Managing chronic kidney disease in primary care: a quality improvement study

This paper outlines a quality improvement project implemented in the United Kingdom (UK).The aim of the study was to reduce inconsistencies of care in general practice in managing early chronic kidney disease (CKD) using a care bundle approach. Areas under scrutiny are prevalence recording of CKD, proteinuria measurement, blood pressure control, cardiovascular risk recording and self-management opportunities for patients. Early results have shown improvements in reliability using a Plan-Do-Study-Act methodology. The integration of a Patient and Service User Advisory Group into the project team has been invaluable.