Kidney disease: policy context

This section outlines the policy context relevant to acute kidney injury (AKI) and chronic kidney disease (CKD) in Scotland.

Strategies

The Scottish Government published the Scottish Primary Care Collaborative Summary - Improving Care for People with Chronic Kidney Disease in 2010. A Donation and Transplantation Plan for Scotland 2013-2020[672Kb] was published in 2013.

Guidelines, standards and quality improvement work

Clinical guidelines for the management of CKD have been published by the Scottish Intercollegiate Guidelines Network (SIGN) as SIGN 103, and by NICE as NICE Guideline CG182. The Renal Association have also published guidelines for CKD. NICE also publish guidelines for kidney conditions, including peritoneal dialysis, managing anaemia and hyperphosphataemia (excess phosphate in the blood) in kidney disease. Clinical guidelines for the prevention, detection and management of AKI have been published by NICE as NICE Guideline CG169. The Scottish Patient Safety Programme has plans to start a new AKI workstream. CKD was included in the Quality and Outcomes Framework (QOF) of the General Medical Services contract for primary care. Further information about CKD data in the QOF is available in the data page in this section and data from the QOF in Scotland are available from ISD's Quality and Outcomes Framework (QOF) web pages. Because of changes to primary care contracts in Scotland QOF data are only available up to 2016/17. Clinical practice guidelines have been developed by Kidney Disease Improving Global Outcomes (KDIGO) on a range of issues related to kidney disease. The European Renal Best Practice Transplantation Guideline Development Group have published clinical practice guidelines on the management and evaluation of the kidney donor and recipient.