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To understand unwanted variation in outcomes for patients with kidney disease and enable and support changes in practice across a healthcare system to improve outcomes.A mixed methodology improvement approach has been undertaken across four clinical commissioning groups (CCGs) (population 500,000) over 4 years to embed National Institute of Health and Care Excellence (NICE) guidelines in acute kidney injury (AKI) and chronic kidney disease (CKD). Identifying and learning from understanding variation in practice in relation to these guidelines, and from other initiatives such as NHS …

Innovative ways of working across a healthcare system to improve outcomes of patients with kidney disease