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Health: Kidney Disease

Volume 715: debated on Monday 14 December 2009


My honourable friend the Parliamentary Under-Secretary of State, Department of Health (Ann Keen) has made the following Written Ministerial Statement.

The department has today published Achieving Excellence in Kidney Care: Delivering the National Service Framework for Renal Services, which outlines progress towards the standards and quality requirements of the national service framework, and highlights specific examples of good practice and innovation. The report also celebrates the first year of operation of the improvement organisation NHS Kidney Care, part of NHS Diabetes and Kidney Care.

Real progress to implement the national service framework has been made. The NHS is now a world-leader in the detection and management of chronic kidney disease in primary care, there has been a marked drop in MRSA infection rates among kidney patients as best practice in vascular access becomes more widespread, and there has also been a welcome reduction in the number of late referrals to renal replacement therapy services. Dialysis capacity has expanded through more main and satellite units, and progress continues to be made in increasing the number of organ donors, particularly as the recommendations of the Organ Donation Taskforce are put into action.

The report is, however, equally clear that there is no room for complacency and that there remains a lot more work to be done to take kidney services from good to great. Looking to the future, it is clear that a renewed focus on the issue of acute kidney injury (acute renal failure) is required as part of driving up standards of care across acute medicine. Another central and important theme is achieving real patient choice, and ensuring that a full range of treatment settings are available for all patients, including increasing capacity for home haemodialysis in line with NICE guidance. This would enable patients to more effectively self-care if it is clinically appropriate, and if they wish to make that choice.

Achieving Excellence in Kidney Care: Delivering the National Service Framework for Renal Services has been placed in the Library and copies are available for honourable Members from the Vote Office.