Our innovative haemodialysis team win prestigious NICE award
The home haemodialysis team based at the Manchester Royal
Infirmary which developed an innovative approach for patients on
haemodialysis, has won a special NICE award at its annual
conference in Birmingham. The NICE Shared Learning Award
recognises inventive solutions to clinical problems.
The winning programme allows patients to perform haemodialysis
in their own homes, avoiding the need for regular visits to
hospital for treatment. The largest of its kind in Europe, it
is open to all patients in the Manchester area undergoing treatment
for kidney failure. Significantly improving their quality of
life, patients undergoing haemodialysis at home typically require
less medication and have greater treatment flexibility with often
much better clinical outcomes.
Current hospital haemodialysis is restrictive and time
consuming, with patients needing to come in to hospital three days
a week, which often makes continuing in employment difficult.
It also impacts greatly on quality of life, morbidity and
mortality, despite the advances in technology.
The Manchester team provides its patients with the tools and
know how required to make the transition to home haemodialysis,
which allows more flexibility, with longer or more frequent
sessions , enabling patients to fit dialysis around their
lives. Many patients opt to undergo the treatment whilst
asleep between three to five nights a week, which is less
restrictive, safer and more convenient.
Since the introduction of home haemodialysis, patient experience
has improved and it has resulted in superior clinical
outcomes. It also brings financial savings, with costs up to
40% lower than hospital care. More than 175 patients so far
have been trained in this programme to be independent on
haemodialysis, with increasing numbers joining every day.
Professor Sir Michael Rawlins, Chair of NICE
"We have seen some fantastic things locally across the NHS which
all deserve a prize. It's an example of the extraordinary things
that people do in the NHS."
Dr Sandip Mitra, Consultant Renal Physician at the
Manchester Royal Infirmary said: "The whole team is
delighted to have won this NICE award. The programme has been
driven by patient choice and motivation, with results confirming
that home haemodialysis is a viable treatment option that should be
made available to all those who might benefit. We
hope that the project will inspire more programmes across the
country to offer the choice of this treatment to suitable patients
Val Moore, Implementation Programme Director at NICE
said: "Despite home haemodialysis improving outcomes for
patients, uptake across the country is still very low.
This programme in Manchester is a real example of innovative
thinking driving up patient care and delivering excellent
results. I congratulate the team in Manchester."
A patient using home haemodialysis said:
"When I was faced with hospital dialysis, I lost a lot of self
esteem, felt low and lost interest in a lot of things - it was like
a downward spiral. Home dialysis has suddenly made me feel more
interested, happier and relaxed."