Chronic Kidney Disease
As part of the wider Cardiovascular Disease Prevention Programme, HI NENC is delivering a Chronic Kidney Disease (CKD) programme. The CKD programme will focus on improving earlier diagnosis and supporting early medical treatment of people with CKD to slow disease progression and reduce the development of cardiovascular comorbidity.
The programme will be delivered in collaboration with the NENC Renal Operational Delivery Network.
Aim
To help prevent cardiovascular disease such as heart failure and to reduce the progression to end stage renal disease, including the requirement for dialysis.
Delivery in the North East and North Cumbria
HI NENC will support Primary Care Networks (PCNs) to implement the North East and North Cumbria renal Operational Delivery Network Guidance for CKD and improve diagnosis rates in people with CKD.
A key priority of the programme is to reduce health inequalities; we know that approximately 50% of coded CKD resides in 20% of practices within the areas of highest socio-economic deprivation. We aim to work with our partners, including the North East and North Cumbria Integrated Care System (ICS) to ensure that activities are focused on areas of higher deprivation and groups of people who are at higher risk of developing cardiovascular disease as a result of their CKD.
Programme activities will include:
- Detection of people with CKD through case finding interventions through identifying patients on electronic record systems who may have CKD but who are not coded as such based on previous lab results.
- Where people with CKD have been identified, risk stratification will ensure optimised management according to National Guidelines.
Benefits
- Improving CKD outcomes in this way will deliver savings for the region through improved coding, CKD identification and early treatment resulting in halting or delaying End Stage Kidney Disease and reduced dialysis.
- The development of best practice for clinicians and healthcare providers. This will include resources to support and disseminate best practice across the region, embedding and training a primary care pharmacist to promote a culture of early identification, and treatment of CKD meeting GIRFT goals.
CDRC
- Using the searches provided by Clinical Digital Resource Collaborative (CDRC), it is possible to identify cohorts referenced above to support GP practices in managing their CKD populations.
- CDRC digital resources are designed and developed in the North East and North Cumbria by local clinicians. Their work is supported by NHS England, North of England Commissioning Support (NECS) and HI NENC.
- All CDRC resources are available at no cost to Primary Care users and available in SystmOne and EMIS. Click the links below for more information.
Hear from Dr Tom Zamoyski in the below video, who demonstrates how the CKD SystmOne resources can be used.
For more information contact Chris Gray.
Resources
CVDPREVENT is a national primary care audit tool that automatically extracts routinely held GP data covering diagnosis and management of high risk conditions that cause stroke, heart attack and dementia, including Chronic Kidney Disease
The tool provides a foundation for quality improvement in individual GP practices and supports primary care in understanding how many patients with CKD are potentially undiagnosed, or under or over treated. The audit provides data to highlight gaps, identify inequalities, and opportunities for improvement.
Visit the website for resources
Primary Care Cardiovascular Society (PCCS) education module
Chronic Kidney Disease Quality Improvement Programme
This Quality Improvement (QI) programme is designed to support primary care teams to understand the importance of Chronic Kidney Disease (CKD), how to improve coding, embedding processes to detect CKD, and how to optimise patients with CKD. The programme can be found on the PCCS website.
Patient animations
A series of animations for patients can be found below. You can also view them through the YouTube playlist here.
The content has been created to help people understand their kidneys better, how to keep them healthy and what medicines can help their kidneys. These videos are for information only and not a substitute for medical advice.
Please note: HI NENC is not responsible for the content within these videos. The animations have been created by clinicians at University Hospitals of Leicester NHS Trust, who have kindly given HI NENC permission to share amongst our networks.
Your kidneys and what they do
What is Chronic Kidney Disease (CKD)
What is my risk of kidney failure with CKD
What are SGLT2 inhibitors – Chronic Kidney Disease
How to keep your kidneys healthy
High blood pressure and the kidneys
Anaemia and the kidneys
Tests to check kidney function
What is dialysis
What is a kidney transplant
High cholesterol and the kidneys
Chronic kidney disease and mineral bone
Using digital systems to detect and manage patients for CKD
Join us for the second webinar in a series designed to teach primary care staff more about CKD and the resources available to detect and treat it.
Past event - Chronic Kidney Disease: Detect, Protect, Perfect
A series of webinars about CKD and the resources available to help you to improve outcomes for people with CKD.