Renal Transplantation at UHB

Slides:



Advertisements
Similar presentations
UK Renal Registry 16th Annual Report Figure Data completeness for key variables, stratified by first modality HD = haemodialysis; PD = peritoneal.
Advertisements

Context: Approximately 1500 Discovery Health patients undergo chronic dialysis at any one time. Problem: Limited data existed to assess the quality of.
LEARNING FROM AUDIT OF TRANSPLANT LISTING WM Transplant Audit Kerry Tomlinson Sep 2014.
Transplant Annual Review Software support and process.
18 week commissioning pathways for kidney disease and renal transplantation Specialty Clinical Leads Lawrence Goldberg: CKD and ESRF pathways John Scoble:
CKD Conservative care and preparation for dialysis UK Renal Registry 2013 Annual Audit Meeting Dr Anirudh Rao Registrar, UK Renal Registry.
Use of clinical laboratory databases to enable early identification of patients at highest risk of developing end- stage kidney disease Dr David Kennedy.
ESRD Prognosis ERA-EDTA vs. Danish Renal Registry James Heaf.
End of Life Care At the West Suffolk Hospital
UK Renal Registry 17th Annual Report Figure Percentage of patients waitlisted for a kidney transplant by renal centre, prior to or within two years.
UKRR Dataset v4.1 How does it fit with the UKRDC ACTIONS IN YOUR RENAL UNIT TO IMPLEMENT THE NEW DATASET UK RENAL REGISTRY 2015 INFORMATICS MEETING: DATA.
Information, Quality and Values Donal O’Donoghue National Clinical Director for Kidney Care Working for better kidney care UKRR and NHS Kidney Care Information.
Reporting Template LAPI Exploitation Event What do I do with this template? This template is to be used for reporting on the LAPI Exploitation Events.
Teun Wilmink 1) and Sarah Powers 2), Dept of Vascular Surgery 1) and Renal Medicine 2). Heart of England NHS Foundation Trust, Birmingham.
Graham Lipkin September 23 rd 2014 West Midlands Renal Network Transplant Education & Audit.
Decisions on End of Life care in Dialysis Patients Krishna Appunu and Jyoti Baharani.
Training for organisations participating in Peer Review of Paediatric Diabetes.
Renal Transplantation at Shrewsbury and Telford NHS Trust. Sue Dean – Transplant Nurse. Suresh Ramadoss – Nephrologist and Transplant Lead. 9/7/15.
Access to Transplantation in West Midlands The call for action Graham Lipkin Wmids Transplant First Event 16 th July 2015.
PREOPERATIVE ANAEMIA PATHWAY CARDIAC SURGERY CARDIFF AND VALE UHB
The Quality Surveillance Team / Programme
Choice – 6 Steps, 6 Actions, 6 Weeks
Unit 14 – Physiological disorders
The Recipient Experience
ASSIST CKD: Scaling up an intervention to improve the management of progressive chronic kidney disease.
Lead for the quantitative evaluation
Neuro Oncology Therapy Update
UK Renal Registry 15th Annual Report
UK Renal Registry 16th Annual Report
QIP: Intravenous Iron Service for Renal Anaemia at SaTH
INTU (NIV) Pre-emptive community and in education regarding NIV
BREAST ABSCESS PATHWAY
Our Vascular Access Experience
Lancashire Teaching Hospitals TRANSPLANT SERVICES
Renal transplantation at UHCW Trust
Renal transplantation at University Hospital North Midlands NHS Trust
Exercise Referral schemes
Everyone counts: working together to tackle Delayed Transfers of Care
Cancer Waiting Times Standards
Neuro Oncology Therapy Update
Kerry Tomlinson on behalf of sponsor group
Renal transplantation at Birmingham Children’s Hospital NHS Foundation Trust Fiona Gamston Please feel free to use your own Trust Powerpoint template if.
Principal recommendations
Inquiry into geographical inequalities in breast cancer
Making MDTs better Steve Falk
KQuIP/UKRR Regional Day North West
CCG Assurance Framework Scorecard
Renal transplantation at Royal Wolverhampton Hospitals Trust
UK Renal Registry 13th Annual Report
Kerry Tomlinson on behalf of KQUIP
Principal recommendations
Worcestershire Colorectal Cancer 2ww Pathway
KQuIP Transplant first- Living kidney donor transplantation
Renal Association UK Renal Registry.
West Midlands Clinical Network
West Midlands Renal Peer Review
UK Renal Registry 14th Annual Report
ASSIST CKD: Scaling up an intervention to improve the management of progressive chronic kidney disease.
Midlands Organ Donation Services Team
Service Delivery Group – January 2019
Implementing Change to Improve the Paediatric Haemodialysis Experience
A Guide to the Sharing Information on Progress (SIP)
Renal Association UK Renal Registry.
ASSIST CKD: Scaling up an intervention to improve the management of progressive chronic kidney disease.
Neuro Oncology Therapy Update March 2019
KIDNEY TRANSPLANTATION in the CARIBBEAN -2019
KIDNEY TRANSPLANTATION in the CARIBBEAN -2019
Renal Association UK Renal Registry.
UK Renal Registry 9th Annual Report 2006
Renal Association UK Renal Registry.
Presentation transcript:

