CKD Virtual Clinic

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Covid-19: Click here for latest CKD Virtual Clinic service update (January 2021)

The clinic has three key elements

  • e-clinic where specialists assess and provide information and advice based on shared-viewing agreements;
  • community CKD trigger tools and prevalence searches identifying patients at risk of ESKD to alert practices to patients who may benefit from addition to the CKD practice register;
  • education for patients through one-to-one nurse clinics or groups to promote patient self-management to reduce complications and delay progression into ESRD;

Eligibility criteria


  • eGFR less than 30ml/min – with or without diabetes
  • ACR 30mg + with haematuria
  • ACR 70mg/ml+ (unless diabetes AND appropriately treated)
  • sustained decrease in eGFR of 15ml in past year – or 25% decrease in eGFR
  • poorly controlled hypertension (with 4 medications)
  • known or suspected rare or genetic causes of CKD
  • suspected renal artery stenosis

How to refer

The following clinicians can refer to this service: GPs

EMIS form

Referral methods: e-Referrals

Refer via eRS - Search under 'Community Kidney E-Clinic.'

You will need to do the following before referring:

  • ask for consent to view the medical record and tick 'share consent'
  • review patient data in the updated CKD template and decide if further tests are needed 
  • write what you want from the renal consultant in the consultation field 

External Links