Kidney service referrals

Referral contacts

• Renal office
  6th floor, Borough Wing
  Guy's Hospital
  Great Maze Pond
  London SE1 9RT

• Email:
  gst-tr.RenalReferralsGuys@nhs.net

Use the links below for more information on the following types of referral:

• existing transplant/haemodialysis and peritoneal dialysis patients
• pre-transplant work up
• pre-pregnancy CKD

Advice and guidance

If you require routine advice about a patient we offer two services:

• email gst-tr.guysrenalenquiries@nhs.net
• through NHS e-Referral Service.

We aim to respond to your email or request within five working days.

• Routine referrals

  Routine general nephrology and chronic kidney disease referrals for Guy's and St Thomas' or Tunbridge Wells can be made by either of the following ways:

  1. Email or referral letter

     You can refer to a generic consultant nephrologist or a specific named consultant using the contact details at the top of the page. 

  2. NHS e-Referral Service

     • National number: 0345 608 8888
     • NHS e-Referral Service office at Guy’s and St Thomas’:

       Tel: 020 7188 0823/6
       Email: gst-tr.GSTTERS@nhs.net 

  Information required

  Please refer to the NICE CKD guideline 182 (PDF 340Kb) to ensure your referral meets the relevant criteria set out in these guidelines.

  In order for us to appropriately assign the referral to the correct clinic and provide a high quality service to our patients, all referrals should contain the following information:

  1. Full medical history
  2. Current medication
  3. Recent and Historical Parameters, in particular
     • Cumulative creatinine and eGFR
     • Cumulative urinary albumin:creatinine ratio (uACR) or urinary protein:creatinine ratio (uPCR)
     • Cumulative haemoglobin
     • Cumulative blood pressure readings
     • Other relevant blood tests

  4. Renal USS report (if done)
  5. Urine dipstick result

  Referrals without suitable data are unlikely to be offered appointments in the first instance.

• Urgent and immediate referrals

  All urgent and immediate referrals should be discussed with the renal registrar on-call:

  • direct number: 07789 505 184
  • via switchboard: 020 7188 3026

  Urgent referrals

  • CKD 5 (eGFR <15mls/min) unless clinically inappropriate (eg terminal cancer)
  • CKD 4 (not previously known)
  • Nephrotic syndrome irrespective of creatinine/eGFR
  • Protein ± blood in urine with possible multisystem disease (eg SLE/vasculitis)
  • Rapidly deteriorating renal function with protein ± blood in urine

  Immediate referrals

  • AKI 3 (creatinine 3 x baseline)
  • Hyperkalaemia
  • Rapidly deteriorating renal function with malignant hypertension