KQuIP University Hospitals Plymouth NHS Trust Update on Project Work Leanne Savage Transplant Liaison Nurse Linda Boorer Transplant Nurse Consultant Dr Imran ID: 1039226
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1. Kidney Quality Improvement Partnership (KQuIP) University Hospitals Plymouth NHS Trust Update on Project Work Leanne Savage, Transplant Liaison Nurse Linda Boorer, Transplant Nurse Consultant Dr Imran Saif, Consultant Nephrologist and Director of Transplantation Phil Isaac Transplant Nurse Practitioner
2. Driver Diagram Change Ideas12/12/2019Kidney Quality Improvement Partnership | West Midlands Regional Day2
3. Update on Progress12/12/2019Kidney Quality Improvement Partnership | West Midlands Regional Day3Increasing the number of available theatre slotsAllocated theatre now unavailableHave a plan in place for 24 lists dedicated to living donation per year through each of our surgeons own lists IS to arrange meeting with medical director moving forward with a view to ensuring adequate theatre space and staffingPrediction – 19 live donor nephrectomies by March 2020 (16 LDTx) Reasons behind lower numbers than last year – delay in nuclear medicine availability by 3 months, 4 lists cancelled due to theatre staffing/availability Contact cards for patientsCurrently give out a contact card on paper with the numbers for the transplant team, including living donor coordinators and waiting list nursesGoing to look into sending out an electronic contact so that patients have the numbers stored in their phones
4. Update on Progress12/12/2019Kidney Quality Improvement Partnership | West Midlands Regional Day4WebsiteUnder construction at present All information has been updated with landing pages for each topic e.g. TWL, LD with links to NHSBT and leaflets that we have reviewedLink to a video of a transplant operationThinking about a TAC seminar video to encourage consistent information givingStaff awareness initiativesPlanned education for ward staff on all aspects of transplantationReview living donor options and TWL status for dialysis patientsHave revisited transplant decisions of all HD and PD patients under 7 consultants – have another 4 to goStandardised cardiology assessmentCompleted by IS
5. Update on Progress12/12/2019Kidney Quality Improvement Partnership | West Midlands Regional Day53 visit LKD assessment pathway11 donors have gone through the 1 day assessment from 1st July – 31st October2 have donated already with a third ready to donate and another being ready next week.
6. Update on Progress12/12/2019Kidney Quality Improvement Partnership | West Midlands Regional Day6Standardised recipient referral form to TACNot started – awaiting results from what has been done in Bristol prior to looking at thisDocumented transplant decision for patients with an eGFR of <20mL/min Q3 and Q4 below
7. Update on Progress12/12/2019Kidney Quality Improvement Partnership | West Midlands Regional Day7Bariatric surgery pathway for potential recipients with high BMINo update on whether this is any further forward – LS to email the bariatric surgeon for an updateEach unit to review organ acceptance criteriaConsistently reviewing both accepted and declined offers on a monthly basis within the steering groupUnits to invite patient representatives to KQuIPPatients have been invited and we have a regular attendeePatient representatives are also invited to the trust transplant committee meeting for inputDashboardSuspended list reducing - Plymouth patients suspended equates to 19.6% (25% previous quarter) national suspended rate is 35%
8. Kidney Quality Improvement Partnership (KQuIP) University Hospitals Plymouth NHS Trust Update on Project Work Leanne Savage, Transplant Liaison Nurse Linda Boorer, Transplant Nurse Consultant Dr Imran Saif, Consultant Nephrologist and Director of Transplantation Phil Isaac Transplant Nurse Practitioner
9. Driver Diagram Change Ideas12/12/2019Kidney Quality Improvement Partnership | West Midlands Regional Day9
10. Update on Progress12/12/2019Kidney Quality Improvement Partnership | West Midlands Regional Day10Increasing the number of available theatre slotsAllocated theatre now unavailableHave a plan in place for 24 lists dedicated to living donation per year through each of our surgeons own lists IS to arrange meeting with medical director moving forward with a view to ensuring adequate theatre space and staffingPrediction – 19 live donor nephrectomies by March 2020 (16 LDTx) Reasons behind lower numbers than last year – delay in nuclear medicine availability by 3 months, 4 lists cancelled due to theatre staffing/availability Contact cards for patientsCurrently give out a contact card on paper with the numbers for the transplant team, including living donor coordinators and waiting list nursesGoing to look into sending out an electronic contact so that patients have the numbers stored in their phones
11. Update on Progress12/12/2019Kidney Quality Improvement Partnership | West Midlands Regional Day11WebsiteUnder construction at present All information has been updated with landing pages for each topic e.g. TWL, LD with links to NHSBT and leaflets that we have reviewedLink to a video of a transplant operationThinking about a TAC seminar video to encourage consistent information givingStaff awareness initiativesPlanned education for ward staff on all aspects of transplantationReview living donor options and TWL status for dialysis patientsHave revisited transplant decisions of all HD and PD patients under 7 consultants – have another 4 to goStandardised cardiology assessmentCompleted by IS
12. Update on Progress12/12/2019Kidney Quality Improvement Partnership | West Midlands Regional Day123 visit LKD assessment pathway11 donors have gone through the 1 day assessment from 1st July – 31st October2 have donated already with a third ready to donate and another being ready next week.
13. Update on Progress12/12/2019Kidney Quality Improvement Partnership | West Midlands Regional Day13Standardised recipient referral form to TACNot started – awaiting results from what has been done in Bristol prior to looking at thisDocumented transplant decision for patients with an eGFR of <20mL/min Q3 and Q4 below
14. Update on Progress12/12/2019Kidney Quality Improvement Partnership | West Midlands Regional Day14Bariatric surgery pathway for potential recipients with high BMINo update on whether this is any further forward – LS to email the bariatric surgeon for an updateEach unit to review organ acceptance criteriaConsistently reviewing both accepted and declined offers on a monthly basis within the steering groupUnits to invite patient representatives to KQuIPPatients have been invited and we have a regular attendeePatient representatives are also invited to the trust transplant committee meeting for inputDashboardSuspended list reducing - Plymouth patients suspended equates to 19.6% (25% previous quarter) national suspended rate is 35%