Many individual with decreased renal function are reviewed in pre-dialysis outpatient clinic for a varying length of time. It is in the pre-dialysis stage that the physician informs the individual about their progressive kidney failure and of the eventual need for dialysis. Despite the length of time that the patient has prior to commencing a renal replacement programme the renal team attempt to prepare the patient for their impending treatment by providing adequate information and allowing them to explore their illness and their future. Research has shown that the more knowledge the patients have about their disease and subsequent treatment, the more they are able to participate in their own care and the better they feel, both mentally and physically. All the patients receiving pre-dialysis information in the last 6 months are included, 14 subjects were chosen at random to participate in the study. A standard information-giving service has now been developed within the renal service, based on the needs of the patients using the service.