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