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Kidney service referrals

Treating people with kidney disease

Coronavirus: kidney and transplant update

In response to the coronavirus (COVID-19) outbreak, please read our advice and information before sending any referrals.

Referral contacts

Please note that referrals from London based GPs must be sent via the NHS e-Referral Service (previously known as 'Choose and Book').

If you wish to make a tertiary referral, please do so via the email address above or the links below.

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

Advice and guidance

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

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

  • Routine referrals

    All GP referrals to Guy's and St Thomas' and Tunbridge Wells Nephrology services must be sent via the NHS e-Referral Service (previously known as Choose and Book).

    If you are a GP in Southwark, referrals should be made via e-RS into the new Clinical Assessment Service. Referrals should be made using the Southwark referral form (Word 209Kb) and sent via e-RS using the service name Nephrology / Renal @ Guy's (includes Virtual CKD).

    If you are a non-Southwark GP, referrals to nephrology services should be made via e-RS. Referrals should be made using the appropriate service name:

    • Nephrology, Guy's Site
    • Chronic Kidney Disease (CKD), Guy's Site
    • Nephrology, - GSTT @ Sidcup Kidney Treatment Centre (Queen Mary’s Hospital Sidcup).

    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
    1. Renal USS report (if done)
    2. 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


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