..... if so, direct them to the BMA website that states "people with non-diabetic stage 3 to 5 CKD should have an annual test of proteinuria unless they have a previous diagnosis of proteinuria. People with diabetes already have an annual micro-albuminuria test" - and this is preceded by a statement that a lab test is required for diagnosis of proteinuria.
So wherever you're sitting on the ACR/PCR divide please do use the QoF and, in due course, the NICE CKD guideline to drive awareness about the importance of proteinuria.
Indeed, if you are a clinician reading this, why not add this to your clinic letters for the next 3 months or think about how you get the urinary protein is a multiplier for risk message out there in your locality?
