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GPs 'to take on complex CKD cases'

General practice will increasingly take over from specialists in the management of complications of chronic kidney disease, the Government's new

renal tsar has predicted.

Speaking to Pulse following his appointment this week, Dr Donal O'Donoghue said GPs would take on complex tasks such as monitoring of anaemia and bone problems – although only as resources allowed.

'I think local care is often the best,' said Dr O'Donoghue, consultant renal physician at Salford Royal Hospitals foundation trust.

'We need to be asking GPs to put monitoring arrangements in place for anaemia and metabolic bone disease complications. Then when it comes to management of those complications I see quite a big role for primary care in delivering the care.

'This could include intravenous iron for anaemia, monitoring of haemoglobin and changing doses of specific erythropoiesis-stimulating agents,' he explained.

But he admitted some practices would not have the capacity to take on the new work and that commissioners would have to ensure that funding 'followed the patient'.

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