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October 2020
A MULTI-PROFESSIONAL RENAL WORKFORCE PLAN
FOR ADULTS AND CHILDREN WITH KIDNEY DISEASE
Produced in collaboration with the affiliates of the British Renal Society
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CONTRIBUTORS
Dietitians (Renal Nutrition Group; RNG, Paediatric Renal
interest Nutrition Group; PRING) of the British Dietetic
Association
Bruno Mafrici
Fiona Graham
Clinical Renal Technologists (Association of Renal
Technologists; ART)
Roger Moore
Nursing (Association of Nephrology Nurses UK;
British Transplant Society Nurses)
Karen Jenkins
Lynsey Stronach
Physicians
Robert Lewis
Carol Inward
Yincent Tse
Phil Mason
Adult and Paediatric Renal Pharmacists (UK Renal
Pharmacy Group; RPG and Neonatal and Paediatric
Pharmacists Group; NPPG)
Andrea Devaney
Rachel Crampton
Andrew Wignell
Psychosocial Practitioners: Psychologists (Clinical,
Counselling Health), Counsellors, Psychotherapists and
Social Workers
Emma Coyne Amanda Logan
Sophie Velleman Janette Moran
Amanda Bevin
Rachel Barkman-Astles
Margaret Eyre
Therapies: Physiotherapy, Occupational Therapy and Clinical
Exercise Physiology (Renal Rehabilitation Network)
Ellen Castle
Andrew Scott
Lisa Ancliffe
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Affiliates of The British Renal Society
CONTENTS
British Dietetic Association Renal Nutrition Group
EXECUTIVE SUMMARY..........................................................I
British Dietetic Association Paediatric Renal interest Nutrition Group INTRODUCTION...................................................................II
1 DIETITIANS:
ADULT AND PAEDIATRIC SERVICES .....................1
The Association of Renal Technologists
2 NURSING:
ADULT AND PAEDIATRIC .........................................9
Association of Nephrology Nurses UK 3 PHARMACY:
ADULT AND PAEDIATRIC SERVICES ...................20
British Transplant Society Nurses
4 PHYSICIANS:
ADULT AND PAEDIATRICS .....................................29
Neonatal and Paediatric Pharmacists Group
5 PSYCHOSOCIAL PRACTITIONERS:
PSYCHOLOGISTS, COUNSELLORS,
PSYCHOTHERAPISTS, SOCIAL WORKERS:
ADULT AND PAEDIATRICS......................................39
UK Renal Pharmacy Group 6 TECHNOLOGISTS......................................................52
Renal Physicians Group 7 THERAPIES:
PHYSIOTHERAPY, OCCUPATIONAL THERAPY
AND CLINICAL EXERCISE PHYSIOLOGY ..........54
RESEARCH AND FUTURE RECOMMENDATIONS ........IV
British Association for Paediatric Nephrology
The British Psychological Society Renal Psychologists’ Network
British Association of Social Workers
atCamera/iStock
Renal Psychological Therapists
ront cover credit: F
BRS Renal Rehabilitation Network F
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A MULTI-PROFESSIONAL RENAL WORKFORCE PLAN FOR ADULTS AND CHILDREN WITH KIDNEY DISEASE I
EXECUTIVE SUMMARY
These recommendations, produced by the renal community, are intended to provide guidance on the workforce
requirements needed to care for adults and children living with kidney disease. An efficient and effective kidney
service requires integrated, multi-professional and multi-agency working.
There has been a sustained rise in the number of adults and children being diagnosed with and treated for kidney
disease. The complexity of managing the care of these people has increased and requires additional and specialist
clinical skills and support across primary and secondary care settings. Providing the right staff with the necessary
skills, in the right place, at the right time is challenging. The recommendations in this report are based on the
complex needs of people living with kidney disease, and the associated skills required to deliver specialist care.
The need for flexibility and new ways of working to make the best use of skills and knowledge is recognised.
High quality care and efficient use of resources throughout the patient journey from diagnosis to end of life requires
a whole-systems, holistic approach. Patients require support and specialist care from a whole range of healthcare
professionals and primary care practitioners. Involving people living with kidney disease, and those supporting them,
is of paramount importance to the planning and delivery of their care. The delivery of kidney care should be in
partnership with well-informed people who are empowered to play a central role in how their condition is managed.
To be achieved, this requires a workforce with appropriate skills, knowledge, competencies and resources.
The roles and responsibilities of the various professional groups are outlined in this document. The information
collated reflects current workforce skills, competencies, recognised acuity tools, career frameworks, and innovative
ways of working that are being used to provide high quality kidney care across the UK.
NHS England, Scotland, Wales and Northern Ireland have each developed strategies to improve quality and reduce
inequality in health and social care. These strategies are likely to influence and inform future workforce directives.
This document is intended to be used in conjunction with other current and future national workforce planning
guidance to inform commissioners and providers of healthcare, in recognition of the diverse range of healthcare
needs and systems that span the UK. The recommendations for workforce within the document are based upon the
best available evidence. It is a ‘living document’ which will be reviewed and updated accordingly on a two-yearly
cycle, to reflect innovations in practice, research and the changing demographic of the UK population.
On behalf of the British Renal Society, we would like to thank all those who volunteered their time to contribute to
this document.
Sharlene Greenwood Karen Jenkins Hannah Young
President British Renal Society Vice President Clinical Practice Vice President Clinical Development
British Renal Society British Renal Society
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