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Where the dialysis takes place
An individual is not entitled to PADP under rules for renal dialysis if they are receiving renal dialysis with the assistance or supervision of staff within the National Health Service (NHS) as an outpatient in a hospital or similar institution under (PADP regs, reg 7(3)):
- the National Health Service (Scotland) Act 1978
- the National Health Service Act 2006
- the National Health Service (Wales) Act 2006
- the Health and Personal Social Services (Northern Ireland) Order 1972
Where an individual’s application form states that they receive renal dialysis from home, case managers should start from a position of trust without requiring any further supporting information to confirm this.
The PADP Supporting Information chapter has more information on what supporting information is required from a professional to broadly confirm an individual’s needs, disability or health condition.
If an individual’s application form does not state where they receive renal dialysis, case managers should clarify this with the individual before making a determination of entitlement.
For more information on approaching determinations from a position of trust, refer to the ‘person-centred decision-making’ section of the PADP Principles of Decision-making chapter.
Example: an individual who receives renal dialysis within an NHS hospital
Tiernan is 72 years old and has applied for PADP. Tiernan has kidney failure and attends his local NHS hospital three times a week for haemodialysis. At the time of his application, Tiernan had his kidney condition for seven months, and therefore satisfied the backwards test. Tiernan did not have any other needs or conditions that the case manager needed to consider when making a determination.
A nurse sets up Tiernan’s dialysis and makes sure he is comfortable. Most days, the nurse also checks for vital signs and how Tiernan is coping several times throughout treatment. After the treatment is completed, the nurse turns off the machine and helps Tiernan get up.
As Tiernan’s treatment is carried out at an NHS hospital and assisted by nursing staff, Tiernan is not entitled to an award of PADP.
Example: an individual who receives renal dialysis at home
Susan is 68 years old and requires renal dialysis. She has had her condition for two years, which satisfies the backwards test. Susan does not have any other needs or conditions that the case manager needs to consider when making a determination.
Susan will often be supervised by her partner when undergoing treatment. The case manager does not need to ask Susan to demonstrate that her partner is present during her treatment to make a determination. Susan receives treatment three times a week, and each session lasts around four hours. Susan generally receives her treatment in the morning.
As Susan receives dialysis treatment at home, rather than in an NHS hospital assisted by a hospital member of staff, Susan has satisfied the daytime condition and is entitled to the lower rate of PADP.