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Dialysis transport commissioning 'fragmented'

Dialysis transport commissioning 'fragmented'

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The fragmentation of commissioningarrangements for dialysis transport services has been highlightedas a “barrier to improvement” by NHS Kidney Care.

A survey intokidney patient transport services across England found  “a significant number of patientsreceived an unacceptable level of transport service”.  

The fragmentation of commissioning arrangements for dialysis transport services has been highlighted as a “barrier to improvement” by NHS Kidney Care.

A survey into kidney patient transport services across England found  “a significant number of patients received an unacceptable level of transport service”.  

Of the approximately 12,400 haemodialysis patients that responded, around one in four patients relying on hospital arranged transport waited longer than the UK Renal Association Guidelines of 30 minutes to be collected for treatment.  

One in three patients had to wait longer than 30 minutes after treatment to be taken home.

The fragmentation of commissioning arrangements for transport services with transport budgets often held by PCTs rather than specialist commissioners was identified as a potential reason for the delays.

It is claimed kidney networks are “well placed” to bring together commissioners and providers to improve transport services and share best practice.

“It is not surprising that transport is frequently cited by patients as the most important aspect of their care that needs improving,” said Beverly Matthews, Director of NHS Kidney Care.

“I urge all kidney care networks, commissioners and providers to look at the wealth of valuable data in these reports and use it to support improvements in transport services.

“The fragmentation of commissioning arrangements for transport services is highlighted as a barrier to improvement, and in many areas it appears that a clearer line of sight is needed between the accountability for the budget and the accountability for providing the best service to patients.”

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