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Tele-Clinic Service for CKD and Kidney Transplant Patients

Join us at #BHPhitconf for insights on our tele-clinic service focusing on CKD and kidney transplant patients, AKI management, patient safety projects, renal study days, and ongoing quality improvement efforts. Learn about challenges, ongoing work, grant proposals, and innovative initiatives such as acute kidney injury e-learning modules. Acknowledging the collaborative efforts of dedicated individuals and organizations in advancing renal care.

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Tele-Clinic Service for CKD and Kidney Transplant Patients

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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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