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CKD HIT Udaya Udayaraj Consultant Nephrologist, NBT

CKD HIT Udaya Udayaraj Consultant Nephrologist, NBT. # BHPhitconf. Current Projects. Tele-clinic service For CKD and kidney transplant patients Acute kidney Injury ( AKI) Patient safety project in NBT Renal study day For primary care nurses. #BHPhitconf. Tele-clinic service.

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CKD HIT Udaya Udayaraj Consultant Nephrologist, NBT

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  1. CKD HITUdaya UdayarajConsultant Nephrologist, NBT #BHPhitconf

  2. Current Projects • Tele-clinic service • For CKD and kidney transplant patients • Acute kidney Injury ( AKI) • Patient safety project in NBT • Renal study day • For primary care nurses #BHPhitconf

  3. Tele-clinic service • Quality improvement workshop • WEAHSN, CLAHRC West, PPI, NBT • Process mapped patient pathway • Developed patient information, patient eligibility criteria, System of undertaking blood tests in primary care, process of booking and appointment letters. #BHPhitconf

  4. Challenges • Change in OP booking system ( Lorenzo) • Failure to engage CCGs • Ensuring blood tests are done in primary care and results accessible prior to tele-clinic #BHPhitconf

  5. Ongoing work • Verbal confirmation from NHS England to pilot for transplant recipients • Lorenzo clinic build to be completed • Developing a SOP for all 6 pathology labs • Hope to start QIP in July/August • South Glos contract negotiation for 2017-18 for CKD patients (Continue to engage other CCGs…….) #BHPhitconf

  6. Research grant Proposal • CLAHRC West • Feasibility RCT of tele-clinic vs standard care #BHPhitconf

  7. Acute Kidney Injury • AKI e-alerts ( sept 2015) • AKI patient information sheet • AKI CQUIN ( 2015-16) • Quarter 1 (66 %) • Quarter 2 (80%) • Quarter 3 (95%) • Quarter 4 (96%) #BHPhitconf

  8. AKI e-learning module for medical staff • AKI training sessions for junior doctors • AKI care bundle • Challenges • Real time monitoring of AKI incidence data • Staff engagement and culture change • Undertaking mini RCA to identify areas for improvement #BHPhitconf

  9. Renal study Day • Collaboration with UWE • ‘No fee’ study day • For primary care registered nurses • Feb/May 2016 – 20 delegates each • Very positive feedback (98% would recommend this to others) • August/October 2016 – fully booked #BHPhitconf

  10. Acknowledgements • NBT • Udaya Udayaraj • Fergus Caskey • Karen Marchant • UOB • Yoav Ben-Shlomo • Chris Rogers • WEAHSN • Anna Burhouse • David Evans • CLAHRC West • Penny Whiting • Jeremy Horwood • PPI • William Beale, Angela Beale • GP • Sam Davies • David Munson • UWE • Fiona Matthews • BHP • Lisa Wheatley • Oliver Watson • Ailis Campbell #BHPhitconf

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