIP Presentation BRS 2017
KQUIP Presentation BRS 2017KQUIP Presentation BRS 2017
KQUIP Presentation BRS 2017
 
Home Dialysis RA 2017
Home Dialysis RA 2017Home Dialysis RA 2017
Home Dialysis RA 2017
 
KQuIP presentation UKWW 2017
KQuIP presentation UKWW 2017KQuIP presentation UKWW 2017
KQuIP presentation UKWW 2017
 
KQuIP Industry Presentation
KQuIP Industry Presentation KQuIP Industry Presentation
KQuIP Industry Presentation
 
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
 

Recently uploaded

Book Trailer: PGMEE in a Nutshell (CEE MD/MS PG Entrance Examination)
Book Trailer: PGMEE in a Nutshell (CEE MD/MS PG Entrance Examination)Book Trailer: PGMEE in a Nutshell (CEE MD/MS PG Entrance Examination)
Book Trailer: PGMEE in a Nutshell (CEE MD/MS PG Entrance Examination)Dr. Aryan (Anish Dhakal)
 
Scientificity and feasibility study of non-invasive central arterial pressure...
Scientificity and feasibility study of non-invasive central arterial pressure...Scientificity and feasibility study of non-invasive central arterial pressure...
Scientificity and feasibility study of non-invasive central arterial pressure...Catherine Liao
 
A thorough review of supernormal conduction.pptx
A thorough review of supernormal conduction.pptxA thorough review of supernormal conduction.pptx
A thorough review of supernormal conduction.pptxSergio Pinski
 
Creating Accessible Public Health Communications
Creating Accessible Public Health CommunicationsCreating Accessible Public Health Communications
Creating Accessible Public Health Communicationskatiequigley33
 
Introducing VarSeq Dx as a Medical Device in the European Union
Introducing VarSeq Dx as a Medical Device in the European UnionIntroducing VarSeq Dx as a Medical Device in the European Union
Introducing VarSeq Dx as a Medical Device in the European UnionGolden Helix
 
PT MANAGEMENT OF URINARY INCONTINENCE.pptx
PT MANAGEMENT OF URINARY INCONTINENCE.pptxPT MANAGEMENT OF URINARY INCONTINENCE.pptx
PT MANAGEMENT OF URINARY INCONTINENCE.pptxdrtabassum4
 
Cervical screening – taking care of your health flipchart (Vietnamese)
Cervical screening – taking care of your health flipchart (Vietnamese)Cervical screening – taking care of your health flipchart (Vietnamese)
Cervical screening – taking care of your health flipchart (Vietnamese)Cancer Institute NSW
 
The Orbit & its contents by Dr. Rabia I. Gandapore.pptx
The Orbit & its contents by Dr. Rabia I. Gandapore.pptxThe Orbit & its contents by Dr. Rabia I. Gandapore.pptx
The Orbit & its contents by Dr. Rabia I. Gandapore.pptxDr. Rabia Inam Gandapore
 
5CL-ADB powder supplier 5cl adb 5cladba 5cl raw materials vendor on sale now
5CL-ADB powder supplier 5cl adb 5cladba 5cl raw materials vendor on sale now5CL-ADB powder supplier 5cl adb 5cladba 5cl raw materials vendor on sale now
5CL-ADB powder supplier 5cl adb 5cladba 5cl raw materials vendor on sale nowSherrylee83
 
Cas 28578-16-7 PMK ethyl glycidate ( new PMK powder) best suppler
Cas 28578-16-7 PMK ethyl glycidate ( new PMK powder) best supplerCas 28578-16-7 PMK ethyl glycidate ( new PMK powder) best suppler
Cas 28578-16-7 PMK ethyl glycidate ( new PMK powder) best supplerSherrylee83
 
Compare home pulse pressure components collected directly from home
Compare home pulse pressure components collected directly from homeCompare home pulse pressure components collected directly from home
Compare home pulse pressure components collected directly from homeCatherine Liao
 
PREPARATION FOR EXAMINATION FON II .pptx
PREPARATION FOR EXAMINATION FON II .pptxPREPARATION FOR EXAMINATION FON II .pptx
PREPARATION FOR EXAMINATION FON II .pptxPupayumnam1
 
Multiple sclerosis diet.230524.ppt3.pptx
Multiple sclerosis diet.230524.ppt3.pptxMultiple sclerosis diet.230524.ppt3.pptx
Multiple sclerosis diet.230524.ppt3.pptxMeenakshiGursamy
 
Muscle Energy Technique (MET) with variant and techniques.
Muscle Energy Technique (MET) with variant and techniques.Muscle Energy Technique (MET) with variant and techniques.
Muscle Energy Technique (MET) with variant and techniques.Anjali Parmar
 
