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The Renal National Service Framework: a step in the right direction

Bruce M Hendry and Hugh S Cairns
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DOI: https://doi.org/10.7861/clinmedicine.4-5-458
Clin Med September 2004
Bruce M Hendry
Guy's King's and St Thomas' School of Medicine, London
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Hugh S Cairns
King's College Hospital NHS Trust, Denmark Hill, London
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Abstract

Part one of the National Service Framework (NSF) for Renal Services was published early in 2004. The document covers the treatment of patients with end stage renal failure with dialysis and transplantation. Five standards to be achieved by 2014 are proposed. These cover access to information, timely preparation for dialysis, quality planned access surgery, patient choice for dialysis modality, and improvements in the quantity and success of renal transplants. These standards are underpinned by five early actions to be achieved by 2006. These include improved information flow about current practice and outcomes, increases in haemodialysis capacity and adherence to National Institute for Clinical Excellence guidelines on immunosuppression. The Renal NSF is welcome as a significant boost to the profile of renal services in England. Implementation will be difficult and will require the sustained pressure of the ‘Kidney Alliance’ representing patients, clinicians and supporting organisations.

Key Words
  • access surgery
  • chronic renal failure
  • dialysis
  • haemodialysis
  • National Service Framework
  • NHS policy
  • renal
  • transplantation
  • © 2004 Royal College of Physicians
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The Renal National Service Framework: a step in the right direction
Bruce M Hendry, Hugh S Cairns
Clinical Medicine Sep 2004, 4 (5) 458-461; DOI: 10.7861/clinmedicine.4-5-458

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The Renal National Service Framework: a step in the right direction
Bruce M Hendry, Hugh S Cairns
Clinical Medicine Sep 2004, 4 (5) 458-461; DOI: 10.7861/clinmedicine.4-5-458
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