The Advanced Kidney Care (AKC) team offers advice and support across west London to patients with advanced kidney disease who are approaching end-stage renal disease.

The team consists of nurse specialists and advanced practitioners who work in partnerships with consultant nephrologists. Their services include clinical assessment, education and psychological support to aid decision making with regard to their treatment options (transplantation, dialysis, conservative management).

Clinics are located at Hammersmith, Charing Cross, St Mary’s, Ashford, Watford, West Middlesex University Hopsital and London Northwest University Hospital (Central Middlesex, Northwick Park and Ealing).

For further information on Advanced kidney care, see Patient education on advanced kidney care.


Charing Cross Clinic

Location: Charing Cross Hospital, Fulham Palace Rd, Hammersmith W6 8RF

Nurse specialist: Debbie Gifford

Hours: Tuesday –Thursday 8:00–17:00

Contact information:

Phone: 02033130984

Ashford Clinic

Location: London Road, Stanwell, Ashford TW15 3AA

Nurse Specialist: Debbie Gifford

Hammersmith Hospital Clinic


Location: Main OPD Hammersmith Hospital, Du Cane Road W12 0HS


Hours: Wednesday- Friday 09.00-15.30


Nurse Specialist: Olivia Ferres

Contact information: 02033135247


Location: Renal Outpatients, Ground Floor A block, Hammersmith Hospital, Du Cane Road W12 0HS 


Clinic Hours: 13:30- 16:30 (Tuesday PM)


Nurse Specialist: Wendy Brown


Contact information: 0203 313 8333 (appointment queries)

St Marys Hospital Clinic

Address: Mint Wing, Praed Street, Paddington, London W2 1NY

Nurse Specialist: Samantha Ross

Hours: Tuesday 9:30-1:30

Contact information: 0203 3126345 

West Middlesex Clinic

Address: Mondays: OPD 2, Twickenham Road, Isleworth, Middlesex, TW7 6AF

Nurse specialist: Kim Pryde

Hours:  9:00 – 4:30   Monday-Wednesday

Contact information : Mondays: 0208 321 5668, Tuesday and Wednesday: 0203 313 2598

London North West University Hospital (Central Middlesex)

Address: Brent Renal Centre, Central Middlesex Hospital, BeCAD Building, Level 2, NW10 7NS

Hours:  Thursdays 8-4

Nurse Specialist: Lizzie Dalby

Contact information: 0208 453 2151

Ealing Hospital Clinic

Address: Outpatients, Uxbridge Road, Southall, UB1 3HW

Nurse specialist: Emma Tonkin

Contact information  0203 311 1972

Northwick Park Clinic

Address: Northwick Park Hospital, Watford Road, Harrow, HA1 3UJ

Hours : Monday, Tuesday, Wednesday and Friday 8:00 am – 4pm

Nurse specialist: Vena Sinclair

Contact information: 0208 869 5027

West Herts Hospital (Watford General) Clinic

Address: Watford Renal Clinic, Vicarage Road, WD18 0HB

Hours:  Monday 10.00-18.00, Tuesday 09.30-14.30, Friday 09.30-14.30

Nurse Specialist: Amrita Acharya

Contact information Tel:  0923 217240

Healthcare guidance for professionals

Referral pathway

(information for other clinicians etc. how patients are referred to the service)

There are two routes of referral into the Advanced Kidney care clinics (AKCC): internal or external. Internal referrals are made where a patient transfers from the general kidney care clinic at the recommendation of the Consultant or Nurse Specialist. External referrals where a patient moves relocates should be made via the NHS Electronic referral service (ERS) to the ‘NWL Kidney Care’ portal. The patient will be seen in a general nephrology clinic initially and transferred into the AKCC or specialist clinic as appropriate.

Clinical pathway

(the patient’s journey through the service)

Patients with progressive kidney disease (stage 3 – 4) or requiring specialist management, such as immunosuppression, are managed in the general or specialist kidney care service. When their Kidney disease approaches stage 5 requiring kidney transplantation, renal replacement therapy or, in some cases, conservative management, they are transferred to the Advanced Kidney Care clinic (AKCC). The AKCC team which consists of a consultant nephrologist, nurse specialist, dietician and counselling services will work closely with the patient to provide education and support to aid decision making in deciding their chosen pathway.