Flagship programme

Home haemodialysis,
under your
supervision

Every session runs on a named consultant's prescription. Every parameter is logged. Every deviation comes back to you. The patient does not transfer out of your care — they stay in it, at an address you could not otherwise reach.

§ 01 · four care settings
Setting 01

Home haemodialysis

A hospital-grade session delivered in the patient's home by a certified technician and trained nursing support, on your written prescription.

StatusOperating — 150+ documented cases
Setting 02

Dialysis on Wheels

A self-contained mobile unit — machine, water treatment, power and clinical team in one vehicle — for homes that cannot host a machine, and for patients who cannot travel.

StatusPilot completed. Rollout underway in Kolkata and Mumbai, then partnership-based expansion
Setting 03

Standalone clinics

Dedicated renal care delivered through Diagnex superspeciality clinics, for patients who are able to travel and prefer a facility setting.

StatusOperating
Setting 04

Hospital partnerships

Setup and management of dialysis capacity within a partner institution's premises, with protocol aligned to that institution's own.

StatusAvailable — discussed case by case

A patient may move between these settings as their clinical situation and mobility change, without leaving your care or starting a new record.

§ 02 · the delivery stack
What is deployed to every sessionHome and mobile settings
Machine
Fresenius 4008 series haemodialysis machines with online clearance monitoring and volumetric ultrafiltration control.
Water
Portable reverse-osmosis treatment with pre-session conductivity and hardness checks; chemical and microbiological testing on a fixed schedule, results retained.
Consumables
Dialyser, bloodline set and concentrate sourced through the Lakhotia supply chain. [Reuse policy: state single-use or documented reuse protocol]
Team
Certified dialysis technician with trained nursing support at every session. No session runs unaccompanied.
Contingency
Power backup, spare bloodline set and emergency drug tray carried to every session.
Mobile unit
[number] station(s) per vehicle, on-board RO with storage, independent generator with UPS-backed critical load, and segregated bio-medical waste return.
§ 03 · what is recorded

A complete record,
every session

You are not in the room. The record is what replaces your presence, so it is taken seriously and returned within 24 hours — formatted for clinical review, not for reassurance.

Alongside each session record you receive a flagged-events summary, and a monthly trend sheet for any continuing cohort covering interdialytic weight gain, blood pressure behaviour, ultrafiltration achieved against prescribed, access performance and session adherence.

Parameters loggedPer session
Pre-session
Weight, blood pressure supine and standing, pulse, temperature, access site inspection, target ultrafiltration, prescribed dialysate
Intra-session
Blood pressure and pulse at fixed intervals, blood flow rate, transmembrane pressure, venous pressure, ultrafiltration achieved, conductivity, symptomatic events
Post-session
Post weight, blood pressure, actual ultrafiltration, access haemostasis time, complications, technician sign-off
§ 04 · how a patient enters
Step 01
Consultant referral. A nephrologist identifies a patient for whom home or mobile delivery may be appropriate.
Step 02
Home and access assessment. We assess the home environment, water point, electrical load, vascular access and attendant support, and return that assessment to you in writing.
Step 03
Your decision and prescription. Suitability, modality and prescription rest entirely with you. We do not enrol patients into home haemodialysis.
Step 04
Setup and first session. Equipment installed, water treatment commissioned and tested, first session conducted with additional supervision.
Step 05
Scheduled delivery. Sessions run to the prescribed schedule, with the same team wherever possible.
Step 06
Reporting back. Session record within 24 hours, flagged events immediately, monthly trend summary.

Patient selection is a clinical decision — yours

We assess feasibility. You determine suitability. Those are different questions and we do not confuse them. If we consider a home environment unsuitable we will say so, but a favourable feasibility assessment is not a recommendation to proceed.

§ 05 · vascular access

The failing fistula,
surfaced early

Vascular access is a documented weak point in Indian dialysis care — prolonged temporary catheter use, and delayed referral for permanent access creation and salvage.

Why home delivery helps here

Access performance is measured at every session — venous pressure, arterial pressure, achieved blood flow, haemostasis time, and the technician's inspection note. Across a cohort, that is a continuous trend rather than a snapshot taken at the consultation you happen to have.

A deteriorating access shows in that trend before it shows in a clinic visit.

The referral pathway

Where the trend indicates access dysfunction, it is flagged to the treating nephrologist with the supporting session data, and can be routed to an interventional radiologist or vascular surgeon on the Diagnex panel — inside the same record, without the patient restarting anywhere.

The clinical decision to refer remains the treating nephrologist's. We surface the signal; we do not act on it.

§ 06 · safety
Escalation

Our staff do not exercise clinical judgement

They follow a fixed trigger list. Any trigger stops the session and initiates the escalation ladder — treating consultant, then emergency services, then transfer.

See the full trigger list and protocol
Next step

Supervise a cohort
on your own terms.

Start with a small, defined group of patients so you can assess how the programme actually runs before it scales.

Express Interest Call the empanelment desk · +91 XXXXX XXXXX
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