KQUIP design event - master slides

Kidney Quality Improvement Partnership (KQuIP)Design Event

Birmingham,17 May 2016

17.05.2016Kidney Quality Improvement Partnership | Design Event | James McCann 2

Approx. times Outline Programme of the Day

09:15-10:00 Registration

10:00-10:15 Housekeeping, welcome and introductions – Ron Cullen, Chief Executive, UK Renal Registry

10:15-11:15 Trios Approach – Group work 1

11:15-11:30 Feedback

11:30-11:50 What is KQuIP and what can it do for the kidney community - Graham Lipkin & Louise Wells, Co-chairs of KQuIP

11:50-12:10 The renal community and the ever changing quality improvement landscape (including Q Founding Cohort Role) - Richard Fluck & Jane MacDonald, Q founding cohort members

12:10-12:20 Patient perspective - Fiona Loud, Patient Representative

12:20-13:00 Q&A Session - Ron Cullen, Chief Executive, UK Renal Registry

13:00-13:30 Lunch

13:30-14:30 Group work 2


15:00-15:30 Group work 3


15:50-16:00 Closing reflections and next steps - Graham Lipkin & Louise Wells, Co-chairs of KQuIP

16:00 Close


Housekeeping, welcome and introductions10:00-10:15

Ron Cullen, Chief Executive, UK Renal Registry

Housekeeping, welcome and introductions



Trios ApproachGroup Work 110:15-11:15


Facilitators: Louise Wells, Edward Kingdon & Daljit Hothi

Trios Approach

Trios Approach-Group Work One

Each person to take some post-it notes

On your own put down your initial answer to the three questions posed below

Label the post it note A, B or C depending on which question it relates to

You can give more than one answer to an individual question but each answer needs to be on a separate post-it note


Trios Approach

A - What are the barriers to Quality Improvement locally? B - What are the key clinical areas we can improve on? C - What fundamentals do we need in place to make QI happen?


Trios Approach

Get together in a group of 3 (trios)

One person is A and all answers related to question A are discussed, and passed to this person

One person is B and all answers related to question B are discussed, and passed to this person

One person is C and all answers related to question C are discussed, and passed to this person


Trios Approach

Around the room are 3 templates labelled A, B and C

The person who has all answers from the trio labelled A goes to the A area in the room, Answers B goes to area B etc.

Once at the flip chart the post-it notes are grouped into themes by the facilitator and stuck on the template.

Work with your other group colleagues to discuss and group the answers.

Have a discussion in the A, B, or C area and agree who will feed the top 3 themes back into the room – these will be linked into the rest of the day



Feedback – 5 mins per A, B and C group11:15-11:30


Trios Approach – 3 Key Themes


QUESTION A

What are the barriers to Quality Improvement locally?

The Renal Community is recognised for innovation in healthcare strategy and service delivery, working across the multi-professional team together with patients. However, facilitators identified 4 key themes raised by participants.

A belief of lack of time for improvements in quality of care, mainly to have time to think and develop initiatives within the scope of their current roles, which often didn’t explicitly define quality improvement as part of a job plan. We had 42 responses that related to this theme.

A belief that there is a lack of resources for QI, not just financial, but also access to training in QI methodology at all levels, and sharing of good practice between renal units. We had 18 responses that related to this theme.

Leadership in QI was currently seen as a barrier. There is little training for current or future leaders of the renal community at departmental, organisational or national levels. We had 15 responses that related to this theme.

Culture was seen to be a barrier. Participants identified change fatigue as a key barrier to making progress or a sense that making improvements was someone else’s job. We had 34 responses that related to this theme.



QUESTION B

What are the key clinical areas we can improve on?

Participants identified umbrella themes regarding unwarranted variation in outcomes for patients with kidney disease identified by the Renal Registry and in primary care. Featuring strongly was the understanding of the changing nature of professionals’ roles, the number of people working in those roles and the emphasis on streamlining services.