TEST BANK for The Nursing Assistant Acute, Subacute, and Long-Term Care, 6th ...
TEST BANK for The Nursing Assistant Acute, Subacute, and Long-Term Care, 6th ...TEST BANK for The Nursing Assistant Acute, Subacute, and Long-Term Care, 6th ...
TEST BANK for The Nursing Assistant Acute, Subacute, and Long-Term Care, 6th ...marcuskenyatta275
 
Hemodialysis: Chapter 2, Extracorporeal Blood Circuit - Dr.Gawad
Hemodialysis: Chapter 2, Extracorporeal Blood Circuit - Dr.GawadHemodialysis: Chapter 2, Extracorporeal Blood Circuit - Dr.Gawad
Hemodialysis: Chapter 2, Extracorporeal Blood Circuit - Dr.GawadNephroTube - Dr.Gawad
 
Tips and tricks to pass the cardiovascular station for PACES exam
Tips and tricks to pass the cardiovascular station for PACES examTips and tricks to pass the cardiovascular station for PACES exam
Tips and tricks to pass the cardiovascular station for PACES examJunhao Koh
 
Anuman- An inference for helpful in diagnosis and treatment
Anuman- An inference for helpful in diagnosis and treatmentAnuman- An inference for helpful in diagnosis and treatment
Anuman- An inference for helpful in diagnosis and treatmentabdeli bhadarva
 
World Hypertension Day 17th may 2024 ppt
World Hypertension Day 17th may 2024 pptWorld Hypertension Day 17th may 2024 ppt
World Hypertension Day 17th may 2024 pptdesktoppc
 
Cardiac Impulse: Rhythmical Excitation and Conduction in the Heart
Cardiac Impulse: Rhythmical Excitation and Conduction in the HeartCardiac Impulse: Rhythmical Excitation and Conduction in the Heart
Cardiac Impulse: Rhythmical Excitation and Conduction in the HeartMedicoseAcademics
 

Recently uploaded (20)

Book Trailer: PGMEE in a Nutshell (CEE MD/MS PG Entrance Examination)
Book Trailer: PGMEE in a Nutshell (CEE MD/MS PG Entrance Examination)Book Trailer: PGMEE in a Nutshell (CEE MD/MS PG Entrance Examination)
Book Trailer: PGMEE in a Nutshell (CEE MD/MS PG Entrance Examination)
 
Scientificity and feasibility study of non-invasive central arterial pressure...
Scientificity and feasibility study of non-invasive central arterial pressure...Scientificity and feasibility study of non-invasive central arterial pressure...
Scientificity and feasibility study of non-invasive central arterial pressure...
 
A thorough review of supernormal conduction.pptx
A thorough review of supernormal conduction.pptxA thorough review of supernormal conduction.pptx
A thorough review of supernormal conduction.pptx
 
Creating Accessible Public Health Communications
Creating Accessible Public Health CommunicationsCreating Accessible Public Health Communications
Creating Accessible Public Health Communications
 
Introducing VarSeq Dx as a Medical Device in the European Union
Introducing VarSeq Dx as a Medical Device in the European UnionIntroducing VarSeq Dx as a Medical Device in the European Union
Introducing VarSeq Dx as a Medical Device in the European Union
 
PT MANAGEMENT OF URINARY INCONTINENCE.pptx
PT MANAGEMENT OF URINARY INCONTINENCE.pptxPT MANAGEMENT OF URINARY INCONTINENCE.pptx
PT MANAGEMENT OF URINARY INCONTINENCE.pptx
 
Cervical screening – taking care of your health flipchart (Vietnamese)
Cervical screening – taking care of your health flipchart (Vietnamese)Cervical screening – taking care of your health flipchart (Vietnamese)
Cervical screening – taking care of your health flipchart (Vietnamese)
 
The Orbit & its contents by Dr. Rabia I. Gandapore.pptx
The Orbit & its contents by Dr. Rabia I. Gandapore.pptxThe Orbit & its contents by Dr. Rabia I. Gandapore.pptx
The Orbit & its contents by Dr. Rabia I. Gandapore.pptx
 
5CL-ADB powder supplier 5cl adb 5cladba 5cl raw materials vendor on sale now
5CL-ADB powder supplier 5cl adb 5cladba 5cl raw materials vendor on sale now5CL-ADB powder supplier 5cl adb 5cladba 5cl raw materials vendor on sale now
5CL-ADB powder supplier 5cl adb 5cladba 5cl raw materials vendor on sale now
 
Cas 28578-16-7 PMK ethyl glycidate ( new PMK powder) best suppler
Cas 28578-16-7 PMK ethyl glycidate ( new PMK powder) best supplerCas 28578-16-7 PMK ethyl glycidate ( new PMK powder) best suppler
Cas 28578-16-7 PMK ethyl glycidate ( new PMK powder) best suppler
 
