Early identification and management of chronic kidney disease in adults
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This commissioning guide provides support for the local implementation of NICE guidance through commissioning, and is a resource for people involved in commissioning health and social care services and public health programmes within the NHS and partner organisations in England.
- Section 1 makes the case for commissioning a service for early identification and management of chronic kidney disease
- Section 2 specifies service requirements
- Section 3 helps you determine local service levels
- Section 4 explains more about the cost impact of service redesign
- Section 5 helps you ensure corporate and quality assurance.
Commissioners working collaboratively across organisations including local authorities may find this guide useful to inform partnership working and joint planning.
This commissioning guide should be read together with the following NICE guidance and NICE quality standard:
- NICE clinical guideline CG73. Chronic kidney disease: Early identification and management of chronic kidney disease in adults in primary and secondary care
- NICE quality standard. Chronic kidney disease in adults
NICE guidance provides evidence-based recommendations about clinically effective and cost-effective treatments and interventions to improve outcomes for local populations. Making commissioning decisions based on NICE quality standards, NICE guidance and accredited information from NHS Evidence can help commissioners ensure they are using their resources effectively.
Services for people with chronic kidney disease (CKD) should be commissioned as part of an integrated care pathway for people with long-term conditions, ensuring that people with CKD and their carers receive holistic support based on their whole person needs as well as appropriate access to specialist, condition-specific support when indicated.
This commissioning guide highlights any recommendations supporting cases for disinvestment or decommissioning of services by identifying treatments and interventions that do not add value, enabling commissioners to release resources or generate savings where appropriate.
Implementation of the guidance noted above is the responsibility of local commissioners and/or providers. Commissioners and providers are reminded that it is their responsibility to implement this guidance, in their local context, in light of their duties to avoid unlawful discrimination and to have regard to promoting equality of opportunity. Nothing in the guidance should be interpreted in a way which would be inconsistent with compliance with those duties.
We are keen to improve the commissioning guides in order to better meet the needs of commissioners. Please send us your ideas for future topic-specific guides or other comments
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- Topic-specific Advisory Group: early identification and management of chronic kidney disease
March 2011
This page was last updated: 02 March 2012
