The Getting It Right First Time (GIRFT) national report, written by Dr Graham Lipkin and Dr William McKane, is now available, outlining 18 key recommendations which can benefit both patients and the wider NHS.

The report is based on insight from extensive benchmarked data as well as visits to all adult renal centres in England, including the transplant centres.

Its recommendations focus on:

• Expanding access to home dialysis to ensure it is offered to all suitable patients, reaching a minimum target rate of 20% of dialysis patients in every renal centre.
• Equity and improved access to kidney transplantation.
• Improved management of patients with acute kidney injury.
• Improved kidney outpatient delivery.
• Delivering target rates for vascular access.

The GIRFT report is already helping to drive improvements in care. Its recommendations have informed and are closely aligned with the ten high-impact changes outlined by the Renal Service Transformation Programme (RSTP). This collaboration offers an unparalleled opportunity to work jointly on delivering improving patient care nationally, addressing variation and inequality, and redesigning services in renal medicine.