Appendices: Clinical Director plans and good practice tabulation

23 York Hospital

What are your plans for increasing home dialysis?

1. We are looking at developing training rooms off the main hospital site to allow access for training away from acute areas.

2. Capacity and space are a limiting factor in training for home haemodialysis. Separate training areas are vital for allowing training to take place.

3. York has a shared care area which has been instrumental in developing skills in both patients and staff for self-care before patients go home.

4. York also has two self-care dialysis units which allows patients to dialysis themselves under the care of the home team on a hospital site but independently.

Do you have any examples of good practice that can be shared?

1. The self-care unit at Harrogate has two patients who do dialysis independently of nursing staff.

2. They are able to access the unit and provide their own dialysis at times suitable for themselves.