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

Coming soon! 4th April 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 AKi and Primary Care: Richard Fluck 20/05/2019

Think Kidneys: Best Practice Guidance AKi and Primary Care: Richard Fluck 20/05/2019

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 20/05/2019

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 20/05/2019

Step 1: Form Think Kidneys Primary Care Working Group April 2015 AKi and Primary Care: Richard Fluck 20/05/2019

Step 4: Conduct RAND Consensus Process Panel Membership: Clinical Biochemistry Acute & Emergency Medicine Routine General Practice: Out of Hours Care GP Commissioning Medical ‘overdiagnosis’ A 10-person panel was identified with representation from clinical biochemistry, acute and emergency medicine and routine general practice. Individuals with an expressed interest and expertise in AKI through membership of the Think Kidneys Programme were invited as well as general practitioners who represented typical practice in relation to out of hours care, GP commissioning and those who represented a medical ‘over-diagnosis’ perspective. The panel was co-chaired by one researcher (SC), who is expert in the RAND Appropriateness Method, and a nephrologist (CT) who is expert in AKI.   July-September 2015 AKi and Primary Care: Richard Fluck 20/05/2019

A NOT SO HANDY GUIDE! Step 6: Invite feedback November 2015-January 2016 AKi and Primary Care: Richard Fluck 20/05/2019

Think Kidneys: Best Practice Guidance March 2016 AKi and Primary Care: Richard Fluck 20/05/2019

Think Kidneys: Best Practice Guidance March 2016 AKi and Primary Care: Richard Fluck 20/05/2019

Think Kidneys: Best Practice Guidance March 2016 AKi and Primary Care: Richard Fluck 20/05/2019

Think Kidneys: Medicines Optimisation Publication 4th April, 2016 AKi and Primary Care: Richard Fluck 20/05/2019

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 20/05/2019

Medicines optimisation AKi and Primary Care: Richard Fluck 20/05/2019

Patient information AKi and Primary Care: Richard Fluck 20/05/2019

Patient information AKi and Primary Care: Richard Fluck 20/05/2019

STOP AKI risk cards: in pilot AKi and Primary Care: Richard Fluck 20/05/2019

Infographic on the kidneys: working with the public AKi and Primary Care: Richard Fluck 20/05/2019

Coming soon! 4th April 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 AKi and Primary Care: Richard Fluck 20/05/2019

Contact Think Kidneys How to find out more Karen Thomas Think Kidneys Programme Manager UK Renal Registry Karen.Thomas@renalregistry.nhs.uk Teresa Wallace Think Kidneys Programme Coordinator Teresajane.Wallace@renalregistry.nhs.uk Richard Fluck National Clinical Director for Renal NHS England Richard.fluck@nhs.net Joan Russell Head of Patient Safety Joan.russell@nhs.net Ron Cullen Director UK Renal Registry Ron.cullen@renalregistry.nhs.uk 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 AKi and Primary Care: Richard Fluck 20/05/2019