As Chief Nurse and Director of Quality at Southern Derbyshire CCG I am responsible for quality and innovation.\u00a0\u00a0Acute Kidney Injury (AKI) has been on our radar for a while as a condition that is a really big challenge.\u00a0It\u2019s a challenge that is faced in secondary care, primary care as well as specialist and community settings, so we knew that if we could find some solutions we\u2019d have a big impact on the lives of patients and their families.<\/p>\n
We knew we needed to be innovative in our approach to the challenge and so when the National Programme for AKI swung into action last year we saw a great opportunity to drive and make some real changes \u2013 if we embraced innovation and worked with our partners collaboratively.\u00a0This coincided with Royal Derby Hospital\u2019s Renal team also articulating the need for us all to do something.<\/p>\n
One of the key elements for driving real change through innovation is to make sure goals for innovation are clear.\u00a0With AKI this was very much the case.\u00a0We knew the stats, we knew the scale of the challenge facing us and the wide range of partners we needed to work with.\u00a0It was relatively simple therefore to find some consensus around some shared and complementary goals which aligned with those of the national programme.<\/p>\n
High level buy-in\u00a0from all the partners involved was essential to help us break down barriers to change. We\u00a0established a Steering Group , becoming the first CCG Pathfinder of the National Programme\u2019s Implementation Workstream, which enabled us to bring a wide range of voices and expertise together, focused around our wonderful \u2018expert patient\u2019 Ruth.\u00a0 Ruth enabled us to tap into the patient view every step of the way.<\/p>\n
To keep innovation moving we are adopting some real \u2018step in- step- out\u2019 working to keep up momentum. So we met regularly, kept records and trusted each other to get stuff done in the times between meetings – and boy have we covered some ground in our first year.\u00a0\u00a0We have been part of some truly innovative work and we are happy to share our learning.<\/p>\n
Almost at the end of year one of our AKI CQUIN we are well on our way to achieving targets successfully.\u00a0We have a Risk Assessment Tool, Discharge Summaries and AKI education in Royal Derby Hospital, we have agreed PC Guidance notes available for GPs and Sick Day Rules,\u00a0 a PC Education and Awareness Programme including peer review and case based discussions\u00a0almost ready to launch in response \u00a0to a\u00a0 large-scale GP survey\u00a0 of our 56 practices and we are just shaping up an approach to managing AKI in care homes. We have really tried to embrace pace in our work\u00a0but we also understand this can be scary for some people – we are open to\u00a0review and adapting as we go.\u00a0It seems to be working.<\/p>\n","protected":false},"excerpt":{"rendered":"
As Chief Nurse and Director of Quality at Southern Derbyshire CCG I am responsible for quality and innovation.\u00a0\u00a0Acute Kidney Injury (AKI) has been on our radar for a while as a condition that is a really big challenge.\u00a0It\u2019s a challenge that is faced in secondary care, primary care as well as specialist and community settings, so we knew that if we could find some solutions we\u2019d…<\/p>\n","protected":false},"author":58,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"enabled":false},"version":2}},"categories":[1],"tags":[],"class_list":["post-1355","post","type-post","status-publish","format-standard","hentry","category-blog"],"acf":[],"yoast_head":"\n