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Chronic kidney disease (CKD) clinic


Coronavirus: kidney and transplant update

In response to the coronavirus (COVID-19) outbreak, please read our advice and information before attending the service.


  • Guy's Hospital
    The kidney clinic
    4th floor,Tower Wing
    Great Maze Pond
    London SE 1 9RT

    For appointments: call Benita Wilson on 020 7188 5664

  • Tower Wing

Why have I been referred to the clinic?

Blood test results have shown a problem with your kidneys that needs further investigation. Usually people are referred to the clinic by their GP, but referrals are also accepted from other hospital doctors, for example a diabetic specialist.

If you have been referred by a GP in Southwark, a kidney specialist will review
the information provided by your GP to recommend the most appropriate treatment
pathway.  If an appointment in the Chronic Kidney Disease clinic is required, the service will contact you within 10 working days of referral to arrange an appointment. For more information, please see our patient information leaflet.

At the clinic

  • Who you will see

    You will see a specialist kidney doctor (often referred to as a consultant nephrologist), at your first consultation. You may also see a specialist nurse for further information.

  • What will happen

    Urine test Medicines

    We will:

    • measure your blood pressure
    • check your weight
    • test your urine
    • discuss your medical history and any symptoms you may have. Please bring your medications, or a list of them, with you.

    At the end of the consultation, the doctor will let you know if you are likely to need any further investigations to find out the cause and extent of your kidney problem.

    These might include:

    • blood tests
    • an ultrasound scan of your kidneys - a procedure that creates an image of an organ in the body
    • a kidney biopsy. This is where a tiny piece of tissue is removed from the kidney and examined under a microscope.

    The doctor will then be able to advise you on what treatment will be best for you. He/she may recommend that you see the specialist nurse for further information about managing your chronic kidney disease.

How often will I need to come to the clinic?

We may recommend that you return to the clinic or you may be able to go back to your GP for ongoing care and follow-up. Most people do not need to come back to the clinic once the cause and extent of their kidney problem has been identified.

We may invite you to an information and education session, to help you understand more about your condition and how to manage it.

What can I do to help look after my kidneys?

We may prescribe you some medications to help protect your kidneys and give you advice on avoiding medications that could damage your kidneys further. A small number of patients may be given more specific treatments, such as medications to suppress their immune system.

We will explain how to protect your kidneys from further damage. This will include some or all of 'the big six':

  1. Keeping your blood pressure down.
  2. Healthy eating.
  3. Taking regular exercise.
  4. Giving up smoking.
  5. Reducing your alcohol intake.
  6. If you are diabetic, getting your diabetes under control.

For more information about how you can look after your kidneys please our patient information leaflets.