What did we do?
We supported GP practices to improve their identification and care for people with early stage chronic kidney disease (CKD).
Why was it important?
It is estimated that CKD affects around 6% of the UK adult population. The burden of CKD is severe, with patients having a greatly increased risk of suffering a stroke, heart attack, renal failure or death. It was identified that the number of people in Greater Manchester diagnosed with CKD was significantly lower than the estimated disease prevalence, meaning that people with CKD may not have been getting the best care and treatment.
How did we do it?
We worked with patients and healthcare staff to design the project, which had two main aims:
- To halve the gap between recorded and estimated prevalence on practice registers
- For 75% of CKD patients to be tested for proteinuria (the presence of abnormal quantities of protein in the urine, which may indicate damage to the kidneys) and managed to NICE recommended blood pressure targets.
Who did we work with?
NHS Ashton, Leigh and Wigan Primary Care Trust (now NHS Wigan Borough Clinical Commissioning Group), NHS Salford PCT (now CCG), NHS Stockport PCT (now CCG) and NHS Bolton PCT (now CCG).
Two evaluation reports have been written about the completed CKD projects:
- The NHS Ashton, Leigh and Wigan report covers all three phases of facilitated CKD implementation work between 2009-2013 in 27 Wigan borough practices
- The NHS Ashton, Leigh and Wigan, NHS Salford, NHS Stockport and NHS Bolton report evaluates CKD work in the 19 practices that formed phase one of the project in 2009-10.
For more information please contact Lorraine Burey, Project Manager.