|
Clinical Pathway
|
Recommended Action
|
Anticipated Volume
|
|
Dialysis management
|
Cancel HD clinics and Ward rounds. Limit attendance to Dialysis and support CUH team via electronic comms.
|
Calls to dialysis unit/ emails 2-3x/week. 0.5PA 2 consultants
Monthly QA meeting (remote)- 1 afternoon/month + 1 afternoon prep of results 0.5PA 2 consultants
|
|
Transplant FU
|
Continue via telephone and remote blood tests.
|
5-10 patients per week, by specialist nurse
0.5 PA consultant review of results
|
|
Low clearance patients. (patients 12 months away from dialysis)
|
Telephone clinics and remote blood tests. Both the above can be managed by specialist nurse to free consultant up for wards, if required.
|
10-12 patients per week, by specialist nurse
0.5PA consultant review of results
|
|
General Nephology Clinics
|
|
|
|
Patients on immunosuppression
|
Still need to be reviewed, continue remotely.
|
10-15 patients, calls via telephone clinic every 4 weeks
|
|
CKD management
|
To be stopped.
|
NA
|
|
Hypertension referrals and those with structural renal disease but preserved function (ie Polycystic Kidney disease)
|
To be stopped.
|
NA
|
|
New referrals with rapidly progressive AKI or new nephrotic syndrome.
|
To be reviewed by consultant with view to continue if patient required.
|
<5/week
|
|
Tubulopathy patients
|
Continue to manage remotely.
|
<20, manage via telephone clinic 2-3 monthly
|
|
Advice and Guidance
|
Can be suspended if CCG/Trust agrees.
|
NA
|
|
Renal consults
|
Service to continue.
|
<5d to be divided amongst consultants daily.
VY to continue ITU reviews 1hr/week
|