Health Foundation December 2018
- The east London community kidney service was conceived as a renal learning health system, extending across primary and secondary care, with data providing feedback to improve the delivery of care and clinical performance.
- The two innovative components include:
- A virtual CKD clinic, in which nephrologists can see the entire GP patient record (with consent) and enter management suggestions.
- A suite of IT tools for practices to improve identification and management of CKD. A novel ‘trigger tool’ alerts GPs to cases of possible CKD progression.
- Major impacts include:
- A reduction in wait time for a specialist opinion from 64 to 5-10 days
- Only 20% of patients referred to the virtual clinic require a hospital appointment
- Significant improvements to GP identification and management of CKD.
- Nurse led self-management education for patients
- See also NHS ENgland case study New virtual clinic designed by doctors gives renal patients more specialist consultant time
