Dialysis at Home 

What is the purpose of this workstream?

The Dialysis at Home Team  promotes home-based dialysis as a safe, effective, and sustainable alternative to hospital-based treatment.

The team aims to provide personalized care and support to patients, helping them to take an active role in their own care and maintaining a good quality of life. The LKN Dialysis at Home Worsktream’s drive is to improve patient outcomes, reduce hospital admissions, and enhance the overall quality of care.

Workstream chairs

Richard Corbet

Nephrologist at Imperial College Healthcare NHS Trust

Bhrigu Sood

Consultant Nephrologist at Epsom and St Helier University Hospitals NHS Trust

The London Kidney Network offers a great opportunity to support people with kidney failure to receive care closer to home.  Working with colleagues across London, we hope to improve equitable access to both peritoneal dialysis and home haemodialysis so that more people will have the opportunity to experience the benefits that come from dialysing at home.

Richard and Bhrigu

Dialysis at Home in London

Dialysis at home can offer people living with kidney disease an improved quality of life, increasing independence, whilst offering good value for the NHS. The workstream is looking to not only expand access to home dialysis but also ensure that people who do choose to dialyse at home receive high quality care including appropriate support and low rates of complications.

Aims and objectives of the group:

Aims and Objectives

The Dialysis at Home Workstream will work collaboratively with partners to:

    • Increase % of people recieving home haemodialysis (HHD) or peritoneal dialysis (PD)
    • Increase % of people who remain on (PD) for more than 1 year
    • Define an appropriately trained and resourced MDT workforce able to deliver high quality care in community and hospital settings.
    • Achieve a significant and sustained improvement in peritonitis rates and outcomes.
    • Define, agree, and support implementation of timely access to comprehensive, local, person-centered training for all people starting PD
    • Increase both prevalent and incident numbers of patients on PD
    • Improve access to timely PD catheter insertion and re-insertion to support prevalent and incident population on PD
    • Ensure Health inequality is addressed and not widen through the PD improvement plans.

    “I enjoy being part of an inclusive team to improve and maintain the kidney journey for all involved.”

    Andy, Patient Rep, Dialysis at Home Worksteam

    Workstream Members

    Richard Corbet

    Nephrologist – Imperial College Healthcare NHS Trust

    Bhrigu Sood

    Nephrologist – Epsom and St Helier University Hospitals NHS Trust

    Suzanne Forbes

    Nephrologist – Barts Health NHS Trust

    Frank Dor

    Surgeon – Imperial College Healthcare NHS Trust

    Fatima Moreira

    HD ward manager –  Guy’s and St Thomas’ NHS Foundation Trust

    Vivienne Ralph

    Renal Trainee  –  Croydon Health Services NHS Trust

    Baba Shakoane

    Renal Nurse  –  King’s College Hospital NHS Foundation Trust

    Gloria Munoz Figueroa

    Renal Nurse  – Epsom and St Helier University Hospitals NHS Trust

    Vasa Gnanpragasm

    South West GP Lead  – South West London ICS

    Andy Forbes

    Patient representative 

    Andy Forbes

    Patient representative 

    Mariza Procopio

    Project Manager LKN

    Published Guidelines

      • Guideline for Reimbursement Costs for Patients on Home Dialysis – Download

    Published Reports

      • Training patients and their carers to manage peritoneal dialysis – what good looks like – Download
      • Peritoneal dialysis nursing workforce across London – Download

     

    Coming soon:

      • PD Catheter Insertion Pathway within LKN
      • Home Dialysis unit service analysis

    Other Resources