Health Equity
Purpose
London’s population should expect equitable access to high-quality kidney care regardless of their socio-economic status, ethnicity, or other demographic factors.
We put a focus on reducing health inequalities and unwarranted variation across the Kidney pathway, and meeting the unique needs of London’s diverse population, at the very centre of our work.
We expect all priority work areas to include reducing inequality in their plans, and to use the resources previously developed by the LKN Health Equity Group to support delivery.
London Kidney Network equity audit: key findings
Equity of access, quality and outcomes – baseline assessment (pre-COVID, adults)

Age
Inequities found:
Older people and Peritoneal Dialysis / transplant
Younger people and outpatient attendance / late presentation

Sex
Inequities found:
Women and CKD diagnosis / RRT
Young men and outpatient attendance / late presentation

Socio-economic status
Inequities found:
Patients from more deprived areas and:
- Late presentation
- Outpatient attendance
- Transplant
- Peritoneal Dialysis

Geography
On all equity metrics there was wide variation between renal centres or Integrated Care Board areas.

Ethnicity
Inequities found:
Ethnic groups other than white and outpatient attendance / transplant
Health Equity Audit (HEA)
In 2022, the LKN Health Equity Group conducted a baseline equity assessment of access to, and outcomes of, renal care pathway services across the network. You can download each of the equity packs for each part of the care pathway here.
Population Risk
Baseline Assessment
RRT
Outpatients
Late Presentation
Primary Care
Dialysis
Transplant
Other resources
Health Equity Tool Kit
Supportive care e-module
If you’d like to learn more about Supportive Care, follow this link