primary care and aki test results: guidance and support€¦ · 10 key steps: development of...
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Primary care and AKI test results: Guidance and support
Richard Fluck Chair Think Kidneys 15th March 2016
Guidance for Primary Care in responding to the e-Alerts
Medicines Optimisation for Primary Care
Primary Care Risk Matrix
STOP at risk of AKI cards
12/04/2016
Coming soon! 4th April 2016
AKi and Primary Care: Richard Fluck | 2
Think Kidneys: Best Practice Guidance
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Aims:
•Put the test result in a clinical context
•Treat the patient not the test result •Maximise clinical utility
•Minimise information overload and burden
•Ensure primary care engagement
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10 Key Steps: Development of Guidance: led by Tom Blakeman
Step 1: Form Think Kidney Primary Care Working Group
Step 2: Review existing local and national AKI guidelines
Step 3: Identify and align with other relevant guidelines
Step 4: Conduct RAND Consensus Process
Step 5: Develop early drafts
Step 6: First Round of National Feedback
Step 7: Think Kidneys Primary Care Resource Workshop
Step 8: Multidisciplinary meeting 1 (North East)
Step 9: Multidisciplinary meeting 2 (Out of Hours -Bristol)
Step 10: Second round of National Feedback
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Step 1: Form Think Kidneys Primary Care Working Group
April 2015 12/04/2016 AKi and Primary Care: Richard Fluck | 6
Step 4: Conduct RAND Consensus Process
Panel Membership:
•Clinical Biochemistry
•Acute & Emergency Medicine
•Routine General Practice:
Out of Hours Care
GP Commissioning
Medical ‘overdiagnosis’
July-September 2015 12/04/2016 AKi and Primary Care: Richard Fluck | 7
Step 6: Invite feedback
November 2015-January 2016 12/04/2016 AKi and Primary Care: Richard Fluck | 8
Think Kidneys: Best Practice Guidance
March 2016 12/04/2016 AKi and Primary Care: Richard Fluck | 9
Think Kidneys: Best Practice Guidance
March 2016 12/04/2016 AKi and Primary Care: Richard Fluck | 10
Think Kidneys: Best Practice Guidance
March 2016 12/04/2016 AKi and Primary Care: Richard Fluck | 11
Think Kidneys: Medicines Optimisation
Publication 4th April, 2016 12/04/2016 AKi and Primary Care: Richard Fluck | 12
Drugs and the relationship with kidneys
Avoid the term ‘nephrotoxic’
Effects of renal physiology, volume, electrolytes
Does the side effect profile change?
Any actions direct on the kidneys?
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Medicines optimisation
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Patient information
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Patient information
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12/04/2016 AKi and Primary Care: Richard Fluck | 17
STOP AKI risk cards: in pilot
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Infographic on the kidneys: working with the public
Guidance for Primary Care in responding to the e-Alerts
Medicines Optimisation for Primary Care
Primary Care Risk Matrix
STOP at risk of AKI cards
12/04/2016
Coming soon! 4th April 2016
AKi and Primary Care: Richard Fluck | 19
How to find out more
Karen Thomas Think Kidneys Programme Manager UK Renal Registry [email protected]
Teresa Wallace Think Kidneys Programme Coordinator UK Renal Registry [email protected]
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Contact Think Kidneys
Richard Fluck National Clinical Director for Renal NHS England [email protected] Joan Russell Head of Patient Safety NHS England [email protected] Ron Cullen Director UK Renal Registry [email protected]
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