Patients living in rural communities face many barriers and challenges in accessing peritoneal dialysis (PD) because it oftenrequires travelling long distances, and accommodation away from home for training and follow-up. Patient perception is thatthere is a lack of financial support for out-of-pocket expenses, which makes home-based treatments less appealing. It canbe difficult for patients to source equipment required to do PD safely and effectively at home, and more difficult for thosewho live in rural or remote settings. This article describes a patient-led initiative—the “Norm Bourke Box” (NBB) for patientsrequiring PD in rural New South Wales, Australia. The NBB provides necessary equipment including bathroom scales and a bloodpressure machine, that are not supplied by the health... service. For patients, this has enabled a “good start” to PD and hashelped to alleviate the financial burden and stress of needing to source the equipment required for PD. This also gave patientsand staff reassurance because patients could undertake training with the equipment that they would be using at home to supportefficient and safe practice at home. Efforts are now underway to expand the distribution of the NBB to help improve accessand care for rural patients on PD.