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<h3>Introduction</h3> CKD affects approximately 3.5 million people in the UK, with 30,000 undergoing dialysis. The annual mortality on dialysis is around 20%. Dialysis withdrawal has become an increasing cause of death amongst patients with end stage kidney disease. There remains a paucity of research in the field, particularly relating to patients’ perception of dialysis withdrawal. This study aims to explore patient understanding of dialysis withdrawal in those known to Renal Supportive Care (RSC). <h3>Methods</h3> This project took place across six haemodialysis units, with patients recruited from a local RSC register. Six patients were interviewed to achieve data saturation. A topic guide was created with input from the UK Kidney Association SIG for RSC. Themes were derived by three independent researchers. <h3>Themes</h3> • Need for information • Need for timelines • Information about what would happen depending on their dialysis journey. • Knowing who to consult for information • Who to involve in decisions <h3>Patient experience</h3> ‘Dialysis days, I just feel absolutely done’ ‘If I did a third day, mentally I would go downhill’ ‘It’s just a bind being here’ ‘Having to depend on someone, that would be a turning point’ <h3>Discussion</h3> This was a small, single-centre study, lacking ethnic diversity. Only four of twenty patients initially approached agreed to participate, suggesting that that dialysis withdrawal may not be something that patients feel comfortable discussing. We will ensure that patients known to RSC are offered education relating to dialysis withdrawal at the appropriate time, with their family present and with clinicians they know. If patients do not wish to engage in discussions or if discussions have already taken place, they will not be repeated, to minimise distress. The patient experience of haemodialysis will be fed back to determine how we can better support patients, particularly relating to quality of life on dialysis.