The National CKD Audit and Quality Improvement Programme

for CKD in Primary Care

The project will be advised by key stakeholders, including:

From BMJ Informatica, in collaboration with UCL NephrologyLSHTMClinical Effectiveness Group QMUL

RCGP, RCP, RCNRenal Association & Renal RegistryKidney Alliance, Kidney Research UK

Informatica Systems Ltd 2013V2.0

Aims1 improve identification of CKD in primary care

Increase codingImprove testing of ‘at risk’ groupsDevelop QI tools for better patient management

2 improve management of CKD patients not requiring

3 improve timely referral of CKD patient requiring specialist review

Audit referrals through HES linkageSnapshot of referral pathways across CCGsDevelop QI tools to prompt for specialist advice

Informatica Systems Ltd 2013

specialist review

Audit against NICE targets (eg BP, CV risk assessment, CKD monitoring)Develop QI tools for primary care management

V1.0

Informatica Systems Ltd 2013V1.0

Audit TimelineYEAR 1 YEAR TWO YEAR THREE

ROUND ONE

ROUND TWO

Preparations

Pilot analysis, toolset adjustment, feedback to practices

Full extract

Analysis, coding, GP management; hospital referral; link to HES/ONS

Pilot

Audit & QI tool rollout

Informatica Systems Ltd 2013V1.0

OutputsUnderstanding variation

In primary care, and pathways into secondary careIn patient hospitalisation and outcomes

Primary Care Service improvementPractice level data available locally and at CCG level National and regional comparisons to drive improvement

Potential Research opportunitiesLinks to other databases e.g. UKRR, MINAP, CPRDEpidemiology, pharmacology, improvement studiesAnonymised data available for research groupsInternational comparisons

Informatica Systems Ltd 2013V1.0