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Tackling chronic conditions and their causes is a huge challenge facing Australia’s health system (Australian Health Ministers’ Advisory Council, 2017). Chronic kidney disease also continues to be an under-recognised condition globally, and occurs in both adults and children. Kidney Health Australia (2015a) suggests that around 1.7 million Australians over the age of 18 have clinical evidence of CKD, and less than 10 per cent of people with the condition are aware that they have it, as CKD typically has no symptoms. Unfortunately, up to 90 per cent of kidney function can be lost before symptoms become evident The Australian Institute of Health and Welfare (AIHW, 2017) stated 1.7 million hospitalisations during 2015–16 were associated with CKD, which accounted for 16 per cent of all hospitalisations in Australia. These results are similar in New Zealand with an estimated 7–10 per cent (approximately 210000 people in 2015) of the total population living with some degree of CKD. The New Zealand Ministry of Health (NZMOH, 2015) states that there was an increase of 84 per cent in 12 years of reported cases of end stage CKD within the New Zealand population. Chronic kidney disease is diagnosed when a person has evidence of kidney damage and/or a reduced kidney function which lasts longer than three months (Sandilands et al., 2013). Chronic kidney disease can be categorised into five stages (increasing from stage 1 to 5 stage), in accordance with the glomerular filtration rate (GFR) and the presence of albuminuria. End-stage kidney disease (ESKD) is the most severe form of CKD, with those affected often requiring renal replacement …