Preparation and choice are essential to achieving good outcomes in end stage renal failure- whether that is a pre-emptive transplant, one of the modalities of dialysis or conservative kidney care. Good preparation for renal replacement therapy requires a whole team. Money well spent, when one considers the positive impact preparation can have on the experience of care and the clinical outcomes.
From April 2013, the NHS Commissioning Board will directly commission the care of patients approaching renal replacement therapy and today I have written to kidney care clinical directors, finance leads and commissioner colleagues, setting out the coding that will be required to identify this important activity. Details of the expected arrangements can be found below.