Closing Information Loop for Home Dialysis

Dafydd James, Senior Pharmacy Technician, Renal Services

Abertawe Bro Morgannwg University Health Board


The South West Wales home nocturnal dialysis programme is an award-winning service recognised as a UK beacon centre for treatment innovation.

Here the application of the Prudent Healthcare principles has created a new treatment option that is achieving more for less – more for patients’ wellbeing, longevity and quality-of-life with less use of NHS resources.

Planning and development

Through co-production we developed an efficient, gentle and regular form of dialysis that is performed by the patient in their own home as they sleep.

This treatment innovation has been possible by service modernisation tailored towards supportive self-care enabled by digital innovation. Crucially, the use of technology consolidated our clinical notes to a single eRecord which also allows patients access their blood results and prescribed treatments enabling them as active partners in their own care.

Clinical data previously recorded by a healthcare professional is now recorded by the patient at home. This vast quantity of data is needed to oversee the safety and efficiency of home therapy. This data is paper recorded; a final element to our home dialysis service awaiting digitisation.

Key findings

The health technology exemplar process has enabled the development of a ‘digital dialysis data tool’. Patients are now able to enter their own daily treatment details and observations onto a digital platform that links directly into our consolidated eRecord to fully digitalise the service (see the figure below).

South West Wales Home Haemodialysis  infographic showing a digitalised service

This development has enabled real-time capturing of home dialysis treatment observations which has allowed enhanced service delivery in terms of rapid intervention enabled by continuous monitoring and improved compliance for recording treatment observations. By practically eliminating unnecessary replication and transcribing, this time can now be better spent providing training and support.

Fit with prudent principles

Aligning an innovative project such as this with a prudent approach ensures robustness and will likely be a success. The benefits are:

Efficiency & quality improvement:

Enhanced service delivery:

Part of cohort Bevan Exemplar Projects 2016-17