Kidney Transplant
Purpose
The LKN Transplant Collaborative actively promotes timely access to kidney transplantation and is focused on improving pre-emptive transplant rates. We work together to share expertise and provide mutual support across our network.
LKN Leads
Marie Condon
Clinical Lead
Nicola Cunningham
Project Manager
Kidney transplant in London
Kidney transplantation is the optimal and most desired form of renal replacement therapy for patients with advanced kidney disease. Across London, transplant rates and waiting times for transplantation vary for many different reasons including expertise to support people with multiple health problems; workforce skills and knowledge and availability; and infrastructure. In addition, the LKN Equity Audit showed that some variation is associated with social-demographic factors and ethnicity. The LKN Transplant Collaborative is working to promote timely access to kidney transplantation and is particularly focussed on improving pre-emptive transplant rates. By sharing expertise and providing mutual support across our network, we aim to increase the number of successful kidney transplants and enhance patient experience during their transplant journey.
Aims and objectives of the group:
Aims
- Pre-emptive kidney transplant is completed in every appropriate patient, mitigating anticipated growth in ICHD (in-centre haemodialysis) and providing the best, most cost effective treatment for kidney patients. Transplant wait times are reduced and pre-transplantation RRT (renal replacement therapy) time is minimised
- Potential donors and recipients are provided opportunity to improve their CRM (cardio-renal-metabolic) health to facilitate opportunity for donation, and improve their all-cause mortality
- LKN Transplant data is meaningful, accurate, timely and reliable, and is used to support growth plans and cases for change
Objectives
- Develop and implement solutions to problem areas shown in earlier pathway mapping; urology pathway, cardiac work-up, and nursing workforce
- Maximise use of UKLDSS (UK Living Donor Sharing Scheme) and ABOi (incompatible transplants across London
- Work collaboratively with charity partners to increase kidney donation rates from ethnic minority donors (living and deceased)
- Support the London Units to prepare for transition to the SCORE model of care
- Support and empower surgical workforce to implement changes in service provision
- Offer a weight reduction programme utilising GLP1s and MPT (Multi-professional team) intervention to those kidney patients with a BMI or WTH ratio which excludes transplantation
- Make explicit the MPT interventions pre-and post- transplant are made explicit within the LKN transplant pathway
- Work with the Clinical Information Group to ensure LKN transplant data is accurate and provides relevant data to identify and support change in service delivery
Completed Work
LKN Transplant Work-up assessment for PKD pathway
LKN Transplant Work-up assessment for PKD pathway
LKN Transplant Workup Cardiac assessment
London Mutual Aid Guidance
Patient Transfer Form
Discharging a Patient Back to Referring Centre
Mutual Aid Patient Leaflet
Other Resources
Honouring the Gift of Living Donation: utilising organs for transplantation
GOLD (Gift Of Living Donation)
We aim to increase the number of pre-emptive transplants for Black African Caribbean kidney patients through a targeted community initiative to improve their access to living donation.
The GOLD project is a simple intervention in the patient pathway to help clinicians better engage with Black patients, and which empowers patients to talk with their families.
Read the latest GOLD report