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Report from Specialised Services Commission recommends retention of national standards

Lord Warner’s report on specialised commissioning has been published, making important recommendations for the future of specialised services.

Those interested in kidney matters may recall that BKPA led a successful campaign not to remove dialysis from the list of specialised services in 2014/15.

The report, to which the BKPA submitted evidence, recommends an approach to the management of specialised services founded on the principles of national standards, locally delivered.

It recommends national accountability for all specialised services, with the opportunity for managing services at a regional or CCG level. While the BKPA does not support CCG commissioning of dialysis services, we see that regional collaboration is an option which merits development. We welcome the report, which can be found here.

The British Kidney Patient Association believes that any future commissioning approach must include:

  • National standards and pricing for kidney care
  • Robust evaluation methodology, measurement and reporting procedures, so that quality, experience and outcomes of care can be seen and acted upon in a timely manner
  • A means to enforce standards in order to ensure adherence
  • Clear accountability for everyone along the care pathway, so that patients know who is responsible for their care
  • Guaranteed access to all suitable choices and locations of care
  • Demonstrable, achievable outcomes for patients
  • Access to a skilled multidisciplinary workforce to care for patients’ medical, social and psychological needs
  • The sharing of learning and good practice between networks.

We published this paper in the British Journal of Regional Medicine which summarises our position, which can be found here.

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