All Renal Services

Services

Addenbrooke's Services

Addenbrooke's Renal Medicine Services

East & North Hertfordshire Services

East & North Hertfordshire Renal Medicine Services

Lister Hospital Services

Lister Hospital - Outpatient Clinics 

Bedford Hospital/Lister and Luton & Dunstable

Services available from a nephrologist who covers all three hospital sites, but whose main site is Lister Hospital. Please refer by letter.

  • CKD Stages 3 upwards
  • Difficult to manage Hypertension.

Who to Refer

Patients with:

  • Very High baseline Creat- First reading
  • If PCR>100
  • GFR progression>4/yr(~10-15%)
  • <55yrs if any doubts
  • Bone disease, severe anaemia
  • Other Kidney disease suspected- PKD,Ig A nephropathy etc

Please note: when seeking/receiving advice in regard to patient care and making referrals, NHS Connecting for Health Information Governance standards and policies must be adhered to.

Staging of patients who meet the definition of CKD

Who not to Refer

Stable patients where a change in creat may be due to a reversible factor - see flowchart.

CKD Pathway Flowchart

The reversible factors to be considered may include treating an underlying UTI, discontinuing ACEI/ARB and excluding any obstructive uropathy. Please refer to the flow chart.



Last updated: 23/09/2015

Update due: 23/09/2016