Abstract Background and Aims Care for patients receiving maintenance haemodialysis (MH) is critically dependent on multi-professional coordination of care for multimorbidity and complex care needs. Design and coordination of care models is an important clinical concern (Kharbanda et al., 2020). We developed the Biannual Comprehensive Haemodialysis Multidisciplinary Team meeting (BCHMDT), a weekly meeting in which patients receiving MH are reviewed biannually. This study aimed to assess the efficacy of the BCHMDT in improving the provision of care for patients receiving MH. Method This single-centre retrospective study collected data from documentation from 146 patient encounters with the BCHMDT during from two separate time periods: August-December 2020, when the meeting had just been introduced (63 patient encounters) and February to July 2022 (83 patient encounters). Meetings involved a renal physician, haemodialysis specialist nurse, renal dietician, dialysis access nurse specialist, renal transplant coordinator, renal counsellor, and palliative care physician. Meetings were structured around a specially designed proforma Fig. 1. Results Actions generated by the MDT included investigations planned (41%), referrals made to other specialists (33%), changes to dialysis prescriptions (37%), medication changes (39%), dialysis access issues picked up (26%) and new RESPECT discussions (25%).The breakdown of data by time period (2020 group and 2022 group) is shown in Fig. 2 (option 1) OR “the data collected is summarized inFigure 2”(option 2). The proportion of patients achieving their prescribed Kt/V was 63% (2020 group) and 77% (2022 group). The proportion of patients who were eligible for transplant referral but had not yet been referred was 13% (2020 group) and 10% (2022 group). Conclusion The BCH MDT is an worthwhile method to improve coordination of dialysis care, and multi-professional staff in our centre use it as an opportunity to review and improve care. The meeting results in high numbers of actions and adjustments to patient care. Furthermore, in this uncontrolled observational study, there was improvement over time in the proportions of patients achieving adequate Kt/V, and in referral rates for transplant assessment, suggesting a positive impact on MH care.