Recommendations of the 2021 Home Dialysis Report Recommendations of the 2021 Home Dialysis Report All adult renal units in the UK should reach a minimum prevalence rate of 20% of their dialysis population on home dialysis (peritoneal and home haemodialysis) by the end of 2024. Clinical directors of renal services in the UK should review their arrangements for shared decision making about dialysis options with patients by the end of 2021. The Renal Dialysis and Transplant Clinical Reference Group for renal services should review the current national service specifications for home dialysis and establish 'integrated commissioning' by the end of 2021. Both home haemodialysis and peritoneal dialysis pathways should be examined through the Renal Services Transformation Programme to identify levers that can lead to a system change within the NHS by 2021. Clinical directors of renal services in the UK should review the staffing allocated to home dialysis and their training by the end of 2021. Clinical directors of renal units in the UK should develop a plan to address barriers to home dialysis faced by patients from BAME backgrounds and patients who suffer high levels of deprivation by the end of 2021. The NKF will lead on reviewing the current information available for patients and carers considering home dialysis and develop a plan to improve it so that it meets the needs of all patients and carers by the end of 2021. The Renal Association and the British Renal Society should arrange quality improvement events to promote home dialysis in all regions of the UK by the end of 2021.