{"id":3130,"date":"2017-06-01T16:50:34","date_gmt":"2017-06-01T15:50:34","guid":{"rendered":"http:\/\/www.thinkkidneys.nhs.uk\/ckd\/?page_id=3130"},"modified":"2024-02-22T09:46:13","modified_gmt":"2024-02-22T09:46:13","slug":"changes-to-practice","status":"publish","type":"page","link":"https:\/\/www.thinkkidneys.nhs.uk\/ckd\/tools-for-change\/changes-to-practice\/","title":{"rendered":"Changes to Practice"},"content":{"rendered":"\n<div style=\"background-color: #f8f9fa; padding: 15px; border-left: 3px solid #007bff; margin-bottom: 20px;\">\n    <h2 style=\"color: #007bff;\">Archived Content Notice<\/h2>\n    <p>You are currently accessing the Think Kidneys website. Please be aware that this site is an archive and contains content from the Think Kidneys project, which concluded in 2019. As a result, the information presented here is no longer being updated or maintained.<\/p>\n    <p>For the most current and relevant information, we encourage medical professionals to visit the <a href=\"https:\/\/www.ukkidney.org\" target=\"_blank\" rel=\"noopener noreferrer\">UK Kidney Association<\/a> for comprehensive resources and updates in the field. Patients and their families can find valuable, patient-centric information and support at <a href=\"https:\/\/www.kidneycareuk.org\" target=\"_blank\" rel=\"noopener noreferrer\">Kidney Care UK<\/a>.<\/p>\n    <p>We would also like to inform you that the Kidney Quality Improvement Partnership (KQIP) is now part of the UK Kidney Association. For more information, please visit <a href=\"https:\/\/ukkidney.org\/kquip\/homepage\" target=\"_blank\" rel=\"noopener noreferrer\">KQIP&#8217;s homepage<\/a> under the UK Kidney Association.<\/p>\n    <p>We thank you for your understanding and invite you to explore these recommended resources for up-to-date insights and guidance in kidney care and health.<\/p>\n<\/div>\n\n\n<p>The following is a&nbsp;recommended intervention identified&nbsp;by the TP-CKD programme for implementation with both staff and patients, to test the following question:<\/p>\n<blockquote>\n<p>Can the use of intervention tools&nbsp;help to improve the knowledge, skills and confidence of patients with kidney disease to enable fuller participation in the management of their own health?<\/p>\n<\/blockquote>\n<p>To explore other interventions identified by the programme, visit our <a href=\"https:\/\/www.thinkkidneys.nhs.uk\/ckd\/tools-for-change\/\">Interventions Toolkit Home Page<\/a><\/p>\n<h2>Changes to Practice<\/h2>\n<p>The routine ways in which care is organised and delivered can have a major influence on patient engagement in their own healthcare.&nbsp; Small changes to these established practices can make a big difference.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone  wp-image-3451\" src=\"http:\/\/www.thinkkidneys.nhs.uk\/ckd\/wp-content\/uploads\/sites\/4\/2017\/06\/changes-to-practice-cropped-275x300.jpg\" alt=\"\" width=\"137\" height=\"149\" srcset=\"https:\/\/www.thinkkidneys.nhs.uk\/ckd\/wp-content\/uploads\/sites\/4\/2017\/06\/changes-to-practice-cropped-275x300.jpg 275w, https:\/\/www.thinkkidneys.nhs.uk\/ckd\/wp-content\/uploads\/sites\/4\/2017\/06\/changes-to-practice-cropped-768x837.jpg 768w, https:\/\/www.thinkkidneys.nhs.uk\/ckd\/wp-content\/uploads\/sites\/4\/2017\/06\/changes-to-practice-cropped-940x1024.jpg 940w, https:\/\/www.thinkkidneys.nhs.uk\/ckd\/wp-content\/uploads\/sites\/4\/2017\/06\/changes-to-practice-cropped-77x84.jpg 77w, https:\/\/www.thinkkidneys.nhs.uk\/ckd\/wp-content\/uploads\/sites\/4\/2017\/06\/changes-to-practice-cropped.jpg 1031w\" sizes=\"auto, (max-width: 137px) 100vw, 137px\" \/><\/p>\n<p>For example<\/p>\n<ul>\n<li>Letters can be written directly to patients and copied to GPs rather than vice versa<\/li>\n<li>Blood tests taken a few days before clinic allow real time discussion of results<\/li>\n<li>Footnotes on clinic letters with information on relevant websites<\/li>\n<\/ul>\n<p>The information below relates specifically to \u201c<em>letters addressed to patients<\/em>\u201d as an example of a changes to practice<\/p>\n<h2><strong>Letters addressed to patients<\/strong><\/h2>\n<p><strong>What are the benefits? <\/strong><\/p>\n<p>This can encourage clear, non-technical communication, give ownership to patients, enhance their engagement in, and experience of health care as well as encouraging person-centred care among clinicians.<\/p>\n<p>Patient comments:<\/p>\n<blockquote>\n<p><em>\u201cI feel he is putting me first \u2026\u201d<\/em><\/p>\n<p><em>\u201cIt\u2019s more personal to me\u201d<\/em><\/p>\n<p><em>\u201cI feel I\u2019m being treated with more respect\u201d<\/em><\/p>\n<\/blockquote>\n<p><strong>How can letters to patients be used? <\/strong><\/p>\n<p>In centres which have adopted this initiative, feedback from patients and clinicians is generally positive. Templates have been developed that promote goal setting and action planning. An initial learning curve may be required to refocus style and avoid the unqualified use of medical jargon.<\/p>\n<p>The letter can constitute a care plan.<\/p>\n<p><strong>Useful Links and Resources<\/strong><\/p>\n<p><strong>Examples of Letters to patients:<\/strong><\/p>\n<p>Click <a href=\"http:\/\/www.thinkkidneys.nhs.uk\/ckd\/wp-content\/uploads\/sites\/4\/2017\/06\/Template-NEW-low-clearance-addressed-to-patient.docx\">here <\/a>to view an example of a Letter to Patient template, designed by King&#8217;s College Hospital Renal Unit<\/p>\n<p>British Journal of Renal Medicine 2013 volume 18(1); supplement, page 21<\/p>\n<p><a href=\"http:\/\/www.institute.nhs.uk\/quality_and_service_improvement_tools\/quality_and_service_improvement_tools\/patient_information.html\">http:\/\/www.institute.nhs.uk\/quality_and_service_improvement_tools\/quality_and_service_improvement_tools\/patient_information.html<\/a><\/p>\n<p><strong>Evidence of benefit <\/strong><\/p>\n<p><a href=\"http:\/\/www.bmj.com\/rapid-response\/2011\/11\/02\/write-patient-and-send-copy-gp\">http:\/\/www.bmj.com\/rapid-response\/2011\/11\/02\/write-patient-and-send-copy-gp<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>Archived Content Notice You are currently accessing the Think Kidneys website. Please be aware that this site is an archive and contains content from the Think Kidneys project, which concluded in 2019. As a result, the information presented here is no longer being updated or maintained. For the most current and relevant information, we encourage medical professionals to visit the UK Kidney Association for comprehensive resources&#8230;<\/p>\n","protected":false},"author":130,"featured_media":0,"parent":3148,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","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,"footnotes":""},"class_list":["post-3130","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Changes to Practice - Chronic Kidney Disease<\/title>\n<meta name=\"description\" content=\"Please be aware that this site is an archive and contains content from the Think Kidneys project, which concluded in 2019. 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