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Taking Acute Kidney Injury to a Whole New Level
We’ve recently just completed a piece of work in collaboration with Manchester Health & Care Commissioning (MHCC), exploring processes of care for Acute Kidney Injury (AKI).
AKI is an emerging priority clinical area, due to significantly worse short and long-term outcomes for patients, and also because of the huge costs associated with its effects (~1% of the total NHS budget).
We worked with a small number of GP practices in the MHCC footprint to explore in detail the issues around management of patients with AKI, with a particular focus on the transition in and out of hospital - which is sadly a common occurrence for these patients (1 in 5 emergency hospital admissions are associated with AKI). The learning from this work has been useful on a number of levels:
The GP practices involved have reflected on their own processes of care for this patient population, and made local improvements where identified/feasible.
We then shared our findings at a Citywide educational event, and other practices in the locality have since told us they also intend to make improvements with their own teams.
We worked closely with the AKI specialist team at Manchester University NHS Foundation Trust (MFT) throughout this piece of work, facilitating local links between primary and secondary care. The learning was fed back to Trust to inform future improvement work.
The findings from practices in MHCC has also fed into a wider piece of work we’ve been conducting with the Royal College of GPs, which has informed the content of a newly created primary care toolkit, which is now a nationally available resource to support primary care teams manage AKI.
Our work to understand and improve AKI continues, through several closely aligned projects across the Greater Manchester region.
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