Renal replacement therapy services for adults

Structure

a) Evidence of local arrangements to ensure that adults on dialysis have their suitability for kidney transplantation assessed at the earliest opportunity.

Data source: Data can be collected from information recorded locally by healthcare professionals and provider organisations, for example from local service specifications with written criteria for assessment.

b) Evidence of local arrangements to ensure that adults on dialysis receive a kidney transplant, if they are medically suitable.

Data source: Data can be collected from information recorded locally by healthcare professionals and provider organisations, for example from local service specifications.

Process

a) Proportion of adults receiving dialysis that was started in a planned way (excluding those presenting late in advanced chronic kidney disease) who are medically suitable and active on the kidney transplant waiting list within 6 months of starting dialysis.

Numerator – the number in the denominator active on the kidney transplant waiting list within 6 months of starting dialysis.

Denominator – the number of adults receiving dialysis that was started in a planned way (excluding those presenting late in advanced chronic kidney disease) who are medically suitable for kidney transplantation.

Data source: Data can be collected from information recorded locally by healthcare professionals and provider organisations, for example from patient records and the national transplant waiting list.

b) Proportion of adults receiving dialysis that was started in an unplanned way who are medically suitable and active on the kidney transplant waiting list within 12 months of starting dialysis.

Numerator – the number in the denominator active on the kidney transplant waiting list within 12 months of starting dialysis.

Denominator – the number of adults receiving dialysis that was started in an unplanned way who are medically suitable for kidney transplantation.

Data source: Data can be collected from information recorded locally by healthcare professionals and provider organisations, for example from patient records and the national transplant waiting list.

c) Proportion of adults previously or currently on dialysis who are medically suitable for, and who receive, a kidney transplant.

Numerator – the number in the denominator who receive a kidney transplant.

Denominator – the number of adults previously or currently on dialysis, who are medically suitable for a kidney transplant.

Data source: Data can be collected from information recorded locally by healthcare professionals and provider organisations, for example from patient records.