Shared dialysis care creates a partnership between staff and patients and promotes person-centred care. It is associated with better long term outcomes, reduced symptom burden and fewer admissions. Shared care dialysis allows patients to take part in 1 or more tasks related to dialysis. Ranging from recording blood pressure; programming dialysis; needling a fistula or performing all tasks independently. Shared care was introduced to our unit using quality improvement methodology and represented a significant cultural shift for both patients and staff. Patient stories were key to the changes. 100% of patients have had the opportunity to participate and more than 25% of patients play an active role in dialysis. Qualitative feedback has been positive and highlights the impact on patients lives. The pandemic has impacted on the growth of this project but team-work and communication has allowed it to continue throughout.