Why an Acute Kidney Injury network for London?

Networks have been successfully used to plan and implement care in other acute conditions such as stroke, trauma and acute coronary syndrome. The North Central London Acute Kidney Injury Network was successfully launched in late 2009 and this approach has been adopted in several other regions.

We believe the Network model is particularly appropriate to AKI care in London for the following reasons.

  • The AKI care pathway traverses organisations, hospital sites and specialities. As such coordinated, 'joined-up' management requires collaborative working between primary, secondary and tertiary healthcare providers (e.g. local hospitals referring to their regional kidney unit). This is particularly the case in London, where the healthcare system is complex.
  • The network will provide a representative, transparent and accountable structure for the delivery of improvements in AKI care in the capital.
  • Harmonising the AKI pathway (around evidence and National guidelines) will embed best practice and lead to sustained learning.
  • There is evidence of inequity in AKI care in London. Networks, by harmonising pathways and standards, have successfully improved equity in the care of other conditions.
  • It will ensure that local innovation can be given a broader platform for adoption.
  • The network will facilitate sharing of expertise, manpower and other resources.
  • Strategic planning of AKI resources (such as access to acute dialysis) may be performed on a larger scale. The network may facilitate sharing of capacity and will be able to more effectively lobby for increased resources as appropriate.
  • Pooling of audit and epidemiological data will greatly increase its power.
  • Collaborative research, in partnership with London's clinical research networks, universities and academic health science centres, will be greatly enhanced by the size and diversity of the collaboration.