Success in tackling chronic kidney disease

A GP taking someone's blood pressure.

What did we do?

We’ve worked collaboratively with Knowsley Medical Centre in Bury to improve their register of patients with chronic kidney disease (CKD). The practice has completed objective one of our Bury CKD and hypertension project, checking their CKD register to ensure everyone on it does have CKD and that they are correctly recorded. This also involved doing some work to find patients who potentially have CKD but aren’t recorded as having it.

How did we do it?

AKI kidney small 080415At the beginning of the project in 2014, the IMPAKT™ audit tool was run on the practice system and produced two lists of patients. List one showed patients who were on the CKD register but potentially did not have CKD, as well as patients whose CKD staging was incorrect and needed to be recorded differently.

List two showed patients who weren’t on the CKD register but who potentially had CKD. The practice team working on the project looked through the two lists to make sure patients were recorded properly. This wasn’t just a simple process and involved clinical decision-making and inviting some patients in for blood tests to check if they had CKD.

Key outputs and impacts

In November 2015, IMPAKT™ was re-run at the practice to provide an audit trail of the work that had been completed there. The results showed that everyone was recorded correctly, demonstrating how much hard work the team has put into ensuring their CKD register is accurate.

What next?

The practice is now working on objective two of the project to ensure that everyone on the CKD register has been albumin/creatinine ratio (ACR) tested in the previous 12 months and that blood pressures are managed to National Institute for Health and Care Excellence (NICE) guidelines.