The NephWork is a new SpR driven National SpR audit and research network supported by the Renal Association and the Renal Registry. It’s aim is to develop, coordinate and deliver simple audit and research projects that answer a specific and simple question on a large scale by coordinating the audit and research activity of a large number of renal trainees nationally. The NephWork is part of, and is financially supported by, the Renal Association and runs with the support of the UK Renal Registry to undertake selected projects. Kidney Research UK also provide financial support.

National AKI audit

We are sorry to inform you that unfortunately, because of the national crisis related to the COVID-19 emergency, we have to suspend the audit of AKI care in acute admitting trusts in England and Wales. We will be able to inform you when it will be possible to restart the project in the future.

The first audit project selected is an audit of AKI care in acute admitting trusts nationally, 10 years on from the original NCEPOD report. Data will be used to compare patterns of care across the UK to nationally agreed audit standards for the care of patients with AKI (recently published RA guidelines) in order to review care standards and patient outcomes identified through the Renal Registry Master Patient Index for AKI. The first audit will be for England and Wales only. It is hoped that future audits will also include participation of units in Scotland.

SpR workforce contribution

All contributors to the NephWork project will be listed on relevant webpages and authorship of all publications and presentations are published on behalf of the NephWork, so all contributors are equally represented and all can cite outputs as publications to which they have contributed.
This is a great opportunity for trainees and trusts to be involved in this national audit and we anticipate the results having a significant impact on the way services are developed and delivered moving forward with the opportunity to link to future research and quality improvement opportunities.

Open to recruitment

We currently have participating SpRs from a number of Acute Trusts but are keen to enhance this workforce to achieve the best coverage possible of acute trusts.

Interested trainees should contact the NephWork team, at the Renal Registry.

How to register the audit at your NHS trust


NICE accredited clinical practice guidelines 

Available here

25th Annual Report

Analyses about the care provided to patients at UK renal centres.

Read the report


A report on the nationwide collection of AKI warning test scores. 

Read the report