BAPN
image of kidneys
  • Clinical Standards In Paediatric Nephrology:
BAPN Sub-Committee for Clinical Standards and Guidelines
Members 1/10/09:
Chair, and link to the RA CPG Committee Dr David Milford
Chair of the Registry Committee Dr Carol Inward
Ordinary Member Dr Meeta Malik
Ordinary Member Dr Lyda Jadresic
Co-opted executive member of the BAPN executive Dr Milos Ognjanovic
The Communications officer for the BAPN Dr Leah Krischock
The trainee representative Dr Hugh McCarthy
  • Definitions:
  • » Standards are descriptions of clinical practice and patient outcome to which values and judgements can be attached either by professionals or lay people.  They are used to evaluate and distinguish good practice from poor. 
  • » Guidelines are statements or pathways describing optimal contemporary clinical practice that are based on evidence and collective expert opinion, and generalisable to a group of patients. These are drawn up to assist clinicians in formulating treatment plans for an individual patient.
  • »Advice on guideline writing can be found on the Guideline writing pageopens in a new window.
  • » Standards and guidelines together are tools linked to audit and research, and are used in the critical analysis of past practice and the setting of targets for the future.

Remit:
Development of standards and guidelines for all aspects of nephrology. Standards and guidelines selected for preparation by individuals/teams will be notified to Dr Rees who will ensure that there is no duplication. It is hoped that all trainees will select a guideline during their training.

  • The format will be as follows:
  • » a. The guideline statements, with the level of evidence stated after in parentheses as (Evidence) or  (Good Practice) or (In the opinion of the working group)
  • » b. The audit measures associated with each guideline and a timeframe over which these audit points should be evaluated
  • » c. A description of the evidence base used to prepare the guideline
  • » d. The references
  • » e. Cross reference to other relevant standards and websites where applicable
  • » f. The document will state ‘draft’ and give the date of completion, authorship and version number

Draft standards and guidelines will be posted on the BAPN website and the BAPN membership will be notified and invited to comment. Members will be able to post their views on the website over the next 2 months.

  • » The author(s) will respond to comments directly onto the BAPN website.
  • » The author(s) will collate all the comments and incorporate any necessary changes into the document.
  • » When all comments have been responded to by the author the document will pass to the subcommittee who will adjudicate in situations of disagreement between the authors and BAPN membership. If necessary the document may be sent to an expert in the field.
  • » The final document will have a proposed date for revision or reassessment.

When the review process is finished the standard/guideline will be posted on the website in final form. The adult HD chapter, CAPD and CKD guidelines are now posted at http://www.renal.org/Clinical/GuidelinesSection/Guidelines.aspx opens in a new window  Guidelines on complications of transplantation are almost complete.

The modules and guidelines with their respective leads for adult and paediatric practice:
Modules 1 and 2:
Chronic kidney disease and complications>		 Sue Rigden, Jonathon Evans, Simon Waller (adult leads chronic kidney disease: Charlie Tomson, Maarten Taal, complications: Mike Cassidy, Donald Richardson)

Module 3

Haemo Dialysis opens in a new window

Peritoneal Dialysisopens in a new window

Lesley Rees, Rukshana Shroff, Sally Feather (adult leads Simon Davies, Robert Mactier)
Module 4 Transplantation: Heather Maxwell, Jan Dudley, Nick Webb, Larissa Kerecuk ( adult leads Chris Dudley, Paul Harden)
Module 5 Acute renal failure: Sally Feather, Maggie Fitzpatrick, Mohan Shenoy ( adult leads Paul Stevens)
Standard: Renal Biopsy Dr Farida Hussain
BAPN Nice UTI Resonse Documents
The BAPN's responseopens in a new window  
Collated Results Document opens in a new window  

Useful Publications
NKF Dialysis Manifestoopens in a new window
Antivirals in children with renal failure (H1N1)opens in a new window

RA and BAPN Guidance on Transition, endorsed by the RCP and supported by the RCPCH
Helping Adolescents and Young Adults with Established Renal Failure opens in a new window

Patient Care Surveys:
The BAPN Clinical Standards and Guidelines Committee, with the help of Dr Lesley Rees, have developed patient care surveys that may be used to assess patient / parent satisfaction with dialysis and transplantation services within renal units.  These surveys are published below, in draft format, and we welcome comments from the BAPN membership regarding their utility, and comments for improvement.  The consultation period will last until April 30th.  Following this period, the final surveys will be published on the website, for units to use if they wish.  

Please send any comments regarding the surveys to David.Milford@ bch.nhs.uk

Patient Care Survey: Haemodialysis opens in a new window
Patient Care Survey: Peritoneal Dialysis opens in a new window
Patient Care Survey: Transplantation opens in a new window

Kidney Care Plans
NHS Kidney Care has kindly made the following care plans available to BAPN members.  These are modifiable documents that may be useful in planning the care of our patients, and are a written document that patients can keep with them. The Clinical Standards and Guidelines committee and NHS Kidney Care are interested in knowing whether you find the care plans useful, and we welcome comments regarding their use. 

Please send such feedback to David.Milford@bch.nhs.uk

Care Plans opens in a new window

BAPN Copyright 2007