UK Clinical Practice Guidelines for Kidney Disease
Since 1995, we have provided evidence-based guidelines to support the management of kidney disease, aiming to improve care and outcomes for patients. Our individual guidelines are developed independently and free from external funding. They help healthcare professionals deliver consistent, high-quality practice across the UK.
Developed by the UK Kidney Association with expert multi-professional input and evidence review.
This Interactive Guidelines Website was funded by CSL Vifor through an independent grant, and it has been independently developed and is managed by the UK Kidney Association.
Featured interactive guidelines
Since the publication of the first UKKA clinical practice guideline for the use of SGLT 2 inhibition in adults with kidney disease in October 2021, two large and highly relevant clinical trials have been published (DELIVER and EMPA KIDNEY). In light of this new evidence, the 2021 guidelines have been reviewed and updated by the original working group members. The structure of the 2021 guideline which provided recommendations for use for people with diabetes (section 2) and without diabetes (section 3) separately has been retained.
Haemodialysis continues to expand in the UK, with over 25,000 patients now being treated, representing a 10% increase since the publication of the previous Renal Association guideline for haemodialysis. In addition, the patient group continues to develop: the typical patient is now 67 years old with a median history of 3.2 years on renal replacement therapy.
An update of the UKKA Hyperkalaemia Guideline (2020) was prompted following enquiries related to the administration of Calcium Gluconate and to provide new guidance related to the use of oral potassium binders and blood glucose monitoring. Therefore, the main changes to treatment recommendations are within the Hospital Section of this update.
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Endorsed Guidelines
- Clinical Practice Guideline for water treatment facilities, dialysis water and dialysis. Publication date: January 2026
- The 2025 British Society for Rheumatology management recommendations for ANCA-associated vasculitis. Full management recommendations. Executive summary. Publication date: 12 June 2025
- Current management of chronic kidney disease in type-2 diabetes – a tiered approach: An overview of the Joint Association of British Clinical Diabetologists and UK Kidney Association (ABCD-UKKA) Guidelines. Publication date: 1 October 2024
- Consensus Statement: ABCD/UKKA Finerenone in the Management of Diabetic Kidney Disease (DKD). Publication date: 1 July 2024
- Management of Adults with Diabetes on Dialysis. Publication date: 1 August 2022
- Clinical practice guidelines for management of hypertension and renin-angiotensin-aldosterone system blockade in adults with diabetic kidney disease. Publication date: 10 June 2021.
- Standards of Care for Glycaemic Assessment in People with Diabetes on Haemodialysis. Publication date: 10 June 2021
- Clinical practice guidelines for management of hyperglycaemia in adults with diabetic kidney disease. Publication date: 1 March 2021
- Guide for non-diabetes specialist physicians and primary care teams for cardiovascular risk optimization in patients with Type 2 diabetes and atherosclerotic cardiovascular disease. Publication date: 22 June 2020
- Association of British Clinical Diabetologist and Renal Association guidelines on the detection and management of diabetes post solid organ transplantation – summary of recommendations. Publication date: 9 June 2020
- Management of Lipids in Adults with Diabetes Mellitus and Nephropathy and/or Chronic Kidney Disease. Publication date: 1 June 2020
About our guidelines
The Clinical Practice Guidelines Committee, established by the UK Kidney Association in 1995, develops evidence-based guidelines for the care of people with kidney disease. The committee also advises on the data collected by the UK Renal Registry to support up-to-date, safe clinical practice, with the aim of improving outcomes for patients.
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