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Prompt: CKD Follow-Up Clinic Letter to GP

A copy-paste-ready prompt for drafting a clear, complete GP letter after a chronic kidney disease follow-up appointment.

CKD Follow-Up Clinic Letter to GP

Use this prompt to draft a structured GP clinic letter after a CKD follow-up appointment. The letter should give the GP everything they need to manage the patient safely between nephrology appointments.

Try it yourself
Draft a CKD (chronic kidney disease) follow-up clinic letter to a GP.

Use these headings: Reason for Attendance, Clinical Assessment, 
Investigations, Impression, Management Plan, Actions for GP.

Clinical details:
- Patient: aged [[patient_age]], CKD [[stage — e.g. "Stage 3b"]], 
  cause [[cause — e.g. "diabetic nephropathy"]]
- Clinical assessment: [[assessment — e.g. "blood pressure well 
  controlled, no oedema, no symptoms of uraemia"]]
- eGFR trend: [[trend — e.g. "stable over past 12 months"]]
- Investigations: [[investigations — e.g. "eGFR and creatinine 
  stable, potassium mildly elevated — dietary advice given, 
  no action needed at this level; haemoglobin satisfactory"]]
- Management changes: [[changes — e.g. "no medication changes 
  this visit; reinforced dietary potassium advice"]]
- Plan: [[plan — e.g. "nephrology review in 6 months"]]
- Actions for GP: [[gp_actions — e.g. "arrange renal profile 
  in 3 months; continue current antihypertensives; 
  refer back if eGFR falls by more than 5"]]

Do not include specific lab values or drug doses — I will add those.
Also include a brief reminder about nephrotoxin avoidance 
(NSAIDs — non-steroidal anti-inflammatory drugs, iodinated 
contrast) for this patient.

Why this works

Specifying the nephrotoxin reminder in the prompt ensures this important safety message appears in every CKD clinic letter to the GP — which is where it needs to be, since the GP is often the prescriber who most needs it. Structuring the Actions for GP section with specific intervals and thresholds prevents ambiguity about what the GP is being asked to do.

How to tweak it

  • For a patient at CKD Stage 4 approaching dialysis preparation, add: "Include a sentence noting that the patient is approaching the stage where dialysis planning will become relevant, and that the GP should be aware this will be discussed at the next nephrology appointment."
  • For a patient with significantly elevated blood pressure at the clinic visit, add: "Note that blood pressure was elevated at today's appointment. Include a specific request to the GP to review blood pressure control and consider medication adjustment."

Remember: AI is a helpful assistant, not a clinician. You make the call.

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