Acute Kidney Injury

Acute Kidney Injury (AKI) QI Project 

Acute Kidney Injury has been identified as a global priority for improving patient safety and health outcomes. In the UK, alongside sepsis, it has been recognised as a clinical priority that is central to delivering the vision of the Five Year Forward View by NHS England.

As a syndrome (not a condition), AKI offers a lens to shift away from a single disease framework and improve patient safety for people with a range of conditions, particularly those taking multiple medicines and living with complex health and social care needs. 

Through the Think Kidneys Programme, national levers have been introduced to improve the prevention, detection and management of AKI. By focusing on AKI there are recognised opportunities to drive improvements in: medication safety; safer transitions of care; and safety for vulnerable patients and their carers.

Following on from the 2017-18 AKI project, which aimed to improve the recognition and response to AKI in primary care, this year the project will focus on the post-AKI care. 

We will work in partnership with Think Kidneys; NIHR CLAHRC Greater Manchester; Kent, Surrey, Sussex Academic Health Science Network (KSS AHSN); and North East and North Cumbria Academic Health Science Network (AHSN NENC), NIHR Greater Manchester Patient Safety Translational Research Centre, NHS Education for Scotland and Healthcare Improvement Scotland to deliver this 12 month project. 

Clinical team 

Dr Tom Blakeman

Tom has been a GP for over 19 years and is a Clinical Senior Lecturer at the Centre for Primary Care. Tom is also the GP Clinical-Academic Lead for the NIHR CLAHRC Greater Manchester Kidney Health Programme. 

Aims of the project

Through the lens of AKI, the project supports the implementation of quality improvement methods into routine practice. In doing so, it enhances patient safety in general practice and at the interfaces care. 

The AKI Quality Improvement (QI) project will ensure the implementation of QI initiatives is grounded in an understanding of routine clinical practice.

Key outputs

Acute Kidney Injury Toolkit

Forthcoming work 

We hope to develop established guidelines for GPs regarding the management of post-AKI patients in primary care through conducting a RAND Consensus Study. The guidance will support GPs and practice teams to embed tried and tested guidelines to improve post-AKI management in primary care. 

We will also be developing a series of podcast focused on different aspects of AKI. 

If you are interested to know more, get in touch via  


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