16/11/18

Quality Improvement – Think Kidneys Update

TP2 programme

 The aim of the TP2 programme is to introduce coaching skills to clinical teams:

  • To actively support patients to map what is important to them
  • Look at how best to support them to self-manage through sign posting and social prescribing
  • Change the conversation from ‘what is going to happen to me’ to ‘what can I do to help myself’

There are currently four renal units involved in the programme – Derby, Nottingham, Preston and Birmingham.  The coaching skills training begins in Nottingham on 21st November, and will be delivered across all four units by both the NHS England Personalised Care team, and the Lancashire and South Cumbria Sustainable and Transformation Partnership. The University of Hertfordshire are supporting the evaluation of the programme so that the knowledge and learning that was gained through the TP-CKD programme and that is currently being gleaned through TP2 can be shared and sustained.

For more information visit the TP2 website and the better conversations website here.

KQuIP

KQuIP held an energetic and positive regional day in the South West on 4th October with the clinical, multi-professional teams and patients from all six units coming together to discuss quality improvement and review their regional data.  The region heard and discussed the three national project areas, and decided to take on Transplant First as their regional priority quality improvement project.  The Quality Improvement leads from each unit are meeting on 13th December to plan and prepare for this collaboration.  A report and presentations from the regional day can be viewed here.

The BAPN/KQuIP paediatric national quality improvement day held on 9th November was also a great success with over 100 attendees, and good discussions around improving kidney care for children.  The multi-professional teams had collected and prepared data to share on the day which led to some great debate.  A report of the day will be written and shared in the next two weeks, and attendees are now taking the discussions back to their individual units and wider teams before deciding on the priority project/s the paediatric kidney community would like to collaborate on.

Part of the support that KQuIP is offering to quality improvement leads in the regions, is the opportunity to take part in a two day leadership course led by Shortsmoor. There has been some excellent feedback so far from the regions who have undergone this training and it will be offered out to all quality improvement leads who are working with KQuIP over the coming year. A blog about a team’s joint experience of taking part in the course has been produced and can be read here.  More information can be found on the KQuIP website.

AKI

The number of labs reporting their AKI data continues to rise and we now have 149 labs out of 162 (92%) submitting in total. The RAG chart has been updated on the Think Kidneys website, and can be viewed here. The CCGs receive quarterly reports regarding their AKI rates, if you work for a CCG and have not received your data, please contact Julie.Slevin@renalregistry.nhs.uk to ensure you receive the information you need.

The Royal College of General Practitioners (RCGP) recently launched an Acute Kidney Injury (AKI) Toolkit for GPs and healthcare professionals. The toolkit was developed in partnership with Think Kidneys; NIHR CLAHRC Greater Manchester; Kent, Surrey, Sussex Academic Health Science Network (KSS AHSN); and North East and North Cumbria Academic Health Science Network (AHSN NENC). NHS Education for Scotland, Healthcare Improvement Scotland and the NIHR Greater Manchester Patient Safety Translational Research Centre (NIHR GM PSTRC) also contributed to development of the toolkit. It aims to improve the recognition, response and management of AKI in primary care.

AKI is a major barometer of patient safety across the UK, with NHS England specifying it as a priority to delivering the vision of the Five Year Forward View. Illness complicated by AKI costs around 1% of the NHS budget and is associated with poor health outcomes in terms of high rates of rehospitalisation, progression and mortality. It is associated with approximately 1 in 5 unplanned hospital admissions and an estimated 100,000 deaths per year.

The AKI toolkit provides resources including national guidance, case studies and shared learning about quality and safety issues to improve patient safety in general practice. AKI offers a lens to improve patient safety for people with a range of conditions, particularly those taking multiple medicines and living with complex health and social care needs (that is, multimorbidity). By focusing on AKI there are opportunities to improve medication, safer transitions of care and safety for vulnerable patients and their carers.  View the Acute Kidney Injury Toolkit at www.rcgp.org.uk/aki

The AKI team continue to work with RCGP on phase 2 of the work, and are pulling together a consensus panel to develop further guidance for those working in primary care, which will be available in 2019.