Reimbursement toolkit for home dialysis - UPDATED

The NKF alongside other kidney charities and professional bodies have been working with the UKKA Kidney Patient Safety Committee.

Together we have produced a toolkit to support reimbursement of additional utility costs for home dialysis. We are pleased that this toolkit has been produced to assists trusts with reimbursing patients who dialyse at home.

The documentation outlines provider responsibilities (NHS Trusts/Health Boards) for capital costs of home adaptation and reimbursement of utility costs for home dialysis. This includes remote monitoring, electricity, heating, telephone, water and sewage costs due to haemodialysis or peritoneal dialysis treatments and associated equipment.

The renal unit that is responsible for dialysis provision within NHS Trusts/Health Boards will carry out a suitability assessment for home dialysis. This will involve members of the renal multi-disciplinary team e.g. renal technologist and home dialysis nurse visiting the property and discussing the options and logistics e.g. storage with the person wishing to have dialysis at home.

Payment of the national tariff to the patient’s usual dialysis provider is expected to meet these costs as per NHS England Haemodialysis to treat established renal failure performed in a patient's home service specification.

Changes in fuel costs will need to be reviewed quarterly and attention paid to increasing charges and price caps. 

NHS Trusts/Health Boards will be responsible for:

  • Initial environmental assessment
  • Capital whole life costs
  • Reimbursing additional utility costs
  • Ongoing clinical/technical support
  • Community support

For full information on reimbursements, council tax reductions, under-occupancy charges and insurance read the full recommendations for practice outlining responsibilities of NHS Trusts/Health boards documentation.