North West

North West England, one of nine official regions of England, consists of the five counties of Cheshire, Cumbria, Greater Manchester, Lancashire and Merseyside.

Regional Structure

Renal Regional Lead

  • Dr Smeeta Sinha, Consultant, Salford Royal NHS Foundation Trust


  • Aintree University Hospital NHS Foundation Trust
  • Central Manchester University Teaching Hospitals NHS Foundation Trust – Manchester Royal Infirmary
  • Lancashire University Teaching Hospital NHS Foundation Trust
  • Royal Liverpool and Broadgreen University Teaching Hospital NHS Trust
  • Salford Royal NHS Foundation Trust
  • Wirral University Teaching Hospital NHS Foundation Trust

Renal Unit Quality Improvement (QI) Leads

Each unit one medical and one multidisciplinary QI lead. They are the ones who will lead on the project at their unit. They usually meet monthly, with a wider local working group to support implementation of their chosen project  in their  units


  • Collect data, on the defined objectives of the chose projects and any regionally agreed data
  • Implement any educational  and awareness materials at the set time points in the project
  • Actively participate in discussions through attendance at KQuIP regional activities, webinars / calls. This will include 7 regional study days and 2 monthly network webinars / calls.

There are:

12 KQuIP Medical QI Leads

3 KQuIP Surgical QI Leads

12 KQuIP Multi-Disciplinary QI Leads.

National QI Project

Through discussion with the regional lead and clinical directors, the region will be working on Transplant First as their main project but have agreed they have capacity to work on MAGIC.

The KQuIP Delivery Plan is a simple framework where quality improvement capability  is developed and delivered in collaboration with renal unit QI leads and KQuIP’s developmental work stream.


19th June – Quality Improvement Training Day Two – Sharing and Learning

Unit QI leads and their project team were invited to attend a full day of sharing and learning their baseline service, learn new/ add to existing QI skills and tools, and apply these skills to their project.

23rd April – MAGIC Staff Education Materials webinar

Katie Fielding, project lead, held a webinar with the QI Leads sharing the staff education tools form the Cannulation Recommendations and the e-learning modules developed by the MAGIC steering group.

3rd April – Interim Stakeholder Engagement Day

Unit QI leads were asked to invite their patients and stakeholders to attend the launch of Transplant First and MAGIC. The started with an update from Smeeta Sinha, regional lead, followed by Royal Preston patient Mark Harrison sharing his experiences of both dialysis and transplantation. Each unit involved was asked to present a ‘5 mins of madness’ (present 5 slides in 5 mins). The day ended with a world cafe session with ideas and discussions generated for improvement within the region.

13th February – Quality Improvement Training Day One – Baslining your service

Unit QI leads were invited to attend a full day of learning more about their chosen QI project, learn new/ add to existing QI skills and tools, and apply these skills to their project

December 2018- Leadership Programme

The North West completed the Leadership Programme by December 2018, by participating in a two day Renal Shortsmoor Leadership Training on the 28th and 29th November 2018 and one day Leadership into Action on the 12th December 2018:

18th October 2018 – Are You Ready for Change Workshop

To ensure sustainability of both QI projects, QI leads got involved in this workshop performing a self assessment questionnaire and producing a plan of action in preparation for change. The exercise was seen to have a positive impact on the QI leads readiness for change in their unit and organisation.

31st January 2018 – North West KQuIP Regional Day 

The KQuIP/ UKRR Regional Day was a one off event on 31st January. It was hosted within the region and brought together the renal community including medical, multi-disciplinary colleagues and patients to consider data provided by the UK Renal Registry, Public Health England and NHSBT with a focus on quality improvement, introducing KQuIP and the three national QI projects.