For healthcare professionals only


Payments for renal care need urgent change to tackle prevention, say doctors

BMJ 2014; 348 doi: (Published 10 January 2014) Cite this as: BMJ 2014;348:g152
  1. Matthew Limb
  1. 1London

Patients in England with chronic kidney disease are being subject to preventable harm because outdated NHS payment systems are thwarting the development of new care models, say leading specialists.

Kidney doctors want the case for change to the tariff system to be treated more urgently, arguing that current funding systems are having a pernicious effect on the way care is delivered and making the current model unsustainable.

Hugh Rayner, a consultant nephrologist with the Heart of England NHS Foundation Trust, said that the fault lay with tariffs that “incentivised” trusts to carry out “activity” such as renal …

View Full Text

Log in

Log in through your institution


* For online subscription