Consistent Implementation of the NSF for Renal Services

Beverley Matthews

Director – NHS Kidney Care

Publication of the Renal NSF:

EXISTING: West MidlandsEast MidlandsNorth West

SUPPORTING: Yorkshire and the HumberSouth East CoastEast of EnglandLondon

North EastSouth WestSouth Central

Developing Kidney Care Networks:

Primary Prevention:

• Health Survey England 2009

• Health Survey England 2010

• Analytical past data review

• Understanding the Burden of Kidney Disease

Kidney Disease In Primary Care:

• PCT Profiles

• CKD Key Facts

• CKD in Primary Care Commissioning Framework

• Diabetes and Kidney Care Commissioning Guide

• Analysis of the Renal markers in the National Diabetes Audit

Preparation and Choice:

• Reference Costs Review

• Implementing MORRIS (Model for Optimising Renal Replacement Investment and Services)

• Care Planning

Hours with professional / NHS = 3 in a year

Self care / management = 8757 in a year

Living with a Long Term ConditionWhat people with diabetes think?

Other Conditions?Is the NHS becoming more patient centred? Picker- September 2007

Renal Replacement Therapies:

• Implementing a non-mandatory tariff for kidney dialysis

• Developing a Best Practice Tariff for kidney services

• Developing robust costs for kidney transplantation

• Dialysis Away from Base

• SpR in Green Nephrology

Service Re-Design:

• Supporting Young Adults with Kidney Disease

• End of Life Care for Advanced Kidney Disease

• Home Therapies

Acute Kidney Injury:

• Upgrade to National Vascular Dataset

Any questions?