Patients face a de-facto postcode lottery in accessing home dialysis, with still too many not properly informed that they have the choice of such treatments even when they are clinically suitable. Whilst home dialysis patients can dialyse more frequently and with greater flexibility, patients who dialyse in-centre do so only three times a week for four hours per session. To offset the longer gap between treatment sessions, in-centre dialysis patients adhere to strict fluid and diet restrictions to minimise the build-up of dangerous toxins and excess water. They must also travel to and from the centre, which can affect people’s ability to work, continue their education or enjoy a good quality of life