Vascular Access

What is the purpose of this workstream?

The Vascular Access Workstream is working to increase the numbers of people with permenent vascular access for dialysis.  This enables them to receive dialysis in the safest, most effective way.

Workstream chairs

“Kidney disease by its very nature requires significant investment to maintain both the quality and duration of life.  Improving safe dialysis access across London requires very carefully thought through interventions, both large and small.  The Vascular Access Workstream will work to map and digitise pathways and data collection so show where resources need to be increased or used differently.” 

Ben Lindsey

Vascular, General and Transplant Surgeon

Vascular Access in London

The Getting it Right First Time (GIRFT)- Renal report states that 80% of the prevelant and 60% of the incident dialysis population should have permenant vascular access.  At present, rates across London vary significantly.  The reasons for this are multi-factorial and not always easily solved.  In addition, it’s been shown that patient experience of use of permenent access varies widely. An education and training programme, MAGIC (Managing Access by Generating Improvements in Cannualation), developed by KQUIP has been designed to improve this. 

Aims and objectives of the group:

Aims

The Vascular Access Group has three overarching aims. To:

    • Increase definitive access rates across LKN
    • Increase % access completed as a day case across the LKN
    • Improve patient experience and outcome with VA needling

    Objectives

    Its core focus for delivery during 2023-24 and into 24-25 will be to:

      • Implement agreed VA pathways (urgent and planned) across the LKN
      • Support Local QI projects targeted at identified ‘pinch points’
      • Ensure MAGIC (Managing Access by Generating Improvements in Canulation) is delivered across the LKN, with additional patient choice/experience data collected and analysed
      • Complete root cause analysis of low day-case rates with each unit, with findings developed into a case for change with associated timed plans for delivery

    Workstream Members

    Ben Lindsey

    Consultant general, transplant and vascular Surgeon – Barts Health NHS Trust

    Alexandra Rankin

    Consultant Nephrologist – King’s College Hosptial NHS Foundation Trust

    Paul Herbert

    Consultant renal transplant and vascular access Surgeon – Imperial College Healthcare NHS Trust 

    Bina Subba

    Nurse – Royal Free NHS Foundation Trust

     

     

    Abbas Ghazanfar

    Consultant surgeon – St George’s University Hospitals NHS Foundation Trust

    Nick Barnett

    Consultant Surgeon – Guys and St Thomas’ NHS Foundation Trust

    Anamika Adwaney

    SpR Nephrologist – Imperial College Healthcare NHS Trust

     

    Muhammad Amaran

    SpR Nephrologist – St George’s University Hospitals NHS Foundation Trust

    Tash Shenton

    Deputy General Manager – Imperial College Healthcare NHS Trust 

    Richard Hull

    Consultant Nephrologist – St George’s University Hospitals NHS Foundation Trust

    Ayaz Hossain

    Consultant Transplant Surgeon – Royal Free NHS Foundation Trust

    Allifia Abbas

    Consultant nephrologist – Epsom and St Helier

    Joely Hampton

    General Manager – St George’s University Hospitals NHS Foundation Trust

    Ashar Wadoodi

    Consultant Kidney Transplant and Vascular Access surgeon – St George’s University Hospitals NHS Foundation Trust

    Maria Coggins

    Nurse – Imperial College Healthcare NHS Trust 

    Fatima de Figueiredo

    Nurse – King’s College Hosptial NHS Foundation Trust

    Annabelle Magdael

    Nurse – St George’s University Hospitals NHS Foundation Trust

    Sarah McLean

    Nurse – Barts Health NHS Trust

    Justine Dobbson

    Nurse – Guys and St Thomas’ NHS Foundation Trust

    Routine and Urgent VA Pathway and metrics

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    Unplanned Start VA Pathway and metrics

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