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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 said:
"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 on dialysis."

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."