Compare home pulse pressure components collected directly from home
Compare home pulse pressure components collected directly from homeCompare home pulse pressure components collected directly from home
Compare home pulse pressure components collected directly from home
 
PREPARATION FOR EXAMINATION FON II .pptx
PREPARATION FOR EXAMINATION FON II .pptxPREPARATION FOR EXAMINATION FON II .pptx
PREPARATION FOR EXAMINATION FON II .pptx
 
Multiple sclerosis diet.230524.ppt3.pptx
Multiple sclerosis diet.230524.ppt3.pptxMultiple sclerosis diet.230524.ppt3.pptx
Multiple sclerosis diet.230524.ppt3.pptx
 
Muscle Energy Technique (MET) with variant and techniques.
Muscle Energy Technique (MET) with variant and techniques.Muscle Energy Technique (MET) with variant and techniques.
Muscle Energy Technique (MET) with variant and techniques.
 
TEST BANK for The Nursing Assistant Acute, Subacute, and Long-Term Care, 6th ...
TEST BANK for The Nursing Assistant Acute, Subacute, and Long-Term Care, 6th ...TEST BANK for The Nursing Assistant Acute, Subacute, and Long-Term Care, 6th ...
TEST BANK for The Nursing Assistant Acute, Subacute, and Long-Term Care, 6th ...
 
Hemodialysis: Chapter 2, Extracorporeal Blood Circuit - Dr.Gawad
Hemodialysis: Chapter 2, Extracorporeal Blood Circuit - Dr.GawadHemodialysis: Chapter 2, Extracorporeal Blood Circuit - Dr.Gawad
Hemodialysis: Chapter 2, Extracorporeal Blood Circuit - Dr.Gawad
 
Tips and tricks to pass the cardiovascular station for PACES exam
Tips and tricks to pass the cardiovascular station for PACES examTips and tricks to pass the cardiovascular station for PACES exam
Tips and tricks to pass the cardiovascular station for PACES exam
 
Anuman- An inference for helpful in diagnosis and treatment
Anuman- An inference for helpful in diagnosis and treatmentAnuman- An inference for helpful in diagnosis and treatment
Anuman- An inference for helpful in diagnosis and treatment
 
World Hypertension Day 17th may 2024 ppt
World Hypertension Day 17th may 2024 pptWorld Hypertension Day 17th may 2024 ppt
World Hypertension Day 17th may 2024 ppt
 
Cardiac Impulse: Rhythmical Excitation and Conduction in the Heart
Cardiac Impulse: Rhythmical Excitation and Conduction in the HeartCardiac Impulse: Rhythmical Excitation and Conduction in the Heart
Cardiac Impulse: Rhythmical Excitation and Conduction in the Heart
 

