There are over a million people with undiagnosed CKD in the UK. In 2009/10, CKD was attributed to an excess 7000 strokes, 12,000 MIs and cost the NHS an additional £1.45billion. Diagnosis requires both eGFR and ACR. Failure of checking for ACR can underestimate the prevalence and severity of CKD. Pro-active diagnosis of CKD can reduce unplanned admissions, cardiovascular disease and end stage renal failure.

• CKD is under-diagnosed. Diagnosis requires both eGFR and ACR
• CKD increases the risk of coronary disease, heart failure, heart valve disease, stroke and limb amputation.
• Albuminuria is an independent risk factor for cardiovascular morbidity, mortality and end-stage renal failure
• Failure to diagnose and code CKD significantly increases mortality risk
• - Treatment of CKD improves outcomes