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

2. 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

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

4. 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

5. 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

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

7. 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

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

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

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

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

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

13. 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

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

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

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

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

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

19. 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

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