The North West London Renal Network is a collaboration between the NW London Critical Care Network and the West London Renal Centre (Hammersmith Hospital). It operates as one of the 5 regional segments of the London Acute Kidney Injury Network
Patients referred to the West London Renal Centre are triaged and prioritised for renal replacement therapy on a daily basis, according to the following criteria:
1. renal transplant candidates
2. diagnostic emergencies (glomerulonephritis)
3. patients receiving renal support on another ICU, known to renal team with known history of chronic kidney disease (CKD)
4. patients receiving renal support on another ICU, presumed acute tubular necrosis (ATN), who have failed to recover renal function after 10-14 days while on renal support (presumed evidence of secondary chronic kidney impairment)
The renal centre's logic for prioritising CKD patients before ATN patients, is that the latter may potentially recover renal function, and it is in their best interest to remain closer to home and/or near to their referring specialities if so, until lack of reversibility AKI is confirmed. CKD patients who develop a need for renal replacement, are unlikely to recover their renal function at all, and are therefore accepted before ATN patients.