Key priority areas for improvement identified include:

Acute Kidney Injury. Improving identification and improving pathways of care around acute kidney injury (AKI) could be improved upon We had 29 responses that related to this theme.

Improving access to kidney transplantation We had 25 responses that related to this theme.

Improving access to home dialysis therapies for suitable patients We had 28 responses that related to this theme.

Improving incident and prevalent rates of arteriovenous fistulae in haemodialysis patients. We had 14 responses that related to this theme.



QUESTION B

What are the key clinical areas we can improve on? Continued…

Transitional care between paediatric and arrangements for optimising patient choice, especially around access to services and choice of dialysis modality We had 9 responses that related to this theme.

Improved provision of patient education and information. We had 7 responses that related to this theme.

Patient self and shared care were seen as opportunities for improvement. We had 4 responses that related to this theme.

Patient safety especially around dialysis care, medicines management and infection control. We had 11 responses that related to this theme.

In reflecting on the feedback to this question, Ron Cullen, pointed out that many of these improvements required collaboration and co-production with patients. This can take longer, but can lead to better outcomes. He urged the faculty members to just get on with looking at quality improvement initiatives rather than waiting to be told to do it.



QUESTION C

What fundamentals do we need in place to make QI happen?

Culture was once again identified as a key enabler to improve quality. Feedback suggested that professionals should look more often at things they should stop doing, about being more collaborative, involving patients more and accepting that all have a responsibility to improve quality. Trust and primary care Chief executives who are quite vocal and supportive of quality improvement tend to bring influence to the culture that will make initiatives sustainable and measurable. We had 52 responses that related to this theme.

Collaboration between Units, with primary care and patients was another continuous theme for the day. Design, sharing and facilitation of quality initiatives was seen was seen as key, using opportunities to share what does, and doesn’t, work. We had 43 responses that related to this theme.

Commitment-participants felt improving quality was something all should be doing. There was a sense that people should just be getting on with it, avoiding putting people into boxes defined by being an expert versus their expertise. Maintaining the capacity and capability for QI in kidney services, increasing the KQuIP faculty was felt to be vital. We had 22 responses that related to this theme.

Stability-KQuIP was professional and patient led and thus be stable in a time when NHS structures are constantly changing. We had 10 responses that related to this theme.


What is KQuIP and what can it do for the kidney community11:30-11:50

Graham Lipkin & Louise Wells, Co-chairs of KQuIP

Background

17.05.2016Kidney Quality Improvement Partnership | Design Event | Graham Lipkin & Louise Wells 16

UK Kidney Community has a proud history of high quality measurement, reporting of clinical outcomes & innovation

... and working with patients


..and planning with patients for best outcomes


CPG Renal Association


Notable QI Successes


Dialysis catheter-associated MRSA bacteraemiaImproved AV Fistula access rates

Successful ongoing QI ProjectsNHSEng/UKRR: Think Kidneys: AKI program Board, Assist CKDPatient activation………

Guidance on Quality Improvement


www.kingsfund.org.uk/sites/files/kf/field/field_publication_file/Improving-quality-Kings-Fund-February-2016.pdf

Why KQuIP?


‘Its what’s needed’!

5 Year Forward view: renal services not priorityNCD role lost & Renal dialysis and Tx CRG mergedRegional Network collapse (need to support)CKD in primary care: Loss of CKD QOF

Renal Units have no coordinated enabling structure to improve quality

Why is KQuIP Needed?


Major unwarranted variation persistsCommunity require more QI structure & support..Need to build capacity & capability in QILittle education/leadership training in QIDo not routinely share (good) practice, SOPs..… nor do we focus on processes factors which underlie outcomes. Need stability and consistency

Call to arms!

