Clinical Practice Guidelines Committee


Chair: Dr Andy Lewington,

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. Accreditation is valid for 5 years from 9 November 2010.

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 Commitee 2013

Andy Lewington (Chair)    Shona Methven 
 Neil Duncan   Clara Day 
 Vicky Briggs   Graham Woodrow 
 Andrew Mooney   Ed Sharples 
 Simon Steddon   Marlies Ostermann 
 Martin Wilkie   Graham Warwick 
 David Goldsmith   Suren Kanagasundaram 
 Ashraf Mikhail   Richard Baker 
 Mark MacGregor   Mark Wright 
 Paul Harden   Mick Kumwenda 
 Cormac Breen   Sandip Mitra 
 Mike Robson  

Current Edition of the Clinical Practice Guidelines

Module Date Review due
Acute Kidney Injury - Andrew Lewington & Suren Kanagasundaram 08/03/11 2014
Anaemia in CKD - Dr Ashraf Mikhail, Dr Rajesh Shrivastava & Dr Donald Richardson 15/11/10 2013 
Assessment of the Potential Kidney Transplant Recipient - Chris Dudley & Paul Harden 12/01/11  2014 
Blood-borne viruses - Colin Geddes, Elizabeth Lindley & Neill Duncan 14/07/09 2012
Cardiovascular disease in CKD - Dr Stephen Holt & Dr David Goldsmith 06/08/10  2013 
CKD-Mineral and Bone Disorders (CKD-MBD) - Dr Simon Steddon & Dr Edward Sharples 21/11/14 2017 
Detection, Monitoring and Care of Patients with CKD - Dr Mark S. MacGregor & Dr Maarten W. Taal  28/02/11 2014 
Haemodialysis - Robert Mactier, Nic Hoenich & Cormac Breen 01/12/09 2012 
Nutrition in CKD - Dr Mark Wright & Dr Colin Jones 25/06/10  2013 
Peritoneal access - Martin Wilkie, Sarah Jenkins & Badi Shrestha 22/09/09  2012 
Peritoneal dialysis - Dr Graham Woodrow & Prof Simon Davies 30/07/10 2013 
Final guideline for planning, initiation & withdrawal of RRT - Graham Warwick & Andrew Mooney 01/02/14 2017 
Post-operative Care of the Kidney Transplant Recipient - Dr R Baker, Professor A Jardine & Dr Peter Andrews 05/02/11 2014 
RA and ART Guideline on Water Treatment Facilities, Dialysis Water and Dialysis Fluid Quality for Haemodialysis and Related Therapies - Nic Hoenich, Robert Mactier, Gerard Boyle, Maurice Harrington, Elizabeth Lindley, Ian Morgan, Paul Rylance, Donal O’Donoghue 20/01/12  2015 
Vascular Access For Haemodialysis - Dr Richard Fluck & Dr Mick Kumwenda 05/01/11 2014


Recent Activity

Treatment of Acute Hyperkalaemia in Adults

Annette Alfonzo on behalf of the Renal Association and Resuscitation Council UK


Hyperkalaemia is an important life-threatening medical emergency.  It is relevant to all medical specialities and its incidence is increasing with the wider use of renal and cardio-protective medications.  Delays in recognition, treatment and/ or specialist referral may have serious consequences.

This is the first joint national guideline produced by the Renal Association and Resuscitation Council.  The main purpose is to provide a comprehensive review by a panel of experts and to give recommendations based on the level of evidence available or on expert opinion. Treatment algorithms have been designed to provide a user-friendly guide to treatment which can be incorporated into medical and nursing education and resuscitation training programs. The evidence-base to guide treatment is not extensive, but a consistent approach to management using a logical sequence of steps could improve patient care and safety. 

Guidelines to Review

The Renal Association Clinical Practice Guidelines that require review will be posted here for 4 weeks. Please send comments back to the lead author. The guidelines will also be reviewed by the Clinical Affairs Board. The lead author will be responsible for commenting on feedback and a final review performed of the guideline by the Clinical Affairs Board prior to endorsing.

Commentary on KDIGO Guidelines

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

Joint Guidelines

The Renal Association produces joint guidelines with other professional bodies for renal related diseases, treatments or technologies.
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