Q & A: Transplant work up costs

Q: Dear Donal, I would be grateful for guidance on this which has some bearing on the (otherwise welcome) recent proposals for more explicit remuneration of dialysis services. There is a potential serious funding shortfall likely to occur in non-transplanting renal centres, who currently bear the cost of transplant work up and follow up from savings from the HD budget. I have discussed this at a...

Q & A: Asylum seekers who need dialysis

Q: Dear Donal, I would be grateful for guidance on this issue. In recent years, and perhaps as a function of the proximity of Yarls Wood detention centre and Luton and Stansted airports, we are seeing increasing numbers of foreign asylum and residency seekers with established renal failure presenting for dialysis. The problem is however that these people are not entilted to full NHS services,...