Strategic clinical network webinar final 081015

  • 1. An Update on Think Kidneys for the Strategic Clinical Networks Karen Thomas, Head of Programmes, UK Renal Registry 8th October 2015
  • 2. Think Kidneys objectives 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 Update on the Think Kidneys national programme Karen Thomas 08/10/15 | 2
  • 3. Developed case studies of patients at risk of acute kidney injury Communities at risk document published describing the communities who are at risk of acute kidney injury Members of the workstream working on an AKI risk calculator for secondary care Members of the workstream working on an AKI risk calculator for primary care Patient leaflet | 3 Risk workstream Update on the Think Kidneys national programme Karen Thomas 08/10/15
  • 4. Develop a risk matrix – one page decision tree linked to Map of Medicine Develop prevention bundle / guidance for 1° and 2°care for ‘at risk’ Integration of the identification of AKI into current care planning tools and link with Year of Care Production of ‘stop’ card for patients | 4 Risk workstream – coming next….. Update on the Think Kidneys national programme Karen Thomas 08/10/15
  • 5. Identification of credible educational products that already exist Identifying endorsement of educational products Running events for primary care, pharmacists, care home stakeholder. Developing changes to primary care curriculum with RCGP and others Planning public campaign to increase general knowledge of kidney function and hydration | 5 Education workstream….work to date Update on the Think Kidneys national programme Karen Thomas 08/10/15
  • 6. Discussing with GPC extending curriculum to include renal and AKI for pharmacy Approach nursing schools to extend curriculum to include renal and AKI for nurses Review primary care bundle being produced by the intervention workstream Identify a suitable education resource for those who have had an episode of AKI Develop and deliver the public campaign | 6 Education workstream….coming next Update on the Think Kidneys national programme Karen Thomas 08/10/15
  • 7. Visited LIMS suppliers to discuss compliance with algorithm requirements Responded to enquiries from the UK Renal Registry email helpline Set up a JISCMAIL internet discussion forum - archived and monitored discussions Published best practice guidance document for implementing the AKI warning algorithm - on the Think Kidneys website. Followed with ‘top tips’ publication Monitored the integrity of the algorithm and implementation issues on the ground via the algorithm sub-group | 7 Detection workstream…..success so far Update on the Think Kidneys national programme Karen Thomas 08/10/15
  • 8. Identify potential refinement for the algorithm based on data associated with the AKI Warning Alert Produce secondary care case studies of implementation of the algorithm Working with primary care IT suppliers to ensure they can deliver the warning stage test results Work with Intervention workstream on how warning stage test results trigger interruptive alerts - inform by gathering case studies | 8 Detection workstream….coming next Update on the Think Kidneys national programme Karen Thomas 08/10/15
  • 9. Setting minimum standard content for discharge summary – linked to NHS England work on discharge standards Production of the secondary care bundle Medicines management toolkit published - comprehensive advice for prescribers on drug treatment, dose adjustment and drug withdrawal in the context of AKI Sick day rules position statement – | 9 Intervention workstream…. work to date Update on the Think Kidneys national programme Karen Thomas 08/10/15
  • 10. Sick day rules Bristol CLAHRC undertaking formal evidence review Plan to use this to build consensus with other stakeholders e.g. British Hypertension Society, British Society for Heart Failure Interim position statement prepared for Think Kidneys website bit.ly/TK-Sick-Day-Rules | 10 Update on the Think Kidneys national programme Karen Thomas 08/10/15
  • 11. As health professionals one of our key aims is to reduce the risk of avoidable harm to our patients. Some people are at increased risk of Acute Kidney Injury (AKI), for example those with Chronic Kidney Disease (CKD), heart failure, or those taking particular medications (1). Many health care professionals provide advice to such patients that certain drugs should be temporarily discontinued during acute intercurrent illnesses, particularly where there is disturbed fluid balance. This advice is commonly described as ‘sick day rules’ or to take a ‘drug holiday’. | 11 Sick Day Rules position statement Update on the Think Kidneys national programme Karen Thomas 08/10/15
  • 12. The theory The evidence on implementation and effectiveness Welcome comment and debate | 12 Sick Day Rules position statement Update on the Think Kidneys national programme Karen Thomas 08/10/15
  • 13. Medicines management toolkit being developed for primary care Advice on dietetic management of inpatients with AKI being created Formal literature search under way: this will be used to generate consensus statement (BSH, BHS, RA, RCGP, others) | 13 Intervention workstream…. What next? Update on the Think Kidneys national programme Karen Thomas 08/10/15
  • 14. Developed and implemented a CQUIN for secondary care. Now in second year Developed and implemented a local enhanced service for primary care Working with number of CCGs to develop commissioning drivers Development of a commissioning lever for use with care homes. | 14 Implementation workstream….work to date Update on the Think Kidneys national programme Karen Thomas 08/10/15
  • 15. Reformed group as commissioner expert group Develop commissioning tools - for DGH without renal unit, care homes, community pharmacists etc. Development of a commissioner tool kit for the Think Kidneys website to include • Case studies of lessons learnt from the CCGs implementing commissioning levers • Examples of commissioning levers to cover the patient pathway • Links to available data on performance and outcomes • Map of activity with links to enable connections | 15 Implementation workstream….next steps Update on the Think Kidneys national programme Karen Thomas 08/10/15
  • 16. The UKRR applied for National Information Governance Board’s approval to collect patient identifiable data for AKI patients in England Developed final specification for the master patient index (MPI) enabling the UKRR to identify core information about the extent of AKI in England Ensured data transfer between Trusts and UKRR was feasible; tested data and refined format; ensured alert and creatinine files were received by UKRR Analysis in 3 phases – 1. Reporting of data completeness, 2. Adding of date of admission to core data set and establishing link with HES, 3. Reporting data at patient level, CCG level, Trust level including incidence, progression of AKI and other outcomes | 16 Measurement workstream….work to date Update on the Think Kidneys national programme Karen Thomas 08/10/15
  • 17. 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 Link with National Diabetes and CKD audit during 2016 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 | 17 Measurement workstream….next steps Update on the Think Kidneys national programme Karen Thomas 08/10/15
  • 18. 40 laboratories routinely sending data into the UKRR 1/3 of all laboratories Currently checking for completeness of data received UKRR to contact 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/ | 18 Update on data received Update on the Think Kidneys national programme Karen Thomas 08/10/15
  • 19. National campaign to educate the public, patients and carers as well as health and care professionals Established Care Home Working Group Raising awareness of our work across health and social care Paediatric nephrology and mental health issues Working with CPPE on the autumn education campaign for pharmacists and pharmacy technicians | 19 Focus now…… Update on the Think Kidneys national programme Karen Thomas 08/10/15
  • 20. Karen Thomas Think Kidneys Programme Manager Head of Programmes UK Renal Registry Karen.Thomas@renalregistry.nhs.uk | 20 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 08/10/15