Variation: Pre-emptive Transplantation & Home Dialysis Rates


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KQuIP

00.00.0000Kidney Quality Improvement Partnership | Title | Author 25

Kidney Quality Improvement Partnership (KQuIP)


Inclusive: Clinical leadership (RA, BRS, BAPN, BTS)

KQuIP is an inclusive partnership of clinicians & patient groups whose purpose is to facilitate measurable (Registry) improvement in the quality (QI) of services for patients with kidney disease in UK .

KQuIP

KQuIP

UK Renal Registry

Health Foundation

KRUK

PatientsBKPA/NKF

NHSEngland

RA/BRSBAPN

BTS

Work so far: Programme Board


Co-Chair: RA & BRSInclusive Project management (Registry)PaediatricsHome Counties6 Active work StreamsWebsite developedLaunch during Renal WeekKQuIP Operational Group (KOG)

Operational Strategy+ TOR

KQuIP

UK Renal Registry

Health Foundation

KRUK

PatientsBKPA/NKF

NHSEngland

RA/BRSBAPN

BTS

KQuIP Work Streams


Leadership Development: Richard Fluck

Supporting Networks: John Stoves

Measurement: Katie Fielding

Education: Dal Hothi

Projects: Hugh Gallagher

Communications: Paul Bristow

What will KQuIP do? - It will support NOT replace


Be inclusive- form expert advisory partnership patient and professional groups tasked with supporting sustainable QI projects in kidney services. Identify & enable specific QI projects, supporting education in QI methodology & clinical leadership roles Measurement of clinical outcomes. It will provide support & advice for QI projects to National & Regional NHS structures. Support sharing of innovation and good practice

What can KQuIP add?


Cohesive inclusive support; coordinationProject management supportRenal Networks: advise & supportCentral Knowledge management IT system• Repository, education around projects QI Education support (webinar-video, Courses)Professional society Support to Renal UnitsRegistry metrics/expertise/analysisKQuIP: dedicated QI sessions at the UK Renal week 2016Sustainability: Professional societies & clinician groups stable

Key Ambitions


Identify the need for and offer support and advice for QI projectsSupport a QI learning structure through increasing and sharing good practice and innovationIdentify renal QI championsMeasure clinical outcomes and use data to identify and respond to unwarranted variation in patient care.

KQuIP - Driving Quality Improvement


Nationally at strategic level through advice to Clinical Reference Group.Regionally by supporting existing Clinical Networks and by delivering an annual UK Renal Registry/KQuIP quality improvement day.Locally at renal unit level through UK Kidney Week activity, supporting the sharing and dissemination of good practice, supporting a renal unit peer-assist programme and supporting local quality improvement projects.

KQuIP Ambitions-National Role

• Engage with Renal dialysis and Transplant CRG» Advice potential key projects – Registry: unwarranted variation &

professional groups & patients» Engage with NHSE structures

• RightCare• Commissioning for Value

» Research in QI methodology-step wedge trial design• Home Countries

» Wales and Northern Ireland-» Scotland

• Children• Training (StR & MPT)


KQuIP Ambitions- Renal Units


Credible – professional advisory group: medical and MPT. Repository: Education platform….Projects/methodology, leadership training, project resourcesCentral Peer Assist Support, Development of Regional QI networks.KQuIP: supports & encourages additional local QI projects (RA/BRS/BAPN/BTS)

Ambitions: Regional Clinical Renal Networks


Networks have a Key role in Quality ImprovementProject Management support-now pressingAnnual Regional KQuIP meetings: Registry/QI-development.Peer Support….Peer reviewCentral repository & Education platform resource: Basket of projects relevant to RegionMethodology education & clinical leadership support for clinicians (MPT partnership).Invest for future: Engage StRs: Regional QI projects & Curriculum

KQuIP Resources


Seed funding

• £5000 from constituent organisations

• HF Grant

Additions grants planned

Sustainable funding

• Negotiation on Tariff with Monitor (QI defined in service specification)

• NHSE-Right Care & Commissioning for Value?

