TRUNC-HD (Sheffield Case Study - Reducing Dialysate Flow Rate)

This study outlines a quality improvement project assessing the impact of reducing dialysate flow rates in haemodialysis from 800 ml/hr to 500 ml/hr. The change was introduced to cut water and energy use, lowering the environmental footprint of dialysis without compromising patient safety or treatment adequacy. 

The initiative demonstrated that lower flow rates maintained effective dialysis outcomes while delivering measurable sustainability benefits. This project highlights how small, evidence-based adjustments in clinical practice can contribute to greener healthcare and offers a scalable model for other renal units aiming to reduce carbon and resource use.