{"id":8375,"date":"2020-09-25T12:16:05","date_gmt":"2020-09-25T11:16:05","guid":{"rendered":"https:\/\/www.thinkkidneys.nhs.uk\/kquip\/?page_id=8375"},"modified":"2020-09-25T12:41:14","modified_gmt":"2020-09-25T11:41:14","slug":"london-haemodialysis","status":"publish","type":"page","link":"https:\/\/www.thinkkidneys.nhs.uk\/kquip\/london-haemodialysis\/","title":{"rendered":"Protecting people on in-centre haemodialysis"},"content":{"rendered":"\n
\"\"<\/figure><\/div>\n\n\n\n

Review of London kidney teams\u2019 response to COVID-19, March-June 2020 <\/h2>\n\n\n\n

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Summary of key themes<\/strong><\/h2>\n\n\n\n

Patient support, advice and information<\/strong> – ‘let\u2019s turn our faces to the front door<\/strong>‘<\/h3>\n\n\n\n
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  1. Meeting and greeting patients is simple but effective<\/li>
  2. How can we \u2018walk with\u2019 patients better through their journey: explore options for named nurses or case managers<\/li>
  3. Choice (and information to support it) is ever more important – for example, the communication of risk associated with in-centre haemodialysis, and provision of pathways to facilitate home therapies or supportive care where chosen.<\/li>
  4. Advanced care planning and frailty assessments are essential and should be part of routine care and conversations with patients<\/li>
  5. There is an opportunity to improve patient information across London so that it is consistent, accessible and embraces technology, ideally through one repository<\/li>
  6. Wellbeing support for both patients and staff is vital<\/li><\/ol>\n<\/div><\/div>\n\n\n\n

    Infection\ncontrol<\/strong><\/h3>\n\n\n\n
    \n
    1. A variety of approaches to segregation and isolation were implemented across London but there was no clear signal that one isolation strategy was more effective<\/li>
    2. Expansion and availability of home therapies as a treatment option can help to minimise risk<\/li>
    3. Provision of a transport hub with regular sharing of information about capacity, dynamic learning, and guidance reduced enabled units to balance the risk of missed dialysis sessions against the need to optimise infection control<\/li><\/ol>\n<\/div><\/div>\n\n\n\n

      Workforce<\/strong><\/h3>\n\n\n\n
      \n
      1. Collaboration and sharing of workforce within services and across services with rapid onsite training and refresher courses was vital<\/li><\/ol>\n<\/div><\/div>\n\n\n\n

        Next steps <\/strong><\/h3>\n\n\n\n