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Publication Remote monitoring of kidney function: What matters to patients and healthcare professionals?(What Works Centre for Wellbeing, 2024) Murray, Jonathan; Smithson, Joanne; Keane, DavidSustained advances in innovation and technology make remote monitoring of kidney function a real possibility in the near future. The NHS Long Term Plan (2019) proposes a widespread and funded programme to upgrade technology and digitallyenabled care across the NHS, to support patients and their carers to better manage their own health and condition. It also aims to better utilise healthcare technologies to help reduce unnecessary clinic visits for patients and limit NHS clinic expenditure. Within the UK Kidney MedTech Research Network, our patient consultation demonstrated that many people living with kidney disease recognise the importance of self-monitoring and of positioning healthcare around patients’ lives, rather than vice versa.¹ The burden from living with kidney disease is significant, and addressing health system issues has been clearly identified as a priority.² However, our research suggested that an ideal solution can look very different from one individual to the next. Maximising benefit, while minimising potential harm or inadvertently increasing test and treatment burden, represents a complex and important challenge. From November 2021, we have been working with Q Lab, supported by the Health Foundation and NHS England. Together we have been exploring how to build staff and patient trust and confidence in technology-enabled remote monitoring. This document summarises our findings and sends out very clear statements about what patients and clinical teams want from technology enabled remote monitoring in kidney disease. These service principles and the rationale underpinning them can support technology development that could make a real and sustained difference in how care is delivered and how it is experienced. This project is uniquely important because it looks at remote monitoring through the dual lenses of people living with kidney disease and multi-professional renal healthcare clinicians. It focuses on what remote monitoring features are most important to consider when thinking about people’s wellbeing, life satisfaction and quality of care perspectives.