Delivering as a CCG

Renal Home Visiting

Current Provision

End of life support through the Conservative Management Home Visiting Service for end stage renal disease.  The current service provides advanced care planning, symptom management, practical nursing care, facilitates end of life care and discusses preferred place of care and death.

Case for change

There are other dedicated end of life services and moving this service to the community allows for fully integrated care.  As a result there will be a greater emphasis on patient outcomes and how to meet these and improved patient and carer experience.  The change removes duplication in services and as a result, provides better value for money.


CCGs will ensure the re-commissioning of these services to maintain the current nursing and end of life support.  A case management approach will be provided to all patients.

Principles include:

  • 24 hour nursing care within their own home due to long term chronic disease or as a result of an acute episode of ill health;
  • Ongoing case management or rehabilitation as a result of a long term condition(s) or complex needs from multiple conditions.
  • Adhere to and provide evidence of compliance with the NICE quality standard for End of life for adults

The existing service is provided in a patients home and that will continue, along with care co-ordination across other relevant community services.

Tell us what you think

The engagement period for this service review has now ended.  For an update on the decisions on services, click here.


If you would like a paper copy of the You-said-we-did Summary,  please call 0800 028 3693 (option 2)

For further comments, please send your comments to the Patient Experience Team on or write to:


Patient Experience Team

South Nottinghamshire CCGs

Civic Centre

Arnot Hill Park




If you would like a paper copy of the You-said-we-did summary please call 0800 028 3693 (option 2)


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