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<p>The National Institute for Health and Care Excellence guidance Chronic kidney disease
in adults: assessment and management, updated in July 2014, sets out best practice
for clinicians in the diagnosis and management of chronic kidney disease (CKD). The
guidance covers identification and monitoring of patients at risk; pharmacological
management and referral where appropriate, and aims to ensure patients remain healthy
and avoid kidney failure, if possible. The guidance can be found at the following
link:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/cg182" target="_blank">www.nice.org.uk/guidance/cg182</a></p><p>
</p><p>The NHS Health Check is a national programme (launched in 2009) for everyone
between the ages of 40-74 years (not already on a chronic disease register) that assesses
people’s health and risk of developing certain health problems. At launch it was estimated
that the programme could detect each year at least 20,000 cases of diabetes or kidney
disease earlier, allowing individuals to be better managed and to improve their quality
of life. The first major evaluation of the NHS Health Check, published in 2016 and
covering 665 general practitioner practices, demonstrated positive results, estimating
that over the first five years it has identified a new case of chronic kidney disease
in every 265 appointments. More information on the evaluation and its findings can
be found be found at the following link:</p><p> </p><p><a href="http://www.gov.uk/government/news/first-national-evaluation-of-nhs-health-check-programme-published"
target="_blank">www.gov.uk/government/news/first-national-evaluation-of-nhs-health-check-programme-published</a></p>
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