Congratulations to Jung Yin Tsang, GP and NIHR In-Practice Fellow at the University of Manchester who has recently received a GP Specialty Trainee Award 2021 from the Royal College of General Practitioners (RCGP) for original and innovative work undertaken during GP specialty training.
Jung Yin led on several pieces of work to produce national guidance for post-discharge care following acute kidney injury (AKI), including the enhancement of a practical online toolkit for patients and practitioners (http://www.rcgp.org.uk/aki). AKI is a common marker of severe illness, associated with poor outcomes including rehospitalisation and mortality. The guidance includes recommendations about timeliness of clinical review after discharge, based upon AKI stage, clinical risk factors and degree of kidney function recovery.
An important element of the work was maximising the utility of AKI as a driver of patient safety whilst minimising the potential for patient burden and unnecessary workload for clinicians. Hence, the evidence was developed using established consensus methodology that sought representation from the RCGP Overdiagnosis group (bjgpopen.org/content/4/3/bjgpopen20X101054). The resource promotes tailored and timely follow-up and seeks to address the safety risks that arise when patients transition between secondary and primary care.
This work was enabled through the RCGP Acute Kidney Injury Quality Improvement Project Partnership and the invaluable supervision of Dr Tom Blakeman (RCGP Clinical Champion for AKI) and Prof Stephen Campbell (Director for the NIHR Greater Manchester Patient Safety Translational Research Centre). This partnership comprised of: RCGP Clinical Innovation and Research Centre; National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care (NIHR CLAHRC) Greater Manchester; Think Kidneys; Kent Surrey Sussex Academic Health Science Network (KSS AHSN); Academic Health Science Network for the North East and North Cumbria (AHSN NENC); NHS Education for Scotland; Healthcare Improvement Scotland; and the NIHR Greater Manchester Patient Safety Translational Research Centre (NIHR GM PSTRC).