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 2021-2026was published in 2021.

Guidelines, standards and quality improvement work

NICE publish guidelines for kidney conditions, including peritoneal dialysis, managing anaemia and hyperphosphataemia (excess phosphate in the blood) in kidney disease. Clinical guidelines for the management of CKD have been published by NICE as NICE Guideline CG182. Clinical guidelines for the prevention, detection and management of AKI have been published by NICE as NICE Guideline NG148. The previous SIGN 103 guideline (Scottish Intercollegiate Guidelines Network) on chronic kidney disease has not been updated and is no longer available. The Renal Association have also published guidelines for CKD. 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.

The Scottish Patient Safety Programme has an AKI workstream.