Introduction for healthcare facilities

The Fresenius Medical Care report: ‘ESRD Patients in 2012 – A Global Perspective’ states: “in 2012, an estimated 2,358,000 people are undergoing dialysis treatment. Some 89% (2,106,000) of all dialysis patients are estimated to be on haemodialysis, and 11% (252,000) on peritoneal dialysis.  Further, the annual growth in global dialysis (7%) is out-stripping world population growth rates.  This places extreme pressure on global dialysis services and is unsustainable”.

Healthcare and service providers have come to recognize that home dialysis modalities not only improve health outcomes and patient lifestyle, but offer cost benefits as well.

However, home dialysis modalities add significant financial and environmental burdens for home patients. Based on the experience of our own dialysis service, we believe that the following resource conservation and management measures can help to lift this burden from both patients and health care facilities.

In the United Kingdom, both the British Renal Society and Renal Association have adopted sustainability policies and acknowledged by adding sustainability as the seventh dimension of quality care.

Sustainability is the seventh dimension of quality of care, alongside safety, timeliness, effectiveness, efficiency, equity, and patient experience. It is important to realise that working to improve sustainability will seldom be in conflict with the other dimensions; in particular, low carbon healthcare is likely to improve cost efficiency and patient empowerment.
Dr Charlie Tomson, President Elect, Renal Association