K-QuIP

Registry

Health Foundati

onKRUK

PatientsBKPA/NKF

NHSEngland

RA/BRSBTS/BAPN

KQuIP has been developed by the renal community for the renal community


An opportunity to engage with, learn about and contribute to the

development of KQuIP and each of the work streams.

Discuss and build on:

• What’s required to deliver KQuIP

• Promote KQuIP and encourage the involvement of kidney teams

• Engagement; commit to shape and inform the future of KQuIP


The renal community and the ever changing Quality Improvement landscape (including Q Founding Cohort Role)11:50-12:10

Richard Fluck and Jane MacDonald, Q founding cohort

The commissioning of specialised services in the NHS NAO

April 2016Financial pressure

Capacity and capability

Patient focus lacking

Fragmentation

17.05.2016Kidney Quality Improvement Partnership | Design Event | Richard Fluck 39

Response at Health Select Committee

Ensure that Patients get high quality care

Quality agenda

Get maximum bang for the buck out of the enormous sums going in

Value agenda

Linking up the specialist parts of services with the local part

Collaboration

CEO NHS England


The situation – challenge to renal

Loss of NCD role

Change in CRG role

SCN loss of renal agenda


The situation - positives

The CRGs will be retained with a leadership role

Links with CVIN, Right Care, Commissioning for value and PHE

Think Kidneys

Patient Safety Collaboratives & AHSN

Several Renal Q members


New data and clinical areas

43Kidney Quality Improvement Partnership | Design Event | Richard Fluck 17.05.2016

New data and clinical areas

4417.05.2016Kidney Quality Improvement Partnership | Design Event | Richard Fluck

Skills, Knowledge and confidence cube


Developing a narrative

Public understanding of the kidneys

IPSOS Mori poll 2014 general population

51% knew kidneys make urine

8% thought the kidneys pumped blood

12% were aware of role on medicines processing


The situation - assets

The stakeholders

Kidney Health Delivering Excellence

KQUIP

UK Renal Registry

The associations

The providers

Need for consistency


Opportunity

Bind data and improvement agenda into service specification

Data – patient/clinical/commissioning – gathered and analysed by UKRRImprovement agreed with CRG and KQUIPWorkforce development in specificationsPeer review -> networks

Forge link with CRG and NHS ImprovementNational Q Renal group to support leadership


What is Q


What does Q stand for?

‘If this succeeds, the NHS in the UK will be leading the world in creating, at national scale, system-wide capacities for improvement. it is an appropriate, indeed thrilling, next step for an NHS that already has a heritage of sound investments and a proven track record in quality improvement.’ Professor Don Berwick President Emeritus and Senior Fellow Institute for Healthcare


Who sponsors Q?

We have, through Q, a unique and precious opportunity to set the nations’ ambition to become a learning environment to improve our health and care. is will create the momentum in which we can truly develop the conditions for success and investment in the future of improvement. Dr Mike Durkin Director of Patient Safety formerly NHS England now NHS Improvement


Action from Q: grow the network

“Q stands for quality. Q is a diverse and growing community of people, with experience and understanding of improvement, committed to improving the quality of health and care across the UK.”


Action across the system - needs

Secure funding for UKRR and KQUIP

Integrate CRG agenda with stakeholder agenda

Re-establish provider networks

Strategy at CRG/stakeholder level driven by data held by UKRR and improvement at regional level led by networks and supported by KQUIP


Put it togetherWhat

Define endpoint and strategy at CRG/stakeholder level Why

Driven by data and analysis by Renal Data ConsortiaHow

Improvement at regional level led by networksWho

Supported by KQUIP/KHDE and other stakeholders

Drive collaborative commissioning agenda at regional level to a) engage CCG and b) consolidate networks

