London AKI Network development and history

London AKI Network began as a bottom-up, clinically driven project borne of a need to address problems in AKI care that were apparent in 2012. These are summarized here. We were founded, following pilot work in North Central London, by the seven London renal units in collaboration with their referring acute hospitals and with the support and endorsement of the medical directors of all London Hospitals. Network membership has always been multidisciplinary, comprising acute physicians, intensivists, pharmacists, nephrologists, renal nurses, critical care nurses and trainees. We have had patient membership from the outset.

We were initially sponsored by the London Specialised Commissioning Group, the AKI National Programme (led by Donal O’Donoghue) and NHS kidney Care (led by Beverley Matthews).

The foundational chair of LAKIN is Chris Laing. The co-founders (who are also sub-regional leads) are Bhrigu Sood (St Hellier), Debasish Bannerjee (St George’s), Marlies Ostermann (Guy’s and St Thomas’s), Neill Duncan (West London Renal and Transplant Centre), Hamish Dobbie (Bart’s Health), Satish Jayawardene (King’s Hospital), Ganesh Suntharalingham (Clinical lead, North West London Critical Care Network), Angela Walsh (Director, North West London Critical Care Network) and Michael Wise (AKI survivor). These co-founders were supported by the LAKIN board and sub-regional committees.

In 2013 LAKIN became part of the NHS England London Strategic Clinical Networks, reporting to the Renal Specialist Clinical Leadership Advisory Group (SCLG). The latter is led by Neil Ashman (renal clinical director for London).

As of Autumn 2015 there are active regional AKI networks across all of England with similar large-scale AKI collaboratives in Scotland and Wales.

In 2014 NHS England and the UK Renal Registry launched the AKI National Programme ‘Think Kidneys’ led by Richard Fluck, National clinical director for kidney care. LAKIN works closely with both ‘Think Kidneys’ and other regional programmes.