Clinical Practice Guidelines Committee


Chair: Dr Andy Lewington,

Vice-Chair: Dr Michael Robson,

The Clinical Practice Guidelines Committee was established by the UK Renal Association (RA) to prepare guidelines for the management of patients with renal disease and help identify the data to be collected by the Renal Registry.

The RA has produced guidance on best practice in the management of patients with kidney disease since 1995. The RA Clinical Practice Guidelines are not funded by any external organisation, commercial company or charity.

In 2013 it was agreed that for appropriate topics The Renal Association would produce joint adult and paediatric guidelines with the British Association for Paediatric Nephrology.

NICE Accreditation

The National Institute for Health and Care Excellence (NICE) has accredited the process used by The Renal Association to produce its Clinical Practice Guidelines. The RA are currently applying for re-accreditation from September 2016. The revised Clinical Practice Guideline Development Manual will be published here once it has been approved by NICE.

Accreditation helps health and social care professionals identify the most robustly produced guidance available, enabling them to deliver high quality care.

More information on accreditation can be viewed at


Clinical Practice Guidelines Committee 2016

Dr. Richard Baker                 
Dr. Vicky Briggs                                       
Mr Paul Bristow (Patient Rep)      
Dr. Clara Day   
Dr. Jan Dudley
Dr. Elizabeth Garthwaite                       
Dr. Paul Harden                              
Dr. Suren Kanagasundaram
Dr. Mick Kumwenda
Dr. Andy Lewington (Chair)   
Dr. Elizabeth Lindley    
Dr. Simon Lines
Dr. Mark MacGregor 
Dr. Patrick Mark  

Dr. Shona Methven
Dr. Ashraf Mikhail                           
Dr. Sandip Mitra                 
Dr. Andrew Mooney
Dr. Marlies Ostermann
Dr. Mike Robson (Vice-Chair)
Dr. Ed Sharples
Dr. Simon Steddon  
Ms. Elizabeth Southcott   
Dr.Graham Warwick
Dr. Martin Wilkie                             
Dr. Graham Woodrow
Mr William Withers (Patient Rep)
Dr.Mark Wright 

Clinical Practice Guidelines Terms of Reference - please click here.

6th Edition of the Clinical Practice Guidelines

Guidelines  Main authors
 Paediatric author  Date review Due 
CKD-Mineral and Bone Disorders (CKD-MBD)
Simon Steddon & Edward Sharples Rukshana Shroff  01/03/15  2020
Planning, initiation & withdrawal of Renal Replacement Therapy  Graham Warwick & Andrew Mooney    01/01/14 2019 
Vascular Access For Haemodialysis

Mick Kumwenda, Sandip Mitra, & Claire Reid

   31/3/15  2020



The Renal Association provides a commentary on the relevance and utlility of NICE guidelines to UK practice


The Renal Association provides a commentary on the relevance and utlility of KDIGO guidelines to UK practice

Recent Activity

Scope for new or revised Guidelines

The proposed scopes for several new and revised Guidelines are now available for review.

Scope for Acute Kidney Injury Guideline

Please feedback any comments to Suren Kanagasundaram, co-ordinator of the guideline revision

Scope for Haemodialysis Guideline

Please feedback any comments to Lizzi Lindley, co-ordinator of the guideline revision

Draft Guidelines for NICE review

Two draft guidelines are currently awaiting NICE accreditation: 

  • Post- operative Care in the Kidney Transplant Recipient
  • Peritoneal Dialysis Clinical Practice Guideline

    Please click here to view the draft guidelines.        

Management of adults with diabetes on the haemodialysis unit

Diabetic nephropathy remains the principal cause of end-stage renal failure (ESRF) in the UK, as elsewhere in the developed world,  and patients with diabetes are forming a greater proportion of patients on maintenance hospital haemodialysis.  These are a vulnerable group at high risk of adverse cardiovascular outcomes, which is the leading cause of mortality on this population. 

Accordingly, people with diabetes and ESRF require improved delivery of care, in particular to overcome the organisational difficulties they face with their care split across a variety of organisations in primary and secondary care. 

These national guidelines, the first in this area, are intended to support the practice of all healthcare professionals who care for this vulnerable group of patients, based on the best available evidence or on expert opinion where there is no clear evidence to inform practice.  We aim to provide clear advice to clinicians caring for people with diabetes on maintenance haemodialysis and to encourage and improve education for clinicians and patients to promote patient empowerment and self-management. 

Please click here to view the Joint guideline.

Tolvaptan for treating autosomal dominant polycystic kidney disease

In October 2015, NICE recommended that Tolvaptan (JINARC®) therapy should be made available for selected patients with Autosomal Dominant Polycystic Kidney Disease (ADPKD) in England and Wales In January 2016, the Scottish Medicines Consortium (SMC) also approved Tolvaptan for use in Scotland. Currently Tolvaptan is being used in Canada, Japan, Korea and Switzerland for ADPKD and has been approved for use in Europe by the European Medicines Agency (EMA). 

NICE recommended that patients with ADPKD who may be eligible for treatment must have Stage 2 or 3 chronic kidney disease (CKD) and ‘evidence of rapidly progressing disease’. SMC have approved its use for Stages 1-3 CKD, similar to that recommended by the EMA. The definition and evaluation of ‘rapid progression’ are however not established and have not been stipulated by NICE, SMC or the EMA.  The main purpose of this commentary is to address the issue of how to identify patients with evidence of or who are at risk of rapid disease progression.

Click here to view the final version of the commentary 

New RA and ART Guideline on Water Treatment Facilities, Dialysis Water and Dialysis Fluid Quality for Haemodialysis and Related Therapies 

Please click here to view the joint guideline. 

Protein Energy Wasting in Chronic Kidney Disease Clinical Practice Guideline

- See more at:

Protein Energy Wasting in Chronic Kidney Disease Clinical Practice Guideline

- See more at:
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