AKCC — Advanced Kidney Care Clinic
Kidney care, one clear step at a time

Are my kidneys failing?

Understand your kidney health, learn what may happen next, and feel prepared to talk with your kidney care team.

Help me get started How AKCC helps
Start where you are

What brings you here today?

Choose the statement closest to where you are now.

I have just been told my kidneys are getting weakerUnderstand what this means—and what it does not mean.I would like to understand what may happen nextLearn what your kidney care team may monitor and discuss with you over time.I am preparing for my AKCC appointmentLearn what to bring, who to bring with you, and the questions you may wish to ask.
What is AKCC?

A clinic for planning ahead with advanced kidney disease.

AKCC (Advanced Kidney Care Clinic) is for people with chronic kidney disease (CKD) whose eGFR—the blood-test estimate of kidney function—is below 20. It begins with a counselling session and continues with follow-up visits.

Your AKCC date

The kidney care team will give you a date for your first counselling session.

Counselling session

You and your family members discuss future plans and treatment options with the kidney care team.

Ongoing follow-up

AKCC continues to review your health, revisit the plan, and help you prepare.

One clear overview

Care choices your kidney care team may discuss

A brief introduction to the choices that may be discussed during your AKCC counselling session.

Kidney transplant

A donated kidney is placed into your body after a transplant assessment.

Learn more

Peritoneal dialysis

Dialysis using the lining of the abdomen.

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Haemodialysis

Dialysis using a machine, usually in a centre.

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Conservative kidney management

Active care focused on comfort and quality of life without dialysis.

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After AKCC counselling

What happens next?

Together, we will plan the next steps in your care. These may include health checks, support with food and nutrition, vaccinations, and referrals to help you prepare for treatment.

What happens next
VaccinationNutritionHeart healthAV fistula
Frequently asked questions

Ask freely. Talk it through.

Use these answers as a starting point for your AKCC appointment.

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Not always. Your kidney care team considers your symptoms, blood tests, fluid balance, general health, and how you are feeling—not one result alone.

The rate is different for each person. Your kidney care team reviews the cause of kidney disease, changes in kidney function over time, urine protein, other health conditions, and validated risk estimates where appropriate.

Kidney function may improve when there is a reversible problem, and some people remain stable for a long time. Established chronic kidney damage often does not fully recover, so your kidney care team will follow the trend rather than rely on one result.

Take medicines as prescribed, manage blood pressure and diabetes where relevant, avoid unapproved over-the-counter or herbal remedies, and follow individual advice on diet, activity, and smoking.

Some suitable patients can be assessed for a pre-emptive transplant before dialysis is needed. Assessment, donor options, timing, and local availability must be discussed early with your kidney care team.

The kidney care team reviews your kidney health, explains what may happen next, discusses the available care choices, and answers questions with you and the family members attending with you.