biostudies-literatureMc Laughlin LHCRW_Health and Care Research Wales579-606https://www.ebi.ac.uk/biostudies/studies/S-EPMC8957730biostudies-literatureUnknown25(2)<h4>Context</h4>Too many people living with chronic kidney disease are opting for and starting on hospital-based dialysis compared to a home-based kidney replacement therapy. Dialysis services are becoming financially unsustainable.<h4>Objective</h4>This study aimed to assess the efficacy of coproductive research in chronic kidney disease service improvement to achieve greater sustainability.<h4>Design</h4>A 2-year coproductive service improvement study was conducted with multiple stakeholders with the specific intention of maximizing engagement with the national health kidney services, patients and public.<h4>Setting and participants</h4>A national health kidney service (3 health boards, 18 dialysis units), patients and families (n = 50), multidisciplinary teams including doctors, nurses,Health expectations : an international journal of public participation in health care and health policyAssessing the efficacy of coproduction to better understand the barriers to achieving sustainability in NHS chronic kidney services and create alternate pathways.PMC8957730RfPPB-17-1423(T)HCRW_RFPPB-17-1423(T)RfPPB‐17‐1423(T)Fellowes DCharles JStone JWilliams GIsaac LMc Laughlin LDallimore DChess JHowells TNoyes JPopham JWilliams SHMathews JRoberts GfalseAssessing the efficacy of coproduction to better understand the barriers to achieving sustainability in NHS chronic kidney services and create alternate pathways.<h4>Context</h4>Too many people living with chronic kidney disease are opting for and starting on hospital-based dialysis compared to a home-based kidney replacement therapy. Dialysis services are becoming financially unsustainable.<h4>Objective</h4>This study aimed to assess the efficacy of coproductive research in chronic kidney disease service improvement to achieve greater sustainability.<h4>Design</h4>A 2-year coproductive service improvement study was conducted with multiple stakeholders with the specific intention of maximizing engagement with the national health kidney services, patients and public.<h4>Setting and participants</h4>A national health kidney service (3 health boards, 18 dialysis units), patients and families (n = 50), multidisciplinary teams including doctors, nurses,2022-01-01T00:00:00Z2022 Apr2025-06-01T02:01:28.014Z2025-06-01T02:01:28.014ZS-EPMC89577303496421510.1111/hex.13391