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5 Structures Necessary and Organisation of Services 5.1 Regional Framework 5.2 Partnerships 5.3 Responsibilities of Primary, Secondary and Tertiary Care 5.4 Local Management 5.5 Information Technology and Audit 5.6 Human Resources 5.6.1 NHS Workforce Planning Reforms 5.6.2 Future Staffing Requirements 5.7 Finance 5.8 Organisation of Services 5.8.1 Managed Clinical Networks and Shared Resources 5.8.2 Infrastructure of Renal Centres 5.8.3 The Private Finance Initiative (PFI) and Private Provision of Renal Services 5.5 Information Technology and Audit Success in meeting standards relies heavily on data collection. Information systems able to provide services and commissioners with measures of progress and performance will be required. Developments need to take place in a number of areas: • RSCGs and commissioners need to be able to know the incidence of renal failure, demographic trends in the general population and in renal disease. They should have access to the Sheffield model8 or similar models to facilitate a consistent national approach to predicting need. • Information from renal units should be regularly downloaded to the UK Renal Registry which should allow on-line accessing of this data by individual units and pooled data to HAs and RSCGs. • Investment should be made in information and technology systems to allow services to develop their standards of care and treatment to acceptable levels. • Programmes of audit and evaluation should be developed across renal services to allow cross-fertilisation of ideas and best practice.  |