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Chronic Kidney Disease

Last Modified 13/06/2017 12:32:07 Share this page

Introduction

Chronic kidney disease occurs when one suffers from gradual and usually permanent loss of kidney function over time. This happens gradually, usually months to years. With loss of kidney function, there is an accumulation of water; waste; and toxic substances, in the body, that are normally excreted by the kidney. Loss of kidney function also causes other problems such as anaemia, high blood pressure, acidosis (excessive acidity of body fluids), disorders of cholesterol and fatty acids, and bone disease.

Facts and Figure

Prevalence of Chronic Kidney Disease

For further information regarding the source of QOF prevalence data and its limitations please see Note on QOF Data.

In 2015/16 10,913 people over the age of 18 had been identified by NHS Blackpool CCG GP practices as living with chronic kidney disease.1

NHS Blackpool CGG is shown as a purple marker in Figure 1, with all other CCGs shown in blue. Figure 1 shows that 7.8% of NHS Blackpool CCG's registered population aged over 18, are recorded as living with chronic kidney disease. This is the highest recorded prevalence of chronic kidney disease of any CCG and significantly above the English CCG average.

Figure 1 - Chronic Kidney Disease Prevalence (18+) Funnel Plot Analysis at CCG Level (2015/16 QOF)

Source: Quality Outcomes Framework (QOF)

Figure 2 shows all the GP practices that make up NHS Blackpool CCG. There is a considerable range in recorded prevalence of chronic kidney disease at GP practices from 1.6% to 10.5%.

Figure 2 - Chronic Kidney Disease Prevalence (18+) Funnel Plot Analysis at GP Level (2015/16 QOF)

Source: Quality Outcomes Framework (QOF)

The GP practices highlighted in dark purple have a significantly lower prevalence of chronic kidney disease.

    • MARTON MEDICAL PRACTICE
    • ASHFIELD ROAD MEDICAL CENTRE
    • THE CRESCENT SURGERY
    • ST. PAULS MEDICAL CENTRE
    • THE SURGERY DINMORE AVENUE
    • GORTON STREET PRACTICE
    • ARNOLD MEDICAL CENTRE

The GP Practices highlighted in dark pink have a significantly higher prevalence of chronic kidney disease.

    • NORTH SHORE SURGERY
    • GLENROYD MEDICAL CENTRE
    • WATERLOO MEDICAL CENTRE
    • CLEVELEYS GROUP PRACTICE

National and local strategies (current best practices)

Risk Factors

Kidney disease is most often caused by other conditions that put a strain on the kidneys.

High blood pressure (hypertension) and diabetes are the most common causes of kidney disease. The evidence indicates that high blood pressure causes just over a quarter of all cases of kidney failure. Diabetes has been established as the cause of around a quarter of all cases.2


[1] National GP Practice Profiles

[2] http://www.nhs.uk/Conditions/Kidney-disease-chronic/Pages/Causes.aspx