Regions, in conjunction with the UK Renal
Registry, should carry out yearly gap analyses to update
an NHS register of patients receiving RRT which will allow
poorly providing Health Authorities to plan to 'correct
upwards' to UK then European levels for their particular
population characteristics.
Elimination of 'blank spots' will require
new HD facilities which should be located to balance the
need for local services for large towns, economy of scale
and travel times.
Commissioners should recognise that new
autonomous renal units may have a greater impact on local
acceptance and prevalence rates and Consultant numbers
than 'hub and spoke' expansion.
New facilities developed in the context
of Managed Clinical Networks should aim to achieve equity
of provision and a Consultant based service with appropriate
support services delivering uniform standards of care.
NHS Performance
• Fair Access • Efficiency • Health Outcomes
