Take part in the National CKD Audit

From the BMJ and the CKD Audit team

Why chronic kidney disease?

CKD affects over 3 million people in the UK and kills an estimated 13,000 people annually. If prevented early on, progress of the disease can be stopped or slowed down, however this can be difficult as CKD has few symptoms in its early stages. 

Whilst most practices are testing patients at risk of CKD, specifically those with diabetes and hypertension, on average only half of patients with CKD identifiable on blood tests are being coded correctly.

The National CKD Audit aims to improve CKD in primary care by helping GPs to identify if their patients at risk for CKD have been tested; whether all those with evidence of kidney disease have been correctly coded; and whether patients have received core elements of care, as defined by the NICE quality standards.

How the audit works

The CKD audit works by collecting and analysing two rounds of data to produce reports for GP practices, CCG’s/LHBs ,as well as a publicly available national report. The audit also produces quality improvement tools to help GPs better manage patients with CKD. 

One of the key features of the audit is the serial collection of data on kidney function over time which will help practices to identify patients with CKD and to optimise the care provided to those patients already on the CKD register.

How does the audit improve care quality?

The audit software includes a Quality Improvement tool which will provide patient-specific prompts, automatically identifying those people most vulnerable, and thus helping practitioners to deliver care in line with NICE Guidelines.

Dr Sally Hull, a GP in Tower Hamlets, and lead for the Clinical Effectiveness Group at
Queen Mary University of London said, “Using the QI tool, we have identified un-coded patients, which means they will get the monitoring tests and Cardiovascular Disease management they need. The lists allow us to review CKD management and prompts discussion within the practice team”.

Nick Wilson, Deputy Renal Network Manager, NHS Wales, added, “This is a great opportunity where with minimum extra effort we can improve care for those with this common but often hidden condition. It will make a positive difference for individuals and support better informed planning of nephrology services.”

How to take part

Signing up to the audit is free and easy.

Simply visit www.ckdaudit.org.uk

  • Click 'Register'
  • ‘Register your practice’
  • Complete the form and submit

The audit has been commissioned by the Health Quality Improvement Partnership (HQIP) and funded by NHS England, as part of the National Clinical Audit and Patient Outcomes Programme (NCAPOP), and the Welsh Government.

BMJ is working on the audit with research partners The London School of Hygiene and Tropical Medicine; University College London Centre for Nephrology; and the Clinical Effectiveness Group at Queen Mary University of London.

Dr Kathryn Griffith, RCGP Clinical Champion for CKD is Chair of the National CKD Audit Project Board.

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