06/10/17

AEG Raine Award winner: Dr Pippa Bailey

The Renal Association would like to congratulate Dr Pippa Bailey on being awarded the 2018 AEG Raine Award.

“I am a Clinical Lecturer in Renal Medicine at the University of Bristol and North Bristol NHS Trust. I am a mixed-methods researcher, using both qualitative and quantitative approaches, with an interest in understanding and addressing inequalities and inequities in renal medicine. In the UK, people who are more socioeconomically deprived are less likely to receive a living-donor kidney transplant (LDKT), despite being more likely to develop kidney failure than less deprived individuals. My NIHR doctoral fellowship aimed to understand the reasons for this observed socioeconomic inequity. Our prospective multicentre cohort study suggested that once an individual had started assessment for living donation there was no association between socioeconomic deprivation and likelihood of donation. Rather, we found that more deprived people face difficulties earlier on in the process of getting a LDKT. In-depth qualitative interviews with people with kidney failure suggested that more deprived people are less involved in and less confident having discussions about their treatment, and doctors might be less good at engaging them in these discussions. More deprived people perceived a lack of social support, and appeared to struggle to think of people who might be suitable donors.

Currently I am opening a large multicentre questionnaire-based case-control study, funded by Kidney Research UK, which will investigate quantitatively the emergent variables from earlier qualitative-research. There has been a clear trajectory to my main programme of research: I have aimed to identify targets for intervention, and I am therefore now in the process of designing and applying for funding for a socioeconomically-tailored multicomponent complex intervention to support people with kidney disease to access a LDKT, and to redress the observed socioeconomic inequity in living-donor kidney transplantation.

I am extremely grateful for and honoured to receive the Raine award this year. I am indebted to those from whose encouragement and expert supervision I have benefited, in particular Professor Yoav Ben-Shlomo, Dr Charlie Tomson, Dr Fergus Caskey, Dr Amanda Owen-Smith and Dr Simon Satchell. I will be using the award to attend a training course on co-design run by the Point of Care Foundation, developed from the King’s Fund programme, to aid with the development and refinement of the intervention we aim to trial.”