Chronic Kidney Disease Pathway Document Description Presented ...

Stage 4
Management at stage 4 should include all of the interventions as
detailed for stages 1, 2 and 3 plus the following section/s for stage 4.
Patients at CKD stage 4 should be referred for specialist nephrology opinion. For
most patients management at this stage can be achieved by a shared care
programme between the nephrology dept. and primary care, with the provision of
a detailed shared care management plan from the nephrology team.
Referral for patients at this stage with no other referral indication should be to the
"One-Stop" renal clinic.
“One-Stop” Renal Clinic
Introduction:
The “one-stop” renal clinic is an innovative and modern concept delivering health
services designed around patients' needs and lifestyles. The clinics are an
integral part of the drive towards building a patient-centred NHS, providing care,
which minimises waits and delays, and removes unnecessary hospital visits.
The service is committed to raising individual and community health status and
awareness through high quality, evidence based screening, advisory, therapeutic
and support services.
A patient referred to a “one-stop” clinic will typically receive a specialist
consultation, undergo diagnostic testing e.g. renal ultrasound, doppler,
blood tests, basic echocardiography etc., receive their results in the clinic
and have treatment initiated where appropriate.
Clinic aims:
• To provide seamless care and patient flows from primary to secondary care
and vice versa.
• Quicker, more convenient and timely diagnosis and investigation. Faster and
better care, same day diagnostic tests etc.
• Reduction in the number of hospital visits.
• Reduction in patient anxiety levels associated with disease.
• Smoother and quicker access to other specialties and health care
professionals (eg. renal specialist dietician) if required.
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