Quality statement 5: Home‑based dialysis

Quality statement

Adults who need long‑term dialysis are offered home‑based dialysis.

Rationale

When dialysis is needed long-term it is important to offer home-based dialysis. People should be supported to consider the pros and cons of different treatment options and the potential impact on their lifestyle so that they can make an informed choice.

Quality measures

Structure

Evidence of local arrangements to ensure that adults on long‑term dialysis are offered the option of home‑based dialysis.

Data source: Local data collection.

Process

Proportion of adults on long‑term dialysis have a recorded discussion about the option of home‑based dialysis.

Numerator – the number in the denominator who have a recorded discussion about the option of home-based dialysis.

Denominator – the number of adults on long‑term dialysis.

Data source: Local data collection.

What the quality statement means for service providers, healthcare professionals and commissioners

Service providers (specialist renal centres) ensure that systems are in place to offer home‑based dialysis to adults on long‑term dialysis.

Healthcare professionals ensure that they review people on long‑term dialysis, offer them home‑based dialysis and provide support to help them make an informed decision.

Commissioners (NHS England area teams) ensure that they commission services that offer adults on long‑term dialysis the opportunity to choose home‑based dialysis.

What the quality statement means for patients, service users and carers

Adults on long‑term dialysis are offered the option of having dialysis at home, which they can carry out by themselves. They should be supported to consider the pros and cons before they make a decision.

Source guidance

Renal replacement therapy and conservative management (2018) NICE guideline NG107, recommendation 1.3.8