Renal Transplantation at UHB Mark Jesky Please feel free to use your own Trust Powerpoint template if you would prefer 16th July 2015

A brief description of our pathway Low clearance clinic is a vital time in renal journey Not so long ago….(2012) <50% individuals in LCC had a documented transplant decision Very few pre-emptive transplants (either live or deceased donors) Lack of transparency along transplant work up process Reconfiguration of LCC/ CKD service at UHB Key to this was introduction of MDT Clarification of work up and referral process for transplantation

A brief description of our pathway MDT Comprises Vascular access team Deceased and Live donor teams Dietician CKD nurses Doctors We discuss All patients with an eGFR <15 or an accelerated decline seen in LCC that week and All patients with an eGFR <15 due to attend the following week

A brief description of our pathway Aims to ensure each patient has documented transplant decision Letter format Documented on renal IT systems Prospective review identifies any missing information (transplantation, VA etc.) which can be targeted in clinic Format also provides an update on where people are up to in transplant (inc. pre-emptive work up)

A brief description of our pathway These changes have Reduced number without transplant status listed Improved pre-emptive transplantation (~15 last year) Enabled timely (early) listing Driven a change to patients being referred early (patients suspended without gaining days waiting but are all prepared to be activated when the time comes) – good practice & promotes pre-emptive listing/ transplantation.

Transplant List Data Is there any other relevant data that your unit routinely collects that you would like to share?

Key data (1) CKD G5 (non dialysis) patients* 32/141 (22.7%) patients currently listed for transplant 46.9% currently suspended 29/141 (20.6%) undergoing assessment or in a holding pattern 19/141 (13.5%) have no status documented (1) Please don’t go to great lengths to collect this data; if you don’t routinely collect it that is useful for us to know – we’re anticipating that many units won’t be collecting the majority of this data. (2) Please count a pre-emptive listing as zero so as not to skew the figures (3) Please provide your latest data or a summary of all data received from the UK Renal Registry

Key data (1) Dialysis patients 236/1129 (20.9%) patients currently listed for transplant 119/236 (50.4%) of listed patients currently suspended from transplant waiting list 282/1129 (25.0%) have no status documented (1) Please don’t go to great lengths to collect this data; if you don’t routinely collect it that is useful for us to know – we’re anticipating that many units won’t be collecting the majority of this data. (2) Please count a pre-emptive listing as zero so as not to skew the figures (3) Please provide your latest data or a summary of all data received from the UK Renal Registry

Key challenges for timely assessment and listing Large, diverse catchment area ~ 50% of those starting dialysis are not known to LCC both internal and external to UHB unable to benefit from MDT structure Aiming for a uniform pathway for ALL patients who are likely to progress to ESRD within 6-12 months Varying waiting time for surgical assessment (improving) What to do with patients with high BMIs? Stick to a limited number of bullet points