Appendices: Clinical Director plans and good practice tabulation

Wales

31 Gwynedd Hospital, Elidir Renal Unit, North Wales

What are your plans for increasing home dialysis?

1. Assisted PD.

2. Training family members for those who can’t do haemodialysis due to different reasons.

3. Monthly unit MDT meetings highlighting suitable cases for home therapy plus discuss other matters like transplant, access, etc.

4. Training for home dialysis does not include those with Tunnelled lines if there is delay or not possible to have Arteriovenous (AV) Fistula (AVF) for different reasons.

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

1. Our home therapies team have won the Nursing Times Award 2021 for training learning disability nurses to dialyse a young patient with a learning disability to dialyse at the centre where they are and whenever convenient instead of coming to hospital three times a week.

2. We are in the process of training family members of another patient with learning difficulties to go on home HD until they await a kidney transplant.

3. Almost 50% or our transplant patients over the last eight years came through home therapy.

4. Our home therapy patients are 37% of the whole dialysis population.