Abstract Introduction Patients with end-stage kidney disease are known to experience significant changes in their quality of life even after commencing hemodialysis (HD). However, little research has focused on the patient experience of maintaining dialysis access through an arteriovenous fistula (AVF). This study explores the patient experience of dialysis access care in an integrated, interdisciplinary dialysis access service. This deeper understanding of patient perspectives will help identify strengths and weaknesses in the model and enable nuanced and patient-centred care. Methodology A qualitative study using purposive sampling recruited 12 patients undergoing HD via permanent AVF access. Semi-structured interviews were recorded and transcribed, and data were de-identified. The theory of organisational compassion was used as an interpretative lens and guided the analysis of a subset of data. Findings Patients developed positive relationships with the access team due to multiple elements of care. One element of care that participants valued was compassionate care provided by a range of clinicians from the team, including surgeons, anaesthetists, and dialysis and vascular specialist nurses. Participants reported enhanced understanding and confidence, with a growing sense of competence to share in decision-making and maintain their access. Conclusion Continuity of care provided by an integrated and skilled access team enhances the HD access experience. A deeper understanding of the patient experience, including expectations and values, will allow us to tailor our model of care.