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Renal Failure

Volume 87: debated on Tuesday 26 November 1985

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asked the Secretary of State for Social Services what change there has been in the resources devoted to end-stage renal failure over the past five years; if he will indicate statistically the growth or decline in such provision; and if he will make a statement.

The provision of services for adult renal patients is a health authority responsibility, and information on the resources devoted to renal services is not collected centrally. Each regional health authority has agreed to accept new renal patients for treatment at an annual rate of at least 40 per million population by 1987, and we are monitoring their progress. The annual take-on rate in England rose from 21·0 per million in 1979 to 35·7 per million in 1984, and in a number of regions the 40 per million target has already been exceeded. The treatment of renal patients under the age of 16 was designated as a supra regional service from April 1984, and the funds allocated for its provision since then were £2,808,000 in 1984–85 and £3,343,000 in 1985–86 (both at 1985–86 cash levels). We expect to announce the 1986–87 allocation within the next few weeks.

asked the Secretary of State for Social Services how many people died of kidney failure over the past five years; if he will estimate what proportion of these people could have been saved if suitable kidney and transplant facilities had been available; and if he will make a statement.

This information is not collectd centrally in the form requested. Office of Population Censuses and Surveys figures for England and Wales, given below, show the total number of cases where nephritis, nephrotic syndrome and nephrosis, chronic renal failure, and renal failure, unspecified, were recorded as the primary cause of death.

Number
19807,986
19818,573
19828,951
19838,498
1984*7,914
* 1984 figures are not compatible with those for earlier years because of a change in data coding.
These totals exclude cases, such as diabetic nephropathy, where the data coding classifies the death under the primary disease causing renal failure.

It is impossible to estimate the proportion of people who might not have died if more treatment facilities had been available. Some of those who died would have been receiving treatment and the majority of cases recorded would not be regarded as treatable because of the presence of other diseases.

asked the Secretary of State for Social Services what has been the growth or decline in care of end-stage renal failure patients in terms of home dialysis, hospital dialysis continuous ambulatory peritoneal dialysis and transplants over the past five years; and if he will make a statement.

According to data provided by the European Dialysis and Transplant Association, the numbers of renal patients on treatment at 31 December during each of the years shown were as follows:

Home dialysisHospital dialysisCAPD*With functioning transplant
19802,0641,2415203,111
19812,1621,3739073,532
19822,2181,4901,2253,994
19832,1351,5361,4854,360
19842.0951,6581,9085,574
* Continuous ambulatory peritoneal dialysis.