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?
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