Improvement owned by all, a requisite of commissioning and securely funded



Patient Perspective12:10-12:20

Fiona Loud – Patient Representative, British Kidney Patient Association

Where we are now

National Clinical Director role has goneStrategic Clinical Networks ‘downgrading’ renalAbsence of response from NHS England leadershipLess incentive for improving detection and management within primary care (QoF, CKD Audit take up too low, apart from Wales)Budgetary challengesAnd yet 45,000 pa die prematurely from kidney disease (NHS Choices et al)

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What patients are talking about

Their transplants and how to look after themWanting to go on holiday & insuranceFundraisingSuffering from infections, how to avoid them, ShinglesMedications – confusion, side effectsSurgery: organ donation, fistula and PDAnaemia in childrenBeing sad especially when highly sensitised Anticipating death


Kidney Health: Delivering Excellence


Ambitions


Awareness

Identification

Self-management

Person-centred care

Acute Kidney Injury

Preparation & Choice

Equity in Transplantation

Increasing Transplantation

Living well with a transplant

Dialysis as a specialised service

Lifestyle on dialysis

Care for children and young people

Allied services

Expert care (renal diseases, pregnancy)

Research

Conservative and end of life care

3 Year Kidney Health Survey


Echoes what patients are saying every day

Person-centred care the most important ambition

KQuIP – an opportunity


To bring us together

To focus on what matters to patients

What’s the problem?

What does it mean to us?

What can we do about it?

To reduce variability in access to choices of care

To motivate and grow new leaders

To showcase and share what is best in renal

To spread and sustain good practice



Q & A Session12:20-13:00



Lunch13:00-13:30


Group Work 2 – KQuIP Workstreams13:30-14:30

Ron Cullen, Chief Executive, UK Renal RegistryLeadership – Chair Richard FluckSupporting Networks – Chair John StovesMeasurement and understanding – Chair Katie FieldingEducation – Daljit Hothi to lead for eventProjects – Hugh Gallagher to lead for eventCommunication – Paul Bristow to lead for event

Group Work 2 - Workstreams

Quick 1 Minute Workstream Elevator PitchThe 6 workstreams are as follows:

Leadership – Chair, Richard FluckMeasurement and Understanding – Chair, Katie FieldingEducation – Daljit Hothi to lead for eventProjects – Chair, Hugh GallagherCommunication – Paul Bristow to lead for eventSupporting Networks – Chair, John Stoves


Leadership WorkstreamElevator Pitch

Richard Fluck, Leadership Workstream Chair

Identify current & futures leaders – expand the pool

Via a regional network structure

Identify who the current and future leaders are including professionals and patients from all disciplines via network structure

Identify the leadership model most appropriate for the renal community

Develop a small cohort of leaders for the first wave – 6-10 members ensuring diversity

Develop an application process to attract and recruit leaders

17.05.2016Kidney Quality Improvement Partnership | Leadership Workstream | Richard Fluck 70

Identify current & futures leaders – expand the pool

Identify who the current and future leaders are including professionals and patients from all disciplines via network structure

Identify the leadership model most appropriate for the Renal community

Develop a small cohort of leaders for the first wave – 6-10 members ensuring diversity

Develop an application process for attracting leaders


Develop leadership – train the leaders to lead

Support the embedding of QI methodology and leadership training in to Renal Registrar & MDT curricula

Work with the education workstream to identify any QI resources that are appropriate to cover the leadership agenda

Identify the skills, knowledge and attitudes required of the leadership model

Identify development pathways for the current and future leaders

Identify resources to deliver on strategic leadership as well as operational and quality improvement excellence


Maintain the leadership pool

Support leadership in QI and patient safety amongst the Renal Unit triumvirate (Clinical director, Renal Matron and Business Manager

Identify how we will measure leadership and understand how it differs from management

Establish a mentor system to support others in the renal community


Measurement and Understanding WorkstreamElevator Pitch

Katie (Catherine) Fielding, Measurement and Understanding Workstream Chair

Measurement and Understanding Workstream

Measure quality

improvementIdentifying

correct outcomes to

measure, using the correct

toolsSupporting

development in renal

community

Kidney Quality Improvement Partnership | Measurement and Understanding Workstream | C A Fielding 75

Clinical processes and outcomes

Patient safety measures

Patient reported outcomes

Economic measures

MDT approach

NephrologistsNursesPhysio

OTClinical Scientist

PsychologistQualitative

expertEconomist

UKRR

How do we make this meaningful?

