The primary driver for introducing a national policy was to achieve a level of consistency and resolve the situation where some NHS Boards were already reimbursing the electricity costs associated with home dialysis, some partially reimbursing and others making no reimbursement at all. The Scotland-wide policy allows for Boards to determine reimbursement rates for home dialysis whilst recommending the standard UK Kidney Association (UKKA) calculator as a basis.

A review of implementation of the national policy found that all Boards had reimbursement policies for eligible patients. The policy requests that Boards proactively identify patients eligible for reimbursement but does not mandate how Boards may manage the reimbursement process; this is a local decision for each Board.