Improvement reports
The intervention was a care bundle for chronic kidney disease - a common complication of poorly controlled diabetes. The bundle included three evidence-based, high impact interventions based on National Institute for Care Excellence (NICE, 2008) guidance, with an additional and novel self-management element.
Academic papers
This study, published in the BMJ, aimed to evaluate the effectiveness and safety of metformin use in clinical practice in a large sample of pharmacologically treated patients with type 2 diabetes and different levels of renal function. It looked at men and women with type 2 diabetes, registered in the Swedish National Diabetes Register, and on continuous glucose-lowering treatment with oral hypoglycaemic agents (OHAs) or insulin.
Discussion papers
In this paper Donal O’Donoghue, National Clinical Director for Kidney Care, discusses the patient safety issues in preventing diabetic kidney disease through screening programmes. He introduces the preventative opportunities in diabetes patients to avoid renal damage and reviews existing programmes for early diagnosis and prevention.
Discussion papers
The ENABLE - ‘Enhancing care and saving lives of people with CKD’ - study, coordinated by Kidney Research UK and funded by the Health Foundation, aims to improve the management of people with chronic kidney disease (CKD).
Safety standards
This document from NHS Kidney Care has been produced to provide key facts about adults with diabetes who also have kidney disease. The information is based on literature searches undertaken during 2010/11 using reliable information sources.
Improvement reports
The QIPP collection provides users with practical case studies that address the quality and productivity challenge in health and social care. All examples submitted are evaluated by NICE.
Safety standards
This commissioning guide has been developed by NHS Diabetes and NHS Kidney Care with key stakeholders including clinical and social services professionals and patient groups represented by Diabetes UK.
