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Chronic Kidney Disease

The PHN is dedicated to helping the communities in the Hunter New England and Central Coast region. There is a strong commitment in delivering innovative and collaborative solutions in the prevention and management of Chronic Kidney Disease.

Here you will be able to find resources and information that will assist your practice in the implementation of these strategies, alongside the development and integration of quality improvement activities for Chronic Kidney Disease to use in Primary Health Care.

For Chronic Kidney Disease support please contact your Primary Care Improvement Officer (PCIO).

Data and Dashboard

General Practice Summary Report

LUMOS sample practice report

Hunter New England Central Coast Primary Health Network (HNECC PHN) provides free licencing to the PENCS suite of products (It combines platforms of the Clinical Audit Tool (CAT4), PAT CAT and Topbar) for the extraction of data from General Practices to support with:
• Quality Improvement
• Accreditation standards
• Practice Incentive Program (PIP) Quality Improvement (QI)
• Population Health planning/support (Comprehensive General Practice Dashboard Reports).

It is compatible with most of the General Practice Clinical Information Systems (CIS). All identifiable data extracted from a Clinical Information System using CAT Plus is securely stored within the practice and not moved offsite.

For more information on the PCS suite of tools please visit and for more information and support with General Practice data please contact your Primary Care Improvement Officer (PCIO).

The Patient
Community of Practice

Join the Chronic Kidney Disease Community of Practice

• This PHN’s Communities of Practice are open to primary care providers within the Hunter, New England & Central Coast Primary Health Network region to share ideas and resources to support quality improvement activities.

• Anyone associated with a primary care organisation in the HNECC region is welcome to request membership of the Primary Care QI CoP.

• Evidence of employment in a primary care organisation or evidence of working closely with primary care clinicians will be required.

• Please note that any resources contributed to this site can be viewed by members of that CoP and by sharing them you agree that others can use and adapt them freely.

To join the Community of practice for Chronic Kidney Disease, please email Deborah at


Resource links

The PHN education calendar

The PHN recorded education library

Central Coast HealthPathways

Hunter New England HealthPathways

Central Coast PatientInfo

Hunter New England PatientInfo

Royal Australian College of General Practitioners

Guidelines for the Implementation of prevention in the general practice setting, 3rd Edition, RACGP 2018
National Guide to a Preventative Health Assessment for Aboriginal and Torres Strait Islander people, 3rd Edition

Australian Practice Nurse Association

Home | Kidney Health Australia
National Strategic Action Plan | Kidney Health Australia
CKD Management handbook | Kidney Health Australia
CKD-Go! app (

eGFR calculator | Kidney Health Australia

Indigenous Flip Chart

Fact sheets and Photo sheets Resource Library (

CKD Management handbook | Kidney Health Australia - Nephrology Referral Letter Template

Kidney Health Australia | Risk Test - Patient Resource
Acute Kidney Fact Sheet

Sick Day Plan

CARI Guidelines: Caring for Australian and New Zealanders with Kidney Impairment

My Kidneys My Choice | Kidney Health Australia - End Stage Kidney Disease Treatment Decision Aid

On Line Tool (Health Professional and Patient)

A Decision aid for the treatment of kidney disease

Patient resource – My Kidneys My Choice PDF

Join the register | DonateLife

Australian Government Department of Health

Home - Pen CS

Software Solutions for Medical Practitioners | MedicalDirector

Select your Best Practice Software Knowledge Base (

Home - Australian Institute of Health and Welfare (

Australian Chronic Disease Prevention Alliance - ACDPA

Get PHN News for your region