Scottish Renal Registry
Annual report 2024

About this release

This release by Public Health Scotland (PHS) presents the Scottish Renal Registry (SRR) 2024 annual national report. The SRR aims to improve the care of patients with kidney failure who are treated with kidney replacement therapy (KRT). KRT comprises all patients who are on dialysis or who have a kidney transplant in Scotland. This year the report presents information about the incidence, prevalence, distribution, modality and outcomes of patients receiving KRT for kidney failure in Scotland between 1960 and 31 December 2023. It also includes data relating to
COVID-19 and vaccinations in people receiving KRT treatment during, and since, the pandemic.

Main points

• In 2023, 635 people in Scotland (11.7 per 100,000 population) started KRT for kidney failure, with 498 starting with haemodialysis (HD), 90 starting with peritoneal dialysis, and 47 receiving a pre-emptive transplant.
• On 31 December 2023, there were 5732 patients receiving KRT for established kidney failure, of whom 3491 had a functioning kidney transplant, 2041 were being treated with haemodialysis (HD) and 200 with peritoneal dialysis (PD).
• A total of 265 patients who were living in Scotland received a kidney transplant in Scotland during 2023. Of these transplants, 48 (18.1%) were pre-emptive compared with 56 (22.7%) in 2022.
  In 2023, there were 89 living-donor transplants and 176 deceased-donor transplants, compared with 97 living donor and 206 deceased donor transplants performed in 2019.
• For transplants performed in 2022, 92.4% of grafts were functioning one year post transplant.
• The chart demonstrates that across Scotland, the incidence of KRT is higher in people living in more deprived SIMD (Scottish Index of Multiple Deprivation) quintiles while the incidence of pre-emptive transplantation is lower in more deprived areas.

A set of 5 stacked bar charts, with each bar representing a SIMD quintile. Within each bar Hospital HD is at the top, PD the middle and Pre-emptive Transplant at the bottom. Labels are present to show the number of incident patients for each bar segment.

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Mode of first KRT in 2023 by SIMD quintile

Background

The SRR is within the Scottish National Audit Programme, which is part of PHS. The aim of the SRR is to improve the care of patients with kidney failure treated with KRT by systematic and comprehensive analysis, including audits of service provision, clinical management and outcomes. National clinical standards were ratified by the Scottish Renal Association and implemented in 2021 to improve patient care.

Further information

The next release of this publication will be September 2025.