We will interview Cook Islands people with chronic kidney disease (CKD) and the providers of health services to investigate the care pathways for patients with CKD. Our aim is to improve understanding of how patients and their families interact with health providers along complex pathways of care, in order to identify factors that facilitate and prevent access to high-quality services. We will explore how patients and families respond to services that to them can appear disconnected and not aligned to their needs. Our focus is on Cook Islands people, the third largest Pacific ethnic group in NZ, and the locational context of the research is the Capital and Coast DHB region. Our aim is to contribute evidence to guide the development of care pathways for long term conditions, at multiple levels of the health system, that will enhance services for Pacific people and their families.