Salford CCG sick day guidance card.

Salford CCG sick day guidance

Project: NHS Salford Clinical Commissioning Group (CCG) sick day guidance

What did we do?

We aimed to prevent acute kidney injury (AKI) and optimise vascular health in primary care.

Why is it important?

Up to one in five emergency admissions into hospital are associated with AKI, with evidence of increased frequency, intensity and duration of hospitalisation. AKI is a syndrome which is common, harmful, costly and preventable, and it is associated with significantly worse short and long-term outcomes. Preventing it is critical.

How did we do it?

The overall aim of the project was to deliver and evaluate the process of implementing and using AKI prevention initiatives.

Phase 1: A sick day guidance card was administered by general practices and community pharmacists to some patients who may have benefited from stopping certain medicines (those listed on the cards) during illness (to avoid damaging the kidneys).

Phase 2: Medicine management pharmacists in primary care implemented kidney health initiatives to support AKI prevention.

We analysed the implementation of the sick day guidance cards in general practice and community pharmacy, and determined the factors influencing the acceptability of kidney health initiatives to patients at risk of AKI and their carers.

We gained an understanding of the role of medicine management pharmacists play in implementing kidney health quality improvement initiatives. We produced a  report and an executive summary for NHS Salford CCG to inform future care and research.

The following resources form a key part of this project.

Who did we work with?

NHS Salford CCG and Salford Royal NHS Foundation Trust.

Project steering group

Rachel Airley (NIHR Clinical Research Network: Greater Manchester)
Tom Blakeman (Manchester Academic Health Science Centre, NIHR CLAHRC Greater Manchester, University of Manchester)
Rebecca Elvey (Manchester Academic Health Science Centre, NIHR CLAHRC Greater Manchester, University of Manchester)
Jason Farrow (NHS Salford Clinical Commissioning Group)

Paolo Fraccaro (The University of Manchester)

Sam Glynn Atkins (NHS Salford Clinical Commissioning Group)

Janet Hegarty (Salford Royal NHS Foundation Trust, NIHR CLAHRC Greater Manchester)

Susan Howard (NIHR CLAHRC Greater Manchester)

Liz Lamerton (Salford Royal NHS Foundation Trust)

Anne-Marie Martindale (NIHR CLAHRC Greater Manchester, Manchester Academic Health Science Centre, University of Manchester)

Aneela McAvoy (NIHR CLAHRC Greater Manchester)

Sheila McCorkindale (NHS Salford Clinical Commissioning Group, NIHR Clinical Research Network: Greater Manchester)

Rob Nipah (Salford Royal NHS Foundation Trust)

Neils Peek (The University of Manchester)

Smeeta Sinha (Salford Royal NHS Foundation Trust, Manchester Academic Health Science Centre, University of Manchester)

Claire Vaughan (NHS Salford Clinical Commissioning Group)

Sue Wood (NIHR CLAHRC Greater Manchester)

In collaboration with NHS Highland:
C Morrison (NHS Highland)
M Wilson (Raigmore Hospital, NHS Highland).

More information

For further information, please contact Dr Susan Howard, Programme Manager, or Dr Tom Blakeman, academic lead.  A detailed case study on this project is also featured on the Think Kidneys website.