Supportive Care

The Supportive Care Special Interest Group (SIG) brings together members of the kidney community to strengthen supportive care for adults and children with advanced kidney disease. Supportive kidney care may be provided alongside dialysis or other treatments, or as part of conservative kidney management. It includes symptom management, shared decision-making, advance care planning and support as a person’s needs change.

The SIG develops clinical guidance, education and evidence to help multiprofessional teams provide safe, effective and person-centred care.

SIG Co-Chairs

Medical Co-Chair

MPT Co-Chair

What the SIG does

The SIG’s responsibilities include:

  • Developing clinical guidance and recommendations for supportive kidney care
  • Supporting education and training for the multiprofessional kidney community
  • Improving symptom management, shared decision-making and advance care planning
  • Promoting clearer and more consistent understanding of supportive kidney care and conservative kidney management
  • Identifying variation in services, access and outcomes
  • Supporting the development of data and evidence for supportive kidney care
  • Bringing together clinical, research, patient and carer perspectives
  • Working with kidney services, palliative care, primary care, care of older people and paediatric teams

Current work

The SIG operates through focused task and finish groups. This allows members to contribute to defined projects according to their expertise and interests.

The SIG is developing guidance on the management of pain, pruritus, fatigue and gastrointestinal symptoms in people with advanced kidney disease. Dedicated groups are reviewing the evidence and developing recommendations for practice.

The SIG is developing guidance to support the assessment and care of people living with frailty and chronic kidney disease. The work draws on a review of the available evidence and contributions from focused task-and-finish groups.

The SIG has undertaken research exploring how supportive kidney care is understood by patients, carers and healthcare professionals. The findings will help inform clearer terminology, communication and education across the kidney community.

The SIG is reviewing the use and evaluation of existing UKKA psychosocial e-learning. This includes examining who is accessing the training, how it affects professional confidence and what feedback participants have provided.

The findings will help identify priorities for future psychosocial education and skills-based training.

Published work and resources

The SEISMIC study mapped models of supportive kidney care across the UK, Australia and Aotearoa New Zealand. It examined how services are organised, who contributes to care and the activities provided by different teams.

The findings identified considerable variation in service models, resources and delivery between kidney units and countries.

Read the SEISMIC study

This supplement to the Association for Paediatric Palliative Medicine Formulary provides additional support for the pharmacological management of children with chronic kidney disease receiving palliative care.

Read the supplement

Share your research ideas

Do you have a research idea relating to supportive kidney care or conservative kidney management?

The SIG holds online sessions where members can present an early-stage idea or completed project, receive feedback and connect with clinicians and researchers working in this area. The sessions are led by Professor Fliss Murtagh and Dr Barny Hole.

Get Involved

UKKA members can join the Supportive Care SIG at any time through our membership platform. Opportunities to contribute to specific task and finish groups and projects are shared with members as they arise.