About TP2

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In 2018, the NHS England personalised care team and the UK Renal Registry agreed to work together on a quality improvement initiative to follow up the work of the Transforming Participation in Chronic Kidney Disease (TP-CKD) programme.

This work will focus on one of the interventions, developed by TP-CKD, to test its effectiveness in practice and the difference its use makes to people living with chronic kidney disease.

The new programme, TP2, will build on the success of the TP-CKD programme and will underpin the move beyond measurement towards changing practice and improving patient outcomes.

TP2 programme


“Introducing a coaching intervention to clinical staff to enhance a patient’s skills, knowledge and confidence (their activation) will be a driver for delivering an improvement in clinical activation, patient activation and may also be associated with improved patient outcomes”

The aims of TP2

  • Evaluate the feasibility of introducing health coaching to support patients in renal units
  • Understand what activities are being used from the intervention pyramid and the feasibility of implementing this within renal units
  • Investigate the links between Clinical Support for Patient Activation Measures, implementation of health coaching and patient activation
  • Investigate associations between Patient Activation Measure (PAM) levels and health resource utilisation
  • Investigate the effect of an intervention on PAM levels, and explore potential links with a change in PAM, symptoms and health related quality of life

TP2 will build on everything that we’ve learned and the knowledge we’ve gained from the TP-CKD programme. It will focus on kidney patients from four renal units in England who are attending regular outpatient appointments and who are about to embark on or are making decisions about renal replacement therapy.

The four renal units taking part in the programme are:

  1. Royal Derby Hospital – University of Derby & Burton NHS Foundation Trust
  2. Nottingham City Hospital – Nottingham University Hospitals NHS Foundation Trust
  3. Birmingham Heartlands Hospital – University Hospitals Birmingham NHS Foundation Trust
  4. Royal Preston Hospital – Lancashire Teaching Hospitals NHS Trust

We will update these pages on programme progress, but if you would like regular information please sign up at the foot of this page to receive our quarterly email newsletter.

Further information on the programme


The NHS change model

The interventions pyramid

Health coaching

NHS England personalised care team

Contacts for further information