Improving outcomes of CKD in General Practices in the UK

1. Improving outcomes of CKD in General Practices in the UK AIM: To increase clinical effectiveness through demonstrating continuous improvement in quality and outcomes of CKD diagnosis and management between 2007 and 2008 in GP practices across North Lancashire, United Kingdom. • Extracted data for Chronic Kidney Disease (CKD) from Quality Management and Analysis System (QMAS) to examine year-end results on 31st March 2007 and 31st March 2008 • Made comparison between prevalence and exception reporting for each indicator within the disease area and between prevalence for CKD as a whole • Identified and visited 13 out of 39 GP practices for a QOF (Quality Outcomes Framework) clinical verification visit in February 2008, and peer reviewed all 39 GP practices. It is important to reduce these exceptions in order to ensure that as many patients as possible are treated to target blood pressure levels. CKD3 refers to the percentage of patients on the CKD register in whom the last blood pressure reading was measured in the previous 15 months is 140/85 or less. CKD2 refers to the percentage of patients on the CKD register whose notes have a record of blood pressure in the last 15 months. Increased CKD Prevalence reporting in GP practices (significance of p<0.0001) The diagnosis and management of Chronic Kidney Disease in Primary Care is complex, and whilst our 39 GP practices appear to be working hard to diagnose and manage CKD as evidenced in this project, there remains a substantial inter-practice difference in recorded prevalence that requires continued investigation This project demonstrates that it is possible to increase the prevalence of CKD reporting, therefore enabling appropriate management and support of the condition, and to also decrease the exception reporting of CKD, therefore enabling significantly more patients to benefit from better disease management and support. Presented by: Ian R Cumming OBE, Chief Executive