• Led by St George’s, University of London and Kidney Research UK.
  • Partnered with the Renal Association and the Royal College of General Practitioners.
  • Ran from 2007 to 2010.
  • Focused on helping GPs identify and manage patients with chronic kidney disease (CKD), a long-standing clinical problem affecting many patients.
  • Used three different quality improvement techniques and a programme of data collection to test changes.

 

Effective management of chronic kidney disease (CKD) centres on strictly controlling blood pressure to reduce cardiovascular risk and slow the progression of CKD.

The project looked to help patients manage their condition more effectively and provide new research evidence to support patients and their health care teams. The project worked with GPs in 130 practices across south west London, Surrey, Leicester and Manchester, supporting them to better identify and manage patients with chronic kidney disease.

Identifying the techniques that work allows clinicians to flag up patients with declining kidney function and control blood pressure which can delay the need for dialysis or transplantation.

The team used three different quality improvement techniques:

  • a patient empowerment programme to increase patients’ understanding of the disease and its implications for their lifestyle
  • an audit-based education tool used to feed back data to groups of practices about their quality of care, with a local clinical champion presenting comparative data in an educational context
  • a cluster randomised trial (CRT) which aimed to improve blood pressure management for those at risk of renal failure and other associated diseases such as diabetes and cardiovascular disease.

The team found the biggest challenge in quality improvement research was linking cause and effect – ascribing change to interventions to prove they should be rolled out in other areas. To tackle this they collected data at multiple points and linked changes to the dates of interventions.

Further reading

Research report

Involving primary care clinicians in quality improvement

This is the report of an independent evaluation of our Engaging with Quality in Primary Care (EwQPC) improvement programme.

About this programme

Programme

Engaging with Quality in Primary Care

This programme ran between 2007 and 2011, and offered funding for nine projects aiming to help primary care clinicians increa...

You might also like...

Working paper

A descriptive analysis of health care use by high cost, high need patients in England

This paper explores health care use by the top 5% of users of primary and secondary care services by cost.

Invitation to tender

ITT: Summative Evaluation of the Flow Coaching Academy Programme

The deadline for responses is 12.00 on Tuesday 5 November 2019.

Apply now

Press release

New funding for diagnostic equipment falls considerably below what is needed

Health Foundation response to the Prime Minister’s announcement of funding for cancer screening.

Kjell-bubble-diagramArtboard 101

Work with us

We look for talented and passionate individuals as everyone at the Health Foundation has an important role to play.

View current vacancies
Artboard 101 copy 2

The Q Community

Q is an initiative connecting people with improvement expertise across the UK.

Find out more