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Health: Kidney Disease

Volume 716: debated on Wednesday 27 January 2010


Asked by

To ask Her Majesty’s Government what action they are taking to publicise the availability of home-based kidney dialysis from the National Health Service and to encourage informed choice for kidney dialysis patients as to the location and the manner in which they may be dialysed. [HL1398]

To ask Her Majesty’s Government what assessment they have made of the relative costs and benefits to the National Health Service and the wider economy of hospital-based and home-based kidney dialysis. [HL1399]

The National Institute for Health and Clinical Excellence published technology appraisal guidance—Guidance on home compared with hospital haemodialysis for patients with end-stage renal failure—in September 2002. This recommended that all suitable patients should be offered the choice between home haemodialysis or haemodialysis in a hospital/satellite unit. The department is currently considering how to extend patient choice for people on dialysis.

In addition, the improvement organisation, NHS Kidney Care, has recently published a specification for the commissioning of peritoneal dialysis as a comprehensive guide to best practice, offering greater choice and flexibility for patients.