The project took place at two UK National Health Service (NHS) Trusts, namely, the Hamilton dialysis unit in Leicester and Addenbrooks Hospital in Cambridge. Leicester has an ethnically diverse population of 330 000 [22], including 917 HD patients, served by three dialysis units [1]. The Hamilton unit treats 114 patients and staffing ratios are four qualified nurses and one assistant per 19 patients [23]. Cambridge has a population of 124 000 [22], including 583 HD patients [1]. The Addenbrooks unit treats 228 patients and staffing ratios are one qualified nurse per four patients. Both units are operationally run by Fresenius Medical Care but clinically managed by their respective NHS Trusts.
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