Chronic Kidney Disease (CKD) HIT

Udaya UdayarajConsultant nephrologist, NBT

Current projects

• New Service– Telephone clinics

• Patient experience– Patient volunteer transport

• Patient safety/Quality of care– Acute Kidney Injury

• Education– GP study days on CKD, AKI

• Research– Care.know.do - Patient self-management /empowerment

online tool

Telephone clinics

• For CKD and kidney transplant patients• Patient survey – 59 % would consider if

offered• One off pilot clinic for feedback

It went very well actually…It was a lot easier than having to get up to Southmead’

‘When I feel okay, there’s no point in travelling all the way to hospital’ ‘I don’t think there were any disadvantages…I’m all for anything that makes

life easier for everyone’ I didn’t have to take time off work. If I go to Southmead it’s half a day out.

This way it’s just half an hour. It’s very efficient’

• Telephone clinic tariff £100 negotiated• Business case submitted to CCGs• CLAHRC West bid successful

– Feasibility study to develop clinic protocol– Evaluate the service– Future research in to nurse led clinic and

randomised clinical trial• Pilot clinic expected to begin in 3 months

This project has the unique privilege of being the first idea identified, researched, costed and implemented by patients.

Not a new idea, the complex historical reasons for failure are detailed on the web site.

www.volunteertransport.co.uk

Current Position

Beta website live The formal launch is awaiting Final Sign Off &

Integration into NHS Complaints Procedures Query on Data Commissioner governance - do we

need to spend £15 on unique registration or is it covered by BHP / NBT registration?

Letter to Companies & Recruitment campaign ready to start with formal BHP sign-off.

Like many ideas that look easy there have been formidable hurdles identified and managed, for full logistical details of the project speak to Angie or William Beale at one of the workshops.

Acute Kidney Injury

• 12- 15 % of hospital admissions• 20-30 % preventable• NICE guidelines July 2013• Priorities

– NBT AKI guidelines developed– AKI e-alert on laboratory systems– AKI care bundle to improve AKI management– AKI CQUIN – provide information on AKI to GPs at

discharge

Education

• Avon GP education– CKD and AKI study days for GP

• Exploring with UWE– Study days for nurses and other health care

professionals

The CARE.KNOW.DO programme is managed by Atlantis Healthcare. Date of preparation December 2014

Care.Know.Do Patient Support ProgrammeEnhancing care for patients with chronic kidney disease

Acknowledgements• NBT

– Udaya Udayaraj, consultant nephrologist– Fergus Caskey, Consultant nephrologist– Karen Marchant, Specialist Nurse

• UOB – Yoav Ben-Shlomo– Chris Rogers

• PPI– William Beale, Angela Beale

• GP– Sam Davies, Yate

• CCG– Gill Jenkins

• UWE– Fiona Matthews

• BHP– Lisa Wheatley– Ailis Campbell