How can we support units?

Where do we fit into the process?

What do we need to do next?

Education WorkstreamElevator Pitch

Daljit Hothi, Education workstream lead for the design event

17.05.2016Kidney Quality Improvement Partnership | Education Workstream | Daljit Hothi 77

Education Workstream

“Every system is perfectly designed to get the results it gets….”We have a relationship with the challenges we face and a responsibility to be curious, try to understand them and make changes for improvement

Education Workstream

Today…..What’s the QI learning needs for the renal community?What does the e-learning & knowledge management platform for QI look like?

Identify current programmes and resourcesEstablish and develop a QI faculty to support regional and national trainingDevelop the Renal Unit peer assist model as an education tool

What are the hooks to commit to QI learning?• build into undergraduate and postgraduate education programmes?• job plans and selection processes?• accreditation?

17.05.2016Kidney Quality Improvement Partnership | Education Workstream | Daljit Hothi 78

Projects WorkstreamElevator Pitch

Hugh Gallagher, Projects Workstream Chair

KQuIP Projects Workstream

NationallyPrioritisationDeveloping/testing large-scale interventionsCentral repository of UK QI activity

17.05.2016Kidney Quality Improvement Partnership | Projects Workstream | Hugh Gallagher 80

Regionally & LocallyWorking with Networks: developing expertise/sharing experienceQI support for existing programmes

“Collaborative enterprises, involving research or design, that are carefully planned to achieve a particular aim”

Refine/agree scopePracticalities and deliverables

KQuIP Projects Workstream

Body copyBullet copyBullet copyBullet copy

17.05.2016Kidney Quality Improvement Partnership | Projects Workstream | Hugh Gallagher 81

Communications WorkstreamElevator Pitch

Paul Bristow, Communications workstream lead for the design event

17.05.2016Kidney Quality Improvement Partnership | Design Event| Paul Bristow 83

“Regardless of how great your vision, how well you communicate will play a major part in whether you achieve it”

Communication Workstream Goals

To raise the profile of KQuIP and its work amongst all key stakeholdersEstablish a strong, credible brand and identityRaise awareness and Understanding of KQuIP – its role and support Engage and inform the kidney community with relevant, added value information• “the right information to the right people at the right time”Underpin and support a vibrant, active QI culture

17.05.2016Kidney Quality Improvement Partnership | Design Event| Paul Bristow 84

Supporting Networks WorkstreamElevator Pitch

John Stoves, Supporting Networks Workstream Chair

The KQuIP Supporting Networks Workstream

Regional Renal Networks can be an effective way of supporting the implementation of national service improvement projects across a number of regional centres.This KQuIP Supporting Networks Workstream will examine how the outputs of KQuIP can be delivered effectively. Its tasks include:-Mapping the current and future infrastructure of regional networksEstablishing what is required by regional networks to promote quality improvement programmes, including education, training, resources, skills, intelligence and communication.17.05.2016Kidney Quality Improvement Partnership | Design Event | John Stoves 86

KQuIP – Supporting Networks Workstream

Liaising with key stakeholders in each region to promote the value of regional networksCreating effective links between networks to facilitate shared learning and wider adoption of innovations - peer assist/ peer reviewEvaluating the network models as they develop and sharing the learning

17.05.2016Kidney Quality Improvement Partnership | Design Event | John Stoves 87

Group Work 2Workstreams


Group Work 2 – Workstreams – Template 1

Please can everyone join one of the 6 workstream stations around the room. Please choose a workstream that you feel you can add most value to. Please bear in mind numbers as we would like an equal spread across all workstreams.Each workstream will review and discuss their current draft scopes making any amendments and considering the potential future outputs.The facilitators will then capture all feedback onto the templates provided.You will have approximately 25 minutes to complete this.


