Every patient in the UK should have the right to make an informed, evidence-based choice about how and where they dialyse. Our survey results reveal that, at present, there is unequal opportunity for patients to make these choices, which can have devastating consequences. Empowering patients to conduct their dialysis sessions at home, at a time that suits, allows them to fit dialysis around their lives. This provides far greater opportunity for education and work, which can mean the difference between full-time employment versus relying on long-term benefits. Transitioning to home haemodialysis also carries large economic and social benefits for working-age patients, and can help reduce the burden on family members having to provide additional care and support. Whilst no one could have predicted the devastating impact that COVID-19 would have on dialysis patients, this survey data has reinforced how crucial it is to bring about changes to ensure that the lessons learnt from the pandemic can support the greatest possible improvements in health and wellbeing for every dialysis patient in the UK.