Primary care and AKI test results Guidance and

Primary care and AKI test results: Guidance and support Richard Fluck Chair Think Kidneys 15 th March 2016

Coming soon! 4 th April 2016 Guidance for Primary Care in responding to the e-Alerts Medicines Optimisation for Primary Care Risk Matrix STOP at risk of AKI cards AKi and Primary Care: Richard Fluck 15/01/2022 |2

Think Kidneys: Best Practice Guidance AKi and Primary Care: Richard Fluck 15/01/2022 |3

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 AKi and Primary Care: Richard Fluck 15/01/2022 |4

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 AKi and Primary Care: Richard Fluck 15/01/2022 |5

Step 1: Form Think Kidneys Primary Care Working Group AKi and Primary Care: Richard Fluck April 2015 15/01/2022 |6

Step 4: Conduct RAND Consensus Process Panel Membership: • Clinical Biochemistry • Acute & Emergency Medicine • Routine General Practice: ØOut of Hours Care ØGP Commissioning ØMedical ‘overdiagnosis’ AKi and Primary Care: Richard Fluck July-September 2015 15/01/2022 |7

Step 6: Invite feedback ! E ID O S T HA U G Y D N O N A AKi and Primary Care: Richard Fluck November 2015 -January 2016 15/01/2022 |8

Think Kidneys: Best Practice Guidance AKi and Primary Care: Richard Fluck March 2016 15/01/2022 |9

Think Kidneys: Best Practice Guidance AKi and Primary Care: Richard Fluck March 2016 15/01/2022 | 10

Think Kidneys: Best Practice Guidance AKi and Primary Care: Richard Fluck March 2016 15/01/2022 | 11

Think Kidneys: Medicines Optimisation Publication 4 th April, 2016 AKi and Primary Care: Richard Fluck 15/01/2022 | 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? AKi and Primary Care: Richard Fluck 15/01/2022 | 13

Medicines optimisation AKi and Primary Care: Richard Fluck 15/01/2022 | 14

Patient information AKi and Primary Care: Richard Fluck 15/01/2022 | 15

Patient information AKi and Primary Care: Richard Fluck 15/01/2022 | 16

STOP AKI risk cards: in pilot AKi and Primary Care: Richard Fluck 15/01/2022 | 17

Infographic on the kidneys: working with the public AKi and Primary Care: Richard Fluck 15/01/2022 | 18

Coming soon! 4 th April 2016 Guidance for Primary Care in responding to the e-Alerts Medicines Optimisation for Primary Care Risk Matrix STOP at risk of AKI cards AKi and Primary Care: Richard Fluck 15/01/2022 | 19

Contact Think Kidneys How to find out more Karen Thomas Think Kidneys Programme Manager UK Renal Registry Karen. Thomas@renalregistry. nhs. uk Richard Fluck National Clinical Director for Renal NHS England Richard. fluck@nhs. net Teresa Wallace Think Kidneys Programme Coordinator UK Renal Registry Teresajane. Wallace@renalregistry. nhs. uk Joan Russell Head of Patient Safety NHS England Joan. russell@nhs. net Ron Cullen Director UK Renal Registry Ron. cullen@renalregistry. nhs. uk AKi and Primary Care: Richard Fluck www. linkedin. com/company/think-kidneys www. twitter. com/Think. Kidneys www. facebook. com/thinkkidneys www. youtube. com/user/thinkkidneys www. slideshare. net/Think. Kidneys www. thinkkidneys. nhs. uk 15/01/2022 | 20