Group Work 2 – Questions - Template 2

Within your current workstreams, please consider the following questions based on the identified stakeholder groups:-

What are the key messages from this workstream?How do we reach the key stakeholder groups identified?How often should we communicate with this stakeholder group and the best medium / forum?What is our offer to the stakeholder groups identified?

The facilitators will capture the feedback on the second template provided. You will have approximately 25 minutes to complete this.


Group Work 2 – Key stakeholder groups – Template 2

Within your workstreams please consider the Workstreams will also identify what their workstream offer is to the following agreed key stakeholder groups:Deliverers of care – including clinical directors, the multidisciplinary renal team and all staffStrategic managers of care – quality and service improvement managers and leads, AHSNs, SCNsPatients and patient groups – including renal organisations and charitiesThose who pay for care – commissioners Policy makers – NHS England, Department of Health, HEE



Feedback14:30-15:00



Group Work 315:00-15:30


Group Work 3

Participants will be in mixed groups and will consider the following questions:

What do I want from KQuIP in order to improve my role and outcomes for patients?What expertise can I give to KQuIP?What personal commitment can I give to KQuIP?

Each person to complete the sheet provided identifying the workstream they would like to sign up to.An open feedback session will follow.



Feedback15:30-15:50



Closing reflections and next steps15:50-16:00

Graham Lipkin & Louise Wells, Co-chairs of KQuIP

Key Messages: Berwick Report

Place the quality and safety of patient care above all other aims for the NHS. (This…is your safest and best route to lower cost.) Engage, empower, and hear patients and carers throughout the entire system, and at all timesFoster wholeheartedly the growth and development of all staff, especially with regard to their ability and opportunity to improve the processes within which they work. Insist upon, and model in your own work, thorough and unequivocal transparency, in the service of accountability, trust, and the growth of knowledge


Real, sustainable, active improvement depends far more on learning and growth than on rules and regulations.

Formalise links to new CRG

Support the 6 Work streams to deliver

Support Regional Networks & leads: Enable project management support

KQuIP/Registry day for Regions

Develop repository & knowledge management platform

Explore development of ‘Peer Assist’ model

Constantly reflect


KQuIP Next Steps Learn from & Build on energy & enthusiasm


Define the key National Projects? You’ve told us!

Build Capacity in Renal QI

• Expand faculty: Registry of QI-focused clinicians across MDT, CDs, Clinicians, Network leads, renal managers & Q Fellows, Those already involved in QI Projects. You have been signed up!

Build capability in QI

• Learn & disseminate from existing regional renal networks

• RA/BRS Patient safety Initiative

• Q Community

• Train RA StR and MDT professions (Future QI leaders)


• Commit & be involved in a Work stream

• Be a KQuIP ambassador

• Raise in your unit and network



See you at KQuIP Launch

Wednesday 8th June 11-45-13-15Room 11, ICC, Birmingham


KQuIP looks forward to welcoming you to the partnership to improve the care we provide our patients

We know where you live!


Close16:00

How to find out moreKaren ThomasThink Kidneys Programme ManagerUK Renal [email protected]

James McCannThink Kidneys Programme Support OfficerUK Renal [email protected]

Teresa WallaceThink Kidneys Programme CoordinatorUK Renal [email protected]


Contact Think Kidneys

Graham LipkinChair of [email protected]

Louise WellsChair of [email protected]

Ron CullenDirectorUK Renal [email protected]

www.linkedin.com/company/think-kidneys

www.twitter.com/ThinkKidneys

www.facebook.com/thinkkidneys

www.youtube.com/user/thinkkidneys

www.thinkkidneys.nhs.uk

Health & Medicine

KQUIP design event - master slides