Inconsistency and uncertainty exist with the patient pathway in many renal units. This may be one of the factors contributing to the lack of adherence to national guidelines and many renal units having a low uptake of home dialysis therapies, below the targets set in the guidelines.
To improve the patient experience, avoid duplication of work and ensure patients receive the most appropriate therapy, clearly defined care pathways and the empowerment of the multidisciplinary team are essential.
This challenge was identified by the renal team at Gloucestershire Hospitals NHS Foundation Trust, who had a department vision to increase the patient population on home dialysis therapies from 14.45% to 23% by March 2016 (CQUIN target agreed with CCG). Please click the below link to read the full case study.