Diabetes and Chronic Kidney Disease are two of the commonest long term conditions.One fifth of patients with diabetes will have CKD, and diabetes is the commonest cause of advanced kidney disease.For most patients these co morbidities will be managed in primary care with the focus on cardiovascular prevention.Patients with more advanced disease and complications require joint care from multidisciplinary specialist teams in diabetes and renal disease to ensure that care is consistent and coordinated.Models of joint speciality care, include joint registry management, parallel clinics, shared consulting and case discussion, but require more evaluation than has currently been performed.These underpin more informal interactions between the specialist teams.A local model of care for diabetes and renal disease that incorporates the roles of primary care, members of multidisciplinary teams, and speciality care should be agreed, resourced appropriately and its effectiveness monitored Cancer, that is, for different individual cancer, they will be treated by different.