Introduction
The recognised benefits of early detection and management of chronic kidney disease (CKD), led to the introduction of estimated glomerular filtration rate (eGFR) reporting and the incorporation of CKD into the revised Quality Outcomes Framework (QOF) of the General Medical Servcies (GMS) contract in the UK . Our aim was to characterize the effect of these changes on referral numbers and appropriateness to a nephrology service, and to assess the impact of a new patient care pathway. In addition, we reviewed the Welsh 2006-8 CKD QOF data, to explore its relation to population demographics and relevant QOF data.