Keywords
Practice initiatives, renal policy, renal funding.
N ational health policy and funding new initiatives
Innovative change in health service delivery can be driven
locally by clinicians and managers who understand the real issues
and the solutions that will work. But often such changes can be
inhibited by the pressing need to maintain business as usual in
the face of growing demand and by a lack of available funding
for new initiatives. Dissemination beyond initial sites from
locally generated initiatives tends to be erratic and protracted.