A knowledge hub for home dialysis quality improvement projects.
Welcome to the DAYLife knowledge hub, an interactive knowledge and resource platform to support health care professionals with home dialysis QI projects. This is a platform for you to share your challenges, to learn best practices, and to contribute to quality improvement with a network of renal professionals.
It is a place to connect with, learn from, and support each other.
About DAYLife
At present there continues to be a significant variation in the proportion of patients on home dialysis across regions within the UK highlighted by the 2021 GIRFT report, despite professional guidance and patient groups stating that more people wish to dialyse at home.
There is a recommendation that all kidney centres should have a minimum of 20% of the prevalent dialysis population on a home dialysis modality.
There is a need for DAYLife - a national, clinically led improvement programme to share and scale up the learning, reduce regional variation, and provide infrastructure to spread successful interventions at pace.
Mission statement
Enable culture change and clinical leadership to promote equitable access to high quality home dialysis therapy in all kidney centres across the UK and ensure provision of the right treatment for the right person at the right time.
Aims and objectives
Aims
All kidney centres in the UK to engage and actively participate in quality improvement work around home dialysis therapy by December 2025
All centres to achieve a minimum of 20-25% of their prevalent dialysis patients to be on a home therapy by December 2027
Centres currently achieving the target of 20% to continue to demonstrate incremental improvement in the proportion of patients on home dialysis year on year.
Objectives
Establish a national quality improvement programme that is co-designed with patients and care professionals
To identify unmet needs and key national priority areas for improvement
Develop and prioritise 'change ideas'
Establish working groups bringing together experts, enthusiasts and patients to develop an implementation plan
Develop a central hub of resources to share best practices and learning; as a repository for QI impact evidence; platform for professionals to connect with each other; signpost to patient information resources around home dialysis
Engage centres and networks to prioritise improvement work around home dialysis and offer QI support where required
Raise awareness and provide regular progress updates through improved communications and partnerships with key stakeholders and centres
Increase regional QI leadership and capability through structured QI training days and mentorship
Establish a quarterly national home dialysis quality dashboard
Learn more about the DAYLife programme and access quality improvement resources to help you increase home dialysis adoption and quality.
We have a repository of resources developed as part of the DAYLife programme, published evidence from QI initiatives, and links to additional resources to help guide your practice.
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Connect
Join the DAYLife community! Network with other MPT members with an interest in home dialysis.
Get involved in discussions, ask questions, and help drive quality improvement in your units, regions, and the UK.
Patients and other non-healthcare professionals working with health care professionals on home dialysis improvement initiatives can request access to this section by contacting kqip@ukkidney.org.
Contribute
Update the community on your quality improvement projects related to home dialysis to contribute to best practices and inform future projects.
What are you doing? How's it going? What lessons can we learn from your experiences?
Contribute to the body of knowledge by sharing information about your QI project with the community.
Share your feedback
We would greatly appreciate your feedback on the DAYLife hub.
Your insights will help us to develop a high quality, useful and intuitive hub to support home dialysis quality improvement projects throughout the UK.
Workstreams
The DAYLife programme is centred on four workstreams, each of which has a dedicated hub with relevant resources and a community space.
Shared Haemodialysis Care
This working group provides resources to support the 'shared care' approach in haemodialysis, where patients gradually develop skills alongside health professionals, allowing for for self-paced decision-making.
Psychosocial Support
Distress is a natural response to kidney failure and related treatment choices. This workstream provides resources for embedding proactive holistic support systems that address the emotional and social dimensions of home dialysis.
Shared Decision Making
Access this workstream for guidance on fostering a participatory environment where patients' values and preferences are central to selecting appropriate CKD treatments.
Peer Support
Peer support from other patients and carers is crucial in informing, choosing, and maintaining home dialysis. Access this workstream for resources to develop peer-to-peer networks that enhance patient confidence and treatment engagement in home dialysis.
What's new?
Check out the most recent resources that we've added to the knowledge hub.
Are you involved in a QI project on home dialysis? We've created a reporting system for home dialysis QI projects. Please share your project details to inform others and strengthen the knowledge network.
We are currently compiling and sharing a database of home therapies QI projects in the UK. Use the repository to connect with others working on similar projects and gain insights that will help with your own projects.
Latest community posts
The DAYLife Team
DAYLife is a partnership between three organisations: KQIP, Kidney Care UK, and Fresenius Medical Care. The DAYLife community hub is hosted and supported by the UK Kidney Association.
KQIP
KQIP is a dynamic network of kidney health professionals, patients and carers who are committed to developing, supporting and sharing improvement in kidney services, to enhance outcomes and quality of life for people with kidney disease.
The UKKA KQIP Team:
Udaya Udayaraj
Georgina Hamill
Kay Elson
Kidney Care UK
Kidney Care UK is the UK's leading kidney patient support charity, which provides practical, emotional and financial support to kidney patients and their families and funds patient-centred projects to help improve kidney care services throughout the UK.
The Kidney Care UK Team:
Paul Bristow
Claire Kercher
National Kidney Federation
The National Kidney Federation is the largest kidney patient charity in the UK run by kidney patients, for kidney patients. The NKF provides national patient support services and campaigns for improvements to renal provision and treatment.
The NKF Team:
Andrea Brown
Sharney Warren
Fresenius
Fresenius Medical Care is the world's leading provider of products and services for individuals with renal diseases, of which around 4.2 million patients worldwide regularly undergo dialysis treatment.
The Fresenius Team:
Suzanne Carroll
Emily Rice
This section is restricted to healthcare professionals to ensure PMCPA compliance. If you are not a healthcare professional, but are leading on a home therapies quality improvement project and would like to submit a report, please email us at kqip@ukkidney.org.
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