This page summarises 'when to refer' for specialist care. This is dealt with in more detail on the linked pages.
There will be differing local pathways and processes for some referrals. Frequently, advice by email or telephone may help in reaching a decision. Follow local protocols when provided. Seek specialist advice where patients fall outside protocols.
Jump to 'what to send'
Information that it is valuable to send with referral
- General medical history - particularly noting urinary symptoms, previous blood pressures, urine testing.
- Medication history
- Urine dipstick result for haematuria and quantitation of proteinuria by ACR or PCR
- Blood tests - Full blood count, urea and electrolytes. HbA1c if diabetic. If available, calcium, albumin, phosphate, cholesterol.
- Previous tests of renal function with dates, back to normal renal function if possible (unless electronically available in specialist centre).
- Imaging - results of renal imaging if undertaken (according to local circumstances, pre-ordering may speed assessment)