What did we do?

This work was to spread the CKD IMPAKT™ work (developed during the previous CLAHRCs round of funding) NHS Central Manchester CCG (now Manchester CCG) and NHS Bury CCG. The aim of this work was to increase the knowledge of healthcare professionals and improve the quality of services and care provided to Chronic kidney disease (CKD) patients.

 

‘Click here for more information about what work we’ve done on CKD in the past’

 

Why was it important?

Excess cardiovascular disease related to CKD is thought to cost the NHS in England £175 million each year. With end stage CKD growing at an estimated 6% per annum, diagnosing and treating CKD effectively as early as possible is hugely important. The project aimed to result in:

 

• Primary care clinicians being more confident in the Read coding and management of CKD.

• An increase in CKD diagnoses (finding patients with CKD who do not currently have a diagnosis).

• Improvements in the management of CKD patients.

• Primary care staff being more confident in the use of quality improvement methods which can be transferred to other projects/activity.

• An increased spread and sustainability of the IMPAKT™ tool.

 

How did we do it?

We focussed on reducing the gap between the recorded and estimated prevalence of CKD on practice registers. We also worked towards a higher rate of CKD patients being tested for proteinuria and managed to National Institute for Health and Care Excellence (NICE) recommended blood pressure targets.

 

Who did we work with?

NHS Central Manchester CCG

NHS Bury CCG

 

Downloadable resources

 

• Evaluation Reports, Toolkits and Training Manuals

  Improving diagnosis and care for people with chronic kidney disease: A how-to guide for practices

• News Stories

  GM CLAHRC one step ahead in improving care for people with CKD (August 2012)

   

  Improving the management of CKD in Primary Care (July 2012)

   

  Article: CKD work published by BMJ Quality and Safety Journal (May 2012)

   

  CKD work published by BMJ Quality and Safety Journal (May 2012)

   

  Closing workshop for the CKD project (April 2012)

   

  Greater Manchester CLAHRC to present CKD project at NICE Annual Conference (March 2012)

   

  Behaviour Change and Supporting Motivation to Self-Manage within CKD (February 2012)

• Publications

  Humphreys J, Harvey G & Hegarty J, (2017), Improving registration of CKD and blood pressure control in primary care: a tailored multifaceted quality improvement programme, Karger 18:32

   

  Yin-Tsang J, Blakeman T, Hegarty J, Humphreys J & Harvey G, (2016), Understanding the implementation of interventions to improve the management of chronic kidney disease in primary care: a rapid realist review, Implementation Science Bio Medical 11:47

   

  Blakeman T, Blickem C, Kennedy A, Reeves D, Bower P, Gaffney H, Gardner C, Lee V, Jariwala P, Dawson S, Mossabir R, Brooks H, Richardson G, Spackman E, Vassilev I, Chew-Graham C, Rogers A, (2014), Effect of information and telephone-guided access to community support for people with chronic kidney disease: randomised controlled trial, PLOS One

   

  Gaffney H, Blakeman T, Blickem C , Kennedy A, Reeves D, Dawson S, Mossabir R, Bower P, Gardner C, Lee V, Rogers A, (2014), Predictors of patient self-report of chronic kidney disease: baseline analysis of a randomised controlled trial ncbi pUBmED 15:196

   

  Harvey G, Oliver K, Humphreys J, Rothwell K, Hegarty J, (2014), Improving the identification and management of chronic kidney disease in primary care: lessons from a staged improvement collaborative, Oxford Academic ISQua Vol.27 pp.10-16

   

  Daker-White G, Rogers A, Kennedy A, Blakeman T, Blickem C, Chew-Graham C, (2015), Non-disclosure of chronic kidney disease in primary care and the limits of instrumental rationality in chronic illness self-management, Science Direct Vol.131 pp.31-39

   

  Humphreys J, Quality Improvement Report: A collaborative project to improve identification and management of patients with chronic kidney disease in a primary care setting in Greater Manchester, BMJ 

   

  Gaffney H, Blakeman T, Blickem C, Kennedy A, Reeves D, DawsonS, Mossabir R, Bower P, Gardner C, Lee V, Rogers A, (2014), Predictors of patient self-report of chronic kidney disease: baseline analysis of a randomised controlled trial, BMC Family Practice 15:196

• Presentations

  Improving the identification and management of patients with chronic kidney disease (CKD) in primary care across Greater Manchester - Jack Adams

   

  CKD practice development meeting: Robert Darbishire Practice - Dr Janet Hegarty

   

  Central Manchester locality group CKD education session - Viv Entwistle

   

  Developing combined resouces for improved CKD detection and management in primary care - Viv Entwistle

   

  Developing resources for improved Chronic Kidney Disease management in primary care - Brook Butler

   

  Improving identification and management of patients with Chronic Kidney Disease - Brook Butler

• Posters

  IMPAKT – improving outcomes for CKD patients in primary care through accurate diagnosis and management advice - John Humphreys

   

  Improving health outcomes for CKD patients in Greater Manchester - John Humphreys

   

  CKD Improvement Project: Implementing accurate registers and best practice care for patients in primary care - John Humphreys

   

  NICE Improving the management of chronic kidney disease (CKD) in primary care - Brook Butler

   

  Measuring sustainability of Chronic Kidney Disease identification improvement in primary care practices - John Humphreys

   

  Finding patients with Chronic Kidney Disease and improving the management of their disease in Greater Manchester - Gill Harvey

   

  Getting evidence into practice in the management of Chronic Kidney Disease - Brook Butler

   

  Minimising the gap between expected and recorded prevalence of Chronic Kidney Disease (CKD) in primary care - Brook Butler

   

  The CLAHRC Chronic Kidney Disease Collaborative: Improving care for patients with CKD in a primary care setting - Brook Butler

   

  Achieving more effective, quicker implementation of evidence-based healthcare in primary care practices - John Humphreys

More information

For further information, please contact  Susan Howard (Programme Manager) or Tom Blakeman (Principle Investigator)