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NHS: Kidney care needs to improve


An NHS report has claimed that better detection rates and earlier diagnosis could improve standards for patients suffering with chronic kidney disease (CKD).

The NHS Kidney care study discovered that the existing approach causes up to 45,000 premature deaths each year, higher than a combination of lung and breast cancer rates. But a drive to improve standards could save the NHS money and improve the quality of life for patients.

Around 1.8m people in England have been diagnosed with the condition, but the report claimed that there could be 1m undetected cases.

The findings of the study were published in the journal of Nephrology Dialysis Transplantation, with clinical trials forming the basis of the NHS data and economic modelling.

The paper, “Chronic Kidney Disease in England: The Human and Financial Cost”, found that an improvement in standards could help the NHS in England save £1.4bn each year.

Marion Kerr, author of the report, said: “Chronic kidney disease has a much greater impact on people’s lives, and on NHS costs, than is generally recognised.”


Readers' comments (2)

  • The first point of contact are Gp practices and practice nurses. This is worrying as for many who are refferred face waiting extended periods then the disease has progressed and preparation for treatment and counselling begins if necessary for dialysis. I have come across a patient who went to his gp feeling tired, weak and had a feeling that 'something just wasn't right'. His gp said ' I think you need some exercise' and discussed how exercise helps depression. 6 months later that patient collapsed and faced a difficult prognosis which required invasive procedures and treatment at a pace which can psychologically effect them. Neck line/femoral line, dialysis, adjusting to dialysis, a new way of life, permanent line insertion. This could have been detected earlier if the gp had requested a series of blood tests, then the patient would have been appropriately prepared. The support already in place for patients is given by compassionate, dedicated staff of multidiciplinaries. I am proud to have worked with these people and despite challenges, hence why I am writing anon.

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  • 1.19 pm

    this is what comes of over pressured staff being coerced into working according to guidelines and protocols. many are unable to apply them appropriately. it is also the fault of the outmoded gp gatekeeper system still in practice in the UK. this needs to change so that patients and their complaints are closely heard by the right specialists and swiftly acted upon to avoid many of the tragedies which are occurring.

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